Electronic Filing Instructions for your 2022 Federal Amended Tax Return

Important: Your taxes are not finished until all required steps are completed.

Jesse Carvajal Magana

2370 W Golden Hills Rd
Tucson, AZ 85745-1877
|
Balance | Your federal tax return (Form 1040-X) shows a refund due to you in
Due/ | the amount of $1,500.00. Applicable fees were deducted from your
Refund | original refund amount of $4,301.00. Your refund is now $4,134.00.
| Because you chose to have your TurboTax fees deducted from your
| refund, you will receive e-mail from Green Dot Bank, which handles
| this transaction. Your tax refund will be direct deposited into your
| account. The account information you entered - Account Number:
| 151709572607 Routing Transit Number: 122105155.
|
______________________________________________________________________________________
|
When Will | The IRS issued more than 9 out of 10 refunds to taxpayers in less
You Get | than 21 days last year. The same results are expected in 2023. To
Your | get your estimated refund date from TurboTax, log into My TurboTax at
Refund? | www.turbotax.com. If you do not receive your refund within 21 days,
| or the amount you get is not what you expected, contact the Internal
| Revenue Service directly at 1-800-829-4477. You can also check
| www.irs.gov and select the "Where's my refund?" link.
|
______________________________________________________________________________________
|
What You | Your Electronic Filing Instructions (this form)
Need to | A copy of your federal return
Keep |
|
______________________________________________________________________________________
|
2022 | Adjusted Gross Income Correct Amount $ 23,894.00
Federal | Taxable Income Correct Amount $ 3,595.00
Tax | Total Tax Correct Amount $ 358.00
Return | Total Payments/Credits Correct Amount $ 7,733.00
Summary | Amount to be Refunded $ 1,500.00
|
______________________________________________________________________________________

Page 1 of 1
Consent to disclose your information for the refund advance loan and for a checking
account with Credit Karma Money™

We’re going to disclose the tax information described from your 2022 tax return to Credit
Karma, MVB Bank, Inc. (the issuer of Credit Karma Money), First Century Bank (the lender),
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Federal law requires this consent form be provided to you. Unless authorized by law, we
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You are not required to complete this form to engage our tax return preparation services. If we
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consent, your consent will not be valid. If you agree to the disclosure of your tax return
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the duration of your consent, your consent is valid for one year from the date of signature. 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.

Do you agree to let TurboTax disclose your tax return info to the parties listed above?

I agree

Taxpayer First Name _______________________

Jesse

Taxpayer Last Name _______________________

Carvajal Magana

Today’s Date _______________________

01/23/2023

Spouse First Name _______________________

Spouse Last Name _______________________

Today’s Date _______________________

Qualifying is not based on your credit score

REV 04/26/23 Intuit.cg.cfp.sp

Does applying for Refund Advance impact my credit?

This will not impact your credit score. Also, your credit is not one of the factors that goes into
prequalifying for Refund Advance.

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We’re sharing the following information with First Century Bank (the lender), BorrowWorks (the
lender service provider) and MVB Bank, Inc. (the issuer of the card) via secure,
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Personal and contact information for primary filer and, if applicable, spouse: first and last
name; Social Security number; date of birth; address (street, city, state, zip, country); email
address; phone number; number of dependents; EFIN; military paygrade; driver’s license or
state ID number.

Filing and preparation information: federal and state tax return type; tax year; filing status and
history; whether you are filing IRS Forms 4136, 1310 or 8888; when you agree to this
disclosure consent; when the IRS and state accepted the return; the IRS and state
acknowledgement code for the return.

Information about personal and business income, deductions, credits, losses and expenses:

● Income and gain from any source (such as wages, tips, pensions, rental income, and capital
gains), and related forms (such as Forms W2 and 1099); adjusted gross income; taxable
income
● All deductions, credits and benefits (such as standard deduction, itemized deductions like
charitable contributions, education credits, earned income tax credit, and dependent care
benefits), and related federal and state forms (such as Schedules A and C, and Form 8862)
● All losses and expenses (such as capital losses, theft losses, and business expenses) and
related federal and state forms (such as Schedule E and Form 4684)

Refund and tax liability information: current and prior tax year refund, if any, and how you
received or are receiving your refund; amount and type of all taxes paid or withheld for the
current and prior year, and related federal and state forms (such as Forms 4868 and 1099R)

Information regarding use of TurboTax, including methods and devices used to provide
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• Indicators on how you provided information to TurboTax

• Indicators regarding the device used to provide information to TurboTax

REV 04/26/23 Intuit.cg.cfp.sp

• Information about your TurboTax use, the amount paid for such product and your filing
history and status

REV 04/26/23 Intuit.cg.cfp.sp

Consent to disclose your information to Credit Karma

To open and process your Credit Karma MoneyTM account, we’ll need to share your
info with Credit Karma.

We’ll share the following information with Credit Karma:

● Personal and contact information for the primary filer, including first and last
name, Social Security number, date of birth, mailing address used to file taxes
(street, apartment, city, state, zip code), and email address.
● Identity verification information, including confirmation that the Social Security
number matches the name and date of birth on the account, and ID check
completion.
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deposited in a Credit Karma MoneyTM account.

By signing this disclosure agreement, you’ll allow us to share relevant info from your
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disclosure within 3 years of the date of your signature.

Before you sign, here’s the fine print.

Federal law requires this consent form be provided to you. Unless authorized by law,
we cannot disclose your tax return information to third parties for purposes other than
the preparation and filing of your tax return without your consent. 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.

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) at
https://treasury.gov/tigta/.

REV 04/26/23 Intuit.cg.cfp.sp

Do you agree to let TurboTax share your information with Credit Karma to open a new
Credit Karma MoneyTM account?

I agree
Taxpayer First Name: Jesse

Taxpayer Last Name: Carvajal Magana

Today’s Date: 01/27/2023

Spouse First Name:

Spouse Last Name:

Today’s Date:

REV 04/26/23 Intuit.cg.cfp.sp

 1040-X
Form Department of the Treasury—Internal Revenue Service
Amended U.S. Individual Income Tax Return OMB No. 1545-0074
a
Use this revision to amend 2019 or later tax returns.
(Rev. July 2021) a Go to www.irs.gov/Form1040X for instructions and the latest information.

This return is for calendar year (enter year) 2022 or fiscal year (enter month and year ended)
Your first name and middle initial Last name Your social security number
Jesse Carvajal Magana 638-22-0201
If joint return, spouse’s first name and middle initial Last name Spouse’s social security number

Current home address (number and street). If you have a P.O. box, see instructions. Apt. no. Your phone number
2370 W Golden Hills Rd (520)389-2538
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below. See instructions.
Tucson AZ 85745-1877
Foreign country name Foreign province/state/county Foreign postal code

Amended return filing status. You must check one box even if you are not changing your filing status. Caution: In general, you can’t
change your filing status from married filing jointly to married filing separately after the return due date.
Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW)
If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying
person is a child but not your dependent a
Enter on lines 1 through 23, columns A through C, the amounts for the return A. Original amount B. Net change—
reported or as amount of increase C. Correct
year entered above. previously adjusted or (decrease)— amount
Use Part III on page 2 to explain any changes. (see instructions) explain in Part III
Income and Deductions
1 Adjusted gross income. If a net operating loss (NOL) carryback is
included, check here . . . . . . . . . . . . . . . a 1 12,711. 11,183. 23,894.
2 Itemized deductions or standard deduction . . . . . . . . . 2 19,400. 0. 19,400.
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . 3 -6,689. 11,183. 4,494.
4a Reserved for future use . . . . . . . . . . . . . . . . 4a
b Qualified business income deduction . . . . . . . . . . . . 4b 0. 899. 899.
5 Taxable income. Subtract line 4b from line 3. If the result is zero or less,
enter -0- . . . . . . . . . . . . . . . . . . . . . 5 0. 3,595. 3,595.
Tax Liability
6 Tax. Enter method(s) used to figure tax (see instructions):
Table 6 0. 358. 358.
7 Nonrefundable credits. If a general business credit carryback is
included, check here . . . . . . . . . . . . . . . a 7 0. 358. 358.
8 Subtract line 7 from line 6. If the result is zero or less, enter -0- . . . 8 0. 0. 0.
9 Reserved for future use . . . . . . . . . . . . . . . . 9
10 Other taxes . . . . . . . . . . . . . . . . . . . . 10 1,932. 0. 1,932.
11 Total tax. Add lines 8 and 10 . . . . . . . . . . . . . . 11 1,932. 0. 1,932.
Payments
12 Federal income tax withheld and excess social security and tier 1 RRTA
tax withheld. (If changing, see instructions.) . . . . . . . . . 12 0. 2,098. 2,098.
13 Estimated tax payments, including amount applied from prior year’s return 13 0. 0.
14 Earned income credit (EIC) . . . . . . . . . . . . . . . 14 3,733. -598. 3,135.
15 Refundable credits from: Schedule 8812 Form(s) 2439 4136
8863 8885 8962 or other (specify): 15 2,500. 0. 2,500.
16 Total amount paid with request for extension of time to file, tax paid with original return, and additional
tax paid after return was filed . . . . . . . . . . . . . . . . . . . . . . . . 16 0.
17 Total payments. Add lines 12 through 15, column C, and line 16 . . . . . . . . . . . . . 17 7,733.
Refund or Amount You Owe
18 Overpayment, if any, as shown on original return or as previously adjusted by the IRS . . . . . 18 4,301.
19 Subtract line 18 from line 17. (If less than zero, see instructions.) . . . . . . . . . . . . 19 3,432.
20 Amount you owe. If line 11, column C, is more than line 19, enter the difference . . . . . . . 20
21 If line 11, column C, is less than line 19, enter the difference. This is the amount overpaid on this return 21 1,500.
22 Amount of line 21 you want refunded to you . . . . . . . . . . . . . . . . . . . 22 1,500.
23 Amount of line 21 you want applied to your (enter year): estimated tax 23
Complete and sign this form on page 2.
For Paperwork Reduction Act Notice, see separate instructions. BAA REV 04/26/23 Intuit.cg.cfp.sp Form 1040-X (Rev. 7-2021)
Form 1040-X (Rev. 7-2021) Page 2
Part I Dependents
Complete this part to change any information relating to your dependents. A. Original number
B. Net change —
of dependents C. Correct
This would include a change in the number of dependents. reported or as
amount of increase
number
Enter the information for the return year entered at the top of page 1. or (decrease)
previously adjusted
24 Reserved for future use . . . . . . . . . . . . . . . . 24
25 Your dependent children who lived with you . . . . . . . . . 25 1 0 1
26 Your dependent children who didn’t live with you due to divorce or
separation . . . . . . . . . . . . . . . . . . . . 26 0 0
27 Other dependents . . . . . . . . . . . . . . . . . . 27 0 0
28 Reserved for future use . . . . . . . . . . . . . . . . 28
29 Reserved for future use . . . . . . . . . . . . . . . . 29
30 List ALL dependents (children and others) claimed on this amended return.
Dependents (see instructions): (d)  if qualifies for (see instructions):
(b) Social security (c) Relationship
Credit for other
If more (a) First name Last name number to you Child tax credit
dependents
than four
dependents, Jose M Vigueria 624-89-4561 Son
see
instructions
and check
here a
Part II Presidential Election Campaign Fund (for the return year entered at the top of page 1)
Checking below won’t increase your tax or reduce your refund.
Check here if you didn’t previously want $3 to go to the fund, but now do.
Check here if this is a joint return and your spouse did not previously want $3 to go to the fund, but now does.
Part III Explanation of Changes. In the space provided below, tell us why you are filing Form 1040-X.
a Attach any supporting documents and new or changed forms and schedules.
I added a new W2 return

Remember to keep a copy of this form for your records.

Under penalties of perjury, I declare that I have filed an original return, and that I have examined this amended return, including accompanying schedules
and statements, and to the best of my knowledge and belief, this amended return is true, correct, and complete. Declaration of preparer (other than
taxpayer) is based on all information about which the preparer has any knowledge.

Sign
F

Landscaper
Here Your signature Date Your occupation
F

Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation
Print/Type preparer’s name Preparer’s signature Date Check if PTIN
Paid self-employed
Preparer
Firm’s name a
Self-Prepared Firm’s EIN a
Use Only Firm’s address a Phone no.
For forms and publications, visit www.irs.gov/Forms. REV 04/26/23 Intuit.cg.cfp.sp Form 1040-X (Rev. 7-2021)
 1040 U.S. Individual Income Tax Return 2022
Form Department of the Treasury—Internal Revenue Service

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) Head of household (HOH)
Qualifying surviving
Check only spouse (QSS)
one box. 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:
Your first name and middle initial Last name Your social security number
Jesse Carvajal Magana 638-22-0201
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
2370 W Golden Hills Rd Check here if you, or your
spouse if filing jointly, want $3
City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code
to go to this fund. Checking a
Tucson AZ 857451877 box below will not change
Foreign country name Foreign province/state/county Foreign postal code your tax or refund.
You Spouse

Digital At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell,
Assets exchange, gift, 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, 1958 Are blind Spouse: Was born before January 2, 1958 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 Jose M Vigueria 624-89-4561 Son
dependents,
see instructions
and check
here . .

Income 1a Total amount from Form(s) W-2, box 1 (see instructions) . . . . . . . . . . . . . 1a 11,183.
b Household employee wages not reported on Form(s) W-2 . . . . . . . . . . . . . 1b
Attach Form(s) c Tip income not reported on line 1a (see instructions) . . . . . . . . . . . . . . 1c
W-2 here. Also
attach Forms d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) . . . . . . . . 1d
W-2G and e Taxable dependent care benefits from Form 2441, line 26 . . . . . . . . . . . . 1e
1099-R if tax
was withheld. f Employer-provided adoption benefits from Form 8839, line 29 . . . . . . . . . . . 1f
If you did not g Wages from Form 8919, line 6 . . . . . . . . . . . . . . . . . . . . . 1g
get a Form h Other earned income (see instructions) . . . . . . . . . . . . . . . . . . 1h 0.
W-2, see
instructions.
i Nontaxable combat pay election (see instructions) . . . . . . . 1i
z Add lines 1a through 1h . . . . . . . . . . . . . . . . . . . . . . 1z 11,183.
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 b Taxable amount . . . . . . 4b
Standard 5a Pensions and annuities . . 5a b Taxable amount . . . . . . 5b
Deduction for—
6a Social security benefits . . 6a b Taxable amount . . . . . . 6b
• Single or
Married filing c If you elect to use the lump-sum election method, check here (see instructions) . . . . .
separately,
$12,950 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . 7
• Married filing 8 Other income from Schedule 1, line 10 . . . . . . . . . . . . . . . . . . 8 13,677.
jointly or
Qualifying 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . . . . . . . . . . 9 24,860.
surviving spouse,
$25,900
10 Adjustments to income from Schedule 1, line 26 . . . . . . . . . . . . . . . 10 966.
• Head of 11 Subtract line 10 from line 9. This is your adjusted gross income . . . . . . . . . . 11 23,894.
household,
$19,400 12 Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . 12 19,400.
• If you checked 13 Qualified business income deduction from Form 8995 or Form 8995-A . . . . . . . . . 13 899.
any box under
Standard 14 Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . 14 20,299.
Deduction, 15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income . . . . .
see instructions.
15 3,595.

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2022)
Form 1040 (2022) Page 2

Tax and 16 Tax (see instructions). Check if any from Form(s): 1 8814 2 4972 3 . . 16 358.
Credits 17 Amount from Schedule 2, line 3 . . . . . . . . . . . . . . . . . . . . 17
18 Add lines 16 and 17 . . . . . . . . . . . . . . . . . . . . . . . . 18 358.
19 Child tax credit or credit for other dependents from Schedule 8812 . . . . . . . . . . 19
20 Amount from Schedule 3, line 8 . . . . . . . . . . . . . . . . . . . . 20 358.
21 Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . 21 358.
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 1,932.
24 Add lines 22 and 23. This is your total tax . . . . . . . . . . . . . . . . . 24 1,932.
Payments 25 Federal income tax withheld from:
a Form(s) W-2 . . . . . . . . . . . . . . . . . . 25a 2,098.
b Form(s) 1099 . . . . . . . . . . . . . . . . . . 25b
c Other forms (see instructions) . . . . . . . . . . . . . 25c
d Add lines 25a through 25c . . . . . . . . . . . . . . . . . . . . . . 25d 2,098.
26 2022 estimated tax payments and amount applied from 2021 return . . . . . . . . . . 26
If you have a
qualifying child, 27 Earned income credit (EIC) . . . . . . . . . . . . . . 27 3,135.
attach Sch. EIC.
28 Additional child tax credit from Schedule 8812 . . . . . . . . 28 1,500.
29 American opportunity credit from Form 8863, line 8 . . . . . . . 29 1,000.
30 Reserved for future use . . . . . . . . . . . . . . . 30
31 Amount from Schedule 3, line 15 . . . . . . . . . . . . 31
32 Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits . . 32 5,635.
33 Add lines 25d, 26, and 32. These are your total payments . . . . . . . . . . . . 33 7,733.
34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid . . 34 5,801.
Refund
35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here . . . . 35a 5,801.
Direct deposit? b Routing number 1 2 2 1 0 5 1 5 5 c Type: Checking Savings
See instructions.
d Account number 1 5 1 7 0 9 5 7 2 6 0 7
36 Amount of line 34 you want applied to your 2023 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
38 Estimated tax penalty (see instructions) . . . . . . . . . . 38
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)
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
Sign 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
Joint return? Landscaper (see inst.)
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. (520)389-2538 Email address

Preparer’s name Preparer’s signature Date PTIN Check if:
Paid Self-employed
Preparer
Firm’s name Self-Prepared Phone no.
Use Only
Firm’s address Firm’s EIN
Go to www.irs.gov/Form1040 for instructions and the latest information. BAA REV 04/26/23 Intuit.cg.cfp.sp Form 1040 (2022)
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. 2022
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
Jesse Carvajal Magana 638-22-0201
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 13,677.
4 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . 4
5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . 5
6 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . 6
7 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . 7
8 Other income:
a Net operating loss . . . . . . . . . . . . . . . . . . . 8a ( )
b Gambling . . . . . . . . . . . . . . . . . . . . . . 8b
c Cancellation of debt . . . . . . . . . . . . . . . . . . 8c
d Foreign earned income exclusion from Form 2555 . . . . . . . 8d ( )
e Income from Form 8853 . . . . . . . . . . . . . . . . . 8e
f Income from Form 8889 . . . . . . . . . . . . . . . . . 8f
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
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
q Taxable distributions from an ABLE account (see instructions) . . . 8q
r Scholarship and fellowship grants not reported on Form W-2 . . . 8r 0.
s Nontaxable amount of Medicaid waiver payments included on Form
1040, line 1a or 1d . . . . . . . . . . . . . . . . . . . 8s ( )
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
9 Total other income. Add lines 8a through 8z . . . . . . . . . . . . . . . . . . 9 0.
10 Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 10 13,677.
For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040) 2022
Schedule 1 (Form 1040) 2022 Page 2

Part II Adjustments to Income

11 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Certain business expenses of reservists, performing artists, and fee-basis government
officials. Attach Form 2106 . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Health savings account deduction. Attach Form 8889 . . . . . . . . . . . . . . 13
14 Moving expenses for members of the Armed Forces. Attach Form 3903 . . . . . . . 14
15 Deductible part of self-employment tax. Attach Schedule SE . . . . . . . . . . . 15 966.
16 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . 16
17 Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . 17
18 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . 18
19a Alimony paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19a
b Recipient’s SSN . . . . . . . . . . . . . . . . . . . . . .
c Date of original divorce or separation agreement (see instructions):
20 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . 21
22 Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Archer MSA deduction . . . . . . . . . . . . . . . . . . . . . . . . . 23
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
e Repayment of supplemental unemployment benefits under the Trade
Act of 1974 . . . . . . . . . . . . . . . . . . . . . . 24e
f Contributions to section 501(c)(18)(D) pension plans . . . . . . . 24f
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
k Excess deductions of section 67(e) expenses from Schedule K-1 (Form
1041) . . . . . . . . . . . . . . . . . . . . . . . . 24k
z Other adjustments. List type and amount:
24z
25 Total other adjustments. Add lines 24a through 24z . . . . . . . . . . . . . . . 25
26 Add lines 11 through 23 and 25. These are your adjustments to income. Enter here and on
Form 1040 or 1040-SR, line 10, or Form 1040-NR, line 10a . . . . . . . . . . . . 26 966.
BAA REV 04/26/23 Intuit.cg.cfp.sp Schedule 1 (Form 1040) 2022
SCHEDULE 2 OMB No. 1545-0074
Additional Taxes
(Form 1040)
Department of the Treasury
Attach to Form 1040, 1040-SR, or 1040-NR. 2022
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
Jesse Carvajal Magana 638-22-0201
Part I Tax
1 Alternative minimum tax. Attach Form 6251 . . . . . . . . . . . . . . . . 1
2 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . 2
3 Add lines 1 and 2. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 17 . . 3
Part II Other Taxes
4 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . 4 1,932.
5 Social security and Medicare tax on unreported tip income.
Attach Form 4137 . . . . . . . . . . . . . . . . . . 5
6 Uncollected social security and Medicare tax on wages. Attach
Form 8919 . . . . . . . . . . . . . . . . . . . . . 6
7 Total additional social security and Medicare tax. Add lines 5 and 6 . . . . . . 7
8 Additional tax on IRAs or other tax-favored accounts. Attach Form 5329 if required.
If not required, check here . . . . . . . . . . . . . . . . . . . . . 8
9 Household employment taxes. Attach Schedule H . . . . . . . . . . . . . 9
10 Repayment of first-time homebuyer credit. Attach Form 5405 if required . . . . . 10
11 Additional Medicare Tax. Attach Form 8959 . . . . . . . . . . . . . . . . 11
12 Net investment income tax. Attach Form 8960 . . . . . . . . . . . . . . . 12
13 Uncollected social security and Medicare or RRTA tax on tips or group-term life
insurance from Form W-2, box 12 . . . . . . . . . . . . . . . . . . . . 13
14 Interest on tax due on installment income from the sale of certain residential lots
and timeshares . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Interest on the deferred tax on gain from certain installment sales with a sales price
over $150,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Recapture of low-income housing credit. Attach Form 8611 . . . . . . . . . . 16
(continued on page 2)
For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 2 (Form 1040) 2022
Schedule 2 (Form 1040) 2022 Page 2

Part II Other Taxes (continued)

17 Other additional taxes:
a Recapture of other credits. List type, form number, and amount:
17a
b Recapture of federal mortgage subsidy, if you sold your home
see instructions . . . . . . . . . . . . . . . . . . . 17b
c Additional tax on HSA distributions. Attach Form 8889 . . . . 17c
d Additional tax on an HSA because you didn’t remain an eligible
individual. Attach Form 8889 . . . . . . . . . . . . . . 17d
e Additional tax on Archer MSA distributions. Attach Form 8853 . 17e
f Additional tax on Medicare Advantage MSA distributions. Attach
Form 8853 . . . . . . . . . . . . . . . . . . . . . 17f
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
k Golden parachute payments . . . . . . . . . . . . . . 17k
l Tax on accumulation distribution of trusts . . . . . . . . . 17l
m Excise tax on insider stock compensation from an expatriated
corporation . . . . . . . . . . . . . . . . . . . . . 17m
n Look-back interest under section 167(g) or 460(b) from Form
8697 or 8866 . . . . . . . . . . . . . . . . . . . . 17n
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
q Any interest from Form 8621, line 24 . . . . . . . . . . . 17q
z Any other taxes. List type and amount:
17z
18 Total additional taxes. Add lines 17a through 17z . . . . . . . . . . . . . . 18
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 1,932.
BAA REV 04/26/23 Intuit.cg.cfp.sp Schedule 2 (Form 1040) 2022
SCHEDULE 3 OMB No. 1545-0074
Additional Credits and Payments
2022
(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
Jesse Carvajal Magana 638-22-0201
Part I Nonrefundable Credits
1 Foreign tax credit. Attach Form 1116 if required . . . . . . . . . . . . . . 1
2 Credit for child and dependent care expenses from Form 2441, line 11. Attach
Form 2441 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Education credits from Form 8863, line 19 . . . . . . . . . . . . . . . . . 3 358.
4 Retirement savings contributions credit. Attach Form 8880 . . . . . . . . . . 4
5 Residential energy credits. Attach Form 5695 . . . . . . . . . . . . . . . 5
6 Other nonrefundable credits:
a General business credit. Attach Form 3800 . . . . . . . . 6a
b Credit for prior year minimum tax. Attach Form 8801 . . . . 6b
c Adoption credit. Attach Form 8839 . . . . . . . . . . . . 6c
d Credit for the elderly or disabled. Attach Schedule R . . . . . 6d
e Alternative motor vehicle credit. Attach Form 8910 . . . . . 6e
f Qualified plug-in motor vehicle credit. Attach Form 8936 . . . 6f
g Mortgage interest credit. Attach Form 8396 . . . . . . . . 6g
h District of Columbia first-time homebuyer credit. Attach Form 8859 6h
i Qualified electric vehicle credit. Attach Form 8834 . . . . . 6i
j Alternative fuel vehicle refueling property credit. Attach Form 8911 6j
k Credit to holders of tax credit bonds. Attach Form 8912 . . . 6k
l Amount on Form 8978, line 14. See instructions . . . . . . 6l
z Other nonrefundable credits. List type and amount:
6z
7 Total other nonrefundable credits. Add lines 6a through 6z . . . . . . . . . . 7
8 Add lines 1 through 5 and 7. Enter here and on Form 1040, 1040-SR, or 1040-NR,
line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 358.
(continued on page 2)
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 04/26/23 Intuit.cg.cfp.sp Schedule 3 (Form 1040) 2022
Schedule 3 (Form 1040) 2022 Page 2

Part II Other Payments and Refundable Credits

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 Other payments or refundable credits:
a Form 2439 . . . . . . . . . . . . . . . . . . . . . 13a
b Credit for qualified sick and family leave wages paid in 2022 from
Schedule(s) H for leave taken before April 1, 2021 . . . . . . 13b
c Reserved for future use . . . . . . . . . . . . . . . . 13c
d Credit for repayment of amounts included in income from earlier
years . . . . . . . . . . . . . . . . . . . . . . . . 13d
e Reserved for future use . . . . . . . . . . . . . . . . 13e
f Deferred amount of net 965 tax liability (see instructions) . . . 13f
g Reserved for future use . . . . . . . . . . . . . . . . 13g
h Credit for qualified sick and family leave wages paid in 2022
from Schedule(s) H for leave taken after March 31, 2021, and
before October 1, 2021 . . . . . . . . . . . . . . . . 13h
z Other payments or refundable credits. List type and amount:
13z
14 Total other payments or refundable credits. Add lines 13a through 13z . . . . . 14
15 Add lines 9 through 12 and 14. Enter here and on Form 1040, 1040-SR, or 1040-NR,
line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
REV 04/26/23 Intuit.cg.cfp.sp Schedule 3 (Form 1040) 2022
BAA
SCHEDULE C Profit or Loss From Business OMB No. 1545-0074

2022
(Form 1040) (Sole Proprietorship)
Department of the Treasury
Go to www.irs.gov/ScheduleC for instructions and the latest information.
Attachment
Internal Revenue Service Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships must generally file Form 1065. Sequence No. 09
Name of proprietor Social security number (SSN)
Jesse Carvajal Magana 638-22-0201
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
landscaping 5 6 1 7 3 0
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.) 2370 W GOLDEN HILLS RD

City, town or post office, state, and ZIP code Tucson, AZ 85745
F Accounting method: (1) Cash (2) Accrual (3) Other (specify)
G Did you “materially participate” in the operation of this business during 2022? If “No,” see instructions for limit on losses . Yes No
H If you started or acquired this business during 2022, check here . . . . . . . . . . . . . . . . . .
I Did you make any payments in 2022 that would require you to file Form(s) 1099? See instructions . . . . . . . . Yes 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 25,518.
2 Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . 3 25,518.
4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . . . . 4
5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . 5 25,518.
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . 6
7 Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . 7 25,518.
Part II Expenses. Enter expenses for business use of your home only on line 30.
8 Advertising . . . . . 8 550. 18 Office expense (see instructions) . 18
9 Car and truck expenses 19 Pension and profit-sharing plans . 19
(see instructions) . . . 9 6,228. 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 2,375. 24 Travel and meals:
14 Employee benefit programs a Travel . . . . . . . . . 24a 1,430.
(other than on line 19) . 14 b Deductible meals (see
15 Insurance (other than health) 15 instructions) . . . . . . . 24b
16 Interest (see instructions): 25 Utilities . . . . . . . . 25 1,258.
a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) 26
b Other . . . . . . 16b 27a Other expenses (from line 48) . . 27a
17 Legal and professional services 17 b Reserved for future use . . . 27b
28 Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . . . 28 11,841.
29 Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . 29 13,677.
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 13,677.
• 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. BAA REV 04/26/23 Intuit.cg.cfp.sp Schedule C (Form 1040) 2022
Schedule C (Form 1040) 2022 Page 2
Part III Cost of Goods Sold (see instructions)

33 Method(s) used to
value closing inventory: a Cost b Lower of cost or market c Other (attach explanation)
34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If “Yes,” attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

35 Inventory at beginning of year. If different from last year’s closing inventory, attach explanation . . . 35

36 Purchases less cost of items withdrawn for personal use . . . . . . . . . . . . . . 36

37 Cost of labor. Do not include any amounts paid to yourself . . . . . . . . . . . . . . 37

38 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . 38

39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

40 Add lines 35 through 39 . . . . . . . . . . . . . . . . . . . . . . . . 40

41 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . 41

42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . . . . . . 42
Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and
are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file
Form 4562.

43 When did you place your vehicle in service for business purposes? (month/day/year)

44 Of the total number of miles you drove your vehicle during 2022, enter the number of miles you used your vehicle for:

a Business b Commuting (see instructions) c Other

45 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . Yes No

46 Do you (or your spouse) have another vehicle available for personal use?. . . . . . . . . . . . . . Yes No

47a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . Yes No

b If “Yes,” is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

Part V Other Expenses. List below business expenses not included on lines 8–26 or line 30.

48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . . 48

REV 04/26/23 Intuit.cg.cfp.sp Schedule C (Form 1040) 2022
SCHEDULE SE
Self-Employment Tax
OMB No. 1545-0074

2022
(Form 1040)
Go to www.irs.gov/ScheduleSE for instructions and the latest information.
Department of the Treasury Attachment
Internal Revenue Service Attach to Form 1040, 1040-SR, or 1040-NR. Sequence No. 17
Name of person with self-employment income (as shown on Form 1040, 1040-SR, or 1040-NR) Social security number of person
Jesse Carvajal Magana with self-employment income 638-22-0201
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 13,677.
3 Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . . . . . 3 13,677.
4a If line 3 is more than zero, multiply line 3 by 92.35% (0.9235). Otherwise, enter amount from line 3 . 4a 12,631.
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 12,631.
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 0.
6 Add lines 4c and 5b . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 12,631.
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 2022 . . . . . . . . . . . 7 147,000
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 $147,000 or more, skip lines
8b through 10, and go to line 11 . . . . . . . . . . . . . . . 8a 11,183.
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 11,183.
9 Subtract line 8d from line 7. If zero or less, enter -0- here and on line 10 and go to line 11 . . . . 9 135,817.
10 Multiply the smaller of line 6 or line 9 by 12.4% (0.124) . . . . . . . . . . . . . . . . 10 1,566.
11 Multiply line 6 by 2.9% (0.029) . . . . . . . . . . . . . . . . . . . . . . . . 11 366.
12 Self-employment tax. Add lines 10 and 11. Enter here and on Schedule 2 (Form 1040), line 4 . . 12 1,932.
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 . . . . . . . . . . . . . . . . . . . . . . . . 13 966.
Part II Optional Methods To Figure Net Earnings (see instructions)
Farm Optional Method. You may use this method only if (a) your gross farm income1 wasn’t more than
$9,060, or (b) your net farm profits2 were less than $6,540.
14 Maximum income for optional methods . . . . . . . . . . . . . . . . . . . . . 14 6,040
15 Enter the smaller of: two-thirds (2/3) of gross farm income1 (not less than zero) or $6,040. Also, include
this amount on line 4b above . . . . . . . . . . . . . . . . . . . . . . . . 15
Nonfarm Optional Method. You may use this method only if (a) your net nonfarm profits3 were less than $6,540
and also less than 72.189% of your gross nonfarm income,4 and (b) you had net earnings from self-employment
of at least $400 in 2 of the prior 3 years. Caution: You may use this method no more than five times.
16 Subtract line 15 from line 14 . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Enter the smaller of: two-thirds (2/3) of gross nonfarm income4 (not less than zero) or the amount on
line 16. Also, include this amount on line 4b above . . . . . . . . . . . . . . . . . 17
1 3
From Sch. F, line 9; and Sch. K-1 (Form 1065), box 14, code B. From Sch. C, line 31; and Sch. K-1 (Form 1065), box 14, code A.
2 4
From Sch. F, line 34; and Sch. K-1 (Form 1065), box 14, code A—minus the amount From Sch. C, line 7; and Sch. K-1 (Form 1065), box 14, code C.
you would have entered on line 1b had you not used the optional method.
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 04/26/23 Intuit.cg.cfp.sp Schedule SE (Form 1040) 2022
SCHEDULE EIC Earned Income Credit OMB No. 1545-0074
(Form 1040) Qualifying Child Information
Complete and attach to Form 1040 or 1040-SR only if you have a qualifying child.
2022
Department of the Treasury Attachment
Go to www.irs.gov/ScheduleEIC for the latest information. Sequence No. 43
Internal Revenue Service
Name(s) shown on return Your social security number
Jesse Carvajal Magana 638-22-0201
If you are separated from your spouse, filing a separate return, and meet the requirements to claim the EIC (see instructions), check here

Before you begin: • See the instructions for Form 1040, line 27, to make sure that (a) you can take the EIC, and (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 your EIC. If the name or SSN on
the child’s social security card is not correct, call the Social Security Administration at 800-772-1213.
• If you have a child who meets the conditions to be your qualifying child for purposes of claiming the EIC, but that
child doesn’t have an SSN as defined in the instructions for Form 1040, line 27, see the instructions.
• You can’t claim the EIC for a child who didn’t live with you for more than half of the year.

F
!
CAUTION
• If your child doesn’t have an SSN as defined in the instructions for Form 1040, line 27, see the instructions.
• 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.
• 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

1 Child’s name First name Last name First name Last name First name Last name

If you have more than three qualifying

children, you have to list only three to get
the maximum credit. Jose M Vigueria
2 Child’s SSN
The child must have an SSN as defined in
the instructions for Form 1040, line 27,
unless the child was born and died in 2022
or you are claiming the self-only EIC (see
instructions). If your child was born and
died in 2022 and did not have an SSN,
enter “Died” on this line and attach a copy
of the child’s birth certificate, death
certificate, or hospital medical records
showing a live birth. 624-89-4561
3 Child’s year of birth Year 2 0 1 2 Year Year
If born after 2003 and the child is If born after 2003 and the child is If born after 2003 and the child is
younger than you (or your spouse, younger than you (or your spouse, younger than you (or your spouse,
if filing jointly), skip lines 4a and if filing jointly), skip lines 4a and if filing jointly), skip lines 4a and
4b; go to line 5. 4b; go to line 5. 4b; go to line 5.

4a Was the child under age 24 at the end of

2022, a student, and younger than you (or Yes. No. Yes. No. Yes. No.
your spouse, if filing jointly)?
Go to Go to line 4b. Go to Go to line 4b. Go to Go to line 4b.
line 5. line 5. line 5.
b Was the child permanently and totally
disabled during any part of 2022? Yes. No. Yes. No. Yes. No.
Go to The child is not a Go to The child is not a Go to The child is not a
line 5. qualifying child. line 5. qualifying child. line 5. qualifying child.
5 Child’s relationship to you
(for example, son, daughter, grandchild,
niece, nephew, eligible foster child, etc.)
Son
6 Number of months child lived
with you in the United States
during 2022
• If the child lived with you for more than
half of 2022 but less than 7 months,
enter “7.”
• If the child was born or died in 2022 and
your home was the child’s home for more 12 months months months
than half the time he or she was alive Do not enter more than 12 Do not enter more than 12 Do not enter more than 12
during 2022, enter “12.” months. months. months.
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 04/26/23 Intuit.cg.cfp.sp Schedule EIC (Form 1040) 2022
SCHEDULE 8812 Credits for Qualifying Children OMB No. 1545-0074
(Form 1040) and Other Dependents
Attach to Form 1040, 1040-SR, or 1040-NR.
2022
Department of the Treasury Attachment
Internal Revenue Service Go to www.irs.gov/Schedule8812 for instructions and the latest information. Sequence No. 47
Name(s) shown on return Your social security number
Jesse Carvajal Magana 638-22-0201
Part I Child Tax Credit and Credit for Other Dependents
1 Enter the amount from line 11 of your Form 1040, 1040-SR, or 1040-NR . . . . . . . . . . . . 1 23,894.
2a Enter income from Puerto Rico that you excluded . . . . . . . . . . . 2a
b Enter the amounts from lines 45 and 50 of your Form 2555 . . . . . . . . 2b 0.
c Enter the amount from line 15 of your Form 4563 . . . . . . . . . . . 2c
d Add lines 2a through 2c . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d 0.
3 Add lines 1 and 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 23,894.
4 Number of qualifying children under age 17 with the required social security number 4 1
5 Multiply line 4 by $2,000 . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2,000.
6 Number of other dependents, including any qualifying children who are not under age
17 or who do not have the required social security number . . . . . . . . 6 0
Caution: Do not include yourself, your spouse, or anyone who is not a U.S. citizen, U.S. national, or U.S. resident
alien. Also, do not include anyone you included on line 4.
7 Multiply line 6 by $500 . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Add lines 5 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 2,000.
9 Enter the amount shown below for your filing status.
• Married filing jointly—$400,000
• All other filing statuses—$200,000 } . . . . . . . . . . . . . . . . . . . . . . 9 200,000.
10 Subtract line 9 from line 3.

}
• If zero or less, enter -0-.
• If more than zero and not a multiple of $1,000, enter the next multiple of $1,000. For
example, if the result is $425, enter $1,000; if the result is $1,025, enter $2,000, etc. . . . . . . . 10 0.
11 Multiply line 10 by 5% (0.05) . . . . . . . . . . . . . . . . . . . . . . . . . 11 0.
12 Is the amount on line 8 more than the amount on line 11? . . . . . . . . . . . . . . . . . 12 2,000.
No. STOP. You cannot take the child tax credit, credit for other dependents, or additional child tax credit.
Skip Parts II-A and II-B. Enter -0- on lines 14 and 27.
Yes. Subtract line 11 from line 8. Enter the result.
13 Enter the amount from the Credit Limit Worksheet A . . . . . . . . . . . . . . . . . 13 0.
14 Enter the smaller of line 12 or 13. This is your child tax credit and credit for other dependents . . . . . 14 0.
Enter this amount on Form 1040, 1040-SR, or 1040-NR, line 19.
If the amount on line 12 is more than the amount on line 14, you may be able to take the additional child tax credit
on Form 1040, 1040-SR, or 1040-NR, line 28. Complete your Form 1040, 1040-SR, or 1040-NR through line 27
(also complete Schedule 3, line 11) before completing Part II-A.
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 04/26/23 Intuit.cg.cfp.sp Schedule 8812 (Form 1040) 2022
Schedule 8812 (Form 1040) 2022 Page 2
Part II-A Additional Child Tax Credit for All Filers
Caution: If you file Form 2555, you cannot claim the additional child tax credit.
15 Check this box if you do not want to claim the additional child tax credit. Skip Parts II-A and II-B. Enter -0- on line 27 . . . . .
16a Subtract line 14 from line 12. If zero, stop here; you cannot take the additional child tax credit. Skip Parts II-A
and II-B. Enter -0- on line 27 . . . . . . . . . . . . . . . . . . . . . . . . . 16a 2,000.
b Number of qualifying children under 17 with the required social security number: 1 x $1,500.
Enter the result. If zero, stop here; you cannot claim the additional child tax credit. Skip Parts II-A and II-B.
Enter -0- on line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16b 1,500.
TIP: The number of children you use for this line is the same as the number of children you used for line 4.
17 Enter the smaller of line 16a or line 16b . . . . . . . . . . . . . . . . . . . . . . 17 1,500.
18a Earned income (see instructions) . . . . . . . . . . . . . . . . 18a 23,894.
b Nontaxable combat pay (see instructions) . . . . . . 18b
19 Is the amount on line 18a more than $2,500?
No. Leave line 19 blank and enter -0- on line 20.
Yes. Subtract $2,500 from the amount on line 18a. Enter the result . . . . 19 21,394.
20 Multiply the amount on line 19 by 15% (0.15) and enter the result . . . . . . . . . . . . . . 20 3,209.
Next. On line 16b, is the amount $4,500 or more?
No. If you are a bona fide resident of Puerto Rico, go to line 21. Otherwise, skip Part II-B and enter the
smaller of line 17 or line 20 on line 27.
Yes. If line 20 is equal to or more than line 17, skip Part II-B and enter the amount from line 17 on line 27.
Otherwise, go to line 21.
Part II-B Certain Filers Who Have Three or More Qualifying Children and Bona Fide Residents of Puerto Rico
21 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 . . . . . . . . . . . . . . . . . . . . . . . 21
22 Enter the total of the amounts from Schedule 1 (Form 1040), line 15; Schedule 2 (Form
1040), line 5; Schedule 2 (Form 1040), line 6; and Schedule 2 (Form 1040), line 13 . 22
23 Add lines 21 and 22 . . . . . . . . . . . . . . . . . . . . 23
24 1040 and

}
1040-SR filers: Enter the total of the amounts from Form 1040 or 1040-SR, line 27,
and Schedule 3 (Form 1040), line 11.
1040-NR filers: Enter the amount from Schedule 3 (Form 1040), line 11. 24
25 Subtract line 24 from line 23. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . 25
26 Enter the larger of line 20 or line 25 . . . . . . . . . . . . . . . . . . . . . . . 26
Next, enter the smaller of line 17 or line 26 on line 27.
Part II-C Additional Child Tax Credit
27 This is your additional child tax credit. Enter this amount on Form 1040, 1040-SR, or 1040-NR, line 28 . . 27 1,500.
REV 04/26/23 Intuit.cg.cfp.sp Schedule 8812 (Form 1040) 2022
BAA
 8863 Education Credits OMB No. 1545-0074
(American Opportunity and Lifetime Learning Credits)
2022
Form

Department of the Treasury Attach to Form 1040 or 1040-SR.

Attachment
Internal Revenue Service Go to www.irs.gov/Form8863 for instructions and the latest information. Sequence No. 50
Name(s) shown on return Your social security number
Jesse Carvajal Magana 638-22-0201

F
!
CAUTION
Complete a separate Part III on page 2 for each student for whom you’re claiming either credit before
you complete Parts I and II.

Part I Refundable American Opportunity Credit

1 After completing Part III for each student, enter the total of all amounts from all Parts III, line 30 . . 1 2,500.
2 Enter: $180,000 if married filing jointly; $90,000 if single, head of household,
or qualifying surviving spouse . . . . . . . . . . . . . . . . 2 90,000.
3 Enter the amount from Form 1040 or 1040-SR, line 11. But if you’re filing Form
2555 or 4563, or you’re excluding income from Puerto Rico, see Pub. 970 for
the amount to enter instead . . . . . . . . . . . . . . . . . 3 23,894.
4 Subtract line 3 from line 2. If zero or less, stop; you can’t take any education
credit . . . . . . . . . . . . . . . . . . . . . . . . 4 66,106.
5 Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or
qualifying surviving spouse . . . . . . . . . . . . . . . . . 5 10,000.
6 If line 4 is:
• Equal to or more than line 5, enter 1.000 on line 6 . . . . . . . . . . . . .
• Less than line 5, divide line 4 by line 5. Enter the result as a decimal (rounded to
at least three places) . . . . . . . . . . . . . . . . . . . . . .
}
. . . 6 1.000

7 Multiply line 1 by line 6. Caution: If you were under age 24 at the end of the year and meet the
conditions described in the instructions, you can’t take the refundable American opportunity credit;
skip line 8, enter the amount from line 7 on line 9, and check this box . . . . . . . . . . 7 2,500.
8 Refundable American opportunity credit. Multiply line 7 by 40% (0.40). Enter the amount here and
on Form 1040 or 1040-SR, line 29. Then go to line 9 below. . . . . . . . . . . . . . . 8 1,000.
Part II Nonrefundable Education Credits
9 Subtract line 8 from line 7. Enter here and on line 2 of the Credit Limit Worksheet (see instructions) . 9 1,500.
10 After completing Part III for each student, enter the total of all amounts from all Parts III, line 31. If
zero, skip lines 11 through 17, enter -0- on line 18, and go to line 19 . . . . . . . . . . . 10
11 Enter the smaller of line 10 or $10,000 . . . . . . . . . . . . . . . . . . . . . 11
12 Multiply line 11 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Enter: $180,000 if married filing jointly; $90,000 if single, head of household, or
qualifying surviving spouse . . . . . . . . . . . . . . . . . 13
14 Enter the amount from Form 1040 or 1040-SR, line 11. But if you’re filing Form
2555 or 4563, or you’re excluding income from Puerto Rico, see Pub. 970 for
the amount to enter instead . . . . . . . . . . . . . . . . . 14
15 Subtract line 14 from line 13. If zero or less, skip lines 16 and 17, enter -0- on
line 18, and go to line 19 . . . . . . . . . . . . . . . . . 15
16 Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or
qualifying surviving spouse . . . . . . . . . . . . . . . . . 16
17 If line 15 is:
• Equal to or more than line 16, enter 1.000 on line 17 and go to line 18 . . . . . .
• Less than line 16, divide line 15 by line 16. Enter the result as a decimal (rounded to at
least three places) . . . . . . . . . . . . . . . . . . . . . . .
} . . . 17

18 Multiply line 12 by line 17. Enter here and on line 1 of the Credit Limit Worksheet (see instructions) . 18
19 Nonrefundable education credits. Enter the amount from line 7 of the Credit Limit Worksheet (see
instructions) here and on Schedule 3 (Form 1040), line 3 . . . . . . . . . . . . . . . 19 358.
For Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 04/26/23 Intuit.cg.cfp.sp Form 8863 (2022)
Form 8863 (2022) Page 2
Name(s) shown on return Your social security number
Jesse Carvajal Magana 638-22-0201

F
!
CAUTION
Complete Part III for each student for whom you’re claiming either the American opportunity
credit or lifetime learning credit. Use additional copies of page 2 as needed for each student.

Part III Student and Educational Institution Information. See instructions.

20 Student name (as shown on page 1 of your tax return) 21 Student social security number (as shown on page 1 of
Jesse your tax return)
Carvajal Magana 638-22-0201
22 Educational institution information (see instructions)
a. Name of first educational institution b. Name of second educational institution (if any)
university of Arizona
(1) Address. Number and street (or P.O. box). City, town or (1) Address. Number and street (or P.O. box). City, town or
post office, state, and ZIP code. If a foreign address, see post office, state, and ZIP code. If a foreign address, see
instructions. instructions.
university of arizona
tucson AZ 85714
(2) Did the student receive Form 1098-T (2) Did the student receive Form 1098-T
Yes No Yes No
from this institution for 2022? from this institution for 2022?
(3) Did the student receive Form 1098-T (3) Did the student receive Form 1098-T
from this institution for 2021 with box Yes No from this institution for 2021 with box Yes No
7 checked? 7 checked?
(4) Enter the institution’s employer identification number (EIN) (4) Enter the institution’s employer identification number (EIN)
if you’re claiming the American opportunity credit or if you if you’re claiming the American opportunity credit or if you
checked “Yes” in (2) or (3). You can get the EIN from Form checked “Yes” in (2) or (3). You can get the EIN from Form
1098-T or from the institution. 1098-T or from the institution.

74-2652689

23 Has the American opportunity credit been claimed for this

Yes — Stop!
student for any 4 prior tax years? No — Go to line 24.
Go to line 31 for this student.

24 Was the student enrolled at least half-time for at least one

academic period that began or is treated as having begun
in 2022 at an eligible educational institution in a program No — Stop! Go to line 31
leading towards a postsecondary degree, certificate, or Yes — Go to line 25.
for this student.
other recognized postsecondary educational credential?
See instructions.
25 Did the student complete the first 4 years of postsecondary
Yes — Stop!
education before 2022? See instructions. No — Go to line 26.
Go to line 31 for this student.

26 Was the student convicted, before the end of 2022, of a

Yes — Stop! No — Complete lines 27
felony for possession or distribution of a controlled
Go to line 31 for this student. through 30 for this student.
substance?

F
!
CAUTION
You can’t take the American opportunity credit and the lifetime learning credit for the same student in the same year. If
you complete lines 27 through 30 for this student, don’t complete line 31.

American Opportunity Credit

27 Adjusted qualified education expenses (see instructions). Don’t enter more than $4,000 . . . . . 27 4,000.
28 Subtract $2,000 from line 27. If zero or less, enter -0- . . . . . . . . . . . . . . . . 28 2,000.
29 Multiply line 28 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . 29 500.
30 If line 28 is zero, enter the amount from line 27. Otherwise, add $2,000 to the amount on line 29 and
enter the result. Skip line 31. Include the total of all amounts from all Parts III, line 30, on Part I, line 1 . 30 2,500.
Lifetime Learning Credit
31 Adjusted qualified education expenses (see instructions). Include the total of all amounts from all Parts
III, line 31, on Part II, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . 31
Form 8863 (2022)
Form 8995 Qualified Business Income Deduction OMB No. 1545-2294

Simplified Computation
Attach to your tax return.
2022
Department of the Treasury Attachment
Internal Revenue Service Go to www.irs.gov/Form8995 for instructions and the latest information. Sequence No. 55
Name(s) shown on return Your taxpayer identification number
Jesse Carvajal Magana 638-22-0201
Note. You can claim the qualified business income deduction only if you have qualified business income from a qualified trade or
business, real estate investment trust dividends, publicly traded partnership income, or a domestic production activities deduction
passed through from an agricultural or horticultural cooperative. See instructions.
Use this form if your taxable income, before your qualified business income deduction, is at or below $170,050 ($340,100 if married
filing jointly), and you aren’t a patron of an agricultural or horticultural cooperative.

1 (a) Trade, business, or aggregation name (b) Taxpayer (c) Qualified business
identification number income or (loss)

i Jesse Carvajal Magana 638-22-0201 12,711.

ii

iii

iv

2 Total qualified business income or (loss). Combine lines 1i through 1v,

column (c) . . . . . . . . . . . . . . . . . . . . . . 2 12,711.
3 Qualified business net (loss) carryforward from the prior year . . . . . . . 3 ( )
4 Total qualified business income. Combine lines 2 and 3. If zero or less, enter -0- 4 12,711.
5 Qualified business income component. Multiply line 4 by 20% (0.20) . . . . . . . . . . . 5 2,542.
6 Qualified REIT dividends and publicly traded partnership (PTP) income or (loss)
(see instructions) . . . . . . . . . . . . . . . . . . . . 6
7 Qualified REIT dividends and qualified PTP (loss) carryforward from the prior
year . . . . . . . . . . . . . . . . . . . . . . . . . 7 ( )
8 Total qualified REIT dividends and PTP income. Combine lines 6 and 7. If zero
or less, enter -0- . . . . . . . . . . . . . . . . . . . . 8
9 REIT and PTP component. Multiply line 8 by 20% (0.20) . . . . . . . . . . . . . . . 9
10 Qualified business income deduction before the income limitation. Add lines 5 and 9 . . . . . . 10 2,542.
11 Taxable income before qualified business income deduction (see instructions) 11 4,494.
12 Net capital gain (see instructions) . . . . . . . . . . . . . . . 12 0.
13 Subtract line 12 from line 11. If zero or less, enter -0- . . . . . . . . 13 4,494.
14 Income limitation. Multiply line 13 by 20% (0.20) . . . . . . . . . . . . . . . . . . 14 899.
15 Qualified business income deduction. Enter the smaller of line 10 or line 14. Also enter this amount on
the applicable line of your return (see instructions) . . . . . . . . . . . . . . . . . 15 899.
16 Total qualified business (loss) carryforward. Combine lines 2 and 3. If greater than zero, enter -0- . . 16 ( 0. )
17 Total qualified REIT dividends and PTP (loss) carryforward. Combine lines 6 and 7. If greater than
zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 ( 0. )
For Privacy Act and Paperwork Reduction Act Notice, see instructions. REV 04/26/23 Intuit.cg.cfp.sp Form 8995 (2022)
 4562 Depreciation and Amortization OMB No. 1545-0172

2022
Form
(Including Information on Listed Property)
Department of the Treasury Attach to your tax return.
Attachment
Internal Revenue Service Go to www.irs.gov/Form4562 for instructions and the latest information. Sequence No. 179
Name(s) shown on return Business or activity to which this form relates Identifying number
Jesse Carvajal Magana Sch C landscaping 638-22-0201
Part I Election To Expense Certain Property Under Section 179
Note: If you have any listed property, complete Part V before you complete Part I.
1 Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . 1 1,080,000.
2 Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . 2
3 Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . 3 2,700,000.
4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . 4
5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing
separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 (a) Description of property (b) Cost (business use only) (c) Elected cost

7 Listed property. Enter the amount from line 29 . . . . . . . . . 7

8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . 8
9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . 9
10 Carryover of disallowed deduction from line 13 of your 2021 Form 4562 . . . . . . . . . . . 10
11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5. See instructions 11
12 Section 179 expense deduction. Add lines 9 and 10, but don’t enter more than line 11 . . . . . . 12
13 Carryover of disallowed deduction to 2023. Add lines 9 and 10, less line 12 . 13
Note: Don’t use Part II or Part III below for listed property. Instead, use Part V.
Part II Special Depreciation Allowance and Other Depreciation (Don’t include listed property. See instructions.)
14 Special depreciation allowance for qualified property (other than listed property) placed in service
during the tax year. See instructions . . . . . . . . . . . . . . . . . . . . . . . 14 2,375.
15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . 15
16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . 16
Part III MACRS Depreciation (Don’t include listed property. See instructions.)
Section A
17 MACRS deductions for assets placed in service in tax years beginning before 2022 . . . . . . . 17
18 If you are electing to group any assets placed in service during the tax year into one or more general
asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . .
Section B—Assets Placed in Service During 2022 Tax Year Using the General Depreciation System
(b) Month and year (c) Basis for depreciation
(d) Recovery
(a) Classification of property placed in (business/investment use (e) Convention (f) Method (g) Depreciation deduction
period
service only—see instructions)
19a 3-year property
b 5-year property
c 7-year property
d 10-year property
e 15-year property
f 20-year property
g 25-year property 25 yrs. S/L
h Residential rental 27.5 yrs. MM S/L
property 27.5 yrs. MM S/L
i Nonresidential real 39 yrs. MM S/L
property MM S/L
Section C—Assets Placed in Service During 2022 Tax Year Using the Alternative Depreciation System
20a Class life S/L
b 12-year 12 yrs. S/L
c 30-year 30 yrs. MM S/L
d 40-year 40 yrs. MM S/L
Part IV Summary (See instructions.)
21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . 21
22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter
here and on the appropriate lines of your return. Partnerships and S corporations—see instructions . 22 2,375.
23 For assets shown above and placed in service during the current year, enter the
portion of the basis attributable to section 263A costs . . . . . . . . . 23
For Paperwork Reduction Act Notice, see separate instructions. REV 04/26/23 Intuit.cg.cfp.sp Form 4562 (2022)
BAA
Form 4562 (2022) Page 2
Part V Listed Property (Include automobiles, certain other vehicles, certain aircraft, and property used for
entertainment, recreation, or amusement.)
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a,
24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable.
Section A—Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.)
24a Do you have evidence to support the business/investment use claimed? Yes No 24b If “Yes,” is the evidence written? Yes No
(c) (e)
(a) (b) (f) (g) (h) (i)
Business/ (d) Basis for depreciation
Type of property (list Date placed Recovery Method/ Depreciation Elected section 179
investment use Cost or other basis (business/investment
vehicles first) in service period Convention deduction cost
percentage use only)
25 Special depreciation allowance for qualified listed property placed in service during
the tax year and used more than 50% in a qualified business use. See instructions . 25
26 Property used more than 50% in a qualified business use:
F150 02/01/2021 80.86 %
%
%
27 Property used 50% or less in a qualified business use:
% S/L –
% S/L –
% S/L –
28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . 28
29 Add amounts in column (i), line 26. Enter here and on line 7, page 1 . . . . . . . . . . . . 29
Section B—Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other “more than 5% owner,” or related person. If you provided vehicles
to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.
(a) (b) (c) (d) (e) (f)
Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6
30 Total business/investment miles driven during
the year (don’t include commuting miles) . 10,257
31 Total commuting miles driven during the year
32 Total other personal (noncommuting)
miles driven . . . . . . . . . 2,428
33 Total miles driven during the year. Add
lines 30 through 32 . . . . . . . 12,685
34 Was the vehicle available for personal Yes No Yes No Yes No Yes No Yes No Yes No
use during off-duty hours? . . . . .
35 Was the vehicle used primarily by a more
than 5% owner or related person? . .
36 Is another vehicle available for personal use?
Section C—Questions for Employers Who Provide Vehicles for Use by Their Employees
Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who aren’t
more than 5% owners or related persons. See instructions.
37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by Yes No
your employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners . .
39 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . .
40 Do you provide more than five vehicles to your employees, obtain information from your employees about the
use of the vehicles, and retain the information received? . . . . . . . . . . . . . . . . . . .
41 Do you meet the requirements concerning qualified automobile demonstration use? See instructions . . . .
Note: If your answer to 37, 38, 39, 40, or 41 is “Yes,” don’t complete Section B for the covered vehicles.
Part VI Amortization
(e)
(b)
(a) (c) (d) Amortization (f)
Date amortization
Description of costs Amortizable amount Code section period or Amortization for this year
begins
percentage
42 Amortization of costs that begins during your 2022 tax year (see instructions):

43 Amortization of costs that began before your 2022 tax year . . . . . . . . . . . . . 43

44 Total. Add amounts in column (f). See the instructions for where to report . . . . . . . . 44
REV 04/26/23 Intuit.cg.cfp.sp Form 4562 (2022)
File by Mail Instructions for your 2022 Arizona Amended Tax Return
Important: Your taxes are not finished until all required steps are completed.

Jesse Carvajal Magana

2370 W Golden Hills Rd
Tucson, AZ 85745-1877
|
Balance | Your Arizona state amended tax return shows you are due a refund of
Due/ | $442.00.
Refund |
|
______________________________________________________________________________________
|
What You | Your amended tax return - Form 140X. Remember to sign and date
Need to | the return.
Mail |
| Attach the Form(s) W-2 to the back of your return.
|
| Do not staple your return.
|
| Do not staple any documents, schedules, or payments to your return.
|
| Mail your return and attachments to:
| Amended return with payment to:
| Arizona Department of Revenue, P.O. Box 52016, Phoenix, AZ 85072-2016
|
| Amended return with no payment to:
| Arizona Department of Revenue, P.O. Box 52138, Phoenix, AZ 85072-2138
|
| Don't forget correct postage on the envelope.
|
______________________________________________________________________________________
|
What You | Keep these instructions and a copy of your return for your records.
Need to | You can download or print a copy of your return by logging into your
Keep | TurboTax account.
|
______________________________________________________________________________________
|
2022 | Adjusted Gross Income As Originally Filed $ 12,711.00
Arizona | Adjusted Gross Income Corrected Amount $ 23,894.00
Tax | Taxable Income As Originally Filed $ 0.00
Return | Taxable Income Corrected Amount $ 4,494.00
Summary | Total Tax Corrected Amount $ 114.00
| Total Payments/Credits Corrected Amount $ 506.00
| Amount to be Refunded $ 442.00
|
______________________________________________________________________________________
|
Special | Your printed state tax forms may have special formatting on them,
Formatting | such as bar codes or other symbols. This is to enable fast
| processing. Don't worry, these forms have been approved by your
| taxing authority and are acceptable for printing and mailing.
|
______________________________________________________________________________________

Page 1 of 1
DO NOT STAPLE ANY ITEMS TO THE RETURN. Arizona Form FOR CALENDAR YEAR
Resident Personal Income Tax Return 2022
Check box 82F
140
82F if filing under extension OR FISCAL YEAR BEGINNING 2 0 2 2 AND ENDING . 66F

Your First Name and Middle Initial Last Name Your Social Security Number
Enter
1 Jesse Carvajal Magana 638 22 0201
your
Spouse’s First Name and Middle Initial (if box 4 or 6 checked) Last Name Spouse’s Social Security No.
SSN(s).
1
Current Home Address - number and street, rural route Apt. No. Daytime Phone (with area code)
2 2370 W Golden Hills Rd 94 (520)389-2538
City, Town or Post Office State ZIP Code Last Names Used in Last Four Prior Year(s) (if different)
3 Tucson AZ 85745-1877 97
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
4  Married filing joint return 4a 
Injured Spouse Protection of Joint Overpayment
FILING STATUS

88
5  Head of household. Enter name of qualifying child or dependent on next line:
Jose M Vigueria
6  Married filing separate return. Enter spouse’s name and Social Security Number above.
7  Single
 Enter the number claimed. Do not put a check mark.
8 Age 65 or over (you and/or spouse) If completing lines 8, 9, and 11a, also complete lines 38,
39, and 41. For lines 10a and 10b, also complete line 49. 81 PM 80 RCVD
Exemptions 8, 9, and 11a - Dependents 10a and 10b

9 Blind (you and/or spouse)

10a 1 Dependents: Under age of 17. 10b Dependents: Age 17 and over.
11a Qualifying parents and grandparents
(Box 10a and 10b): Dependent Information. See instructions. For more space, check the box  and complete page 4, Part 1.
(a) (b) (c) (d) (e) (f)
FIRST AND LAST NAME SOCIAL SECURITY NO. RELATIONSHIP NO. OF MONTHS Dependent Age
included in:
 if you did not claim
LIVED IN YOUR this person on your
(Do not list yourself or spouse.) federal return due to
HOME IN 2022 1 2
educational credits
(Box 10a) (Box 10b)
10c Jose M Vigueria 624-89-4561 Son 12   
10d   
10e   
(Box 11a): Qualifying parents and grandparents. See instructions. For more space, check the box  and complete page 4, Part 2.
Place any required federal and AZ schedules or other documents after Form 140. 

(a) (b) (c) (d) (e) (f)

FIRST AND LAST NAME SOCIAL SECURITY NO. RELATIONSHIP NO. OF MONTHS IF AGE 65 OR  IF DIED IN
(Do not list yourself or spouse.) LIVED IN YOUR OVER 2022
HOME IN 2022

11b  
11c  
12 Federal adjusted gross income (from your federal return).................................................................................... 12 23,894 00
13 Small Business Income: 13S check the box if you are filing Arizona Form 140-SBI and enter the amount from Form 140-SBI, line 10.. 13 00
14 Modified federal adjusted gross income. Subtract line 13 from line 12...................................................................... 14 23,894 00
Additions

15 Non-Arizona municipal interest................................................................................................................................... 15 00

16 Partnership Income adjustment. See instructions.......................................................................................................... 16 00
17 Total federal depreciation............................................................................................................................................. 17 2,375 00
18 Other Additions to Income: Complete Other Additions to Arizona Gross Income schedule on page 5...................... 18 00
19 Subtotal: Add lines 14 through 18 and enter the total........................................................................................................ 19 26,269 00
20 Total net capital gain or (loss). See instructions...................................................................... 20 00
21 Total net short-term capital gain or (loss). See instructions..................................................... 21 00
22 Total net long-term capital gain or (loss). See instructions....................................................... 22 00
23 Net long-term capital gain from assets acquired after December 31, 2011. See instructions.. 23 0 00
24 Multiply line 23 by 25% (.25) and enter the result........................................................................................................ 24 0 00
This box may be blank or may contain a printed barcode of data from your return. 25 Net capital gain - qualified small business.......... 25 00
2,375 00
Subtractions

26 Recalculated Arizona depreciation................... 26

27 Partnership Income adjustment....................... 27 00
28 Interest on U.S. obligations............................. 28 00
29a Exclusion for fed., AZ state or local govt. pensions.. 29a 00
29b Exclusion for retired/retainer pay uniform services. 29b 00
30 U.S. Social Security or Railroad Retirement Act 30 00
31 Certain wages of American Indians................. 31 00
32 Pay received for being an active service member. 32 00
33 Net operating loss adjustment........................ 33 00
34 Contributions: 34a 529 plans 00
34b 529A (ABLE) 00 add 34a and 34b. 34C 00
ADOR 10413 (22) AZ Form 140 (2022) REV 04/05/23 Intuit.cg.cfp.sp Page 1 of 6
1555
 Your Name (as shown on page 1) Your Social Security Number

Jesse Carvajal Magana 638-22-0201

35 Subtract lines 24 through 34c from line 19...................................................................................................................... 35 23,894 00
36 Other Subtractions from Income. Complete Other Subtraction from Arizona Gross Income schedule on page 6........ 36 00
37 Subtract line 36 from line 35. Enter the difference......................................................................................................... 37 23,894 00
Exemptions

38 Age 65 or over: Multiply the number in box 8 by $2,100........................................................................................................ 38 00

39 Blind: Multiply the number in box 9 by $1,500....................................................................................................................... 39 00
40 Other Exemptions. See instructions......40E Multiply the number in box 40E by $2,300............................................. 40 00
41 Qualifying parents and grandparents: Multiply the number in box 11a by $10,000........................................................................ 41 00
42 Arizona adjusted gross income: Subtract lines 38 through 41 from line 37. If less than zero, enter “0”................................ 42 23,894 00
43 Deductions: Check box and enter amount. See instructions......................... 43I ITEMIZED...43S STANDARD 43 19,400 00
44 If you checked box 43S and claim charitable contributions, check 44C  Complete page 3. See instructions................... 44 00
45 Arizona taxable income: Subtract lines 43 and 44 from line 42. If less than zero, enter “0”..................................................... 45 4,494 00
Balance of Tax

46 Compute the tax using amount on line 45 and Tax Tables X and Y or Optional Tax Tables........................................... 46 114 00
47 Tax from recapture of credits from Arizona Form 301, Part 2, line 32............................................................................. 47 00
48 Subtotal of tax: Add lines 46 and 47. Enter the total............................................................................................................ 48 114 00
49 Dependent Tax Credit. See instructions......................................................................................................................... 49 100 00
50 Family income tax credit (from the worksheet - see instructions)........................................................................................... 50 00
51 Nonrefundable Credits from Arizona Form 301, Part 2, line 64....................................................................................... 51 00
52 Balance of tax: Subtract lines 49, 50 and 51 from line 48. If the sum of lines 49, 50 and 51 is greater than line 48, enter “0”........ 52 14 00
53 2022 AZ income tax withheld.......................................................................................................................................... 53 456 00
Total Payments and
Refundable Credits

54 2022 AZ estimated tax payments... 54a 00 Claim of Right.54b 00 Add 54a and 54b.. 54c 00
55 2022 AZ extension payment (Form 204)......................................................................................................................... 55 00
56 Increased Excise Tax Credit (from the worksheet - see instructions)..................................................................................... 56 50 00
57 Property Tax Credit from Arizona Form 140PTC............................................................................................................. 57 00
58 Other refundable credits: Check the box(es) and enter the total amount........................................... 581308-I 582349 58 00
59 Total payments and refundable credits: Add lines 53 through 58. Enter the total........................................................... 59 506 00
Overpayment
Tax Due or

60 TAX DUE: If line 52 is larger than line 59, subtract line 59 from line 52. Enter amount of tax due. Skip lines 61, 62 and 63............. 60 00
61 OVERPAYMENT: If line 59 is larger than line 52, subtract line 52 from line 59. Enter amount of overpayment............................. 61 492 00
62 Amount of line 61 to be applied to 2023 estimated tax................................................................................................... 62 0 00
63 Balance of overpayment: Subtract line 62 from line 61. Enter the difference......................................................................... 63 492 00
Voluntary Gifts

Solutions Teams
64 - 74 Voluntary Gifts to: Assigned to Schools............ 64 00 Arizona Wildlife................ 65 00
Child Abuse Prevention............ 66 00 Domestic Violence Services.67 00 Political Gift..................... 68 00
Neighbors Helping Neighbors.. 69 00 Special Olympics................. 70 00 Veterans’ Donations Fund.71 00
Sustainable State Parks
I Didn’t Pay Enough Fund........ 72 00 and Road Fund.................... 73 00 Spay/Neuter of Animals... 74 00
75 Political Party (if amount is entered on line 68 - check only one): 751Democratic 752Libertarian 753Republican
Penalty

76 Estimated payment penalty............................................................................................................................................. 76 00

77 771Annualized/Other 772Farmer or Fisherman 773Form 221 included

78 Add lines 64 through 74 and 76; enter the total.............................................................................................................. 78 00

Amount Owed

79 REFUND: Subtract line 78 from line 63. If less than zero, enter amount owed on line 80........................................................... 79 492 00
Refund or

Direct Deposit of Refund: Check box 79A if your deposit will be ultimately placed in a foreign account; see instructions. 79A
ROUTING NUMBER ACCOUNT NUMBER
C  Checking or
98 S  Savings
80 AMOUNT OWED: Add lines 60 and 78. Make check payable to Arizona Department of Revenue; write your SSN on payment;
and include with your return.................................................................................................................................................. 80 00
Under penalties of perjury, I declare that I have read this return and any documents with it, 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.
PLEASE SIGN HERE

 Landscaper
YOUR SIGNATURE DATE OCCUPATION


SPOUSE’S SIGNATURE DATE SPOUSE’S OCCUPATION

Self Prepared
PAID PREPARER’S SIGNATURE DATE FIRM’S NAME (PREPARER’S IF SELF-EMPLOYED)

PAID PREPARER’S STREET ADDRESS PAID PREPARER’S TIN

PAID PREPARER’S CITY STATE ZIP CODE PAID PREPARER’S PHONE NUMBER

If you are also sending a payment, mail to Arizona Department of Revenue, PO Box 52016, Phoenix, AZ 85072-2016 (PO Box 29204, Phoenix, AZ 85038-9204 if your return has a barcode).
If you are not sending a payment, mail to Arizona Department of Revenue, PO Box 52138, Phoenix, AZ 85072-2138 (PO Box 29205, Phoenix, AZ 85038-9205 if your return has a barcode).
ADOR 10413 (22) 1555 AZ Form 140 (2022) REV 04/05/23 Intuit.cg.cfp.sp Page 2 of 6
 Arizona Form Individual Amended Income Tax Return FOR CALENDAR YEAR

140X 2022
DO NOT STAPLE ANY ITEMS TO THE RETURN.
For Forms 140, 140A, 140EZ, 140NR and 140PY
OR FISCAL YEAR BEGINNING 2 0 2 2 AND ENDING . 66
Your First Name and Middle Initial Last Name Your Social Security Number
Enter
1 Jesse Carvajal Magana 638 22 0201
your
Spouse’s First Name and Middle Initial (if box 4 or 6 checked) Last Name Spouse’s Social Security No.
SSN(s).
1
Current Home Address - number and street, rural route Apt. No. Daytime Phone (with area code)
2 2370 W Golden Hills Rd 94 (520)389-2538
City, Town or Post Office State ZIP Code Last Names Used in Last Four Prior Year(s) (if different)
3 Tucson AZ 85745-1877 97
Check a box to indicate both filing and residency status: REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
FILING STATUS

88
4  Married filing joint return 4a  Injured Spouse Protection of Joint Overpayment
5  Head of household: Enter name of qualifying child or dependent on next line:
Jose M Vigueria
6  Married filing separate return: Enter spouse’s name and Social Security Number above.
7  Single
8  Resident Enter the number claimed. Do not check 
EXEMPTIONS
RESIDENCY

9a  Nonresident 9b  Composite 13 Age 65 or over................................... 0

10  Nonresident active military 14 Blind................................................... 0 81 PM 80 RCVD
11  Part-year resident   15a Dependents 1 Under 17 15b 0 17 & over
12  Part-year resident active military 16 Qualifying parents or grandparents... 0
17 Federal adjusted gross income (from your federal return)...................................................................................... 17 23,894 00
18 Small Business income. Residents only: check box 18N for no change; check box 18S for a new election;
check box 18C if you are changing the original amount reported. See instructions................................................ 18 0 00
Place any required federal and AZ schedules or other documents after Form 140X.

19 Modified federal adjusted gross income: Residents: Subtract line 18 from line 17.......................................................... 19 23,894 00
20 Nonresidents and part-year residents only: Enter Arizona gross income here.............................................................. 2 0 0 00
20a Arizona income ratio: If you checked box 9a, 10, 11 or 12, divide line 20 by line 17 and enter the result (not over 1.000). 20a
21 Small Business Income: Nonresidents and part-year residents only: check box 21N for no change; check box
21S for a new election; check box 21C if you are changing the original amount reported. See instructions..... 21 00
22 Modified Arizona Gross Income: Nonresidents and part-year residents: Subtract line 21 from line 20................... 22 00
23 Additions to Income. See instructions................................................................................................................................... 23 2,375 00
24 Subtotal: Residents: Add lines 19 and 23. Nonresidents and part-year residents: Add lines 22 and 23................... 24 26,269 00
25 Subtractions from Income. See instructions...................................................................................................................... 25 2,375 00
26 Total net capital gain or (loss). See instructions..................................................................... 26 00
27 Total net short-term capital gain or (loss). See instructions.................................................... 27 00
28 Total net long-term capital gain or (loss). See instructions.......................................................... 28 00
29 Net long-term capital gain from assets acquired after December 31, 2011. See instructions.... 29 0 00
30 Multiply line 29 by 25% (.25) and enter the result........................................................................................................... 30 0 00
31 Net capital gain derived from investment in qualified small business............................................................................. 31 0 00
32 Contributions to: 32a 529 College Savings Plans 00 32b 529A (ABLE accounts) 00 add 32a and 32b........ 32c 0 00
33 Arizona adjusted gross income: Subtract lines 25, 30, 31, and 32c from line 24. If less than zero, enter “0”......................... 33 23,894 00

34 Deductions: Check box and enter amount. See instructions................................. 34I ITEMIZED 34S STANDARD 34 19,400 00
35 If you checked box 34S and claim charitable contributions, check 35C Complete page 4. See instructions................ 35 0 00
36 Arizona taxable income: Subtract lines 34 and 35 from line 33. If less than zero, enter “0”...................................................... 36 4,494 00
37 Tax from tax table:  Table X and Y (140, 140NR or 140PY)  Optional Table (140, 140A or 140EZ)................. 37 114 00
38 Tax from recapture of credits from Arizona Form 301, Part 2, line 32............................................................................. 38 0 00
39 Subtotal of tax: Add lines 37 and 38. Enter the total............................................................................................................ 39 114 00
40 Family income tax credit (AZ residents only) 40 a 00 Dependent Tax Credit. 40b 100 00 40c 100 00
41 Nonrefundable credits from Arizona Form 301, Part 2, line 64....................................................................................... 41 0 00
42 Balance of tax: Subtract lines 40c and 41 from line 39. If the sum of lines 40c and 41 is more than line 39, enter “0”.................. 42 14 00
43 Withholding, Estimated, and Extension Payments.43a 456 00 Claim of Right.43b 0 00 43c 456 00
44 Arizona residents only: Increased Excise Tax Credit . 44a 50 00 Property Tax Credit 44b 0 00 44c 50 00
45 Other refundable credits: Check the box(es) and enter the total amount .......................................... 451308-I 452349 45 0 00
46 Payment with original return plus all payments after it was filed..................................................................................... 46 00
47 Total payments and refundable credits: Add lines 43c, 44c, 45 and 46. Enter the total.................................................... 47 506 00

ADOR 10573 (22) Form 140X (2022) Page 1 of 5

1555 REV 04/05/23 Intuit.cg.cfp.sp
 Your Name (as shown on page 1) Your Social Security Number
Jesse Carvajal Magana

48 Overpayment from original return or as later adjusted. See instructions........................................................................... 48 50 00
49 Balance of credits: Subtract line 48 from line 47. Enter the difference.................................................................................... 49 456 00
50 OVERPAYMENT: If line 42 is less than line 49, subtract line 42 from line 49. Enter amount of overpayment............................... 50 442 00
51 Amount of line 50 to be applied to 2023 estimated tax. See instructions. If zero, enter “0”.......................................... 51 00
52 REFUND: Subtract line 51 from line 50. If less than zero, enter amount owed on line 53.......................................................... 52 442 00
Direct Deposit of Refund: Check box 52A if your deposit will be ultimately placed in a foreign account; see instructions. 52A

C  Checking or ROUTING NUMBER ACCOUNT NUMBER
98
S  Savings
53 AMOUNT OWED: If line 42 is more than line 49, subtract line 49 from line 42. Enter the amount owed......................................... 53 00
54 Check box 54 if this amended return is the result of a net operating loss, and enter the year the loss was incurred..... 54  2 0 Y Y

Complete Parts 1(A) and 1(B), Part 2 and Part 3 to report changes made to your original tax return
or most recent amended tax return and the reason(s) for each change.

NOTE: You must complete page 5, Dependent and Other Exemption Information, if you are reporting dependents (page 1, box 15a or 15b),
or qualifying parents and grandparents (page 1, box 16.) You must also complete page 5, Part 3 if you claim Other Exemptions on page 1, line 25.
If you do not complete page 5, your dependents and other exemptions may be denied. Do not count or list yourself or your spouse as dependents.
INCOME, DEDUCTIONS, CREDITS: In column (a), list the items you are changing. In column (b), enter the amount claimed on your original
return or most recent amended return. In column (c), enter the amount of the change. In column (d), enter the corrected amount for the item you are
changing.
PART 1 (A)

(a) (b) (c) (d)

INCOME, DEDUCTIONS, AND CREDITS YOU ARE CHANGING ORIGINAL AMOUNT AMOUNT TO CORRECTED
If you are rescinding your small business election, check box 55R REPORTED ADD OR SUBTRACT AMOUNT
See these instructions for more information regarding rescinding the election.

55a Federal Adjusted Gross Income $ 12,711 $ 11,183 $ 23,894

55b Arizona Adjusted Gross Income $ 12,711 $ 11,183 $ 23,894
55c See Changes to Income, Deductions, and Credits $ $ $
NET CAPITAL GAIN OR (LOSS): If you are changing any amount on lines 56a through 56e, complete columns (b), (c), and (d).
(a) (b) (c) (d)
ITEM ORIGINAL AMOUNT AMOUNT TO CORRECTED
REPORTED ADD OR SUBTRACT AMOUNT

56a Total net capital gain or (loss) reported on

Form 140, line 20; Form 140NR, line 34; or Form 140PY, line 33................... $ $ $
PART 1 (B)

56b Total net short-term capital gain or (loss) reported on

Form 140, line 21; Form 140NR, line 35; or Form 140PY, line 34................... $ $ $
56c Total net long-term capital gain or (loss) reported on
Form 140, line 22; Form 140NR, line 36; or Form 140PY, line 35................... $ $ $
56d Net long-term capital gains from assets acquired after December 31, 2011
reported on Form 140, line 23; Form 140NR, line 37; or Form 140PY, line 36 $ 0 $ 0 $ 0
56e Amount of allowable subtraction reported on Form 140, line 24;
Form 140NR, line 38; or Form 140PY, line 37................................................. $ 0 $ 0 $ 0

57 REASON FOR THE CHANGE: Give the reason for each change listed in Part 1 (A) and B):

added a new w2 form

PART 2

Check box 58a if your address on this amended return is not the same as it was on your original return (or latest return filed).
Complete Part 3 with your current address.
58b Name 58c Number and Street, R.R. Apt. No.
PART 3

same
58d City, Town or Post Office State ZIP Code

ADOR 10573 (22) Form 140X (2022)

REV 04/05/23 Intuit.cg.cfp.sp Page 2 of 5
1555
 Your Name (as shown on page 1) Your Social Security Number
Jesse Carvajal Magana

Sign and date your return. If you paid someone to prepare your return, that person must also sign and date the
return. The paid preparer must provide their street address, Paid Preparer TIN and phone number.

Under penalties of perjury, I declare that I have read this return and any documents with it, 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.
PLEASE SIGN HERE

 Landscaper
YOUR SIGNATURE DATE OCCUPATION


SPOUSE’S SIGNATURE DATE SPOUSE’S OCCUPATION

Self Prepared
PAID PREPARER’S SIGNATURE DATE FIRM’S NAME (PREPARER’S IF SELF-EMPLOYED)

PAID PREPARER’S STREET ADDRESS PAID PREPARER’S TIN

PAID PREPARER’S CITY STATE ZIP CODE PAID PREPARER’S PHONE NUMBER

• If you are sending a payment with this return, mail to:

Arizona Department of Revenue
PO Box 52016
Phoenix, AZ 85072-2016
Include the payment with Form 140X. Make check payable to Arizona Department of Revenue; write your SSN, Form 140X
and tax year on payment.

• If you are expecting a refund or owe no tax, or owe tax but are not sending a payment, mail to:
Arizona Department of Revenue
PO Box 52138
Phoenix, AZ 85072-2138

ADOR 10573 (22) Form 140X (2022) REV 04/05/23 Intuit.cg.cfp.sp Page 3 of 5
1555
Your Name (as shown on page 1) Your Social Security Number
Jesse Carvajal Magana 638-22-0201

2019 Form 1402022 140X Dependent and Other Exemption Information

Include page 5 with your amended return if:
• You are reporting dependents (box 15a and 15b) on page 1.
• You are reporting qualifying parents and grandparents (box 16) on page 1.
• You are taking a deduction for Other Exemptions on page 1, line 25 (Subtractions from Income).

Part 1: Dependents (Box 15a and 15b) - (Forms 140, 140A, 140NR, and 140PY)
Information used to compute your allowable Dependent Tax Credit on page 1, line 40 (box 40b).
(a) (b) (c) (d) (e) (f)
FIRST AND LAST NAME SOCIAL SECURITY RELATIONSHIP NO. OF MONTHS Dependent Age IF YOU DID NOT
(Do not list yourself or spouse.) CLAIM THIS PERSON
NUMBER LIVED IN YOUR included in: ON YOUR FEDERAL
HOME IN 2022 RETURN DUE TO
1 2 EDUCATIONAL
(Box 15a) (Box 15b) CREDITS

15c Jose M Vigueria 624-89-4561 Son 12   

15d   
15e   
15f   
15g   
15h   
15i   
15j   
15k   
15l   
15m   
15n   
Part 2: Qualifying parents and grandparents (Box 16) - (Forms 140, 140A, and 140PY)
Information used to compute your exemption included in Subtractions from Income, line 25.
(a) (b) (c) (d) (e) (f)
FIRST AND LAST NAME SOCIAL SECURITY RELATIONSHIP NO. OF MONTHS  IF AGE 65 OR  IF DIED IN
(Do not list yourself or spouse.) NUMBER LIVED IN YOUR OVER 2022
HOME IN 2022

16a  
16b  
16c  
16d  
16e  
16f  
Part 3: Other Exemptions - (Forms 140, 140A, 140NR, and 140PY)
Information used to compute your other exemptions included in Subtractions from Income, line 25.
(a) (b) (c) (d)
FIRST AND LAST NAME SOCIAL SECURITY AGE 65 OR OVER STILLBORN
(Do not list yourself or spouse.) NUMBER (see instructions) CHILD IN 2022

C1 C2
1   
2   
3   
4   
5   
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ADOR 10573 (22) Form 140X (2022) REV 04/05/23 Intuit.cg.cfp.sp Page 5 of 5
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Jesse Carvajal Magana 638-22-0201 1

Additional Information From 2022 Arizona Tax Return

Form 140X: Amended Return

Changes to Income, Deductions, and Credits Continuation Statement
Original Amount to Corrected
Line Reference and Change Description Amount Add or Amount
Reported Subtract
Family Income Tax Credit/Dependent Tax Credit 180 -80 100
Payments (withholding, estimated, or extension) 0 456 456