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Esner Destin 2023

The document is the 2023 U.S. Individual Income Tax Return (Form 1040) for Esner Destin, detailing personal information, income, deductions, and tax calculations. It includes a total income of $30,651, a standard deduction of $13,850, and a taxable income of $16,715, resulting in a total tax of $1,999. The document indicates an overpayment of $2,521, which is requested to be refunded.

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0% found this document useful (0 votes)
146 views8 pages

Esner Destin 2023

The document is the 2023 U.S. Individual Income Tax Return (Form 1040) for Esner Destin, detailing personal information, income, deductions, and tax calculations. It includes a total income of $30,651, a standard deduction of $13,850, and a taxable income of $16,715, resulting in a total tax of $1,999. The document indicates an overpayment of $2,521, which is requested to be refunded.

Uploaded by

pasesner
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 8

1040 U.S.

Individual Income Tax Return 2023


Department of the Treasury—Internal Revenue Service
Form

OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.

For the year Jan. 1–Dec. 31, 2023, or other tax year beginning , 2023, ending , 20 See separate instructions.
Your first name and middle initial Last name Your social security number
ESNER DESTIN 1 2 2 1 1 1 1 1 5
If joint return, spouse’s first name and middle initial Last name Spouse’s social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
1109 JASMIN AVE Check here if you, or your
City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code spouse if filing jointly, want $3
to go to this fund. Checking a
Fort Pierce FL 34982 box below will not change
Foreign country name Foreign province/state/county Foreign postal code your tax or refund.
You Spouse

Filing Status ✘ Single Head of household (HOH)


Married filing jointly (even if only one had income)
Check only
one box. Married filing separately (MFS) Qualifying surviving spouse (QSS)
If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child’s name if the
qualifying person is a child but not your dependent:

Digital At any time during 2023, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell,
Assets exchange, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) . Yes ✘ No

Standard Someone can claim: You as a dependent Your spouse as a dependent


Deduction Spouse itemizes on a separate return or you were a dual-status alien

Age/Blindness You: Were born before January 2, 1959 Are blind Spouse: Was born before January 2, 1959 Is blind
Dependents (see instructions): (2) Social security (3) Relationship (4) Check the box if qualifies for (see instructions):
(1) First name Last name number to you Child tax credit Credit for other dependents
If more
than four
dependents,
see instructions
and check
here . .

Income 1a Total amount from Form(s) W-2, box 1 (see instructions) . . . . . . . . . . . . . 1a 30,221
b Household employee wages not reported on Form(s) W-2 . . . . . . . . . . . . . 1b 0
Attach Form(s)
W-2 here. Also c Tip income not reported on line 1a (see instructions) . . . . . . . . . . . . . . 1c 0
attach Forms d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) . . . . . . . . 1d 0
W-2G and
1099-R if tax e Taxable dependent care benefits from Form 2441, line 26 . . . . . . . . . . . . 1e 0
was withheld. f Employer-provided adoption benefits from Form 8839, line 29 . . . . . . . . . . . 1f 0
If you did not g Wages from Form 8919, line 6 . . . . . . . . . . . . . . . . . . . . . 1g 0
get a Form
W-2, see
h Other earned income (see instructions) . . . . . . . . . . . . . . . . . . 1h 0
instructions. i Nontaxable combat pay election (see instructions) . . . . . . . 1i 0
z Add lines 1a through 1h . . . . . . . . . . . . . . . . . . . . . . 1z 30,221
Attach Sch. B 2a Tax-exempt interest . . . 2a b Taxable interest . . . . . 2b
if required. 3a Qualified dividends . . . 3a b Ordinary dividends . . . . . 3b
4a IRA distributions . . . . 4a 0 b Taxable amount . . . . . . 4b 0
Standard
Deduction for— 5a Pensions and annuities . . 5a 0 b Taxable amount . . . . . . 5b 0
• Single or 6a Social security benefits . . 6a 0 b Taxable amount . . . . . . 6b 0
Married filing
separately, c If you elect to use the lump-sum election method, check here (see instructions) . . . . .
$13,850 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . 7 0
• Married filing
jointly or 8 Additional income from Schedule 1, line 10 . . . . . . . . . . . . . . . . . 8 430
Qualifying
surviving spouse, 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . . . . . . . . . . 9 30,651
$27,700 10 Adjustments to income from Schedule 1, line 26 . . . . . . . . . . . . . . . 10 0
• Head of
household, 11 Subtract line 10 from line 9. This is your adjusted gross income . . . . . . . . . . 11 30,651
$20,800
12 Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . 12 13,850
• If you checked
any box under 13 Qualified business income deduction from Form 8995 or Form 8995-A . . . . . . . . . 13 86
Standard
Deduction, 14 Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . 14 13,936
see instructions.
15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income . . . . . 15 16,715
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2023)
Form 1040 (2023) Page 2

Tax and 16 Tax (see instructions). Check if any from Form(s): 1 8814 2 4972 3 . . 16 1,787
Credits 17 Amount from Schedule 2, line 3 . . . . . . . . . . . . . . . . . . . . 17 212
18 Add lines 16 and 17 . . . . . . . . . . . . . . . . . . . . . . . . 18 1,999
19 Child tax credit or credit for other dependents from Schedule 8812 . . . . . . . . . . 19 0
20 Amount from Schedule 3, line 8 . . . . . . . . . . . . . . . . . . . . 20 1,999
21 Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . 21 1,999
22 Subtract line 21 from line 18. If zero or less, enter -0- . . . . . . . . . . . . . . 22 0
23 Other taxes, including self-employment tax, from Schedule 2, line 21 . . . . . . . . . 23 0
24 Add lines 22 and 23. This is your total tax . . . . . . . . . . . . . . . . . 24 0
Payments 25 Federal income tax withheld from:
a Form(s) W-2 . . . . . . . . . . . . . . . . . . 25a 2,521
b Form(s) 1099 . . . . . . . . . . . . . . . . . . 25b 0
c Other forms (see instructions) . . . . . . . . . . . . . 25c 0
d Add lines 25a through 25c . . . . . . . . . . . . . . . . . . . . . . 25d 2,521

If you have a 26 2023 estimated tax payments and amount applied from 2022 return . . . . . . . . . . 26
qualifying child, 27 Earned income credit (EIC) . . . . . . . . . . . . . . 27 0
attach Sch. EIC.
28 Additional child tax credit from Schedule 8812 . . . . . . . . 28 0
29 American opportunity credit from Form 8863, line 8 . . . . . . . 29 0
30 Reserved for future use . . . . . . . . . . . . . . . 30
31 Amount from Schedule 3, line 15 . . . . . . . . . . . . 31 0
32 Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits . . 32 0
33 Add lines 25d, 26, and 32. These are your total payments . . . . . . 0. . . . . . 33 2,521
Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid . . 34 2,521
35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here . . . . 35a 2,521
Direct deposit? b Routing number 2 9 1 4 7 1 0 2 4 c Type: ✘ Checking Savings
See instructions.
d Account number 2 2 4 3 1 1 1 1 2 2 1 1 1 1 1 5 4
36 Amount of line 34 you want applied to your 2024 estimated tax . . . 36
Amount 37 Subtract line 33 from line 24. This is the amount you owe.
You Owe For details on how to pay, go to www.irs.gov/Payments or see instructions . . . . . . . . 37 0
38 Estimated tax penalty (see instructions) . . . . . . . . . . 38 0
Third Party Do you want to allow another person to discuss this return with the IRS? See
Designee instructions . . . . . . . . . . . . . . . . . . . . . Yes. Complete below. ✘ No
Designee’s Phone Personal identification
name no. number (PIN)

Sign Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here Your signature Date Your occupation If the IRS sent you an Identity
Protection PIN, enter it here
03/22/2024 LIFT OPERATOR (see inst.)
Joint return?
See instructions. Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an
Keep a copy for Identity Protection PIN, enter it here
your records. (see inst.)

Phone no. (772)985-4556 Email address


Preparer’s name Preparer’s signature Date PTIN Check if:
Paid RICARDO SYLVAIN 03/22/2024 P00566813 ✘ Self-employed
Preparer
Firm’s name RICOTRAVEL TAX AND MULTI SERVICES Phone no. (561) 929-5723
Use Only
Firm’s address 1300 NW 17TH AVE STE 273D Delray Beach FL 33445 Firm’s EIN 474723770
Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2023)
SCHEDULE 1 OMB No. 1545-0074
Additional Income and Adjustments to Income
(Form 1040)
Department of the Treasury
Attach to Form 1040, 1040-SR, or 1040-NR. 2023
Attachment
Go to www.irs.gov/Form1040 for instructions and the latest information.
Internal Revenue Service Sequence No. 01
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
ESNER DESTIN 122-11-1115
Part I Additional Income
1 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . 1
2a Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b Date of original divorce or separation agreement (see instructions):
3 Business income or (loss). Attach Schedule C . . . . . . . . . . . . . . . . . 3 430
4 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . 4 0
5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . 5 0
6 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . 6 0
7 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . 7 0
8 Other income:
a Net operating loss . . . . . . . . . . . . . . . . . . . 8a ( 0)
b Gambling . . . . . . . . . . . . . . . . . . . . . . 8b 0
c Cancellation of debt . . . . . . . . . . . . . . . . . . 8c 0
d Foreign earned income exclusion from Form 2555 . . . . . . . 8d ( 0)
e Income from Form 8853 . . . . . . . . . . . . . . . . . 8e 0
f Income from Form 8889 . . . . . . . . . . . . . . . . . 8f 0
g Alaska Permanent Fund dividends . . . . . . . . . . . . . 8g
h Jury duty pay . . . . . . . . . . . . . . . . . . . . . 8h
i Prizes and awards . . . . . . . . . . . . . . . . . . . 8i
j Activity not engaged in for profit income . . . . . . . . . . . 8j 0
k Stock options . . . . . . . . . . . . . . . . . . . . . 8k
l Income from the rental of personal property if you engaged in the rental
for profit but were not in the business of renting such property . . . 8l
m Olympic and Paralympic medals and USOC prize money (see
instructions) . . . . . . . . . . . . . . . . . . . . . 8m
n Section 951(a) inclusion (see instructions) . . . . . . . . . . 8n
o Section 951A(a) inclusion (see instructions) . . . . . . . . . . 8o
p Section 461(l) excess business loss adjustment . . . . . . . . 8p 0
q Taxable distributions from an ABLE account (see instructions) . . . 8q
r Scholarship and fellowship grants not reported on Form W-2 . . . 8r
s Nontaxable amount of Medicaid waiver payments included on Form
1040, line 1a or 1d . . . . . . . . . . . . . . . . . . . 8s ( 0)
t Pension or annuity from a nonqualifed deferred compensation plan or
a nongovernmental section 457 plan . . . . . . . . . . . . 8t
u Wages earned while incarcerated . . . . . . . . . . . . . 8u
z Other income. List type and amount:
8z 0
9 Total other income. Add lines 8a through 8z . . . . . . . . . . . . . . . . . . 9 0
10 Combine lines 1 through 7 and 9. This is your additional income. Enter here and on Form
1040, 1040-SR, or 1040-NR, line 8 . . . . . . . . . . . . . . . . . . . . . 10 430
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71479F Schedule 1 (Form 1040) 2023
Schedule 1 (Form 1040) 2023 Page 2

Part II Adjustments to Income


11 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 0
12 Certain business expenses of reservists, performing artists, and fee-basis government
officials. Attach Form 2106 . . . . . . . . . . . . . . . . . . . . . . . . 12 0
13 Health savings account deduction. Attach Form 8889 . . . . . . . . . . . . . . 13 0
14 Moving expenses for members of the Armed Forces. Attach Form 3903 . . . . . . . 14 0
15 Deductible part of self-employment tax. Attach Schedule SE . . . . . . . . . . . 15 0
16 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . 16 0
17 Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . 17 0
18 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . 18
19a Alimony paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19a 0
b Recipient’s SSN . . . . . . . . . . . . . . . . . . . . . .
c Date of original divorce or separation agreement (see instructions):
20 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 0
21 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . 21 0
22 Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Archer MSA deduction . . . . . . . . . . . . . . . . . . . . . . . . . 23 0
24 Other adjustments:
a Jury duty pay (see instructions) . . . . . . . . . . . . . . 24a
b Deductible expenses related to income reported on line 8l from the
rental of personal property engaged in for profit . . . . . . . . 24b
c Nontaxable amount of the value of Olympic and Paralympic medals
and USOC prize money reported on line 8m . . . . . . . . . . 24c
d Reforestation amortization and expenses . . . . . . . . . . . 24d 0
e Repayment of supplemental unemployment benefits under the Trade
Act of 1974 . . . . . . . . . . . . . . . . . . . . . . 24e 0
f Contributions to section 501(c)(18)(D) pension plans . . . . . . . 24f 0
g Contributions by certain chaplains to section 403(b) plans . . . . 24g
h Attorney fees and court costs for actions involving certain unlawful
discrimination claims (see instructions) . . . . . . . . . . . . 24h
i Attorney fees and court costs you paid in connection with an award
from the IRS for information you provided that helped the IRS detect
tax law violations . . . . . . . . . . . . . . . . . . . 24i
j Housing deduction from Form 2555 . . . . . . . . . . . . . 24j 0
k Excess deductions of section 67(e) expenses from Schedule K-1 (Form
1041) . . . . . . . . . . . . . . . . . . . . . . . . 24k 0
z Other adjustments. List type and amount:
24z 0
25 Total other adjustments. Add lines 24a through 24z . . . . . . . . . . . . . . . 25 0
26 Add lines 11 through 23 and 25. These are your adjustments to income. Enter here and on
Form 1040, 1040-SR, or 1040-NR, line 10 . . . . . . . . . . . . . . . . . . 26 0
Schedule 1 (Form 1040) 2023
SCHEDULE 2 OMB No. 1545-0074
Additional Taxes
(Form 1040)
Department of the Treasury
Attach to Form 1040, 1040-SR, or 1040-NR. 2023
Attachment
Go to www.irs.gov/Form1040 for instructions and the latest information.
Internal Revenue Service Sequence No. 02
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
ESNER DESTIN 122-11-1115
Part I Tax
1 Alternative minimum tax. Attach Form 6251 . . . . . . . . . . . . . . . . 1 0

2 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . 2 212

3 Add lines 1 and 2. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 17 . . 3 212
Part II Other Taxes
4 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . 4 0

5 Social security and Medicare tax on unreported tip income.


Attach Form 4137 . . . . . . . . . . . . . . . . . . 5 0

6 Uncollected social security and Medicare tax on wages. Attach


Form 8919 . . . . . . . . . . . . . . . . . . . . . 6 0

7 Total additional social security and Medicare tax. Add lines 5 and 6 . . . . . . 7 0

8 Additional tax on IRAs or other tax-favored accounts. Attach Form 5329 if required.
If not required, check here . . . . . . . . . . . . . . . . . . . . . 8 0

9 Household employment taxes. Attach Schedule H . . . . . . . . . . . . . 9 0

10 Repayment of first-time homebuyer credit. Attach Form 5405 if required . . . . . 10 0

11 Additional Medicare Tax. Attach Form 8959 . . . . . . . . . . . . . . . . 11 0

12 Net investment income tax. Attach Form 8960 . . . . . . . . . . . . . . . 12 0

13 Uncollected social security and Medicare or RRTA tax on tips or group-term life
insurance from Form W-2, box 12 . . . . . . . . . . . . . . . . . . . . 13 0

14 Interest on tax due on installment income from the sale of certain residential lots
and timeshares . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 0

15 Interest on the deferred tax on gain from certain installment sales with a sales price
over $150,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 0

16 Recapture of low-income housing credit. Attach Form 8611 . . . . . . . . . . 16 0

(continued on page 2)
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71478U Schedule 2 (Form 1040) 2023
Schedule 2 (Form 1040) 2023 Page 2

Part II Other Taxes (continued)


17 Other additional taxes:
a Recapture of other credits. List type, form number, and amount:
17a 0

b Recapture of federal mortgage subsidy, if you sold your home


see instructions . . . . . . . . . . . . . . . . . . . 17b 0

c Additional tax on HSA distributions. Attach Form 8889 . . . . 17c 0

d Additional tax on an HSA because you didn’t remain an eligible


individual. Attach Form 8889 . . . . . . . . . . . . . . 17d 0

e Additional tax on Archer MSA distributions. Attach Form 8853 . 17e 0

f Additional tax on Medicare Advantage MSA distributions. Attach


Form 8853 . . . . . . . . . . . . . . . . . . . . . 17f 0

g Recapture of a charitable contribution deduction related to a


fractional interest in tangible personal property . . . . . . . 17g
h Income you received from a nonqualified deferred compensation
plan that fails to meet the requirements of section 409A . . . 17h
i Compensation you received from a nonqualified deferred
compensation plan described in section 457A . . . . . . . 17i
j Section 72(m)(5) excess benefits tax . . . . . . . . . . . 17j 0

k Golden parachute payments . . . . . . . . . . . . . . 17k 0

l Tax on accumulation distribution of trusts . . . . . . . . . 17l 0

m Excise tax on insider stock compensation from an expatriated


corporation . . . . . . . . . . . . . . . . . . . . . 17m 0

n Look-back interest under section 167(g) or 460(b) from Form


8697 or 8866 . . . . . . . . . . . . . . . . . . . . 17n 0

o Tax on non-effectively connected income for any part of the


year you were a nonresident alien from Form 1040-NR . . . . 17o
p Any interest from Form 8621, line 16f, relating to distributions
from, and dispositions of, stock of a section 1291 fund . . . . 17p 0

q Any interest from Form 8621, line 24 . . . . . . . . . . . 17q 0

z Any other taxes. List type and amount:


17z 0

18 Total additional taxes. Add lines 17a through 17z . . . . . . . . . . . . . . 18 0

19 Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . 19


20 Section 965 net tax liability installment from Form 965-A . . . 20
21 Add lines 4, 7 through 16, and 18. These are your total other taxes. Enter here and
on Form 1040 or 1040-SR, line 23, or Form 1040-NR, line 23b . . . . . . . . . 21 0
Schedule 2 (Form 1040) 2023
SCHEDULE 3 OMB No. 1545-0074
Additional Credits and Payments
2023
(Form 1040)
Attach to Form 1040, 1040-SR, or 1040-NR.
Department of the Treasury Attachment
Go to www.irs.gov/Form1040 for instructions and the latest information.
Internal Revenue Service Sequence No. 03
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
ESNER DESTIN 122-11-1115
Part I Nonrefundable Credits
1 Foreign tax credit. Attach Form 1116 if required . . . . . . . . . . . . . . 1 0

2 Credit for child and dependent care expenses from Form 2441, line 11. Attach
Form 2441 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 0

3 Education credits from Form 8863, line 19 . . . . . . . . . . . . . . . . . 3 0

4 Retirement savings contributions credit. Attach Form 8880 . . . . . . . . . . 4 0

5a Residential clean energy credit from Form 5695, line 15 . . . . . . . . . . . 5a 0

b Energy efficient home improvement credit from Form 5695, line 32 . . . . . . 5b 0

6 Other nonrefundable credits:


a General business credit. Attach Form 3800 . . . . . . . . 6a 1,999

b Credit for prior year minimum tax. Attach Form 8801 . . . . 6b 0

c Adoption credit. Attach Form 8839 . . . . . . . . . . . . 6c 0

d Credit for the elderly or disabled. Attach Schedule R . . . . . 6d 0

e Reserved for future use . . . . . . . . . . . . . . . . 6e


f Clean vehicle credit. Attach Form 8936 . . . . . . . . . . 6f 0

g Mortgage interest credit. Attach Form 8396 . . . . . . . . 6g 0

h District of Columbia first-time homebuyer credit. Attach Form 8859 6h 0

i Qualified electric vehicle credit. Attach Form 8834 . . . . . 6i 0

j Alternative fuel vehicle refueling property credit. Attach Form 8911 6j 0

k Credit to holders of tax credit bonds. Attach Form 8912 . . . 6k 0

l Amount on Form 8978, line 14. See instructions . . . . . . 6l


m Credit for previously owned clean vehicles. Attach Form 8936 . 6m 0

z Other nonrefundable credits. List type and amount:


6z 0

7 Total other nonrefundable credits. Add lines 6a through 6z . . . . . . . . . . 7 1,999

8 Add lines 1 through 4, 5a, 5b, and 7. Enter here and on Form 1040, 1040-SR, or
1040-NR, line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 1,999

(continued on page 2)
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71480G Schedule 3 (Form 1040) 2023
Schedule 3 (Form 1040) 2023 Page 2

Part II Other Payments and Refundable Credits


9 Net premium tax credit. Attach Form 8962 . . . . . . . . . . . . . . . . . 9 0

10 Amount paid with request for extension to file (see instructions) . . . . . . . . 10


11 Excess social security and tier 1 RRTA tax withheld . . . . . . . . . . . . . 11 0

12 Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . . . . . 12 0

13 Other payments or refundable credits:


a Form 2439 . . . . . . . . . . . . . . . . . . . . . 13a 0

b Credit for repayment of amounts included in income from earlier


years . . . . . . . . . . . . . . . . . . . . . . . . 13b
c Elective payment election amount from Form 3800, Part III, line
6, column (i) . . . . . . . . . . . . . . . . . . . . . 13c 0

d Deferred amount of net 965 tax liability (see instructions) . . . 13d


z Other payments or refundable credits. List type and amount:
13z 0

14 Total other payments or refundable credits. Add lines 13a through 13z . . . . . 14 0

15 Add lines 9 through 12 and 14. Enter here and on Form 1040, 1040-SR, or 1040-NR,
line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 0
Schedule 3 (Form 1040) 2023

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