Tax Return

File by Mail Instructions for your 2013 Federal Tax ReturnImportant: Your taxes are not finished until all required steps are completed.

elizabeth D & Efren O Supanga97 Farnham RdSouth Windsor, CT 06074

Page 1 of 1

|Balance | Your federal tax return (Form 1040) shows no balance due or refundDue/ | amount.Refund |

______________________________________________________________________________________||

What You | Your tax return - The official return for mailing is included inNeed to | this printout. Remember to sign and date the return.Mail |

| Mail your return to:| Department of the Treasury| Internal Revenue Service Center| Kansas City, MO 64999-0002|| Deadline: Postmarked by Tuesday, April 15, 2014|| Note: Your state return may be due on a different date. Please| review your state filing instructions.|| Don't forget correct postage on the envelope.

______________________________________________________________________________________||

What You | Keep these instructions and a copy of your return for your records.Need to | If you did not print one before closing TurboTax, go back to theKeep | program and select File tab, then select the Print for Your Records

| category.______________________________________________________________________________________|

|2013 | Adjusted Gross Income $ 0.00Federal | Taxable Income $ 0.00Tax | Total Tax $ 0.00Return | No Refund or Amount Due $ 0.00Summary | Effective Tax Rate 0.00%

______________________________________________________________________________________|

Hi elizabeth and Efren ,

We just want to thank you for using TurboTax this year! It's our goal to makeyour taxes easy and accurate, year after year.

With TurboTax Basic: Breathe easy. The calculations on your return are backed with our 100% Accuracy Guarantee.

Here's the final wrap up for your 2013 taxes:

- We double checked your return for errors along the way. - We helped with step-by-step guidance to get your answers on the right IRS forms. - We made sure you didn't miss a deduction even if something in your life changed, like a new job, new house - or more kids!

Your Head Start On Next Year: When you come back next year, taxes will be so easy! We'll have all your information saved and ready to transfer in to your new return. We'll ask you questions about what changed since we last talked, and we'll be ready to get you the credits and deductions you deserve, no matter what life throws at you.

Also included: - We provide the Audit Support Center free of charge in the unlikely event you get audited.

With TurboTax State: - You saved time by automatically transferring your federal tax information to your state return

Many happy returns from TurboTax.

Form 1040 Department of the TreasuryInternal Revenue Service OMB No. 1545-0074(99) IRS Use OnlyDo not write or staple in this space. U.S. Individual Income Tax Return 2013

For the year Jan. 1Dec. 31, 2013, or other tax year beginning , 2013, ending , 20 See separate instructions.Your first name and initial Last name Your social security number

If a joint return, spouses first name and initial Last name Spouses social security number

Make sure the SSN(s) above and on line 6c are correct.

Home address (number and street). If you have a P.O. box, see instructions. Apt. no.

City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Foreign country name Foreign province/state/county Foreign postal code

Presidential Election Campaign

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse

Filing Status

Check only one box.

1 Single

2 Married filing jointly (even if only one had income)

3 Married filing separately. Enter spouses SSN above and full name here.

4 Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this

childs name here.

5 Qualifying widow(er) with dependent child

Exemptions 6a Yourself. If someone can claim you as a dependent, do not check box 6a . . . . .b Spouse . . . . . . . . . . . . . . . . . . . . . . . . }c Dependents:

(1) First name Last name

(2) Dependents social security number

(3) Dependents relationship to you

(4) if child under age 17 qualifying for child tax credit

(see instructions)

If more than four dependents, see instructions and check here

d Total number of exemptions claimed . . . . . . . . . . . . . . . . .

Boxes checked on 6a and 6bNo. of children on 6c who: lived with you did not live with you due to divorce or separation (see instructions)

Dependents on 6c not entered above

Add numbers on lines above

Income

Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld.

If you did not get a W-2, see instructions.

7 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . 7

8a Taxable interest. Attach Schedule B if required . . . . . . . . . . . . 8a

b Tax-exempt interest. Do not include on line 8a . . . 8b

9 a Ordinary dividends. Attach Schedule B if required . . . . . . . . . . . 9a

b Qualified dividends . . . . . . . . . . . 9b

10 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . 10

11 Alimony received . . . . . . . . . . . . . . . . . . . . . 11

12 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . . 12

13 Capital gain or (loss). Attach Schedule D if required. If not required, check here 13

14 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . 14

15 a IRA distributions . 15a b Taxable amount . . . 15b

16 a Pensions and annuities 16a b Taxable amount . . . 16b

17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17

18 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . 18

19 Unemployment compensation . . . . . . . . . . . . . . . . . 19

20 a Social security benefits 20a b Taxable amount . . . 20b

21 Other income. List type and amount 21 22 Combine the amounts in the far right column for lines 7 through 21. This is your total income 22

Adjusted Gross Income

23 Educator expenses . . . . . . . . . . 23

24 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ 24

25 Health savings account deduction. Attach Form 8889 . 25

26 Moving expenses. Attach Form 3903 . . . . . . 26

27 Deductible part of self-employment tax. Attach Schedule SE . 27

28 Self-employed SEP, SIMPLE, and qualified plans . . 28

29 Self-employed health insurance deduction . . . . 29

30 Penalty on early withdrawal of savings . . . . . . 30

31 a Alimony paid b Recipients SSN 31a

32 IRA deduction . . . . . . . . . . . . . 32

33 Student loan interest deduction . . . . . . . . 33

34 Tuition and fees. Attach Form 8917 . . . . . . . 34

35 Domestic production activities deduction. Attach Form 8903 35

36 Add lines 23 through 35 . . . . . . . . . . . . . . . . . . . 36 37 Subtract line 36 from line 22. This is your adjusted gross income . . . . . 37

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2013)

2

2

Supanga

Supanga

97 Farnham Rd

889-98-6003

815-10-7192

0.

0.

0.

0.See Line 21 Statement

elizabeth D

Efren O

South Windsor CT 06074

BAA REV 03/03/14 TTO

Form 1040 (2013) Page 2

Tax and Credits

38 Amount from line 37 (adjusted gross income) . . . . . . . . . . . . . . 38

39a Check if:

{ You were born before January 2, 1949, Blind.Spouse was born before January 2, 1949, Blind.

} Total boxes checked 39a

b If your spouse itemizes on a separate return or you were a dual-status alien, check here 39b Standard Deduction for People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. All others: Single or Married filing separately, $6,100 Married filing jointly or Qualifying widow(er), $12,200 Head of household, $8,950

40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . . 40

41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . 41

42 Exemptions. If line 38 is $150,000 or less, multiply $3,900 by the number on line 6d. Otherwise, see instructions 42

43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . 43

44 Tax (see instructions). Check if any from: a Form(s) 8814 b Form 4972 c 44

45 Alternative minimum tax (see instructions). Attach Form 6251 . . . . . . . . . 45

46 Add lines 44 and 45 . . . . . . . . . . . . . . . . . . . . . 46

47 Foreign tax credit. Attach Form 1116 if required . . . . 47

48 Credit for child and dependent care expenses. Attach Form 2441 48

49 Education credits from Form 8863, line 19 . . . . . 49

50 Retirement savings contributions credit. Attach Form 8880 50

51 Child tax credit. Attach Schedule 8812, if required . . . 51

52 Residential energy credits. Attach Form 5695 . . . . 52

53 Other credits from Form: a 3800 b 8801 c 53

54 Add lines 47 through 53. These are your total credits . . . . . . . . . . . . 5455 Subtract line 54 from line 46. If line 54 is more than line 46, enter -0- . . . . . . 55

Other Taxes

56 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . 56

57 Unreported social security and Medicare tax from Form: a 4137 b 8919 . . 57

58 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . 58

59a 59a

b 59bHousehold employment taxes from Schedule H . . . . . . . . . . . . . .

First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . .

60 Taxes from: a Form 8959 b Form 8960 c Instructions; enter code(s) 60

61 Add lines 55 through 60. This is your total tax . . . . . . . . . . . . . 61

Payments 62 Federal income tax withheld from Forms W-2 and 1099 . . 6263 2013 estimated tax payments and amount applied from 2012 return 63

If you have a qualifying child, attach Schedule EIC.

64a Earned income credit (EIC) . . . . . . . . . . 64a

b Nontaxable combat pay election 64b

65 Additional child tax credit. Attach Schedule 8812 . . . . . 65

66 American opportunity credit from Form 8863, line 8 . . . . 66

67 Reserved . . . . . . . . . . . . . . . . 67

68 Amount paid with request for extension to file . . . . . 68

69 Excess social security and tier 1 RRTA tax withheld . . . . 69

70 Credit for federal tax on fuels. Attach Form 4136 . . . . 70

71 Credits from Form: a 2439 b Reserved c 8885 d 7172 Add lines 62, 63, 64a, and 65 through 71. These are your total payments . . . . . 72

Refund

Direct deposit? See instructions.

73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid 73

74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here . 74a

b Routing number c Type: Checking Savings

d Account number

75 Amount of line 73 you want applied to your 2014 estimated tax 75Amount You Owe

76 Amount you owe. Subtract line 72 from line 61. For details on how to pay, see instructions 76

77 Estimated tax penalty (see instructions) . . . . . . . 77

Third Party Designee

Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No

Designees name

Phone no.

Personal identification number (PIN)

Sign Here Joint return? See instructions. Keep a copy for your records.

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.

Your signature Date Your occupation Daytime phone number

Spouses signature. If a joint return, both must sign.

Date Spouses occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.)

Paid Preparer Use Only

Print/Type preparers name Preparers signature Date Check if self-employed

PTIN

Firms name

Firms address

Firm's EIN

Phone no.

Form 1040 (2013)

Self-Prepared

X X X X X X X X X X X X X X X X X

none

13,400.-13,400.7,800.

0.0.

0.

0.

0.

0.

none

1

(860)990-8409

0.

X X X X X X X X X

REV 03/03/14 TTO

Federal Information Worksheet 2013G Keep for your records

Part I ' Personal InformationInformation in Part I is completely calculated from entries on Personal Information Worksheets.

Taxpayer: Spouse:First name First nameMiddle initial Suffix Middle initial SuffixLast name Last nameSocial security no. Social security no.Occupation OccupationDate of birth (mm/dd/yyyy) Date of birth (mm/dd/yyyy)Age as of 1-1-2014 Age as of 1-1-2014Daytime phone Ext Daytime phone ExtLegally blind Legally blindDate of death Date of death

Dependent of Someone Else: Dependent of Someone Else:Can taxpayer be claimed as dependent of another Can spouse be claimed as dependent of anotherperson (such as parent)? Yes No person (such as parent)? Yes NoIf yes, was taxpayer claimed as dependent on that If yes, was spouse claimed as dependent on thatpersons return? Yes No persons return? Yes No

Credit for the Elderly or Disabled (Schedule R): Credit for the Elderly or Disabled (Schedule R):Is the taxpayer retired on total Is the spouse retired on total and permanent disability? Yes No and permanent disability? Yes No

Presidential Election Campaign Fund: Presidential Election Campaign Fund:Does the taxpayer want $3 to go to the Presidential Does the spouse want $3 to go to the PresidentialElection Campaign Fund? Yes No Election Campaign Fund? Yes No

Part II ' Address and Federal Filing Status (enter information in this section)Address Apt no.City State ZIP codeForeign province/county Foreign postal codeForeign code Foreign country

APO/FPO/DPO address, check if appropriate APO FPO DPO

Home phoneCheck to print phone number on Form 1040 Home Taxpayer daytime Spouse daytime

Federal filing status:1 Single2 Married filing jointly3 Married filing separately

Check this box if you did not live with your spouse at any time during the yearCheck this box if you are eligible to claim your spouses exemption (see Help)

4 Head of householdIf the qualifying person is your child but not your dependent:Childs First name MI Last Name SuffChilds social security number

5 Qualifying widow(er)Check the appropriate box for the year your spouse died 2011

2012

Part III ' Dependent/Earned Income Credit/Child and Dependent Care Credit InformationInformation in Part III is completely calculated from entries on Dependent/Nondependent Info Worksheets.

Date of birth(mm/dd/yyyy)

QualifiedNot child/dep Lived

C qual care exps with Educ *Social security o for incurred E taxpyr Tuitn D

First name MI number d child and paid I in and eLast name Suff Relationship Age e tax cr 2013 C U.S. Fees p

* "Yes" - qualifies as dependent, "No" - does not qualify as dependent

elizabeth

97 Farnham RdSouth Windsor CT 06074

X

none05/05/194667

X

Efren

none03/10/195261

X

X

X

X

DSupanga

OSupanga

815-10-7192 889-98-6003

X

(860)990-8409

X

X

Part IV ' Earned Income Credit Information (you must answer these questions to calculate EIC)Is the taxpayer or spouse a qualifying child for EIC for another person? Yes NoWas the taxpayers (and spouses if married filing jointly) home in the United Statesfor more than half of 2013? Yes NoIf the SSN of the taxpayer, or spouse if married filing jointly, was obtained toget a federally funded benefit, such as Medicaid, and the Social Security cardcontains the legend Not Valid for Employment, check this box (see Help)Check if you are filing head of household and your spouse is a nonresident alienand you lived with your spouse during the last six months of 2013Was EIC disallowed or reduced in a previous year and are you required to fileForm 8862 this year? Yes NoCheck if you were notified by the IRS that EIC cannot be claimed in 2013 orif you are ineligible to claim the EIC in 2013 for any other reason

Part V ' Direct Deposit or Direct Debit Information (not applicable for Form 9465)Do you want to elect direct deposit of any federal tax refund? Yes No

Do you want to elect direct debit of federal balance due (Electronic filing only)? Yes NoIf you selected either of the options above, fill out the information below:Name of Financial Institution (optional)Check the appropriate box Checking SavingsRouting number Account number

Enter the following information only if you are requesting direct debit of balance due:Enter the payment date to withdraw from the account aboveBalance-due amount from this return

Part VI ' Additional Information for Your Federal Return

Standard Deduction/Itemized Deductions:Check this box if you are itemizing for state tax or other purposes even though your itemizeddeductions are less than your standard deductionCheck this box if you are married filing separately and your spouse itemized deductions Check this box to take the standard deduction even if less than itemized deductions

Main Form Selection:Check this box to calculate Form 1040 even if you qualify to use Form 1040A or 1040EZ

Real Estate Professionals:Do you or your spouse qualify for the special passive activity rules fortaxpayers in real property business? (see Help) Yes NoCredit for Qualified Retirement Savings Contributions (Form 8880):Is the taxpayer a full-time student? Yes NoIs the spouse a full-time student? Yes No

Foreign Tax Credit (Form 1116):Check this box to file Form 1116 even if youre not required to file Form 1116Resident country

Excludable Income from Am. Samoa, Guam, Commonwealth of the N. Mariana Islands, or Puerto Rico:Excludable income of bona fide residents of American Samoa, Guam, or theCommonwealth of the Northern Mariana IslandsExcludable income from Puerto Rico

Dual Status Alien Return:Check this box if you are a dual-status alien

Third Party Designee:Caution: Review transferred information for accuracy.Do you want to allow another person to discuss this return with the IRS? Yes NoIf Yes, complete the following: Third party designee nameThird party designee phone numberPersonal Identification number (enter any 5 numbers)If you are entitled to a filing extension or other disaster relief provision as declared by the IRS, enter the appropriate information (see Help)

elizabeth D & Efren O Supanga

USA

815-10-7192

X

X

Part VI ' Additional Information for Your Federal Return - Continued

Personal Representative for deceased taxpayers:Name of personal representative required for E-filedreturns when Form 1310 is not filed or it is not thesurviving spouse

Part VII ' State Filing Information

Identity Protection PIN:If the IRS sent the taxpayer an Identity Protection PIN, enter it hereIf the IRS sent the spouse an Identity Protection PIN, enter it here

Taxpayer:Enter the taxpayers state of residence as of December 31, 2013Check the appropriate box:Taxpayer is a resident of the state above for the entire yearTaxpayer is a resident of the state above for only part of year

Date the taxpayer established residence in state aboveIn which state (or foreign country) did the taxpayer reside before this change?

Spouse:Enter the spouses state of residence as of December 31, 2013Check the appropriate box:Spouse is a resident of the state above for the entire yearSpouse is a resident of the state above for only part of year

Date the spouse established residence in state aboveIn which state (or foreign country) did the spouse reside before this change?

Nonresident states:

Nonresident State(s) Taxpayer/Spouse/Joint

Check this box if you are in a Registered Domestic Partnership or a civil unionIf you checked the box on the line above, also check the appropriate box below:

Check if this is your individual federal return you are filing with the IRSCheck if this is the joint return created to file joint state tax return (see Help)

Check this box if you are in a same-sex marriageIf you checked the box on the line above, also check the appropriate box below:

Check if this is your federal return to be filed.Check if this is your individual return for filing state return only (see Help)


CT

X

CT

X

815-10-7192

Personal Information Worksheet 2013

G Keep for your records

QuickZoom to another copy of Personal Information WorksheetQuickZoom to Federal Information Worksheet

Part I '

First name Middle initial Last nameSuffix

Social security no. Member of U.S. Armed Forces in 2013? Yes No

Date of birth (mm/dd/yyyy) age as of 1-1-2014

Occupation Daytime phone Ext

Marital statusIf widowed, check the appropriate box for the year your spouse died:After 2013 2013 2012 2011 Before 2011

Are you retired on total and permanent disability? (for Schedule R, see Help). Yes NoCheck if this person is legally blindIf deceased, enter the date of death (mm/dd/yyyy)

Were you under the age of 16 as of 1-1-2014 and this is the first year youare filing a tax return? Yes No

Do you want $3 to go to Presidential Election Campaign Fund? Yes No

Part II ' Questions for Individuals Who Could Be Or Are Dependents of Another Taxpayer

1 Can someone (such as your parent) claim you as a dependent? Yes No2 If you answered Yes to question 1, are you actually claimed as a dependent

on that persons tax return? Yes NoQuestions 3 through 5 are only required for individuals who claim the American Opportunity Credit.

3 Were you a full-time student during any part of five months during 2013? Yes No4 Did your earned income exceed one-half of your support? Yes No5 Was at least one of your parents alive on December 31, 2013? Yes No

Part III '

Enter this persons state of residence as of December 31, 2013Check the appropriate box:This person is a resident of the state above for the entire yearThis person is a resident of the state above for only part of year

Date this person established residence in state aboveIn which state (or foreign country) did this person reside before this change?

Part IV ' Dependent Care Expenses

Qualified dependent care expenses incurred and paid for this person in 2013

For the Taxpayer

Taxpayer's Personal Information

Taxpayer's State Residency Information

elizabeth

X

Supanga

815-10-7192

none

05/05/1946

X

X

CT

X

67

Married

D

(860)990-8409

X

X

Personal Information Worksheet 2013

G Keep for your records

QuickZoom to another copy of Personal Information WorksheetQuickZoom to Federal Information Worksheet

Part I '

First name Middle initial Last nameSuffix

Social security no. Member of U.S. Armed Forces in 2013? Yes No

Date of birth (mm/dd/yyyy) age as of 1-1-2014

Occupation Daytime phone Ext

Marital statusIf widowed, check the appropriate box for the year your spouse died:After 2013 2013 2012 2011 Before 2011

Are you retired on total and permanent disability? (for Schedule R, see Help). Yes NoCheck if this person is legally blindIf deceased, enter the date of death (mm/dd/yyyy)

Were you under the age of 16 as of 1-1-2014 and this is the first year youare filing a tax return? Yes No

Do you want $3 to go to Presidential Election Campaign Fund? Yes No

Part II ' Questions for Individuals Who Could Be Or Are Dependents of Another Taxpayer

1 Can someone (such as your parent) claim you as a dependent? Yes No2 If you answered Yes to question 1, are you actually claimed as a dependent

on that persons tax return? Yes NoQuestions 3 through 5 are only required for individuals who claim the American Opportunity Credit.

3 Were you a full-time student during any part of five months during 2013? Yes No4 Did your earned income exceed one-half of your support? Yes No5 Was at least one of your parents alive on December 31, 2013? Yes No

Part III '

Enter this persons state of residence as of December 31, 2013Check the appropriate box:This person is a resident of the state above for the entire yearThis person is a resident of the state above for only part of year

Date this person established residence in state aboveIn which state (or foreign country) did this person reside before this change?

Part IV ' Dependent Care Expenses

Qualified dependent care expenses incurred and paid for this person in 2013

For the Spouse

Spouse's Personal Information

Spouse's State Residency Information

Efren

X

03/10/1952

none

X

X

X

CT

X

61

Supanga

889-98-6003

O

Federal Carryover Worksheet 2013G Keep for your records

Name(s) Shown on Return Social Security Number

2012 State and Local Income Tax Information (See Tax Help)

(a) (b) (c) (d) (e) (f) (g)State or Paid With Estimates Pd Total With- Paid With Total Over- AppliedLocal ID Extension After 12/31 held/Pmts Return payment Amount

Totals

Other Tax and Income Information 2012 2013

1 Filing status 12 Number of exemptions for blind or over 65 (0 - 4) 23 Itemized deductions 34 Check box if required to itemize deductions 45 Adjusted gross income 56 Tax liability for Form 2210 or Form 2210-F 67 Alternative minimum tax 78 Federal overpayment applied to next year estimated tax 8

QuickZoom to the IRA Information Worksheet for IRA information

Excess Contributions 2012 2013

9 a Taxpayers excess Archer MSA contributions as of 12/31 9 ab Spouses excess Archer MSA contributions as of 12/31 b

10 a Taxpayers excess Coverdell ESA contributions as of 12/31 10 ab Spouses excess Coverdell ESA contributions as of 12/31 b

11 a Taxpayers excess HSA contributions as of 12/31 11 ab Spouses excess HSA contributions as of 12/31 b

Loss and Expense Carryovers 2012 2013Note: Enter all entries as a positive amount

12 a Short-term capital loss 12 ab AMT Short-term capital loss b

13 a Long-term capital loss 13 ab AMT Long-term capital loss b

14 a Net operating loss available to carry forward 14 ab AMT Net operating loss available to carry forward b

15 a Investment interest expense disallowed 15 ab AMT Investment interest expense disallowed b

16 Nonrecaptured net Section 1231 losses from: a 2013 16 ab 2012 bc 2011 cd 2010 de 2009 ef 2008 f

0.


2 MFJ

0.

1

815-10-7192

0.

Tax Summary 2013G Keep for your records

Name (s)

Total incomeAdjustments to incomeAdjusted gross incomeItemized/standard deductionExemption amountTaxable incomeTentative taxAdditional taxesAlternative minimum taxTotal creditsOther taxesTotal taxTotal paymentsEstimated tax penaltyAmount OverpaidRefundAmount Applied to EstimateBalance due

Which Form 1040 to file?


0.0.

0.

You must use Form 1040 because

13,400.7,800.

you had miscellaneous taxable income(loss).

0.

0.

Compare to U. S. Averages 2013G Keep for your records

Name(s) Shown on Return Social Security No

Your 2013 adjusted gross income (AGI)National adjusted gross income range used below from to

Note: National average amounts have been adjusted for inflation. See Help for details.

Actual NationalSelected Income, Deductions, and Credits Per Return Average

Salaries and wagesTaxable interestTax-exempt interestDividendsBusiness net incomeBusiness net lossNet capital gainNet capital lossTaxable IRATaxable pensions and annuitiesRent and royalty net incomeRent and royalty net lossPartnership and S corporation net incomePartnership and S corporation net lossTaxable social security benefits

Medical and dental expenses deductionTaxes paid deductionInterest paid deductionCharitable contributions deductionTotal itemized deductions

Child care creditEducation tax creditsChild tax creditRetirement savings contributions creditEarned income credit

Other Information Actual NationalPer Return Average

Adjusted gross incomeTaxable incomeIncome taxAlternative minimum taxTotal tax liability

elizabeth D & Efren O Supanga 815-10-7192

0.

0.0.0.

0.

0. 14,999.

8,513.1,316.6,737.2,120.7,928.17,944.8,388.2,434.5,535.7,012.8,222.16,359.17,436.91,448.3,523.

2,542.

8,635.3,244.7,666.1,492.15,524.

2,827.

8,995.

126.259.132.175.

1,935.

306.

458.

Smart Worksheets from your 2013 Federal Tax Return

Other Adjustments to Income Smart Worksheet

A Foreign housing deductionQuickZoom to Form 2555 for taxpayer and/or for spouse

B Jury duty pay given to employerC Reforestation amortization and expensesD Repayment of sub-pay under the Trade Act of 1974E Expenses from the rental of personal property F Contributions to section 501(c)(18)(D) pension plansG Archer MSA deduction. Attach Form 8853H

0.

0.

SMART WORKSHEET FOR: Form 1040: Individual Tax Return

Tax Smart Worksheet

A TaxCheck if from:

1 Tax table2 Tax Computation Worksheet (see instructions)3 Schedule D Tax Worksheet4 Qualified Dividends and Capital Gain Tax Worksheet5 Schedule J6 Form 86157 Foreign Earned Income Tax Worksheet

B Additional tax from Form 8814C Additional tax from Form 4972D Tax from additional Form(s) 4972E Recapture tax from Form 8863F IRC Section 197(f)(9)(B)(ii) election for an additional taxG Tax. Add lines A through F. Enter the result here and on line 44

0.

X

0.


Other Credits Smart Worksheet

A Form 3800 Credit G Form 8910 CreditB Form 8396 Credit H Form 8911 CreditC Form 8801 Credit I Schedule RD Form 8834 Credit J Form 8936 CreditE Form 8839 Credit K Form CreditF Form 8859 Credit

0.


elizabeth D & Efren O Supanga 815-10-7192 1

Additional information from your 2013 Federal Tax ReturnSome forms were not able to fit all of the information you entered. We've included this information below.

Form 1040: Individual Tax ReturnLine 21 - Other Income Continuation Statement

Description AmountRecovery of Bad Debts deducted in prior year 0.Jury Duty Pay 0.

Bartering Income not Reported Elsewhere 0.Personal Property Rental Income 0.

Not for Profit Activity Income 0.

Total 0.

elizabeth D & Efren O Supanga 815-10-7192 1

Electronic Filing Instructions for your 2013 Connecticut Tax ReturnImportant: Your taxes are not finished until all required steps are completed.

elizabeth D & Efren O Supanga97 FARNHAM RDSOUTH WINDSOR, CT 06074

Page 1 of 1

|Balance | Your Connecticut state tax return (Form CT-1040) shows that you haveDue/ | no balance due nor a refund due to you: DO NOT mail a payment orRefund | expect to receive a refund from the Connecticut Department of Revenue.

______________________________________________________________________________________||

No | No signature form is required since you signed your returnSignature | electronically.Document |Needed |

______________________________________________________________________________________||

What You | Your Electronic Filing Instructions (this form)Need to | Printed copy of your state and federal returnsKeep |

______________________________________________________________________________________||

2013 | Taxable Income $ 0.00Connecticut | Total Tax $ 0.00Tax | No Refund or Amount Due $ 0.00Return |Summary |

______________________________________________________________________________________|

Do not send this sheet with your return.

Checklist for ling your Connecticut income tax return:1. Be sure that Page 1 of your return is not printed on the back of this sheet.

2. Verify that the address lines on the return are correct and proper abbreviations are used.

3. If the Employer or Payers Federal ID # is not listed on Page 2, Lines 18a through 18g, Column A, all withholding claimed will be disallowed and your return will not be successfully processed.

4. Do not attempt to remove or modify the solid boxes that print out on your return. Altering target marks may affect the processing of your return.

5. Do not send Draft or Unapproved versions of your return. This will delay or stop the processing of your return.

6. Do not make manual (hand written or typed) corrections to your return; this is a machine readable return. Changes may only be made by reentering information in your software and re-printing the return.

7. Do not use this return to change or amend previously led returns. You must use Form CT-1040X to change or amend a previously led Connecticut income tax return. (File Form CT-1040X electronically at www.ct.gov/TSC using the Taxpayer Service Center.)

8. Do not attach or send copies of forms W-2 or 1099.

9. Send all completed pages of CT-1040 and Schedule CT-EITC. Send all four pages of your completed return, both pages of your completed CT EITC schedule, and any other supporting schedules.

10. Make check payable to: Commissioner of Revenue Services

11. To ensure proper posting, write your SSN(s) (optional) and 2013 Form CT-1040 on your check.

12. To mail your return, use the following addresses: For all tax returns with payment: Department of Revenue Services PO Box 2935 Hartford CT 06104-2935 For refunds and tax returns without payment: Department of Revenue Services PO Box 5002 Hartford CT 06102-5002

13. Verify that all elds print completely and any preparer information is lled out and legible before ling this return. If you nd any errors, do not make manual changes. Re-enter information in your software and re-print the return.

14. If you wish to directly deposit a refund into a checking or savings bank account, con rm that Lines 25a through 25d have been completed. You must enter bank information on both the federal and Connecticut returns for each to be correctly deposited.

Do not send this sheet with your return.

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1. Federal adjusted gross income (from federal Form 1040, Line 37; Form 1040A, Line 21; orForm 1040EZ, Line 4) 1.

2. Additions to federal adjusted gross income (from Schedule 1, Line 39) 2.3. Add Line 1 and Line 2 3.4. Subtractions from federal adjusted gross income (from Schedule 1, Line 50) 4.5. Connecticut adjusted gross income: Line 4 subtracted from Line 3. 5.6. Income tax 6.7. Credit for income taxes paid to qualifying jurisdictions (from Schedule 2, Line 59) 7.8. Line 7 subtracted from Line 6. If Line 7 is greater than Line 6, 0 is entered. 8.9. Connecticut alternative minimum tax (from Form CT-6251) 9.10. Add Line 8 and Line 9. 10.11. Credit for property taxes paid on your primary residence, motor vehicle, or both (from Schedule 3, Line 68) 11.12. Line 11 subtracted from Line 10. If less than zero, 0 is entered. 12.13. Total allowable credits (from Schedule CT-IT Credit, Part 1, Line 11) 13.14. Connecticut income tax: Line 13 subtracted from Line 12. If less than zero, 0 is entered. 14.15. Individual use tax (from Schedule 4, Line 69). If no tax is due, 0 is entered. 15.16. Total tax: Add Line 14 and Line 15. 16.

CT-2210

CT-1040CRCCT-8379

Other taxable year, beginning: and ending:2013

S

Form CT-1040 - 2013, Page 1 of 4Connecticut Resident Income Tax Return

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Dec.

Dec.

FJ FS HH QW

ELIZABETH

CT 06074

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97 FARNHAM RD

SOUTH WINDSOR

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815 10 7192 889 98 6003

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Designees name Telephone number Personal identifi cation number (PIN)

Your signature Date Home/cell telephone number

Spouses signature (if joint return) Date Daytime telephone number

Paid preparers signature Date Telephone number Preparers SSN or PTIN

Firms name, address, and ZIP code FEIN

I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best of my knowledge and belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or document to DRS is a fi ne of not more than $5,000, or imprisonment for not more than fi ve years, or both. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.

Third Party Designee - Complete the following to authorize DRS to contact another person about this return.

17. Amount from Line 16 17.

W-2, W-2G, and 1099 Information Col. A - Employer or Payers Fed. ID # Col. B - CT Wages, Tips, etc. Col. C - CT Income Tax Withheld

18a. 18b. 18c. 18d. 18e. 18f. 18g.

18h. Additional Connecticut withholding (from Supplemental Schedule CT-1040WH, Line 3) 18h.

18. Total Connecticut income tax withheld: Amounts in Column C. 18.19. All 2013 estimated tax payments and any overpayments applied from a prior year 19.20. Payments made with Form CT-1040 EXT 20.20a. Earned income tax credit (from Schedule CT-EITC, Line 16) 20a.21. Total payments: Add Lines 18, 19, 20, and 20a. 21.22. Overpayment: If Line 21 is more than Line 17, Line 17 subtracted from Line 21. 22.23. Amount of Line 22 you want applied to your 2014 estimated tax 23.

24. Total contributions of refund to designated charities (from Schedule 5, Line 70) 24.

25. Refund: Lines 23 and 24 subtracted from Line 22. 25. If you have not elected to direct deposit, the refund may be issued by debit card or check.

25d. Refund going to a bank account outside the U.S. 25d. 25e. Debit card 25e.26. Tax due: If Line 17 is more than Line 21, Line 21 subtracted from Line 17. 26.27. If late: Penalty entered. Line 26 multiplied by 10% (.10). 27.28. If late: Interest entered.

Line 26 multiplied by number of months or fraction of a month late, then by 1% (.01). 28.29. Interest on underpayment of estimated tax (from Form CT-2210) 29.30. Total amount due: Add Lines 26 through 29. 30.

25a. Acct. type Ck. Sv. 25b. Rout. # 25c. Acct. #

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Schedule 2 - Credit for Income Taxes Paid to Qualifying Jurisdictions51. Modifi ed Connecticut adjusted gross income 51.

Col. A Col. B

52. Qualifying jurisdictions name and two-letter code 52.

53. Non-Connecticut income included on Line 51 and reportedon a qualifying jurisdictions income tax return 53.

54. Line 53 divided by Line 51 54.

55. Income tax liability: Line 11 subtracted from Line 6. 55.

56. Line 54 multiplied by Line 55 56.

57. Income tax paid to a qualifying jurisdiction 57.

58. Lesser of Line 56 or Line 57 58.

59. Total credit: Add Line 58, all columns. 59.


Schedule 1 - Modifi cations to Federal Adjusted Gross Income31. Interest on state and local government obligations other than Connecticut 31.32. Mutual fund exempt-interest dividends from non-Connecticut state or municipal government

obligations 32.33. Reserved for future use. 33.34. Taxable amount of lump-sum distributions from qualifi ed plans not included in federal adjusted

gross income 34.35. Benefi ciarys share of Connecticut fi duciary adjustment: Entered only if greater than zero. 35.36. Loss on sale of Connecticut state and local government bonds 36.37. Domestic production activities (from federal Form 1040, Line 35) 37.

38. Other - specify 38.

39. Total additions: Add Lines 31 through 38. 39.40. Interest on U.S. government obligations 40.41. Exempt dividends from certain qualifying mutual funds derived from U.S. government obligations 41.42. Social Security benefi t adjustment (from Social Security Benefi t Adjustment Worksheet) 42.43. Refunds of state and local income taxes 43.44. Tier 1 and Tier 2 railroad retirement benefi ts and supplemental annuities 44.45. 50% of military retirement pay 45.46. Benefi ciarys share of Connecticut fi duciary adjustment: Entered only if less than zero. 46.47. Gain on sale of Connecticut state and local government bonds 47.

48. CHET contributions Acct. #: 48.

49. Other - specify 49.

50. Total subtractions: Add Lines 40 through 49. 50.

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Schedule 4 - Individual Use Tax

Schedule 3 - Property Tax Credit Qualifying Property Primary Residence Auto 1 Auto 2

Name of Connecticut Tax Town or DistrictDescription of PropertyDate(s) Paid

Amount Paid 60. 61. 62.

63. Total property tax paid: Add Lines 60, 61, and 62. 63.

64. Maximum property tax credit allowed 64.

65. Lesser of Line 63 or Line 64. 65.

66. Property tax credit limitation decimal amount: If zero, the amount from Line 65 is entered on Line 68. 66.

67. Line 65 multiplied by Line 66. 67.

68. Line 67 subtracted from Line 65. 68.

300

Schedule 5 - Contributions to Designated Charities

70a. AR 70a.

70b. OT 70b.

70c. ES/W 70c.

70d. BCR 70d.

70e. SNS 70e.

70f. MFRF 70f.

70. Total Contributions: Add Lines 70a through 70f. 70.

Taxpayer email

69a. Use tax at 1% (from Connecticut Individual Use Tax Worksheet, Section A, Column 7) 69a.

69b. Use tax at 6.35% (from Connecticut Individual Use Tax Worksheet, Section B, Column 7) 69b.

69c. Use tax at 7% (from Connecticut Individual Use Tax Worksheet, Section C, Column 7) 69c.

69. Individual use tax: Add Lines 69a, 69b, and 69c. 69.


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Connecticut Information Worksheet 2013G Keep for your records

Part I ' Personal Information

Taxpayer: Spouse:Last Name Last NameFirst Name First NameMiddle Initial Suffix Middle Initial SuffixSocial Security No. Social Security No.Date of Birth Date of BirthDate of Death Date of DeathDaytime Phone * Daytime Phone *Home Phone * Home Phone ** Check one box for taxpayer and one box for spouse to print daytime phone numbers on Form CT-1040 or CT-1040NR, page 2. Check daytime or home box to print on Form CT-1040EXT or CT-1040X.

Address Apt no.City State ZIP CodeTaxpayer email address

Connecticut forms provide only two lines of 30 characters each for the main address (not including City,State, and Zip). We may have abbreviated certain words in your address. If the address below isincorrect or incomplete, please adjust. If using "c/o" or "Attn:", enter these on the first Address line only.

Address, Line 1Address, Line 2

Part II ' Main Form

Form CT-1040: Resident Tax Return (Long form)Form CT-1040NR/PY: Nonresident Tax ReturnForm CT-1040NR/PY: Part-Year Resident Tax Return

Connecticut residency dates (use MM/DD/YYYY format) From To

Part III ' Filing Status

SingleMarried filing jointlyMarried filing separatelySpouses full nameSpouses social security number

Taxpayer did not live with spouse for the entire yearHead of household (with qualifying person)Qualifying widow(er) with dependent child

Part IV ' Other Information

I qualify as a farmer or fishermanYes No

My city and zip code of residence are different than whats entered aboveIf so, enter resident City 5 digit resident Zip code

elizabeth

CT 0607497 FARNHAM RD

X

X

05/05/1946

X

Efren Supanga

889-98-600303/10/1952

D

Supanga

O

SOUTH WINDSOR

97 FARNHAM RD

815-10-7192

(860)990-8409

[email protected]

Part V ' Direct Deposit Information or Direct Debit Information

Yes NoElect direct deposit of state tax refundUse direct debit of state tax payment (Electronic Filing Only)

Bank Information:If you selected either of the options above, fill out the information below:Name of Financial Institution (optional)Account type Checking SavingsRouting numberAccount number

Payment date to withdraw from the account aboveState balance-due amount from this return

Yes NoElect to receive a state issued debit card instead of a paper check

International ACH TransactionsYes No

Will the funds for this refund (or payment) go to (or come from) an account outside the U.S.?

Part VI ' Third Party Designee Information

Yes NoDo you want to allow another person to discuss this return with Connecticut?

If Yes, complete the following: Designees nameDesignees phone numberPersonal identification number

Part VII ' Extension Status

Yes NoTax return due date extended?

Extended due dateQuickZoom to Form CT-1040 EXT: Application for Extension of Time to File Inc Tax Return

Part VIII ' Amended Return

Filing a Connecticut amended returnEnter the tax year you are amendingPrevious Connecticut payment madePrevious Connecticut refund received

QuickZoom to Form CT1040-X: Amended Income Tax Return

QuickZoom to Form CT-1040: Resident Income Tax ReturnQuickZoom to Form CT-1040NR/PY: Nonresident and Part-Year Resident Income Tax Return

ctiw1201.SCR 03/05/14


X

815-10-7192

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2013 Federal Tax ReturnFiling Instructions (Page 1 of 1)Thank You LetterForm 1040: Individual Tax ReturnFederal Information WorksheetPersonal Worksheet (elizabeth)Personal Worksheet (Efren)Carryover WorksheetTax SummaryCompare to U. S. AveragesSmart WorksheetsAdditional Information

2013 Connecticut Tax ReturnFiling Instructions (Page 1 of 1)CT-1040: ChecklistCT-1040: Connecticut Resident Income Tax Return (Copy 1)Information Worksheet

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