Department of the Treasury–Internal Revenue Service (99)

1040 2019
Form
U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only – Do not write or staple in this space.
Filing status: Single Married filing jointly Married filing separately (MFS) X Head of household (HOH) Qualifying widow(er) (QW)
Check only If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying person is
one box.
a child but not your dependent.
Your first name and middle initial Last name Your social security number

Ashley N Morales 524-63-8798

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
Check here if you, or your spouse if filing
1107 West Line Street jointly, want $3 to go to this fund.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Checking a box below will not change

Leesburg, FL 34748 You Spouse

Foreign country name Foreign province/state/county Foreign postal code If more than four dependents,
see inst. and check here

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, 1955 Are blind Spouse: Was born before January 2, 1955 Is blind
Dependents (see instructions): (2) Social security number (3) Relationship to you (4) check if qualifies for (see inst.):
(1) First name Last name Child tax credit Credit for other dependents

Logan Morales 769-86-1124 Son X

Haylee Arce 746-71-8839 Daughter X
Noah Arce 722-70-5974 Son X
1 Wages, salaries, tips, etc. Attach Form(s) W-2 1 28,792.
2a Tax-exempt interest 2a b 2b
Standard
Deduction for - 3a Qualified dividends 3a b 3b
4a IRA distributions 4a b Taxable amount 4b
c Pensions and annuities 4c d Taxable amount 4d
5a Social security benefits 5a b Taxable amount 5b
6 Capital gain or (loss). Attach Schedule D if required. If not required, check here 6
7a Other income from Schedule 1, line 9 7a
b Add lines 1, 2b, 3b, 4b, 4d, 5b, 6, and 7a. This is your total income 7b 28,792.
8a Adjustments to income from Schedule 1, line 22 8a
b Subtract line 8a from line 7b. This is your adjusted gross income 8b 28,792.
9 Standard deduction or itemized deductions (from Schedule A) 9 18,350.
10 Qualified business income deduction. Attach Form 8995 or Form 8995-A 10
11a Add lines 9 and 10 11a 18,350.
b Taxable income. Subtract line 11a from line 8b. If zero or less, enter -0- 11b 10,442.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. UYA Form 1040 (2019)
Form 1040 (2019) Ashley N Morales 524-63-8798 Page 2
12a Tax (see inst.) Check if any from Form(s): 1 8814 2 4972 3 12a 1,043.
b Add Schedule 2, line 3, and line 12a and enter the total 12b 1,043.
13a Child tax credit or credit for other dependents 13a 359.
b Add Schedule 3, line 7, and line 13a and enter the total 13b 1,043.
14 Subtract line 13b from line 12b. If zero or less, enter -0- 14 0.
15 Other taxes, including self-employment tax, from Schedule 2, line 10 15 0.
16 Add lines 14 and 15. This is your total tax 16 0.
17 Federal income tax withheld from Forms W-2 and 1099 17 118.
If you have a 18 Other payments and refundable credits:
qualifying child,
attach Sch. EIC.
a Earned income credit (EIC) 18a 4,504.
If you have b Additional child tax credit. Attach Schedule 8812 18b 3,944.
nontaxable
c American opportunity credit from Form 8863, line 8 18c
combat pay,
see instructions. d Schedule 3, line 14 18d
e Add lines 18a through 18d. These are your total other payments and refundable credits 18e 8,448.
19 Add lines 17 and 18e. These are your total payments 19 8,566.
20 If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid 20 8,566.
Refund 21a Amount of line 20 you want refunded to you. If Form 8888 is attached, check here 21a 8,566.
Direct deposit?
b Routing number 063107513 c Type: X Checking Savings
See instructions. d Account number 2700223460
22 Amount of line 20 you want applied to your 2020 estimated tax 22
Amount 23 Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions 23 0.
you owe 24 Estimated tax penalty (see instructions) 24
Third Party Do you want to allow another person (other than your paid preparer) to discuss this return with the IRS? See instructions. Yes. Complete below.
Designee Designee’s Phone Personal identification
No
(Other than
name no. number (PIN)
paid preparer)

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
Joint return?
See instructions. CMA/Scribe
Keep a copy for Spouse's signature. If a joint return, both must sign. Date Spouse's occupation
your records.

Phone no. (352)431-1672 Email address [email protected]

Preparer's name Preparer's signature Date PTIN Check if:
Paid
Preparer
Use Only Firm's name Phone no.
Firm's address Firm's EIN
Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2019)
UYA
SCHEDULE 3 Additional Credits and Payments OMB No. 1545-0074

(Form 1040 or 1040-SR)

Department of the Treasury

Attach to Form 1040 or 1040-SR. 2019
Attachment
Internal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 03
Name(s) shown on Form 1040 or 1040-SR Your social security number
Ashley N Morales 524-63-8798
Part I Nonrefundable Credits
1 Foreign tax credit. Attach Form 1116 if required 1
2 Credit for child and dependent care expenses. Attach Form 2441 2 684.
3 Education credits from Form 8863, line 19 3
4 Retirement savings contributions credit. Attach Form 8880 4
5 Residential energy credits. Attach Form 5695 5
6 Other credits from Form: a 3800 b 8801 c 6
7 Add lines 1 through 6. Enter here and include on Form 1040 or 1040-SR, line 13b 7 684.
Part II Other Payments and Refundable Credits
8 2019 estimated tax payments and amount applied from 2018 return 8
9 Net premium tax credit. Attach Form 8962 9
10 Amount paid with request for extension to file (see instructions) 10
11 Excess social security and tier 1 RRTA tax withheld 11
12 Credit for federal tax on fuels. Attach Form 4136 12
13 Credits from Form: a 2439 b Reserved c 8885 d 13
14 Add lines 8 through 13. Enter here and on Form 1040 or 1040-SR, line 18d 14 0.
For Paperwork Reduction Act Notice, see your tax return instructions. UYA Schedule 3 (Form 1040 or 1040-SR) 2019
 OMB No. 1545-0074
Form 2441 Child and Dependent Care Expenses ..........

Department of the Treasury

Attach to Form 1040, 1040-SR, or 1040-NR.
Go to www.irs.gov/Form2441 for instructions and the
2441 2019
Attachment
Internal Revenue Service (99) latest information. Sequence No. 21
Name(s) shown on return Your social security number

Ashley N Morales 524-63-8798

You cannot claim a credit for child and dependent care expenses if your filing status is married filing separately unless you meet the
requirements listed in the instructions under “Married Persons Filing Separately.” If you meet these requirements, check this box.
Part I Persons or Organizations Who Provided the Care - You must complete this part.
(If you have more than two care providers, see the instructions.)

(a) Care provider's (b) Address (c) Identifying number (d) Amount paid
1 name (number, street, apt. no., city, state, and ZIP code) (SSN or EIN) (see instructions)

300 Pearl st.

Minneola Elementary Clermont, FL 34711 45-0468799 2,443.

No Complete only Part II below.

Did you receive
dependent care benefits? Yes Complete Part III on page 2 next.

Caution: If the care was provided in your home, you may owe employment taxes. For details, see the instructions for Schedule 2
(Form 1040 or 1040-SR), line 7a; or Form 1040-NR, line 59a.
Part II Credit for Child and Dependent Care Expenses
2 Information about your qualifying person(s). If you have more than two qualifying persons, see the instructions.
(a) Qualifying person's name (b) Qualifying person's social (c) Qualified expenses you
incurred and paid in 2019 for the
First Last security number
person listed in column (a)

Logan Morales 769-86-1124 814.

Haylee Arce 746-71-8839 814.

3
See Attached Statement
Add the amounts in column (c) of line 2. Don't enter more than $3,000 for one qualifying
person or $6,000 for two or more persons. If you completed Part III, enter the amount
from line 31 3 2,442.
4 Enter your earned income. See instructions 4 28,792.
5 If married filing jointly, enter your spouse's earned income (if you or your spouse was a
student or was disabled, see the instructions); all others, enter the amount from line 4 5 28,792.
6 Enter the smallest of line 3, 4, or 5 6 2,442.
7 Enter the amount from Form 1040 or 1040-SR, line 8b; or Form
1040-NR, line 35 7 28,792.
8 Enter on line 8 the decimal amount shown below that applies to the amount on line 7
If line 7 is: If line 7 is:
But not Decimal But not Decimal
Over over amount is Over over amount is
$0-15,000 .35 $29,000-31,000 .27
15,000-17,000 .34 31,000-33,000 .26
17,000-19,000 .33 33,000-35,000 .25 8 X .28
19,000-21,000 .32 35,000-37,000 .24
21,000-23,000 .31 37,000-39,000 .23
23,000-25,000 .30 39,000-41,000 .22
25,000-27,000 .29 41,000-43,000 .21
27,000-29,000 .28 43,000-No limit .20

9 Multiply line 6 by the decimal amount on line 8. If you paid 2018 expenses in 2019, see
the instructions 9 684.
10 Tax liability limit. Enter the amount from the Credit
Limit Worksheet in the instructions 10 1,043.
11 Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10
here and on Schedule 3 (Form 1040 or 1040-SR), line 2; or Form 1040-NR, line 47 11 684.
For Paperwork Reduction Act Notice, see your tax return instructions. Form 2441 (2019)
UYA
SCHEDULE EIC Earned Income Credit 1040
OMB No. 1545-0074
............
(Form 1040 or 1040-SR) Qualifying Child Information
Complete and attach to Form 1040 or 1040-SR only if you have a
qualifying child.
1040-SR

EIC
2019
Department of the Treasury Attachment
Internal Revenue Service (99) Go to www.irs.gov/schueduleEIC for the latest information. Sequence No. 43
Name(s) shown on return Your social security number
Ashley N Morales 524-63-8798
See the instructions for Form 1040 or 1040-SR, line 18a, to make sure that (a) you can take the EIC, and
Before you begin: (b) you have a qualifying child.
Be sure the child's name on line 1 and social security number (SSN) on line 2 agree with the child's
social security card. Otherwise, at the time we process your return, we may reduce or disallow your
EIC. If the name or SSN on the child’s social security card is not correct, call the Social Security
Administration at 1-800-772-1213.

You can't claim the EIC for a child who didn't live with you for more than half of the year.

! If you take the EIC even though you are not eligible, you may not be allowed to take the credit for up to 10 years. See the
instructions for details.
CAUTION
It will take us longer to process your return and issue your refund if you do not fill in all lines that apply for each qualifying child.

Qualifying Child Information Child 1 Child 2 Child 3

First name Last name First name Last name First name Last name
1 Child's name
Logan Haylee Noah
Morales Arce Arce
2 Child's SSN

769-86-1124 746-71-8839 722-70-5974

3 Child's year of birth Year 2 0 0 9 Year 2 0 1 2 Year 2 0 1 2
If born after 2000 and the child is younger If born after 2000 and the child is younger If born after 2000 and the child is younger
than you (or your spouse, if filing jointly), than you (or your spouse, if filing jointly), than you (or your spouse, if filing jointly),
skip lines 4a and 4b; go to line 5. skip lines 4a and 4b; go to line 5. skip lines 4a and 4b; go to line 5.

4a
Yes. No. Yes. No. Yes. No.
Go to line 5. Go to line 4b. Go to line 5. Go to line 4b. Go to line 5. Go to line 4b.

b Yes. No. Yes. No. Yes. No.

Go to line 5. The child is not a Go to line 5. The child is not a Go to line 5. The child is not a
qualifying child. qualifying child. qualifying child.

5 Child's relationship to you

(for example, son, daughter, grandchild,
niece, nephew, eligible foster child, etc.) Son Daughter Son

12 months 12 months 12 months

Do not enter more than 12 months. Do not enter more than 12 months. Do not enter more than 12 months.

For Paperwork Reduction Act Notice, see your tax Schedule EIC (Form 1040 or 1040-SR) 2019
return instructions.
UYA
SCHEDULE 8812 OMB No. 1545-0074
Additional Child Tax Credit 1040
..........

Attach to Form 1040, 1040-SR, or 1040-NR. 2019

Go to www.irs.gov/Schedule8812 for instructions and the latest 8812 Attachment
Department of the Treasury
Internal Revenue Service (99) information. Sequence No. 47
Name(s) shown on return Your social security number
Ashley N Morales 524-63-8798
Part I All Filers
Caution: If you file Form 2555, stop here; you cannot claim the additional child tax credit.
1 If you are required to use the worksheet in Pub. 972, enter the amount from line 10 of the Child Tax
Credit for Other Dependents Worksheet in the publication. Otherwise:
Enter the amount from line 8 of your Child Tax Credit and Credit for Other
Dependents Worksheet (see the instructions for Forms 1040 and 1040-SR, line 13a.) 1 6,000.
Enter the amount from line 8 of your Child Tax Credit and Credit for Other
Dependents Worksheet (see the instructions for Form 1040-NR. line 49).

2 Enter the amount from Form 1040, line 13a; Form 1040-SR, line 13a; or Form 1040-NR, line 49 2 359.
3 Subtract line 2 from line 1. If zero, stop here; you cannot claim this credit 3 5,641.
4 Number of qualifying children under 17 with the required social security number: 3 X $1,400.
Enter the result. If zero, stop here; you cannot claim this credit 4 4,200.
TIP: The number of children you use for this line is the same as the number of children you used
for line 1 of the Child Tax Credit and Credit for Other Dependents Worksheet.
5 Enter the smaller of line 3 or line 4 5 4,200.
6a Earned income (see instructions) 6a 28,792.
b Nontaxable combat pay (see
instructions) 6b
7 Is the amount on line 6a more than $2,500?
No. Leave line 7 blank and enter -0- on line 8.
X Yes. Subtract $2,500 from the amount on line 6a. Enter the result 7 26,292.
8 Multiply the amount on line 7 by 15% (0.15) and enter the result 8 3,944.
Next. On line 4, is the amount $4,200 or more?
No. If line 8 is zero, stop here; you cannot claim this credit. Otherwise, skip Part II and enter
the smaller of line 5 or line 8 on line 15.
X Yes. If line 8 is equal to or more than line 5, skip Part II and enter the amount from line 5 on
line 15. Otherwise, go to line 9.
Part II Certain Filers Who Have Three or More Qualifying Children
9 Withheld social security, Medicare, and Additional Medicare taxes from
Form(s) W-2, boxes 4 and 6. If married filing jointly, include your spouse’s
amounts with yours. If your employer withheld or you paid Additional
Medicare Tax or tier 1 RRTA taxes, see instructions 9 2,279.
10

10
Enter the total of the amounts from Form 1040-NR,
lines 27 and 56, plus any taxes that you identified using
code “UT” and entered on line 60.
11 Add lines 9 and 10 11 2,279.
12

Enter the amount from Form 1040-NR, line 67. 12 4,504.

13 Subtract line 12 from line 11. If zero or less, enter -0- 13
14 Enter the larger of line 8 or line 13 14 3,944.
Next, enter the smaller of line 5 or line 14 on line 15.
Part III Additional Child Tax Credit
15 This is your additional child tax credit 15 3,944.
Enter this amount on
1040
.......... Form 1040 line 18b;
Form 1040-SR, line 18b; or
Form 1040-NR, line 64.

For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 8812 (Form 1040 or 1040-SR) 2019
UYA
 Additional Information for
Child and Dependent Care Expenses
Support for Form 2441

Name(s) shown on Form 1040 or 1040-SR Your social security number

Ashley N Morales 524-63-8798

2 Information about your additional qualifying person(s).

(a) Qualifying person's name (b) Qualifying person's social (c) Qualified expenses
First Last

Noah Arce 722-70-5974 814.