Abdi 2022 - TaxReturn
Abdi 2022 - TaxReturn
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
Abdurahim Ababilo 606-49-2169
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
423 River Oaks Dr 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
New Orleans LA 701313647 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
dependents,
see instructions
and check
here . .
Income 1a Total amount from Form(s) W-2, box 1 (see instructions) . . . . . . . . . . . . . 1a 10,404.
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 10,404.
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 1,514.
jointly or
Qualifying 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . . . . . . . . . . 9 11,918.
surviving spouse,
$25,900
10 Adjustments to income from Schedule 1, line 26 . . . . . . . . . . . . . . . 10 107.
• Head of 11 Subtract line 10 from line 9. This is your adjusted gross income . . . . . . . . . . 11 11,811.
household,
$19,400 12 Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . 12 12,950.
• If you checked 13 Qualified business income deduction from Form 8995 or Form 8995-A . . . . . . . . . 13 0.
any box under
Standard 14 Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . 14 12,950.
Deduction, 15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income . . . . .
see instructions.
15 0.
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 0.
Credits 17 Amount from Schedule 2, line 3 . . . . . . . . . . . . . . . . . . . . 17
18 Add lines 16 and 17 . . . . . . . . . . . . . . . . . . . . . . . . 18 0.
19 Child tax credit or credit for other dependents from Schedule 8812 . . . . . . . . . . 19
20 Amount from Schedule 3, line 8 . . . . . . . . . . . . . . . . . . . . 20
21 Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . 21
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 . . . . . . . . . 23 214.
24 Add lines 22 and 23. This is your total tax . . . . . . . . . . . . . . . . . 24 214.
Payments 25 Federal income tax withheld from:
a Form(s) W-2 . . . . . . . . . . . . . . . . . . 25a 408.
b Form(s) 1099 . . . . . . . . . . . . . . . . . . 25b 4,700.
c Other forms (see instructions) . . . . . . . . . . . . . 25c
d Add lines 25a through 25c . . . . . . . . . . . . . . . . . . . . . . 25d 5,108.
26 2022 estimated tax payments and amount applied from 2021 return . . . . . . . . . . 26
If you have a
qualifying child, 27 Earned income credit (EIC) . . . . . . . . . . . . . . 27 356.
attach Sch. EIC.
28 Additional child tax credit from Schedule 8812 . . . . . . . . 28
29 American opportunity credit from Form 8863, line 8 . . . . . . . 29
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 . . 32 356.
33 Add lines 25d, 26, and 32. These are your total payments . . . . . . . . . . . . 33 5,464.
34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid . . 34 5,250.
Refund
35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here . . . . 35a 5,250.
Direct deposit? b Routing number 0 3 1 1 7 6 1 1 0 c Type: Checking Savings
See instructions.
d Account number 3 6 1 7 7 2 5 4 4 2 3
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? Cashier (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.)
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)
Abdurahim Ababilo 606-49-2169
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
Ride Share 4 8 5 3 0 0
C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.)
}
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 1,514.
• 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 01/28/23 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
39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
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:
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
Lyft - Tolls 0.
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)
Abdurahim Ababilo 606-49-2169
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
Taxi driver 4 8 5 3 0 0
C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.)
}
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 0.
• 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 01/28/23 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
39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
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) 01/01/2022
44 Of the total number of miles you drove your vehicle during 2022, enter the number of miles you used your vehicle for:
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
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
Abdurahim Ababilo with self-employment income 606-49-2169
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 1,514.
3 Combine lines 1a, 1b, and 2 . . . . . . . . . . . . . . . . . . . . . . . . . 3 1,514.
4a If line 3 is more than zero, multiply line 3 by 92.35% (0.9235). Otherwise, enter amount from line 3 . 4a 1,398.
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 1,398.
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 1,398.
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 10,404.
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 10,404.
9 Subtract line 8d from line 7. If zero or less, enter -0- here and on line 10 and go to line 11 . . . . 9 136,596.
10 Multiply the smaller of line 6 or line 9 by 12.4% (0.124) . . . . . . . . . . . . . . . . 10 173.
11 Multiply line 6 by 2.9% (0.029) . . . . . . . . . . . . . . . . . . . . . . . . 11 41.
12 Self-employment tax. Add lines 10 and 11. Enter here and on Schedule 2 (Form 1040), line 4 . . 12 214.
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 . . . . . . . . . . . . . . . . . . . . . . . . 13 107.
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 01/28/23 Intuit.cg.cfp.sp Schedule SE (Form 1040) 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
Abdurahim Ababilo 606-49-2169
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)
iii
iv
, , . 00
MM DD YYYY
Type of Account: ■ Checking ■ Savings Full Payment ■ Partial Payment ■
(Check one.) ■ Payment made/will be made by credit card.
PART C Declaration of Taxpayer
■ I consent that my refund be directly deposited as designated in Part B, and declare that the information shown in Part B is correct. If
I have filed a joint return, this is an irrevocable appointment of the other spouse as an agent to receive the refund.
■ I do not want direct deposit of my refund, am a first-time filer with Louisiana, or am not receiving a refund. I understand that by not
having my refund direct deposited I will receive my refund by paper check.
■ I authorize the Louisiana Department of Revenue and its designated Financial Agent to initiate an ACH electronic funds withdrawal
(direct debit) entry to the financial institution account indicated in Part B for payment of my state taxes owed on this return. I also
authorize the financial institutions involved in processing the electronic payment of taxes to receive confidential information neces-
sary to answer inquiries and resolve issues related to the payment.
I understand that if I have filed a balance due return and if the Louisiana Department of Revenue does not receive full and timely
payment of my tax liability, I will remain liable for the tax liability and all applicable interest and penalties.
I declare that I have examined my state income tax return prepared for electronic transmission to the State of Louisiana and, to
the best of my knowledge and belief, it is true and complete.
Do Not Mail
You must retain this form along with the state copy of your supporting
W2s and 1099s for a minimum of 3 years. DO NOT MAIL.
R-540V-SD (1/23)
IMPORTANT NOTICE
Taxpayers who file electronically and owe additional Louisiana individual income tax for 2022 must complete the payment
voucher at the bottom of this form, detach the voucher, and mail it by May 15, 2023, in order to avoid the assessment of
penalties and interest. The top portion of this form should also be completed and retained by the taxpayer as a record of
payment.
Your Name
ABDURAHIM ABABILO
If Joint Return, Spouse’s Name
A mount of Payment
606-49-2169
Spouse’s Social Security Number Date Sent
Detach and submit the voucher below with your payment by May 15, 2023.
19034
19034 6064921692 600
600 12312022
12312022 00000000 0000000000 00000118000 2
IT-540-2D (Page 1 of 4) DEV ID 1002
Name
Change 2022 LOUISIANA RESIDENT - 2D
Decedent
Filing ABDURAHIM ABABILO Your SSN 606492169
Spouse
Decedent Spouse’s SSN
Address
Change 423 RIVER OAKS DR
Amended
Return NEW ORLEANS LA 70131-3647 Telephone 5045139547
NOL
Carryback
03031979
Your Date of Birth Spouse’s Date of Birth
6C DEPENDENTS – Enter dependent information below. If you have more than 6 dependents, attach a statement to your return with the
required information. Enter the number of dependents claimed on your Federal Form 1040 or 1040-SR here. 6C 0
First Name Last Name Social Security Number Relationship to you Birth Date (mm/dd/yyyy)
From Louisiana
FEDERAL ADJUSTED GROSS INCOME – If your Federal Adjusted
7 Schedule E, 7
Gross Income is less than zero, enter “0”. attached 11811
8A FEDERAL ITEMIZED DEDUCTIONS 8A
0
8B FEDERAL ITEMIZED DEDUCTION FOR MEDICAL AND DENTAL EXPENSES 8B
0
8C FEDERAL STANDARD DEDUCTION 8C
0
8D EXCESS FEDERAL ITEMIZED DEDUCTIONS – Subtract Line 8C from Line 8B. 8D
0
YOUR LOUISIANA TAX TABLE INCOME – Subtract Line 8D from Line 7. If less than zero, enter ‘0’
9 9
Use this figure to find your tax in the tax tables. 11811
YOUR LOUISIANA INCOME TAX – Enter the amount from the tax table that corresponds with your filing
10 10
status. 136
11 NONREFUNDABLE PRIORITY 1 CREDITS – From Schedule C, Line 6 . 11
0
TAX LIABILITY AFTER NONREFUNDABLE PRIORITY 1 CREDITS – Subtract Line 11 from Line 10.
12 12
If the result is less than zero, or you are not required to file a federal return, enter zero “0”. 136
2022 LOUISIANA REFUNDABLE CHILD CARE CREDIT – Your Federal Adjusted Gross Income
13 must be EQUAL TO OR LESS THAN $25,000 to claim the credit on this line. See the instructions 13
and the Refundable Child Care Credit Worksheet. 0
13A Enter the qualified expense amount from the Refundable Child Care Credit Worksheet, Line 3. 13A
0
13B Enter the amount from the Refundable Child Care Credit Worksheet, Line 6. 13B
0
2022 LOUISIANA REFUNDABLE SCHOOL READINESS CREDIT – Your federal Adjusted Gross
14 Income must be EQUAL TO OR LESS THAN $25,000 to claim the credit on this line. See the 14
Refundable School Readiness Credit Worksheet. 0
5 0 4 0 3 0 2 0
15 EARNED INCOME CREDIT – See Louisiana Earned Income Credit (LA EIC) worksheet, Line 3. 15
18
16 OTHER REFUNDABLE PRIORITY 2 CREDITS – From Schedule F, Line 9. 16
0
TOTAL REFUNDABLE PRIORITY 2 CREDITS – Add lines 13, and 14 through 16. Do not include
17 17
amounts on Lines 13A and 13B. 18
18 TAX LIABILITY AFTER REFUNDABLE PRIORITY 2 CREDITS 18
118
19 OVERPAYMENT AFTER REFUNDABLE PRIORITY 2 CREDITS 19
0
20 NONREFUNDABLE PRIOIRTY 3 CREDITS – From Schedule J, Line 16. 20
0
21 ADJUSTED LOUISIANA INCOME TAX- Subtract Line 20 from Line 18. 21 118
No use tax due. 22
22 CONSUMER USE TAX – You must mark one of these boxes. 0
Amount from the Consumer Use
Tax Worksheet.
23 TOTAL INCOME TAX AND CONSUMER USE TAX – Add Lines 21 and 22. 23 118
24 OVERPAYMENT OF REFUNDABLE PRIORITY 2 CREDITS – Enter the amount from Line 19. 24
0
25 REFUNDABLE PRIORITY 4 CREDITS – From Schedule I, Line 6. 25
0
PAYMENTS
26 AMOUNT OF LOUISIANA TAX WITHHELD FOR 2022 – Attach Forms W-2 and 1099. 26
0
27 AMOUNT OF CREDIT CARRIED FORWARD FROM 2021 27
0
28 AMOUNT OF ESTIMATED PAYMENTS MADE FOR 2022 28
0
29 AMOUNT OF EXTENSION PAYMENT 29
0
30 TOTAL REFUNDABLE TAX CREDITS AND PAYMENTS – Add Lines 24 through 29. 30
0
OVERPAYMENT – If Line 30 is greater than Line 23, subtract Line 23 from Line 30. Your overpayment
31 31 0
may be reduced by the Underpayment of Estimated Tax Penalty. Otherwise, go to Line 38.
UNDERPAYMENT PENALTY – See the instructions for Underpayment Penalty and Form R-210R. 32
32
If you are a farmer, check the box. 0
ADJUSTED OVERPAYMENT – If Line 31 is greater than Line 32, subtract Line 32 from Line 31, and enter on 33
33
Line 33. If Line 32 is greater than Line 31, subtract Line 31 from Line 32, and enter the balance on Line 38. 0
34 TOTAL DONATIONS – From Schedule D, Line 22. 34
0
REFUND DUE
35 SUBTOTAL – Subtract Line 34 from Line 33. This amount of overpayment is available for credit or refund. 35
0
36 AMOUNT OF LINE 35 TO BE CREDITED TO 2023 INCOME TAX CREDIT 36
0
AMOUNT TO BE REFUNDED – Subtract Line 36 from Line 35. If mailing to LDR, use
the address on the bottom of page 4.
37
Enter a “2” in box if you want to receive your refund by paper check.
37 0
Enter a “3” in box if you want to receive your refund by direct deposit. Complete REFUND
information below. If information is unreadable, you are filing for the first time, or if you
do not make a refund selection, you will receive your refund by paper check.
Routing Account
Number Number
Status
001
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. If I made
a contribution to a START Savings Program, I consent that my Social Security Number may be given to the Louisiana Office of Student Financial Assistance
to properly identify the START Savings Program account holder. If married filing jointly, both Social Security Numbers may be submitted. I understand that by
submitting this form I authorize the disbursement of individual income tax refunds through the method as described on Line 37.
Your Signature Date (mm/dd/yyyy) Spouse’s Signature (If filing jointly, both must sign.) Date (mm/dd/yyyy)
ABAB
Mail to: Department of Revenue PTIN, FEIN, or LDR
Account Number
PO BOX 3550 of Paid Preparer
BATON ROUGE LA 70821-3550
For Office
Use Only.
1. Enter the amount of 2022 Louisiana Refundable Child Care Credit found on
the Louisiana Refundable Child Care Credit Worksheet, Line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . 00
Using the Quality Star Rating of the child care facility that your qualified dependent attended during 2022, shown on Form R-10614, determine the
applicable percentage for the School Readiness Credit from the chart shown below:
2. Enter the number of your qualified dependents under age six who attended a:
Five Star Facility ________ and multiply the number by 2.0 . . . . . . . . . . . (i) __________ ______
Four Star Facility ________ and multiply the number by 1.5 . . . . . . . . . . . (ii) __________ ______
Three Star Facility ________ and multiply the number by 1.0 . . . . . . . . . . . (iii) __________ ______
Two Star Facility ________ and multiply the number by .50 . . . . . . . . . . . (iv) __________ ______
3. Add lines (i) through (iv) and enter the result. Be sure to include the decimal. . . . . . . . . . . . . . . . . . . . . . 3 __________ . ______
4. Multiply Line 1 by the total on Line 3. If the number results in a decimal, round to the nearest dollar
and enter the result here and on Form IT-540, Line 14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ______________ . 00
On Form IT-540, Line 14 enter in the boxes designated for 5, 4, 3, or 2 the number of your qualified dependents
as shown on Line 2 above for the associated star rated facility.
1. Federal Earned Income Credit – Enter the amount from Federal Form 1040 or 1040-SR, Line 27. . . . . . . . . . . . . . . . . . .1 356 . 00
2. Multiply Line 1 above by 5 percent, round to the nearest dollar, and enter the result on Line 3. . . . . . . . . . . . . . . . . . . . 2 X .05
3. Enter this amount on Form IT-540, Line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 18 . 00