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SHAINE CAGLE 079874 ASPC EYNARD COOK PO BOX 3200 FLORENCE AZ 85132

Name of taxpayer: Shaine C Cagle Tax periods: Dec. 31, 2013 Form: 1040

Dear Taxpayer: Thank you for your correspondence received Oct. 14, 2014.

We are including your 2013 tax return as requested.

We are not providing other documents requested for the business mentioned in your letter. You did not provide the Employee Identification Number (EIN).

If you have questions, you can call us toll free at 1-800-829-0922.

If you prefer, you can write to us at the address at the top of the first page of this letter.

When you write, include a copy of this letter and provide in the spaces below, your telephone number and the hours we can reach you.

Keep a copy of this letter for your records.

Telephone Number ( ). Hours.

Hofw 0631256279 Feb. 18, 2015 LTR 96C 1 XXX-XX-XXXX 000000 00 u ^ 0 0 0 0 2

SHAINE CAGLE 079874 ASPC EYNARD COOK PO BOX 3200 FLORENCE AZ 85132

Sincerely yours,

Paul J. Morgan Operations Mgr. , Accts Management 1 Internal Revenue Service United States Department of the Treasury This Product Contains Sensitive Taxpayer Data

Tax Return Transcript Request Date: 02-12-2015 Response Date; 02-12-2015 Tracking Number; 100231234683

SSN Provided: Tax Period Ending: Dec. 31, 2013

The following items reflect the amount as shown on the return (PR), and the amount as adjusted (PC), if applicable. They do not show subsequent activity on the account.

SSN: SPOUSE SSN: NAME(S) SHOWN ON RETURN: DONNA G ANDREWS & SHAINE C CAGLE ADDRESS; BURNET, TX 78611-5887-504

FILING STATUS: Married Filing Joint FORM NUMBER: 1040A CYCLE POSTED: 20141305 RECEIVED DATE: Apr.15, 2014 REMITTANCE: $0.00 EXEMPTION NUMBER: 3 DEPENDENT 1 NAME CTRL: CAGL DEPENDENT 1 SSN: DEPENDENT 2 NAME CTRL: DEPENDENT 2 SSN: DEPENDENT 3 NAME CTRL: DEPENDENT 3 SSN: DEPENDENT 4 NAME CTRL: DEPENDENT 4 SSN: PTIN: PREPARER EIN:

Income WAGES, SALARIES, TIPS, ETC: $24,147.00 TAXABLE INTEREST INCOME: $0.00 TAX-EXEMPT INTEREST: $0.00 ORDINARY DIVIDEND INCOME: SCH B: $0.00 QUALIFIED DIVIDENDS: $0.00 CAPITAL GAIN OR LOSS: (Schedule D): $0.00 CAPITAL GAINS OR LOSS: SCH D PER COMPUTER; $0.00 TOTAL IRA DISTRIBUTIONS: $0.00 TAXABLE IRA DISTRIBUTIONS: $0.00

S'ofW TOTAL PENSIONS AND ANNUITIES: $0.00 TAXABLE PENSION/ANNUITY AMOUNT: $0.00 UNEMPLOYMENT COMPENSATION: $0.00 TOTAL SOCIAL SECURITY BENEFITS: $0.00 TAXABLE SOCIAL SECURITY BENEFITS: $0.00 TAXABLE SOCIAL SECURITY BENEFITS PER COMPUTER; $0.00 SCH EIC DISQUALIFIED INC COMPUTER: $0.00 TOTAL INCOME: $24,147.00 TOTAL INCOME PER COMPUTER: $24,147.00

Adjustments to Income EDUCATOR EXPENSES: $0.00 EDUCATOR EXPENSES PER COMPUTER: $0.00 EARLY WITHDRAWAL OF SAVINGS PENALTY: $0.00 IRA DEDUCTION: $0.00 IRA DEDUCTION PER COMPUTER: $0.00 STUDENT LOAN INTEREST DEDUCTION: $0.00 STUDENT LOAN INTEREST DEDUCTION PER COMPUTER: $0.00 TUITION AND FEES DEDUCTION: $0.00 TUITION AND FEES DEDUCTION PER COMPUTER: $0.00 JURY DUTY PAY DEDUCTION: $0.00 TOTAL ADJUSTMENTS: $0.00 TOTAL ADJUSTMENTS PER COMPUTER: $0.00 ADJUSTED GROSS INCOME: $24,147.00 ADJUSTED GROSS INCOME PER COMPUTER: $24,147.00

Tax and Credits 65-OR-OVER: NO BLIND: NO SPOUSE 65-OR-OVER: NO SPOUSE BLIND: NO EXEMPTION AMOUNT PER COMPUTER: $11,700.00 TAXABLE INCOME: $247.00 TAXABLE INCOME PER COMPUTER: $247.00 TENTATIVE TAX: $24.00 TENTATIVE TAX PER COMPUTER: $24.00 CHILD & DEPENDENT CARE CREDIT: $0.00 CHILD & DEPENDENT CARE CREDIT PER COMPUTER: $0.00 CREDIT FOR ELDERLY AND DISABLED: $0.00 CREDIT FOR ELDERLY AND DISABLED PER COMPUTER: $0.00 EDUCATION CREDIT: $0.00 EDUCATION CREDIT PER COMPUTER: $0.00 GROSS EDUCATION CREDIT PER COMPUTER: $0.00 RETIREMENT SAVINGS CNTRB CREDIT: $0.00 RETIREMENT SAVINGS CNTRB CREDIT PER COMPUTER: $0.00 PRIM RET SAV CNTRB: F8880 LN6A: $0.00 SEC RET SAV CNTRB: F8880 LN6B: $0.00 CHILD TAX CREDIT: $24.00 CHILD TAX CREDIT PER COMPUTER: $24.00 ADOPTION CREDIT: F8839: $0.00 ADOPTION CREDIT PER COMPUTER: $0.00 TOTAL CREDITS: $24.00 TOTAL CREDITS PER COMPUTER: $24.00 Other Taxes &!<A\ OTHER TAXES PER COMPUTER: $0.00 TOTAL TAX LIABILITY TP FIGURES: $0.00 TOTAL TAX LIABILITY TP FIGURES PER COMPUTER: $0.00 Payments FEDERAL INCOME TAX WITHHELD: $915.00 ESTIMATED TAX PAYMENTS: $0.00 OTHER PAYMENT CREDIT AMOUNT: $0.00 MAKING WORK PAY AND GOV'T RET CREDIT PER COMPUTER: $0.00 REFUNDABLE EDUCATION CREDIT: $0.00 REFUNDABLE EDUCATION CREDIT PER COMPUTER: $0.00 REFUNDABLE EDUCATION CREDIT VERIFIED: $0.00 EARNED INCOME CREDIT: $3,050.00 EARNED INCOME CREDIT PER COMPUTER: $3,050.00 EARNED INCOME CREDIT NONTAXABLE COMBAT PAY: $0.00 SCHEDULE 8812 NONTAXABLE COMBAT PAY: $0.00 SCHEDULE 8812 TOT SS/MEDICARE WITHHELD: $0.00 SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT: $976.00 SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT PER COMPUTER: $97 6.00 SCHEDULE 8812 ADDITIONAL CHILD TAX CREDIT VERIFIED: $0.00 SMALL EMPLOYER HEALTH INSURANCE PER COMPUTER: $0.00 TOTAL PAYMENTS: $4,941.00 TOTAL PAYMENTS PER COMPUTER: $4,941.00

Refund or Amount Owed REFUND AMOUNT: $-4,941.00 APPLIED TO NEXT YEAR'S ESTIMATED TAX: $0.00 ESTIMATED TAX PENALTY: $0.00 BAL DUE/OVER PYMT USING TP FIG PER COMPUTER: $-4,941.00 BAL DUE/OVER PYMT USING COMPUTER FIGURES: $-4,941.00 FORM 8888 TOTAL REFUND PER COMPUTER: $0.00

Third Party Designee THIRD PARTY DESIGNEE ID NUMBER: AUTHORIZATION INDICATOR: 0 THIRD PARTY DESIGNEE NAME:

Schedule EIC—Earned Income Credit QUALIFIED EIC DEPENDENTS: 1 CHILD 1 CHILD'S NAME CNTRL: CAGL SSN: YEAR OF BIRTH: STUDENT/DISABLED: NUMBER OF MONTHS CHILD LIVED WITH YOU: CHILD'S RELATIONSHIP TO YOU: CHILD 2 CHILD'S NAME CNTRL: SSN: YEAR OF BIRTH: 00OQ STUDENT/DISABLED: NUMBER OF MONTHS CHILD LIVED WITH YOU: CHILD'S RELATIONSHIP TO YOU: no relationship indicated or determination fl-oftV can be made

CHILD 3- CHILD'S NAME CNTRL: SSN: YEAR OF BIRTH: 0000 STUDENT/DISABLED: 0 NUMBER OF MONTHS CHILD LIVED WITH YOU; CHILD'S RELATIONSHIP TO YOU: no relationship indicated or determination can be made

Form 8863 - Education Credits (Hope and Lifetime Learning Credits) PART III - ALLOWABLE EDUCATION CREDITS GROSS EDUCATION CR PER COMPUTER: $0.00 TOTAL EDUCATION CREDIT AMOUNT: $0.00 TOTAL EDUCATION CREDIT AMOUNT PER COMPUTER: $0.00

Form 8867 Paid Preparer's Earned Income Credit Checklist TAXPAYER QUALIFYING CHILD OF ANOTHER: No box checked CHILD 1 RELATIONSHIP TO TAXPAYER: Yes box checked CHILD 2 RELATIONSHIP TO TAXPAYER: Neither box checked CHILD 3 RELATIONSHIP TO TAXPAYER: Neither box checked CHILD 1 LIVE WITH TAXPAYER: Yes box checked CHILD 2 LIVE WITH TAXPAYER: Neither box checked CHILD 3 LIVE WITH TAXPAYER: Neither box checked CHILD 1 CLAIMED BY OTHER PERSON: No box checked CHILD 2 CLAIMED BY OTHER PERSON: Neither box checked CHILD 3 CLAIMED BY OTHER PERSON: Neither box checked CHILD 1 RELATIONSHIP TO OTHERS: no relationship indicated or determination can be made CHILD 2 RELATIONSHIP TO OTHERS: no relationship indicated or determination can be made CHILD 3 RELATIONSHIP TO OTHERS: no relationship indicated or determination can be made CHILD 1 TIEBREAKER RULES: None of the boxes checked CHILD 2 TIEBREAKER RULES: None of the boxes checked CHILD 3 TIEBREAKER RULES: None of the boxes checked FORM 8867 INFORMATION PROVIDED BY TAXPAYER: Yes box checked PARENTS NOT CLAIMING CHILD: 3 TIEBREAKER RULES EXPLAINED: 3 ADDITIONAL QUESTIONS TO MEET KNOWLEDGE REQUIREMENT: 3 ADDITIONAL QUESTIONS DOCUMENTED: 3 RESIDENCY OF QUALIFYING CHILD/CHILDREN: No documents DISABILITY OF QUALIFYING CHILD/CHILDREN: No disabled child DOCUMENTS OR OTHER INFORMATION TO CONFIRM EXISTENCE inu ouieuuie u OF BUSINESS: This Product Contains Sensitive Taxpayer Data

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