CENTRO VITA UPR CAYEY

AVE ANTONIO BARCELO 205 UPR CAYEY

CAYEY PR 00736
(787) 599-9372

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[SANDRA J TORRES MONTANEZ ] Preparer No.: 995
[HC 74 BOX 678 ] Client No. : XXX-XX-4297
[CAYEY PR 00736 ] Invoice Date: 04/12/2024
[(787) 432-2444 ]
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[SCHEDULE SE (SELF-EMPLOYMENT TAX) [
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[FORM 8879 (E-FILE SIGNATURE AUTHORIZATION) [
ÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞÞ[
[FORM 8812 (QUALIFYING CHILDREN & OTHER DEPENDENTS CREDITS) [
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 TAX YEAR: 2023 PROCESS DATE: 04/12/2024
OFFICE : 7Q0068975705

CLIENT : 584-87-4297 SANDRA J TORRES MONTANEZ BIRTH DATE : 03/15/1979 Age:44

ADDRESS : HC 74 BOX 678 PREPARER : 995

: CAYEY PR 00736

Home : (787) 432-2444

Work :
Cell :
STATUS : HEAD OF HOUSEHOLD
FED TYPE: Electronic Mail
ST TYPE : Regular Tax EFFECTIVE RATE: 0.00%
E-MAIL : nallldo212@gmail.com
_____________________________________________________________________________________
DEPENDENT NAME
__________________________________________________________________________________
BIRTH DATE AGE SSN RELATIONSHIP MONTHS
MARTHA J RODRIGUEZ TORRES 07/10/2013 10 385-91-9906 DAUGHTER 12
_____________________________________________________________________________________

LISTING OF FORMS FOR THIS RETURN

________________________________
FORM 1040-SS
SCHEDULE C (BUSINESS INCOME)
SCHEDULE LEP (REQUEST FOR CHANGE IN LANGUAGE PREFERENCE)
SCHEDULE SE (SELF EMPLOYMENT TAX)
FORM 8812 (ADDITIONAL CHILD TAX CREDIT)
FORM 8879 (E-FILE SIGNATURE AUTHORIZATION)
PAYMENT VOUCHER

_____________________________________________________________________________________
* QUICK SUMMARY *
__________________________________________________________________________
SUMMARY FEDERAL
FILING STATUS 4
TOTAL INCOME 780
TOTAL ADJUSTMENTS 0
ADJUSTED GROSS INCOME 780
DEDUCTIONS 20800
EXEMPTIONS 0
TAXABLE INCOME 0
TAX 0
CREDITS 0
OTHER TAXES 110
PAYMENTS 55
REFUND 0
AMOUNT DUE 55
 Consent to Disclose Tax Return Information to VITA/TCE Tax Prep Sites

Federal Disclosure

Federal law requires this consent form be provided to you ("you" refers to
each taxpayer, if more than one). Unless authorized by law, we cannot
disclose, without your consent, your tax return information to third parties
for purposes other than the preparation and filing of your tax return. If you
consent to the disclosure of your tax return information, Federal law may not
protect your tax return information from further use or distribution.

You are not required to complete this form to engage our tax return
preparation services. If we obtain your signature on this form by
conditioning our tax return preparation services on your consent, your
consent will not be valid. If you agree to the disclosure of your tax return
information, your consent is valid for the amount of time that you specify.
If you do not specify the duration of your consent, your consent is valid for
one year from the date of signature.

I authorize CENTRO VITA UPR CAYEY:

This means-you will be able to visit any volunteer site using TaxSlayer next
year and have your tax return populate with your current year data,
regardless of where you filed your tax return this year.
This consent is valid-through November 30, 2025
The tax return information that will be disclosed includes, but is not
limited to,-demographic, financial and other personally identifiable
information, about you, your tax return and your sources of income, which was
input into the tax preparation software for the purpose of preparing your tax
return.
This information includes-your name, address, date of birth, phone number,
SSN, filing status, occupation, employer's name and address, and the amounts
and sources of income, deductions and credits that were claimed on, or
contained within, your tax return.
The tax return information that will be disclosed also includes-the name,
SSN, date of birth, and relationship of any dependents that were claimed on
your tax return.
You do not need to provide consent for the VITA/TCE partner preparing your
tax return this year-Carry Forward will assist you only if you visit a
different VITA or TCE partner next year.
Limitation on the Duration of Consent: I/we, the taxpayer, do not wish to
limit the duration of the consent-of the disclosure of tax return information
to a date earlier than presented above (November 30, 2025). If I/we wish to
limit the duration of the consent of the disclosure to an earlier date, I
will deny consent.
Limitation on the Scope of Disclosure:-I/we, the taxpayer, do not wish to
limit the scope of the disclosure of tax return information further than
presented above. If I/we wish to limit the scope of the disclosure of tax
return information further than presented above, I/we will deny consent.
Global Carry Forward of data allows TaxSlayer LLC, the provider of the
VITA/TCE tax software-to make your tax return information available to ANY
volunteer site participating in the IRS's VITA/TCE program that you select to
prepare a tax return in the next filing season.

Consent to Disclose Tax Return Information to VITA/TCE Tax Prep Sites - 1 of 2

Taxpayer PIN: 14297

PIN Date 4/12/2024

Signature: ______________________________________________ Date: _______________

If you believe your tax return information has been disclosed or used
improperly in a manner unauthorized by law or without your permission, you
may contact the Treasury Inspector General for Tax Administration (TIGTA) by
telephone at 1-800-366-4484, or by email at complaints@tigta.treas.gov.

Consent to Disclose Tax Return Information to VITA/TCE Tax Prep Sites - 2 of 2

Form 8879 IRS e-file Signature Authorization
(Rev. January 2021) OMB No. 1545-0074
a
ERO must obtain and retain completed Form 8879.
Department of the Treasury
a Go to www.irs.gov/Form8879 for the latest information.
Internal Revenue Service

F
Submission Identification Number (SID)
Taxpayer’s name Social security number

SANDRA J TORRES MONTANEZ 584-87-4297

Spouse’s name Spouse’s social security number

Part I Tax Return Information — Tax Year Ending December 31, 2023 (Enter year you are authorizing.)
Enter whole dollars only on lines 1 through 5.
Note: Form 1040-SS filers use line 4 only. Leave lines 1, 2, 3, and 5 blank.
1 Adjusted gross income . . . . . . . . . . . . . . . . . . . . . . . . . . 1 780
2 Total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 110
3 Federal income tax withheld from Form(s) W-2 and Form(s) 1099 . . . . . . . . . . . . . 3
4 Amount you want refunded to you . . . . . . . . . . . . . . . . . . . . . . 4
5 Amount you owe . . . . . . . . . . . . . . . . . . . . . . . 55. . . . . 5
Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)
Under penalties of perjury, I declare that I have examined a copy of the income tax return (original or amended) I am now authorizing, and to the best of
my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from the income tax
return (original or amended) I am now authorizing. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO)
to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason
for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial
Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for
payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This
authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a
payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be received no later than 2
business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of
taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the
personal identification number (PIN) below is my signature for the income tax return (original or amended) I am now authorizing and, if applicable, my
Electronic Funds Withdrawal Consent.
Taxpayer’s PIN: check one box only
1 4 2 9 7
X I authorize CENTRO VITA UPR CAYEY to enter or generate my PIN as my
Enter five digits, but
ERO firm name don’t enter all zeros
signature on the income tax return (original or amended) I am now authorizing.
I will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. Check this box only
if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III
below.
Your signature a Date a 04/12/2024

Spouse’s PIN: check one box only

I authorize to enter or generate my PIN as my
ERO firm name Enter five digits, but
signature on the income tax return (original or amended) I am now authorizing. don’t enter all zeros

I will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. Check this box only
if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III
below.

Spouse’s signature a Date a

Practitioner PIN Method Returns Only—continue below
Part III Certification and Authentication — Practitioner PIN Method Only
ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 6 6 1 7 3 5 9 8 7 6 5
Don’t enter all zeros

I certify that the above numeric entry is my PIN, which is my signature for the electronic individual income tax return (original or amended) I am now
authorized to file for tax year indicated above for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the
requirements of the Practitioner PIN method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.

ERO’s signature a LEONARDO COLON 04/12/2024 Date a

ERO Must Retain This Form — See Instructions
Don’t Submit This Form to the IRS Unless Requested To Do So
For Paperwork Reduction Act Notice, see your tax return instructions. P
Form 8879 (Rev. 01-2021)
QNA
 2023 Form 1040-V Department of the Treasury
Internal Revenue Service

What Is Form 1040-V? Notice to taxpayers presenting checks. When you provide a
check as payment, you authorize us either to use information
It’s a statement you send with your check or money order for from your check to make a one-time electronic fund transfer from
any balance due on the “Amount you owe” line of your 2023 your account or to process the payment as a check transaction.
Form 1040, 1040-SR, or 1040-NR. When we use information from your check to make an electronic
Consider Making Your Tax Payment fund transfer, funds may be withdrawn from your account as
soon as the same day we receive your payment, and you will not
Electronically—It’s Easy receive your check back from your financial institution.
You can make electronic payments online, by phone, or from a No checks of $100 million or more accepted. The IRS can’t
mobile device. Paying electronically is safe and secure. When accept a single check (including a cashier’s check) for amounts
you schedule your payment, you will receive immediate of $100,000,000 ($100 million) or more. If you are sending $100
confirmation from the IRS. Go to www.irs.gov/Payments to see million or more by check, you will need to spread the payments
all your electronic payment options. over two or more checks, with each check made out for an
amount less than $100 million.
How To Fill in Form 1040-V Pay by cash. This is an in-person payment option for
Line 1. Enter your social security number (SSN). individuals provided through retail partners with a maximum of
If you are filing a joint return, enter the SSN shown first on $1,000 per day per transaction. To make a cash payment, you
your return. must first be registered online at www.acipayonline.com, our
official payment provider. Click on “Federal IRS payments” to
Line 2. If you are filing a joint return, enter the SSN shown make your payment.
second on your return.
Line 3. Enter the amount you are paying by check or money How To Send in Your 2023 Tax Return,
order. If paying online at www.irs.gov/Payments, don’t complete Payment, and Form 1040-V
this form.
• Don’t staple or otherwise attach your payment or Form 1040-V
Line 4. Enter your name(s) and address exactly as shown on to your return or to each other. Instead, just put them loose in
your return. Please print clearly. the envelope.
How To Prepare Your Payment • Mail your 2023 tax return, payment, and Form 1040-V to the
address shown on the back that applies to you.
• Make your check or money order payable to “United States
Treasury.” Don’t send cash. If you want to pay in cash, in How To Pay Electronically
person, see Pay by cash, later.
Pay Online
• Make sure your name and address appear on your check or
money order. Paying online is convenient, secure, and helps make sure we
• Enter your daytime phone number and your SSN on your get your payments on time. You can pay using either of the
check or money order. If you have an Individual Taxpayer following electronic payment methods. To pay your taxes online
Identification Number (ITIN), enter it wherever your SSN is or for more information, go to www.irs.gov/Payments.
requested. If you are filing a joint return, enter the SSN shown IRS Direct Pay
first on your return. Also, enter “2023 Form 1040,” “2023 Form Pay your taxes directly from your checking or savings account
1040-SR,” or “2023 Form 1040-NR,” whichever is appropriate. at no cost to you. You receive instant confirmation that your
• To help us process your payment, enter the amount on the payment has been made, and you can schedule your payment
right side of your check like this: $ XXX.XX. Don’t use dashes or up to 30 days in advance.
lines (for example, don’t enter “$ XXX—” or “$ XXX xx/100”). Debit or Credit Card
The IRS doesn’t charge a fee for this service; the card
processors do. The authorized card processors and their phone
numbers are all online at www.irs.gov/Payments.

Cat. No. 20975C Form 1040-V (2023)

Separate here and mail with your payment and return.

1040-V Payment Voucher

Form

OMB No. 1545-0074

2023
Do not staple or attach this voucher to your payment or return.
Department of the Treasury
Internal Revenue Service Go to www.irs.gov/Payments for payment options and information.
1 Your social security number (SSN) 2 If a joint return, SSN shown second 3 Amount you are paying by check or
(if a joint return, SSN shown first on your return) on your return money order. Make your check or
money order payable to “United States 55
584-87-4297 Treasury”
4 Your first name and middle initial Last name
Print or type

SANDRA J TORRES MONTANEZ

If a joint return, spouse’s first name and middle initial Last name

Home address (number and street) Apt. no. City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code
HC 74 BOX 678 CAYEY PR 00736
Foreign country name Foreign province/state/county Foreign postal code

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 20975C

QNA 584874297 XT TORR 30 0 202312 610

Form 1040-V (2023) Page 2

Need to make a payment?

Save time by paying online. Paying online is
convenient and secure.
The IRS offers easy ways to electronically pay your taxes.
Use Your Pay by Pay by
Online Account Bank Account Card
(no fees) (no fees) (processing fees apply)

• Go to www.irs.gov/Account to log in • Use Direct Pay online to make an • Pay online or by phone.
and make a payment. individual tax payment from your
checking or savings account without • When e-filing, pay through tax
• Make a tax payment online directly registration. preparation software.
from your checking or savings account.
• Register for the Electronic Federal Tax • Processing fees go to a payment
• View your balance, payment plan Payment System (EFTPS) to make processor and limits apply. The IRS
details and options, digital copies of one-time or recurring payments from does not receive any fees.
certain notices, and more. your checking or savings account.
• When you e-file with tax software or a
tax professional, you can schedule an
electronic funds withdrawal (EFW).

Go to www.irs.gov/Payments for more details or to make a payment.

Mailing Address for Payments

IF you live in... THEN use this address to send in your payment...

Alabama, Florida, Georgia, Louisiana, Mississippi, North Internal Revenue Service

Carolina, South Carolina, Tennessee, Texas P.O. Box 1214
Charlotte, NC 28201-1214
Arkansas, Connecticut, Delaware, District of Columbia, Illinois,
Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Internal Revenue Service
Minnesota, Missouri, New Hampshire, New Jersey, New York, P.O. Box 931000
Oklahoma, Rhode Island, Vermont, Virginia, West Virginia, Louisville, KY 40293-1000
Wisconsin

Alaska, Arizona, California, Colorado, Hawaii, Idaho, Kansas,

Internal Revenue Service
Michigan, Montana, Nebraska, Nevada, New Mexico, North
P.O. Box 802501
Dakota, Ohio, Oregon, Pennsylvania, South Dakota, Utah,
Cincinnati, OH 45280-2501
Washington, Wyoming

A foreign country, American Samoa, or Puerto Rico (or are

excluding income under Internal Revenue Code section 933), or Internal Revenue Service
use an APO or FPO address, or file Form 2555 or 4563, or are a P.O. Box 1303
dual-status alien or nonpermanent resident of Guam or the U.S. Charlotte, NC 28201-1303
Virgin Islands

QNA
Form 1040-SS U.S. Self-Employment Tax Return
(Including the Additional Child Tax Credit for Bona Fide Residents of Puerto Rico)
OMB No. 1545-0074

Department of the Treasury

Internal Revenue Service
U.S. Virgin Islands, Guam, American Samoa, the Commonwealth of the Northern Mariana Islands, or Puerto Rico
For the year Jan. 1–Dec. 31, 2023, or other tax year beginning , 2023, and ending , 20
2023
Your first name and initial Last name Your social security number
SANDRA J TORRES MONTANEZ 584-87-4297
Please type or print.

If a joint return, spouse’s first name and initial Last name Spouse’s social security number

Home address (number, street, and apt. no., or rural route)

HC 74 BOX 678
City, town or post office, commonwealth or territory, and ZIP code
CAYEY, PR 00736
Foreign country name Foreign province/state/county Foreign postal code

At any time during 2023, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, exchange, or
otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions) . . . . . . . . Yes X No
Part I Total Tax and Credits
1 Filing status. Check the box for your filing status. See instructions.
Single Married filing jointly Married filing separately (MFS) X Head of household Qualifying surviving spouse
If you checked the MFS box, enter spouse’s social security no. above and full name here:
2 Qualifying children. Complete only if you are a bona fide resident of Puerto Rico and you are claiming the additional child tax
credit. See instructions. If more than four qualifying children, see instructions and check here . . . . . . . . . .
(a) First name Last name (b) Child’s social security number (c) Child’s relationship to you
MARTHA J RODRIGUEZ TORRES 385-91-9906 DAUGHTER

3
Self-employment tax from Schedule SE (Form 1040), line 12. Attach applicable schedules (see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 110
4 Household employment taxes (see instructions). Attach Schedule H (Form 1040) . . . . . . . 4
5 Additional Medicare Tax. Attach Form 8959 . . . . . . . . . . . . . . . . . . . 5 0
6 Total tax. Add lines 3 through 5. See instructions . . . . . . . . . . . . . . . . . 6 110
7 2023 estimated tax payments (see instructions) . . . . . . . . . . 7
8 Excess social security tax withheld (see instructions) . . . . . . . . 8
9 Additional child tax credit from Part II, line 19 . . . . . . . . . . . 9 55
10 Reserved for future use . . . . . . . . . . . . . . . . . . 10
11a Credit for qualified sick and family leave wages from Schedule(s) H paid in
2023 for leave taken before April 1, 2021 . . . . . . . . . . . . 11a
b Credit for qualified sick and family leave wages from Schedule(s) H paid in
2023 for leave taken after March 31, 2021, and before October 1, 2021 . . 11b
12 Total payments and credits (see instructions) . . . . . . . . . . . . . . . . . . 12 55
13 If line 12 is more than line 6, subtract line 6 from line 12. This is the amount you overpaid . . . . 13
14a Amount of line 13 you want refunded to you. If Form 8888 is attached, check here . . . . . 14a
b Routing number X X X X X X X X X c Type: Checking Savings
d Account number X X X X X X X X X X X X X X X X X
15 Amount of line 13 you want applied to 2024 estimated tax . . . . . . 15
16 Amount you owe. If line 6 is more than line 12, subtract line 12 from line 6. See instructions . . . 16 55
Third Party Do you want to allow another person to discuss this return with the IRS? See instructions. Yes. Complete the following. X No

Designee Designee’s
name
Phone
no.
Personal identification
number (PIN)
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,
Sign they are true, correct, and complete. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge.
Your signature Date If the IRS sent you an Identity Protection PIN,
Here Daytime phone number
enter it here
Joint return? 04/12/24 (787) 432-2444 (see instructions)
See instructions. Spouse’s signature. If a joint return, both must sign. Date If the IRS sent your spouse an Identity Protection
Keep a copy PIN, enter it here
for your records. (see instructions)
Print/Type preparer’s name Preparer’s signature Date Check if PTIN
Paid self-employed
LEONARDO COLON 04/12/24 S18018972
Preparer
Firm’s name CENTRO VITA UPR CAYEY Firm’s EIN
Use Only
Firm’s address AVE ANTONIO BARCELO 205 UPR CAYEY CAYEY PRPhone
00736
no. 787-599-9372
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, www.irs.gov/Form1040SS Form 1040-SS (2023)
see instructions.
QNA
 SANDRA TORRES MONTANEZ 584-87-4297
Form 1040-SS (2023) Page 2
Part II Bona Fide Residents of Puerto Rico Claiming Additional Child Tax Credit—See instructions.
1 Do you have one or more qualifying children under age 17 with the required social security number?
No. Stop. You can’t claim the credit.
x Yes. Go to line 2.
2 Number of qualifying children under age 17 with the required social security number:
1 x $1,600. Enter the result . . . . . . . . . . . . . . . . . . . 2 1600
3 Enter your modified adjusted gross income . . . . . . . . . . . . 3
4 Enter the amount shown below for your filing status . . . . . . . . . 4 200000
• Married filing jointly – $400,000
• All other filing statuses – $200,000
5 Is the amount on line 3 more than the amount on line 4?
x No. Leave line 5 blank. Enter the amount from line 2 on line 11, and go to
line 12.
Yes. Subtract line 4 from line 3. If the result isn’t a multiple of $1,000,
increase it to the next multiple of $1,000 (for example, increase $425 to
$1,000, increase $1,025 to $2,000, etc.) . . . . . . . . . . . 5
6 Multiply the amount on line 5 by 5% (0.05). Enter the result . . . . . . . . . . . . . . 6
7 Number of qualifying children from line 2 x $2,000. Enter the result . . . . 7
8 Number of other dependents, including children who are not under age 17:
x $500. Enter the result. See instructions . . . . . . 8
9 Add lines 7 and 8 . . . . . . . . . . . . . . . . . . . . 9
10 Is the amount on line 9 more than the amount on line 6?
No. Stop. You can’t claim the credit.
x Yes. Subtract line 6 from line 9. Enter the result . . . . . . . . . . . . . . . . . 10
11 Enter the smaller of line 2 or line 10 . . . . . . . . . . . . . . . . . . . . . . 11 1600
12a Enter one-half of self-employment tax from Part I, line 3 . . . . . . . 12a 55
b Enter one-half of the Additional Medicare Tax you paid on self-employment
income (Form 8959, line 13) . . . . . . . . . . . . . . . . . 12b
c Add lines 12a and 12b . . . . . . . . . . . . . . . . . . . 12c 55
13a Enter the amount, if any, of withheld social security, Medicare, and Additional
Medicare taxes from Puerto Rico Form(s) 499R-2/W-2PR (attach copy of
form(s)). If married filing jointly, include your spouse’s amounts with yours . 13a
b Enter the amount, if any, of employee social security and Medicare tax on tips
not reported to employer from Form 4137 and shown on the dotted line next
to Part I, line 6 . . . . . . . . . . . . . . . . . . . . . 13b
c Enter the amount, if any, of uncollected employee social security and
Medicare tax on wages from Form 8919 shown on the dotted line next to
Part I, line 6 . . . . . . . . . . . . . . . . . . . . . . 13c
d Enter the amount, if any, of uncollected employee social security tax and
Medicare tax on tips and group-term life insurance (see instructions for Part I,
line 6) shown on the dotted line next to Part I, line 6 . . . . . . . . . 13d
e Enter the amount, if any, of Additional Medicare Tax on Medicare wages (Form
8959, line 7) . . . . . . . . . . . . . . . . . . . . . . 13e
f Add lines 13a through 13e . . . . . . . . . . . . . . . . . 13f
14 Add lines 12c and 13f. Enter the result . . . . . . . . . . . . . 14 55
15 Enter the amount, if any, of Additional Medicare Tax withheld (Form 8959, line
22) . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Subtract line 15 from line 14. Enter the result . . . . . . . . . . . 16 55
17 Enter the amount, if any, from Part I, line 8 . . . . . . . . . . . . 17
18 Is the amount on line 16 more than the amount on line 17?
No. Stop. You can’t claim the credit.
x Yes. Subtract line 17 from line 16. Enter the result . . . . . . . . . . . . . . . . 18 55
19 Additional child tax credit. Enter the smaller of line 11 or line 18 here and on Part I, line 9 . . . . 19 55
QNA Form 1040-SS (2023)
SCHEDULE C Profit or Loss From Business OMB No. 1545-0074

2023
(Form 1040) (Sole Proprietorship)
Department of the Treasury
Attach to Form 1040, 1040-SR, 1040-SS, 1040-NR, or 1041; partnerships must generally file Form 1065.
Attachment
Internal Revenue Service Go to www.irs.gov/ScheduleC for instructions and the latest information. Sequence No. 09
Name of proprietor Link:1 Social security number (SSN)
SANDRA J TORRES MONTANEZ 584-87-4297
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
CUSTOMER SERVICES 9 9 9 9 9 9
C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.)

E Business address (including suite or room no.) HC 74 BOX 678

City, town or post office, state, and ZIP code CAYEY PR 00736
F Accounting method: (1) X Cash (2) Accrual (3) Other (specify)
G Did you “materially participate” in the operation of this business during 2023? If “No,” see instructions for limit on losses . X Yes No
H If you started or acquired this business during 2023, check here . . . . . . . . . . . . . . . . . .
I Did you make any payments in 2023 that would require you to file Form(s) 1099? See instructions . . . . . . . . Yes X No
J If “Yes,” did you or will you file required Form(s) 1099? . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Income
1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . 1
2 Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . . . . 4
5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . 5
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . 6 780
7 Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . 7 780
Part II Expenses. Enter expenses for business use of your home only on line 30.
8 Advertising . . . . . 8 18 Office expense (see instructions) . 18
9 Car and truck expenses 19 Pension and profit-sharing plans . 19
(see instructions) . . . 9 20 Rent or lease (see instructions):
10 Commissions and fees . 10 a Vehicles, machinery, and equipment 20a
11 Contract labor (see instructions) 11 b Other business property . . . 20b
12 Depletion . . . . . 12 21 Repairs and maintenance . . . 21
13 Depreciation and section 179 22 Supplies (not included in Part III) . 22
expense deduction (not
included in Part III) (see 23 Taxes and licenses . . . . . 23
instructions) . . . . 13 24 Travel and meals:
14 Employee benefit programs a Travel . . . . . . . . . 24a
(other than on line 19) . 14 b Deductible meals (see instructions) 24b
15 Insurance (other than health) 15 25 Utilities . . . . . . . . 25
16 Interest (see instructions): 26 Wages (less employment credits) 26
a Mortgage (paid to banks, etc.) 16a 27a Other expenses (from line 48) . . 27a
b Other . . . . . . 16b b Energy efficient commercial bldgs
17 Legal and professional services 17 deduction (attach Form 7205) . . 27b
28 Total expenses before expenses for business use of home. Add lines 8 through 27b . . . . . . . 28
29 Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . 29 780
30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method. See instructions.
Simplified method filers only: Enter the total square footage of (a) your home:
and (b) the part of your home used for business: . Use the Simplified
Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . . 30

}
31 Net profit or (loss). Subtract line 30 from line 29.
• If a profit, enter on both Schedule 1 (Form 1040), line 3, and on Schedule SE, line 2. (If you
checked the box on line 1, see instructions.) Estates and trusts, enter on Form 1041, line 3. 31 780
• If a loss, you must go to line 32.

}
32 If you have a loss, check the box that describes your investment in this activity. See instructions.

• If you checked 32a, enter the loss on both Schedule 1 (Form 1040), line 3, and on Schedule
SE, line 2. (If you checked the box on line 1, see the line 31 instructions.) Estates and trusts, enter on 32a All investment is at risk.
Form 1041, line 3. 32b Some investment is not
• If you checked 32b, you must attach Form 6198. Your loss may be limited. at risk.
For Paperwork Reduction Act Notice, see the separate instructions. Schedule C (Form 1040) 2023
QNA
SCHEDULE SE
Self-Employment Tax
OMB No. 1545-0074

2023
(Form 1040)
Attach to Form 1040, 1040-SR, 1040-SS, or 1040-NR.
Department of the Treasury Attachment
Internal Revenue Service Go to www.irs.gov/ScheduleSE for instructions and the latest information. Sequence No. 17
Name of person with self-employment income (as shown on Form 1040, 1040-SR, 1040-SS, or 1040-NR) Social security number of person
SANDRA J TORRES MONTANEZ with self-employment income 584-87-4297
Part I Self-Employment Tax
Note: If your only income subject to self-employment tax is church employee income, see instructions for how to report your income
and the definition of church employee income.
A If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361, but you had
$400 or more of other net earnings from self-employment, check here and continue with Part I . . . . . . . . .
Skip lines 1a and 1b if you use the farm optional method in Part II. See instructions.
1a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065),
box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a
b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve
Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code AH 1b ( )
Skip line 2 if you use the nonfarm optional method in Part II. See instructions.
2 Net profit or (loss) from Schedule C, line 31; and Schedule K-1 (Form 1065), box 14, code A (other than
farming). See instructions for other income to report or if you are a minister or member of a religious order 2 780
3 Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . . . . . 3 780
4a If line 3 is more than zero, multiply line 3 by 92.35% (0.9235). Otherwise, enter amount from line 3 . 4a 720
Note: If line 4a is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions.
b If you elect one or both of the optional methods, enter the total of lines 15 and 17 here . . . . . 4b
c Combine lines 4a and 4b. If less than $400, stop; you don’t owe self-employment tax. Exception: If
less than $400 and you had church employee income, enter -0- and continue . . . . . . . . 4c 720
5a Enter your church employee income from Form W-2. See instructions for
definition of church employee income . . . . . . . . . . . . . 5a
b Multiply line 5a by 92.35% (0.9235). If less than $100, enter -0- . . . . . . . . . . . . . 5b
6 Add lines 4c and 5b . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 720
7 Maximum amount of combined wages and self-employment earnings subject to social security tax or
the 6.2% portion of the 7.65% railroad retirement (tier 1) tax for 2023 . . . . . . . . . . . 7 160,200
8a Total social security wages and tips (total of boxes 3 and 7 on Form(s) W-2)
and railroad retirement (tier 1) compensation. If $160,200 or more, skip lines
8b through 10, and go to line 11 . . . . . . . . . . . . . . . 8a
b Unreported tips subject to social security tax from Form 4137, line 10 . . . 8b
c Wages subject to social security tax from Form 8919, line 10 . . . . . . 8c
d Add lines 8a, 8b, and 8c . . . . . . . . . . . . . . . . . . . . . . . . . . 8d
9 Subtract line 8d from line 7. If zero or less, enter -0- here and on line 10 and go to line 11 . . . . 9 160200
10 Multiply the smaller of line 6 or line 9 by 12.4% (0.124) . . . . . . . . . . . . . . . . 10 89
11 Multiply line 6 by 2.9% (0.029) . . . . . . . . . . . . . . . . . . . . . . . . 11 21
12 Self-employment tax. Add lines 10 and 11. Enter here and on Schedule 2 (Form 1040), line 4, or
Form 1040-SS, Part I, line 3 . . . . . . . . . . . . . . . . . . . . . . . . 12 110
13 Deduction for one-half of self-employment tax.
Multiply line 12 by 50% (0.50). Enter here and on Schedule 1 (Form 1040),
line 15 . . . . . . . . . . . . . . . . . . . . . . . . 13
For Paperwork Reduction Act Notice, see your tax return instructions. Schedule SE (Form 1040) 2023
QNA
SCHEDULE LEP
(Form 1040)
Request for Change in Language Preference OMB No. 1545-0074

(Rev. December 2023)

Department of the Treasury Attach to Form 1040, 1040-SR, 1040-NR, or 1040-SS. Attachment
Internal Revenue Service Go to www.irs.gov/ScheduleLEP for the latest information. Sequence No. 77A

Name of person making request (as shown on tax return) Social security number of person making request
SANDRA J TORRES MONTANEZ 584-87-4297

1 I would prefer to receive written communications (See instructions) from the IRS in the following language.
Check only one.

000 English 011 French ( Français )

X 001 Spanish ( Español ) 012 Japanese (ೖຌ‫) ޢ‬
002 Korean ( ) 013 Gujarati ( ҳӚҸӋӕӀә )
003 Vietnamese ( Ti̋ng Vȉt ) 014 Punjabi ( ଯଡ଼ଢୂ଱ୄ )
004 Russian ( Pʩʧʧʠʞʟ ) 015 Khmer ( ̾șʢ ʯ )
005 Arabic ( z0M` ) 016 Urdu ( r+/ )
006 Haitian Creole ( Kreyòl Ayisyen ) 017 Bengali ( ΋ΚθΐΚ )
007 Tagalog ( Tagalog ) 018 Italian ( Italiano )
008 Portuguese ( Português ) 019 Chinese (Traditional) ѝ᮷ ( 㑱億 )
009 Polish ( Polski ) 020 Chinese (Simplified) ѝ᮷ ( ㆰփ )
010 Farsi ( Ȩ4/T )

For Paperwork Reduction Act Notice, see your tax return instructions. Schedule LEP (Form 1040) (Rev. 12-2023)
QNA
SANDRA TORRES MONTANEZ 584-87-4297

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