Shonda+Pierce

22 entries 3/15/10

Jan. 24,2011

I read a a passage in the book Who Moved My Cheese?......I gain a massage that I've been reminded time after time about how life. Basically saying with faith ALL things can be turn from bad into good. This qoute uplifted me from the long day I experienced early today.

Jan 26 I read a passage today from Mrs. Jocye Meyers.....It tells us that we are humans so of course we always planning goals but sometime never really complete the plans because its not realistic or just not deicated. She gave good advise about instead of saying "I want to lose 30 lbs in month say I plan to lose 5 pounds in four weeks so when you do you'll stay motivated and stick with it. Something to think about right?

Absolutely!

Jan 27 On my practice reading compass test today a passage about how education is really important in the United States more than 55% off high school students are high school drop outs. As a result most are not qualifed to get good jobs. Its so many scholarships offered to college students to further our education. Many do not take advantage of the help our government grant us. Being a young mother I have no choice to get an college degree to make a better life for me and my family. This passage hit home to me because I use all my student loans and Pell to provide.

I know it is hard, been there done that. I can only tell you it is worth it in the end. :)

Jan 28 Credit cards are not always a good choice. Many people are not fully aware of the charges disclose. I came across a article today discussing the cons of credit cards. Had I read my agreement to my Captial One card I would have nerver swiped the card. So many intrestes rates I was not expecting. I suggest if any college student use a credit card its for "emergence" only. If possible always use debit or cash so you want have any regrets in the long run.

This is a tough lesson, I learned mine a long time ago. By the time I paid off my washing machine on credit with interest, I could have bought two! (anne)

Jan. 31 Today I read a article about the problem of fashion. Over the years the main appeal of wearing expensive, new fashion was that wealthy clients could distinguish themselves from people who were less well off. Fashion helpded presevred the ordered layering of society into classes. Big named designers every season would show new styles in Paris,New York, or London. By 20th cenutury thanks to technological advances in clothes manufacturing it didn't take long to make inexpensive knock offs to trickle down to lower class.

Feb1 Today we discussed in class a story in our books about imates trainging dogs for veterns who are disable. Many people had great comments about is it fair for the imates to make a bound with the dog then the dog has to leave. My opioion was yes because they will soon get another dog.

Feb.2 Today was a looooooooong day to say. I read so much about the IRS laws a few years back I was audit for my taxes and every since then its been a headache I read this book Publication 596 about you have wait to years before you claim a dependent and they look at you retun for the next 10 years. It sucks to have people out there that take your money when you worked all year. Feb 9 It's been nearly a year since Formula Capital's James Altucher discussed his theory on why sending your kids to college is a bad idea. The segment proved to be one of Tech Ticker's most popular...and controversial of 2010. I agree with him about try to own your own business or travel the world first, because college is much more expensive now offering student loans on help shot term.

Feb 10 Today I read a article about a man who spent a decade of his life in prison. Today he is now free, but to help boys who are going down the path he once took. He built a outdoor prison cell that took about 30 hours to build. For the whole month of Feb. he will stayb there family vring himm food and he has a coat and cover to keep warm. The police took a trouble juvinile to the cell after talking with the man the young boy said he will change.This was an bad man once that turn around for the better.

Feb 11 Ways of not getting audit by the Irs was offered on yahoo. Many peolpe get audit because of the numbers do not add up. If a tax paypaer has been caught doing something fraud it could also lead up to make you prove the deductions you file is accaurtely. The best thing to do is keep up with your recepits for three years so if you have to send in more paper work you can.

Feb.14 Today in class I read a chapter in my reading book about decover the person you are meant to be and where you are trying to go in life. Often times we are told by others what "they" think of us and if you aren't careful you could easily believe what others opioin or views of you is true. also we decussed to read more because it will only gain knowlgde such as you may do unrealistic things because of the heat of the moment but may come back and affect of us long or shortly after the desicion we made.

=How the middle class became the underclass= With the unemployment rate still excessively high and the real estate market showing few signs of rebounding, the American middle class is still reeling from the effects of the Great Recession. Meanwhile, as corporate profits come roaring back and the stock market charges ahead, the wealthiest people continue to eclipse their middle-class counterparts. "I think it's a terrible dilemma, because what we're obviously heading toward is some kind of class warfare. [|www.yahoo.com] Feb.22 Today as I was reading over my car loan agreement with BB&T bank I notice m loan was origanlly 26,000 now almost 3 years later the balance is ony down 6,000 meaning I been paying ONLY intestest rates this is redicoulos. I read a book saying to always buy cars cash because the value always decerse. like a chapter in by rreading book stated that people do things out of the spite of a moment. I puarchase my car 3months after my dad died. I sometimes think I made that discsion because I was lonely, yet years later this was an mistake.

Feb 23. I read on yahoo news that foreclosure homes is unhealthy. It is at its lowest in 13 years. Many with bad credit is unable to parchase the home cash while reatlors are getting loans from the bank to remodle the home to rent. Economics say it will take years for home to be worth the true value due to the recession. Jobs is improving daily so many can afford to keep there morgage.

Feb. 24 I'm reading a book called Unconditionally Single by Mary B. Morrision. It is about how women/men settle sometimes because of low self-esteem, lonely, are maybe just desparte to be in a relationship. Many even get married and do not know the person well enough to take vows. She gave an example on newledeys she met on a plane the husband ask the wife which sandwich she wanted tuna or fish? He should already knew what she perfer before tieing the knote when I get married I want to make sure I know my husband inside out.

Feb 25. Miss Cololordo's beauty queen is going through hard times last year her and her mother got a evicted notcie from the sheriff taht show up at the front door. Her dad died with cancer at a young age she explain that all her life she has not had it easy she is only 23. On top of that in month her job will shut down for good. She still has a warm heart and a true believer that god is not done with her this is just another test. She was an huge impiration to me because I can some what relate to her. feb 28. Today in class we dissuss how food companys make the food packages colorful to grab our attention. Sometimes we eat mindless eating or just because the ocassitonn. For instance like movie theater eating pop corn the bigger the buket the more we eat or somretime its good to sit to a person who is not a heavy eater because it will trigger our mind to eat less.

Mar 1. We read over a chapter informing us about how portion in food can affect he BIM (body wieght mass). Though African Amercian house hold had the highest number from a survaye due to stress or emotinal eating mainly because of low income due to uneducated. Being little active plays a major role. Many enjoy watching T.V but snacking at the same time. In china the percentage is low because they watch their intake and move around more. Try sittong to a person who eat light next time at a reasturant or buy smaller cups and plates scientis sugessted.

Mar 2. I read a yahoo passage about 25 ways you can waste your money such as buying things you really dont need such as name-brand food or household products. Also booking hotel rooms and flights threw a company like hot wire with lower rates for last min. booking. Also instead of puting money in checking accounts put on CD to get interset build up.

Mar 6. Read the article about how apperence can determine your paycheck. In other words if you dress business and professionally on the job you can expect to get treated better and have more bucks guess the saying dress for suceess is the best and not the best earn less. Most office jobs perfer collar shirt and dress pants for women/ and men if a causl dress or skirt make sure past knees and a pair of panty holes perherably. Mar. 7 We discussed in class about happiness come. Many said money, health, kids, married ect. Come to find out all is false. some people miss out on family time chasing money or spending long extra hours at the work office. Another cineria we brought up was that imates in prison we "think" is a BAD LIFE. But in reality they learn to adapt and adjust. All in all no matter where you are in life its about the state of mind you have to go along with the situation. Mar 8. Ways to improve reading and remember word to write down yhe word or think of someone or something that you can refer back to. this will help in all other classes later on in collage. I actually tried this method and yep it works. Its call MAPPS.

Mar 9. Many say to to own your business to work for yourself. It will allow you make your own scueldue. Have holidays off. You can even spend more time with family. It is said many work for themself is more sucessfull. I started my own Mary kay business about 2 years ago and I enjoy it even though it does take plenty of self dispalne its well worth it.

Mar 21. In class today how muliptive can be good/bad. For instance in stores they jack up prices the throw a sign up says 40% off which sounds like a sweet deal and we buy the item. Or like my professior say she let her son play basket ball for 30 min. and he have fun so he gets his exericse on at the same time. Or if a husband tell his wife he want a $30,000 car he first apporch her with a $60,000 so the car he really want his wife agrees to. Mar.22 We discuss how Bill and John may attend the same school. Bill dad works coperate and John dad work for a factory company. Bill has a better chance makeing more mone and getting a better job. Even though it may seem unfair and very mush is its just how things work. Mar.23 Nine-year-old Anaiah Rucker is being hailed as a hero after saving her sister from being hit by a truck last month. Anaiah told [|The Today Show's Ann Curry] today that she didn't think twice before pushing her little sister out of the path of the vehicle as the pair crossed the street in Madison, Georgia to get to the school bus stop. Anaiah took the hit, instead, and lost a leg and a kidney for her bravery. "I love her more than anything," Anaiah [|told Channel 2's Tom Jones] of her five-year-old-sister, Camry. Anaiah said it was raining and her sweatshirt hood was covering her eyes as she and her sister crossed the road. The girls' mother, Andrea Taylor, witnessed her older daughter's act of bravery from the porch of their home, where she watches the girls catch the bus each morning. -www.yahoo.com Mar.24 WASHINGTON – Fewer people applied for unemployment benefits last week, adding to evidence that layoffs are slowing and employers may be stepping up hiring. The number of people seeking benefits dropped by 5,000 to a seasonally adjusted 382,000 in the week ended March 19, the Labor Department said Thursday.-www.yahoo.com Mar. 28 In class we discuss rather its right or wrong to quote others and not recongize the person who quoted ti first. I think its right. also we talked about college students go online copying others work. This is not good because you are not useing your own mind to think. taking credit from someone else thinking its not fair. Mar 29.

How much can I afford to spend?
Experts say you will typically spend about a third of your income on financing your home. Before you start to look for your dream house, figure out just how much of that dream you can afford. Mortgage lenders look at your ability to repay the mortgage loan by reviewing: Mar 30
 * Your credit history
 * Your monthly gross income
 * How much cash you can accumulate for a down payment, which is usually 10 percent to 20 percent of the sale price.

What is the best time to buy?
Because many buyers prefer to move in the spring or summer, the market starts to heat up as early as February. Families with children are anxious to buy so they can move during summer vacation, before the new school year begins. The market slows down in late summer before picking up again briefly in the fall. November and December have traditionally been slow months, although some astute buyers look for bargains during this period.

How long does it take to buy a house?
Buying a house can take from a few days to a few years. In most cases, the process will take several months of diligent effort.

How long should I look before buying a home?
You should look until you find the home that is right for you. This could take a week or a year depending on your personal needs and the state of the real estate market. Ideally, you would like to find a home after you have looked long enough to know what you like and what you do not like. You need time to educate yourself about the housing inventory.

How many times should I look at a house before I make an offer?
You will no doubt want to take a second or third look at a house that interests you. Your agent can arrange this; you should not call the sellers directly for access. But you should drive or walk by the house to get a better feel for the neighborhood. Return several times, at least once during rush hour, to see if the street is busy or congested. Drive a few blocks away from the house to see if the neighborhood holds up to your expectations. A map is a handy house-hunting aid.

How do you find a good agent?
A good agent typically works full-time and has several years of experience at minimum. Buyers don't usually pay for your agent's services (in the form of a commission, or percentage of the sales price of the home). The seller usually pays all agents in a transaction from the sales proceeds. In many states, this means that your agent legally is acting as a subagent of the seller. But in some states, it's legal for an agent to represent the buyers exclusively in the transaction and be paid a commission by the sellers. You also can hire and pay for your own agent, known as buyer's brokers, whose legal obligation is exclusively to you. Yahoo.com April 5 Yahoo.com In an internal memo sent Monday, the bank said it will process checks starting with the smallest amounts first beginning July 25. Most banks process larger checks first, a practice consumer advocates say increases the potential for multiple overdraft violations on checking accounts. Customers are being notified of the change in statements this week. The new check clearing method will only affect consumer checks. Citi does not process overdraft debit transactions or ATM withdrawals. The change comes as overdraft programs continue to draw criticism from consumer watchdogs. A new regulation that went into effect last year requires banks to obtain consent from customers before enrolling them in overdraft protection for debit transactions. But banks can still automatically enroll customers in overdraft protection for checks and automatic payments, a loophole that rankles consumer advocates. Still, said Ruth Susswein of Consumer Action, Citi’s decision to do away with the high-to-low check clearing process was a step in the right direction. Banks say the high-to-low check processing helps consumers because larger checks tend to be for mortgages and other high priority payments. But consumer advocates say the practice is a way for banks to rake in more overdraft charges. The fee is $34 per violation at Citi. In the bank memo, consumer and commercial banking president Cece Stewart states that the change is a response to customer feedback. In explaining how the change will work, she cites the example of a customer who has $100 in an account. If the customer writes checks for $90, $35 and $25, Citi would currently clear the $90 check first, meaning the two smaller checks would result in overdraft charges. Under the new check clearing process, however, the smaller checks would be cleared first and the customer would only incur one overdraft penalty fee for the larger check. IN GEORGIA Wells Fargo, the No. 2 bank in Atlanta by deposits, said checks and certain automated check transactions will continue to clear by highest total first. Wells Fargo spokeswoman Jamie Dexter said these payments tend to be mortgage or car payments, and customers have indicated they prefer these are given priority, but the bank is changing the way certain electronic transactions clear. Starting May 16, priority will be given to the time transactions occur or to the lowest amount for debit purchases, ATM withdrawals, bills paid online, certain account transfers and cash withdrawn or checks cashed through a teller. Bank of America, the No. 3 bank in metro Atlanta by deposits, said it continues to add deposits and deduct transactions from checking accounts by the largest amounts first. “Often, a customer’s largest transactions are those most important to them,” BofA said in a statement, mentioning mortgages, insurance premiums and car loans.

Electronic Filing Instructions for your 2010 Federal Tax Return

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

Declaration Control Number: 00-210062-66204-1 Accepted: 02/03/2011

Shonda L Pierce 750 Corder Rd., Apt. 91 Warner Robins, GA 31088

Page 1 of 1

|

Balance | Your federal tax return (Form 1040A) shows a refund due to you in the

Due/ | amount of $6,533.00. Applicable fees were deducted from your original

Refund | refund amount of $6,533.00. Your refund is now $6,436.15. Because you

| chose to have your TurboTax fees deducted from your refund, you will

| receive e-mail from the University National Bank of Saint Paul, MN,

| which handles this transaction. The IRS estimates that you can expect

| your tax refund to be direct deposited into your account on or around

| 02/18/2011. This is only an estimate. The account information you

| entered - Account Number: 3573870189 Routing Transit Number:

| 061000227.  _____ __ | __ _

|

Where’s My | Before you call the Internal Revenue Service with questions about

Refund? | your refund, give them 8 to 14 days processing time from the date

| your return is accepted. If then you have not received your refund,

| or the amount 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. _____ __ | __ _

|

No | No signature form is required since you signed your return

Signature | electronically.

Document |

Needed |

_____ __ | __ _

|

What You | Your Electronic Filing Instructions (this form)

Need to | Printed copy of your federal return

Keep |

_____ __ | __ _

|

2010 |  Adjusted Gross Income $ 14,904.00

Federal | Taxable Income $ 1,904.00

Tax | Total Tax $ 0.00

Return | Total Payments/Credits $ 6,533.00

Summary | Amount to be Refunded $ 6,533.00

| Effective Tax Rate -20.46% _____ __ | __ _ Hi Shonda, We just want to thank you for using TurboTax this year! It’s our goal to make your taxes easy and accurate, year after year. With TurboTax Deluxe: 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. Here’s the final wrap up for your 2010 taxes: Your federal refund is: $ 6,533.00 You qualified for these important credits: - Child and Dependent Care Credit - Child Tax Credit - Earned Income Credit Your Guarantee of Accuracy: Breathe easy. The calculations on your return are backed with our 100% Accuracy Guarantee. - 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! Also included: - We e-filed your federal returns for free, so you could get your refund in as few as 8 days. - We provide the Audit Support Center free of charge, in the unlikely event you get audited. Many happy returns from TurboTax.

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CONSENT2

Shonda Pierce 01/15/2011

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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. //

CONSENT3

Shonda Pierce 01/25/2011

FDISCLOS SBIA1301 12/14/10

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If you believe that 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.

Shonda Pierce 02/03/2011

FDIA1312 01/08/11 Department of the Treasury ' Internal Revenue Service

Form Do not write or staple in this space.
 * 1040A U.S. Individual Income Tax Return ** (99) ** 2010 ** IRS Use Only '

Boxes checked on 6a and 6b No. 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

Exemptions 6 a Yourself. If someone can claim you as a dependent, ** do not ** check box 6a

b Spouse c Dependents: (1) First name Last name

(2) Dependent’s social security number

(3) Dependent’s relationship to you

(4) b  if  child under age 17 qual for child tax cr (see instrs) If more than six dependents, see instructions.

d Total number of exemptions claimed

Income

7 Wages, salaries, tips, etc. Attach Form(s) W-2 ** 7 ** 8 a Taxable interest. Attach Schedule B if required ** 8 a ** b Tax-exempt interest. ** Do not ** include on line 8a ** 8 b ** 9 a Ordinary dividends. Attach Schedule B if required ** 9 a **

Attach Form(s) W-2 here. Also attach Form(s) 1099-R if tax was withheld. b  Qualified dividends (see instructions) ** 9 b ** 10 Capital gain distributions (see instructions) ** 10 ** 11a IRA distributions ** 11a 11b ** Taxable amount ** 11b ** 12a Pensions and annuities ** 12a 12b ** Taxable amount ** 12b ** 13 Unemployment compensation and Alaska Permanent Fund dividends (see instructions) ** 13 ** 14a Social security benefits ** 14b **
 * 14a 14b ** Taxable amount

If you did not get a W-2, see instructions. Enclose, but do not attach, any payment. Also, please use ** total income 15 **
 * Form 1040-V. 15 ** Add lines 7 through 14b (far right column). This is your

Your first name and initial Last name OMB No. 1545-0074

Your social security number

Name, Address, and SSN

If a joint return, spouse’s first name and initial Last name ** Spouse’s social security number **

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

See separate instructions

J

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

City, town or post office. If you have a foreign address, see instructions. State ZIP code

Presidential Election Campaign G

Filing 1 Single ** 4 ** Head of household (with qualifying person). (See instructions.)

status 2 Married filing jointly (even if only one had income) If the qualifying person is a child but not your dependent,

3 Married filing separately. Enter spouse’s SSN above and enter this child’s name here full name here Qualifying widow(er) with dependent child
 * 5 **

Check only one box. (see instructions) Check here if you, or your spouse if filing jointly, want $3 to go to this fund (see instructions) ** You Spouse ** 16 Educator expenses (see instructions) ** 16 ** 17  IRA deduction (see instructions) ** 17 ** 18  Student loan interest deduction (see instructions) ** 18 ** 19  Tuition and fees. Attach Form 8917 ** 19 **

Adjusted gross income

20 Add lines 16 through 19. These are your ** total adjustments 20 ** 21 Subtract line 20 from line 15. This is your ** adjusted gross income 21 ** BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form ** 1040A ** (2010) Checking a box below will not change your tax or refund

Shonda L Pierce 258-67-8100 750 Corder Rd. 91 Warner Robins GA 31088 X X  1 1 2  14,904.  14,904.  14,904.  Sar’Iah J Johnson 675-44-4711 Daughter X

Form ** 2 ** 22  Enter the amount from line 21 (adjusted gross income) ** 22 ** 23a Check ** You ** were born before January 2, 1946, Blind if: was born before January 2, 1946, Blind
 * 1040A ** (2010) Page
 * Spouse **

Total boxes checked 23a

Tax, credits, and payments

b If you are married filing separately and your spouse itemizes deductions, see instructions and check here ** 23b ** 24 Enter your ** standard deduction ** (see instructions) ** 24 ** 25  Subtract line 24 from line 22. If line 24 is more than line 22, enter -0- ** 25 ** 26 Exemptions. Multiply $3,650 by the number on line 6d ** 26 ** 27  Subtract line 26 from line 25. If line 26 is more than line 25, enter -0-. This is your

taxable income 27 28 Tax, including any alternative minimum tax (see instructions) ** 28 ** 29  Credit for child and dependent care expenses. Attach Form 2441 ** 29 ** 30  Credit for the elderly or the disabled. Attach Schedule R ** 30 ** 31 Education credits from Form 8863, line 23 ** 31 ** 32  Retirement savings contributions credit. Attach Form 8880 ** 32 ** 33  Child tax credit (see instructions) ** 33 ** 34  Add lines 29 through 33. These are your ** total credits 34 ** 35 Subtract line 34 from line 28. If line 34 is more than line 28, enter -0- ** 35 ** 36  Advance earned income credit payments from Form(s) W-2, box 9 ** 36 ** 37  Add lines 35 and 36. This is your ** total tax 37 ** 38 Federal income tax withheld from Forms W-2 and 1099 ** 38 ** 39  2010 estimated tax payments and amount applied from 2009 return ** 39 ** 40  Making work pay credit. Attach Schedule M ** 40 ** 41a Earned income credit (EIC) 41a b Nontaxable combat pay election. ** 41b ** 42 Additional child tax credit. Attach Form 8812 ** 42 ** 43  American opportunity credit from Form 8863, line 14 ** 43 ** 44  Add lines 38, 39, 40, 41a, 42, and 43. These are your ** total payments 44  ** 45 If line 44 is more than line 37, subtract line 37 from line 44.

Refund This is the amount you ** overpaid 45 ** 46a Amount of line 45 you want ** refunded to you. ** If Form 8888 is attached, check here ** 46a **

G Routing number G ** c ** Type: Checking Savings Direct deposit? See instructions and fill in 46b, 46c, and 46d or Form 8888.
 * b **

G Account number
 * d **

47 Amount of line 45 you want ** applied to your 2011 ** estimated tax 47

Amount you owe

48 Amount you owe. Subtract line 44 from line 37. For details on how to pay, see instructions ** 48 ** 49  Estimated tax penalty (see instructions) ** 49 **

Do you want to allow another person to discuss this return with the IRS (see instructions)? ** No Third party  ** designee
 * Yes. ** Complete the following.

Designee’s name G Phone no. G

Personal identification number (PIN) G

If you have a qualifying child, attach Schedule EIC.

Sign here

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 accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge. Your signature Date Your occupation Daytime phone number

Joint return? See instructions.

Spouse’s signature. If a joint return, Keep a copy for your records.
 * both ** must sign. Date Spouse’s occupation

A

Print/Type preparer’s name Preparer’s signature Date Check G if PTIN self-employed Firm’s name G

Paid preparer use only

Firm’s address G Firm’s EIN G

Phone no.

Form (2010)
 * 1040A **

FDIA1312 01/08/11

Shonda L Pierce 258-67-8100 14,904. 5,700.  9,204.  7,300.  1,904.  191.  191.  0.  0.  191.  0.  0.  1,109.  400.  3,050.  1,000.  974.  6,533.  6,533.  6,533.  061000227 X  3573870189 X Rental Sales Agent Self-Prepared

1 (a) Care provider’s name ** (b) ** Address (no., street, apt no., city, state, and ZIP code)

(c) Identifying no. (SSN or EIN)

(d) Amount paid (see instructions) Did you receive VVVVVV ** No ** VVVG Complete only Part II below.

dependent care benefits? VVVVVV ** Yes ** VVVG Complete Part III on page 2 next.

Caution. If the care was provided in your home, you may owe employment taxes. If you do, you cannot file Form 1040A. For details, see the instructions for Form 1040, line 59, or Form 1040NR, line 58.

Part II Credit for Child and Dependent Care Expenses

2 Information about your ** qualifying person(s). ** If you have more than two qualifying persons, see the instructions.

(a) Qualifying person’s name ** (b) ** Qualifying person’s social security number

(c) Qualified expenses you incurred and paid in 2010 for the person First Last listed in column (a)

3 Add the amounts in column (c) of line 2. ** Do not ** enter more than $3,000 for one qualifying person or $6,000 for two or more persons. If you completed Part III, enter the amount from line 31 ** 3 ** 4  Enter your ** earned income. ** See instructions ** 4 ** 5  If married filing jointly, enter your spouse’s earned income (if your spouse was a student  or was disabled, see the instructions); ** 5 ** 6  Enter the ** smallest ** of line 3, 4, or 5 ** 6 ** 7  Enter the amount from Form 1040, line 38; Form 1040A, line 22; or Form 1040NR, line 37 ** 7 ** 8  Enter on line 8 the decimal amount shown below that applies to the amount on line 7
 * all others, ** enter the amount from line 4

If line 7 is: If line 7 is: Over But not over Decimal amount is Over But not over Decimal amount is

$0 ' 15,000 .35 $29,000 '  31,000 .27  15,000  ' 17,000 .34 31,000 '  33,000 .26  17,000  ' 19,000 .33 33,000 '  35,000 .25  19,000  ' 21,000 .32 35,000 '  37,000 .24  21,000  ' 23,000 .31 37,000 '  39,000 .23  23,000  ' 25,000 .30 39,000 '  41,000 .22  25,000  ' 27,000 .29 41,000 '  43,000 .21  27,000  ' 29,000 .28 43,000 '  No limit .20

8 X

FDIA3212 07/20/10 OMB No. 1545-0074

Form ** 2441 Child and Dependent Care Expenses **

2010

Department of the Treasury Internal Revenue Service (99)

G ** Attach to Form 1040, Form 1040A, or Form 1040NR. **

G Attachment Sequence No. ** 21 **
 * See separate instructions. **

Name(s) shown on return ** Your social security number **

Part I Persons or Organizations Who Provided the Care ' You ** must ** complete this part. (If you have more than two care providers, see the instructions.)

9 Multiply line 6 by the decimal amount on line 8. If you paid 2009 expenses in 2010, see the instructions ** 9 ** 10  Tax liability limit. Enter the amount from the Credit Limit Worksheet in the instructions ** 10 ** 11 Credit for child and dependent care expenses. Enter the ** smaller ** of line 9 or line 10 here and on Form 1040, line 48; Form 1040A, line 29; or Form 1040NR, line 46 ** 11 ** BAA For Paperwork Reduction Act Notice, see your tax return instructions. Form ** 2441 ** (2010)

Shonda L Pierce 258-67-8100 776. 14,904.  14,904.  776.  14,904.  0.35  272.  191.  191.  Sar’Iah Johnson 675-44-4711 776. Belles and Beaus 155 Smithville Church Rd. Christian Learning Center Warne Robins GA 31088 20-0182916 775.64

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 only have to list three to get the maximum credit

2 Child’s SSN

The child must have an SSN as defined in the instructions for Form 1040A, lines 41a and 41b, or Form 1040, lines 64a and 64b, unless the child was born and died in 2010. If your child was born and died in 2010 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.

3 Child’s year of birth Year Year Year

If born after 1991 AND the child was younger than you (or your spouse, if filing jointly), skip lines 4a and 4b; go  to line 5. If born after 1991 AND the child was younger than you (or your spouse, if filing jointly), skip lines 4a and 4b; go  to line 5. If born after 1991 AND the child was younger than you (or your spouse, if filing jointly), skip lines 4a and 4b; go  to line 5.

4 a Was the child under age 24 at the end of  2010, a student, and younger than you (or  your spouse, if filing jointly)? ** Yes. No. Yes. No. Yes. No. **

Go to line 5. Continue. Go to line 5. Continue. Go to line 5. Continue.

b Was the child permanently and totally disabled during any part of 2010? ** Yes. No. Yes. No. Yes. No. **

Continue. The child is not a qualifying child.

Continue. The child is not a qualifying child.

Continue. The child is not a qualifying child.

5 Child’s relationship to you

(for example, son, daughter, grandchild, niece, nephew, foster child, etc)

6 Number of months child lived with you in the United States during 2010

? If the child lived with you for more than half of 2010 but less than 7 months, enter ’7’.

? If the child was born or died in 2010 and your home was the child’s home for the entire time he or she was alive during 2010, enter ’12’ months months months

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

FDIA7401 11/04/10

SCHEDULE EIC OMB No. 1545-0074

(Form 1040A or 1040)

Earned Income Credit

Qualifying Child Information ** 2010 **

Department of the Treasury Internal Revenue Service (99)

Complete and attach to Form 1040A or 1040 only if you have a qualifying child. Attachment Sequence No. ** 43 **

Name(s) shown on return ** Your social security number **

Before you begin: ? See the instructions for Form 1040A, lines 41a and 41b, or Form 1040, lines 64a and 64b, to make sure that you have a qualifying child.
 * (a) ** you can take the EIC and ** (b) **

? Be sure the child’s name on line 1 and social security number (SSN) on line 2 agree with the child’s social security card. Otherwise, at the time we process your return, we may reduce or disallow your EIC. If the name or SSN on the child’s social security card is not correct, call the Social Security Administration at 1-800-772-1213.

? 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

CAUTION! 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.

BAA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule ** EIC ** (Form 1040A or 1040) 2010

Shonda L Pierce 258-67-8100 Sar’Iah J Johnson 675-44-4711 2010  Daughter 12

Form OMB No. 1545-0074 (Rev. December 2009)
 * 8862 **

Information To Claim Earned Income Credit After Disallowance

Department of the Treasury Internal Revenue Service G ** Attach to your tax return. ** G ** See separate instructions. ** Attachment Sequence No. ** 43A **

Name(s) shown on return ** Your social security number **

Before you begin: c See your tax return instructions or ** Pub 596, ** Earned Income Credit (EIC), for the year for which you are filing this form to make sure you can take the earned income credit (EIC) to find out who is a qualifying child.
 * and **

c If you have a qualifying child, complete ** Schedule EIC ** before you fill in this form.

c the only reason your EIC was reduced or disallowed in the earlier year was because it was determined that a child listed on was not your qualifying child.
 * Do not ** file this form if you are taking the EIC without a qualifying child ** and **
 * Schedule EIC **

Part II Filers With a Qualifying Child or Children

Note. Child 1, Child 2, and ** Child 3 ** are the same children you listed as Child 1, Child 2, and Child 3 on ** Schedule EIC ** for the year shown on line 1 above.

4 Enter the ** number of days ** each child lived with you in the United States during the year shown on line 1 above:

a Child 1 b Child 2 c Child 3 Caution. If you entered less than ** 183 ** for any child, you cannot take the EIC based on that child, unless the special rule for a child who was born or died during the year shown on line 1 applies. See the instructions.

5 If your child was born or died during the year shown on line 1, enter the month and day the child was born and/or died. Otherwise, skip this line.

a Child 1 G ** (1) ** Month and day of birth (MM/DD) ** (2) ** Month and day of death (MM/DD)

b Child 2 G ** (1) ** Month and day of birth (MM/DD) ** (2) ** Month and day of death (MM/DD)

c Child 3 G ** (1) ** Month and day of birth (MM/DD) ** (2) ** Month and day of death (MM/DD)

6 Enter the address where you and the child lived together during the year shown on line 1. If you lived with the child at more than one address during the year, attach a list of the addresses where you lived:

a Child 1 G Number and street City or town, state and ZIP code

b Child 2 G ** If same as shown for child 1, check this box. ** G Otherwise, enter below: Number and street City or town, state and ZIP code

c Child 3 G ** If same as shown for child 1, check this box. ** G ** Or if same as shown for child 2 (and this is different from address **  shown for child 1), check this box. G Otherwise, enter below: Number and street City or town, state and ZIP code

BAA For Paperwork Reduction Act Notice, see separate instructions. FDIA4201 01/19/10 Form ** 8862 ** (Rev. 12-2009)

Part I All Filers

1 Enter the year for which you are filing this form (for example, 2009)

2 If the ** only ** reason your EIC was reduced or disallowed in the earlier year was because you incorrectly reported your earned income or investment income, check ’Yes.’ Otherwise, check ’No’ ** Yes No ** Caution. If you checked ’Yes,’ ** stop. Do not ** fill in the rest of this form. But you must attach it to your tax return to take the EIC. If you checked ’No,’ continue.

3 Could you (or your spouse if filing jointly) be claimed as a qualifying child of another person for the year shown on line 1? ** Yes No ** Caution. If you checked ’Yes’, ** stop. ** You cannot take the EIC. If you checked ’No,’ continue.

7 Did any other person (except your spouse, if filing jointly, and your dependents under age 19) live with child 1, child 2, or child 3 for more than half the year shown on line 1? ** Yes No **

If ’Yes,’ enter that person’s name and relationship to the child below. If more than one other person lived with the child for more than half the year, attach a list of each person’s name and relationship to the child:

a Other person living with child 1: Name Relationship to child 1

b Other person living with child 2: If same as shown for child 1, check this box. G Otherwise, enter below: Name Relationship to child 2

c Other person living with child 3: If same as shown for child 1, check this box. G ** Or if same as shown for child 2 ** (and this is different from the person living with child 1), check this box. G

Otherwise, enter below: Name Relationship to child 3

Caution. The IRS may ask you to provide additional information to verify your eligibility to claim the EIC.

Shonda L Pierce 258-67-8100 2010 X  X  365 04/14 X  750 Corder Rd. Apt. 91 Warner Robins, Ga. 31088

Part III Filers Without a Qualifying Child

8 Enter the ** number of days ** during the year shown on line 1 that you lived in the United States

Caution. If you entered less than ** 183 **, ** stop. ** You cannot take the EIC. See the instructions.

9 If married filing a joint return, enter the ** number of days ** during the year shown on line 1 that your spouse lived in the United States

Caution. If you entered less than ** 183 **, ** stop. ** You cannot take the EIC. See the instructions. Form ** 2 **
 * 8862 ** (Rev 12-2009) Page

FDIA4201 01/19/10

Shonda L Pierce 258-67-8100

OMB No. 1545-0074

Form ** 8812 Additional Child Tax Credit **

2010

Department of the Treasury Internal Revenue Service (99) // Complete and attach to Form 1040, Form 1040A, or Form 1040NR. // Attachment Sequence No. ** 47 **

Name(s) shown on return ** Your social security number **

Part I All Filers

1 1040 filers: 1040A filers: 1040NR filers:

Enter the amount from line 6 of your Child Tax Credit Worksheet (see the Instructions for Form 1040, line 51). Enter the amount from line 6 of your Child Tax Credit Worksheet (see the Instructions for Form 1040A, line 33). Enter the amount from line 6 of your Child Tax Credit Worksheet (see the Instructions for Form 1040NR, line 48). ** 1 **

If you used Pub 972, enter the amount from line 8 of the worksheet on page 4 of the publication.

2 Enter the amount from Form 1040, line 51, Form 1040A, line 33, or Form 1040NR, line 48 ** 2 ** 3  Subtract line 2 from line 1. If zero, ** stop; ** you cannot take this credit ** 3 ** 4 a  Earned income (see instructions) ** 4 a ** b Nontaxable combat pay (see instructions) ** 4 b ** 5 Is the amount on line 4a more than $3,000?

No. Leave line 5 blank and enter -0- on line 6.

Yes. Subtract $3,000 from the amount on line 4a. Enter the result ** 5 ** 6  Multiply the amount on line 5 by 15% (.15) and enter the result ** 6 ** Next. Do you have three or more qualifying children?

No. If line 6 is zero, stop; you cannot take this credit. Otherwise, skip Part II and enter the ** smaller ** of line 3 or line 6 on line 13.

Yes. If line 6 is equal to or more than line 3, skip Part II and enter the amount from line 3 on line 13. Otherwise, go to line 7.

Part II Certain Filers Who Have Three or More Qualifying Children

7 Withheld social security and Medicare taxes from Form(s) W-2, boxes 4 and 6. If married filing jointly, include your spouse’s amounts with yours. If you worked for a railroad, see the instructions ** 7 ** 8 1040 filers: Enter the total of the amounts from Form 1040, lines 27 and 57, plus any taxes that you identified using code ’UT’ and entered on the dotted line next to line 60. ** 8 ** 1040A filers: Enter -0-.

1040NR filers: Enter the total of the amounts from Form 1040NR, lines 27 and 55, plus any taxes that you identified using code ’UT’ and entered on the dotted line next to line 59.

9 Add lines 7 and 8 ** 9 ** 10 1040 filers: Enter the total of the amounts from Form 1040, lines 64a and 69.

1040A filers: Enter the total of the amount from Form 1040A, line 41a, plus any excess social security and tier 1 RRTA taxes withheld that you entered to the left of line 44 (see instructions). ** 10 ** 1040NR filers: Enter the amount from Form 1040NR, line 64.

11 Subtract line 10 from line 9. If zero or less, enter -0- ** 11 ** 12  Enter the ** larger ** of line 6 or line 11 ** 12 ** Next, enter the ** smaller ** of line 3 or line 12 on line 13.

Part III Additional Child Tax Credit

13 This is your additional child tax credit 13

Enter this amount on Form 1040, line 65, Form 1040A, line 42, or Form 1040NR, line 62.

BAA For Paperwork Reduction Act Notice, see your tax return instructions. FDIA3001 07/08/10 Form ** 8812 ** (2010)

Shonda L Pierce 258-67-8100 1,000. 0.  1,000.  14,904.  X 11,904. 1,786. X  1,000.

OMB No. 1545-0074

Form ** 8863 Education Credits (American Opportunity and **  Lifetime Learning Credits) 2010

Department of the Treasury Internal Revenue Service (99)

G ** See separate instructions to find out if you are eligible to take the credits. **

G Attachment Sequence No. ** 50 **
 * Attach to Form 1040 or Form 1040A. **

Name(s) shown on return ** Your social security number **

CAUTION! // You cannot // take both an education credit and the tuition and fees deduction (see Form 8917) for the ** same student ** // for the // same year.

Part II Lifetime Learning Credit.

Caution: // You ** cannot ** take the American opportunity credit and the lifetime learning credit for the ** same student ** in the same year. //

3 (a) Student’s name (as shown on page 1 of your tax return)

(b) Student’s social security number (as shown on page 1 of  your tax return)

(c) Qualified expenses (see instructions) First name Last name

4 Add the amounts on line 3, column (c), and enter the total ** 4 ** 5  Enter the ** smaller ** of line 4 or $10,000 ** 5 ** 6 Tentative lifetime learning credit. Multiply line 5 by 20% (.20). If you have an entry on line 2, go to Part III; otherwise go to Part IV ** 6 ** BAA For Paperwork Reduction Act Notice, see your tax return instructions. FDIA3601 12/31/10 Form ** 8863 ** (2010)

Part I American Opportunity Credit

Caution: // You ** cannot ** take the American opportunity credit for more than ** 4 ** tax years for the ** same student. **//

1 (a) Student’s name (as shown on page 1 of your tax return)

(b) Student’s social security number (as shown on page 1 of  your tax return)

(c) Qualified expenses (see instructions). ** Do ** not enter more than $4,000 for each student.

(d) Subtract $2,000 from the amount in column (c). If zero or less, enter -0-

(e) Multiply the amount in column (d) by 25% (.25)

(f) If column (d) is zero, enter the amount from column (c). Otherwise, add $2,000 to the amount in  column (e). First name Last name

2 Tentative American opportunity credit. Add the amounts on line 1, column (f). If you are taking the lifetime learning credit for a different student, go to Part II; otherwise, go to Part III ** 2 **

Shonda L Pierce 258-67-8100 2,436. Shonda L  Pierce 258-67-8100 3,742. 1,742. 436. 2,436.

Part III Refundable American Opportunity Credit

7 Enter the amount from line 2 ** 7 ** 8  Enter: $180,000 if married filing jointly; $90,000 if single, head of household, or qualifying widow(er) ** 8 ** 9  Enter the amount from Form 1040, line 38,* or Form 1040A, line 22 ** 9 ** 10  Subtract line 9 from line 8. If zero or less, ** stop; ** you cannot take any education credit ** 10 ** 11  Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or qualifying widow(er) ** 11 ** 12  If line 10 is:

? Equal to or more than line 11, enter 1.000 on line 12

? Less than line 11, divide line 10 by line 11. Enter the result as a decimal (rounded to at least three places) ** 12 ** 13  Multiply line 7 by line 12. ** Caution: ** If you were under age 24 at the end of the year ** and ** meet the conditions in the instructions, you take the refundable American opportunity credit. Skip line 14, enter the amount from line 13 on line 15, and check this box ** 13 ** 14 Refundable American opportunity credit. Multiply line 13 by 40% (.40). Enter the amount here and on Form 1040, line 66, or Form 1040A, line 43. Then go to line 15 below ** 14 **
 * cannot **

Form ** 2 **
 * 8863 ** (2010) Page

Part IV Nonrefundable Education Credits

15 Subtract line 14 from line 13 ** 15 ** 16  Enter the amount from line 6, if any. If you have no entry on line 6, skip lines 17 through 22, and enter the amount from line 15 on line 6 of the Credit Limit Worksheet (see instructions) ** 16 ** 17  Enter: $120,000 if married filing jointly; $60,000 if single, head of household, or qualifying widow(er) ** 17 ** 18  Enter the amount from Form 1040, line 38,* or Form 1040A, line 22 ** 18 ** 19  Subtract line 18 from line 17. If zero or less, skip lines 20 and 21, and enter zero on line 22 ** 19 ** 20  Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or qualifying widow(er) ** 20 ** 21  If line 19 is:

? Equal to or more than line 20, enter 1.000 on line 21 and go to line 22

? Less than line 20, divide line 19 by line 20. Enter the result as a decimal (rounded to at least three places) ** 21 ** 22  Multiply line 16 by line 21. Enter here and on line 1 of the Credit Limit Worksheet (see instructions) ** 22 ** 23 Nonrefundable education credits. Enter the amount from line 11 of the Credit Limit Worksheet (see instructions) here and on Form 1040, line 49, or Form 1040A, line 31 ** 23 **

* If you are filing Form 2555, 2555-EZ, or 4563, or you are excluding income from Puerto Rico, see Pub 970 for the amount to enter.

Form (2010)
 * 8863 **

FDIA3601 12/31/10

Shonda L Pierce 258-67-8100 2,436. 90,000.  14,904.  75,096.  10,000.  1.000  2,436.  974.  1,462.  0.

SCHEDULE M OMB No. 1545-0074

(Form 1040A or 1040) Making Work Pay Credit 2010

Department of the Treasury Internal Revenue Service (99)

G Attachment Sequence No. ** 166 **
 * Attach to Form 1040A or 1040. ** G ** See separate instructions. **

Name(s) shown on return ** Your social security number **

Important: Check the ** ’No’ ** box on line 1a and see the instructions if:

(a) You have a net loss from a business,

(b) You received a taxable scholarship or fellowship grant not reported on a Form W-2,

(c) Your wages include pay for work performed while an inmate in a penal institution,

(d) You received a pension or annuity from a nonqualified deferred compensation plan or a nongovernmental section 457 plan, or

(e) You are filing Form 2555 or 2555-EZ.

7 Is the amount on line 5 more than the amount on line 6?

No. Skip line 8. Enter the amount from line 4 on line 9 below.

Yes. Subtract line 6 from line 5 ** 7 ** 8  Multiply line 7 by 2% (.02) ** 8 ** 9  Subtract line 8 from line 4. If zero or less, enter -0- ** 9 ** 10  Did you (or your spouse, if filing jointly) receive an economic recovery payment in ** 2010 ** ? You may have received this payment in 2010 if you did not receive an economic recovery payment in 2009 but you received social security benefits, supplemental security income, railroad retirement benefits, or veterans disability compensation or pension benefits in November 2008, December 2008, or January 2009 (see instructions).

No. Enter -0- on line 10 and go to line 11.

Yes. Enter the total of the payments you (and your spouse, if filing jointly) received in ** 2010. **

Do not enter more than $250 ($500 if married filing jointly) ** 10 ** 11 Making work pay credit. Subtract line 10 from line 9. If zero or less, enter -0-. Enter the result here and on Form 1040, line 63; or Form 1040A, line 40 ** 11 **

*If you are filing Form 2555, 2555-EZ, or 4563 or you are excluding income from Puerto Rico, see instructions.

BAA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule ** M ** (Form 1040A or 1040) 2010

FDIA8501 09/20/10

1 a Do you (and your spouse if filing jointly) have 2010 wages of more than $6,451 ($12,903 if married filing jointly)?

Yes. Skip lines 1a through 3. Enter $400 ($800 if married filing jointly) on line 4 and go to line 5.

No. Enter your earned income (see instructions) ** 1 a ** b Nontaxable combat pay included on line 1a (see instructions) ** 1 b ** 2 Multiply line 1a by 6.2% (.062) ** 2 ** 3  Enter $400 ($800 if married filing jointly) ** 3 ** 4  Enter the ** smaller ** of line 2 or line 3 (unless you checked ’Yes’ on line 1a) ** 4 ** 5  Enter the amount from Form 1040, line 38*, or Form 1040A, line 22 ** 5 ** 6  Enter $75,000 ($150,000 if married filing jointly) ** 6 ** Caution: // To take the making work pay credit, you must include your social security number (if filing a joint return, the number of either you or // your spouse) on your tax return. A social security number does not include an identification number issued by the IRS. Only the Social Security Administration issues social security numbers.

Caution: // You cannot take the making work pay credit if you can be claimed as someone else’s dependent or if you are a nonresident alien. //

Shonda L Pierce 258-67-8100 X 400. 14,904. 75,000.  X  400. X 0. 400.

Form ** 1098-T Tuition Statement 2010 **

G Keep for your records

Taxpayer’s name Social Security No.

Identify Student (Required): A If student is

Double-click to link this 1098-T to the applicable ** Taxpayer or Spouse ** Student Information Worksheet

B If student is

Double-click to link this 1098-T to the applicable ** Dependent Student ** Information Worksheet

Filer’s name Payments received for qualified tuition and related expenses $
 * 1 **

Street address City State Zip Code Amounts billed for qualified tuition and related expenses $
 * 2 **

Telephone no. Ext: If this box is checked, your educational institution has changed its reporting method for 2010
 * 3 **

Filer’s Federal Student’s ** 4 ** Adjustments made for a ** 5 ** Scholarships or grants identification number Social Security Number. prior year

$ $

Student’s name Check this box if the amount scholarships or grants in box 1 or 2 includes Street address Apt. No. for a prior year amounts for an academic period City State Zip Code beginning January -
 * 6 ** Adjustments to ** 7 **

$ March 2011 Service Provider/ Acct No Ins. contract reimb./refund half-time student student $
 * 8 ** Check if at least ** 9 ** Check if a graduate ** 10 **

Reconciliation of Box 2, Amounts Billed for Qualified Tuition and Related Expenses

A Enter portion of box 2 amount ** not ** paid during 2010

B Enter portion of box 2 amount actually paid during 2010

Shonda L Pierce 258-67-8100 Shonda Shonda Sar’Iah Middle Georgia College 1100 Second Street SE Cochran GA 31014 3,042. 58-6002057 258-67-8100 Shonda 750 Corder Rd. 91 Warner Robins GA 31088 0. 3,042.

Tax Payments Worksheet 2010

G Keep for your records

Name(s) Shown on Return Social Security Number

Estimated Tax Payments for 2010 (If more than 4 payments for any state or locality, see Tax Help)

Federal State Local Date Amount Date Amount ID Date Amount ID 1 2 3  4  5  Tot Estimated Payments Tax Payments Other Than Withholding Federal State ID Local ID

(If multiple states, see Tax Help)

6 Overpayments applied to 2010

7 Credited by estates and trusts

8 Totals Lines 1 through 7

9 2010 extensions

Taxes Withheld From: Federal State Local 10 Forms W-2

11 Forms W-2G

12 Forms 1099-R

13 Forms 1099-MISC and 1099-G

14 Schedules K-1

15 Forms 1099-INT, DIV and OID

16 Social Security and Railroad Benefits

17 Form 1099-B St Loc

18 a Other withholding St Loc

b Other withholding St Loc

c Other withholding St Loc

19 Total Withholding Lines 10 through 18c

20 Total Tax Payments for 2010

Prior Year Taxes Paid In 2010 State ID Local ID

(If multiple states or localities, see Tax Help)

21 Tax paid with 2009 extensions

22 2009 estimated tax paid after 12/31/09

23 Balance due paid with 2009 return

24 Other (amended returns, installment payments, etc)

Shonda L Pierce 258-67-8100 04/15/10 04/15/10 04/15/10 06/15/10 06/15/10 06/15/10  09/15/10 09/15/10 09/15/10  01/18/11 01/18/11 01/18/11  1,109. 383.  1,109. 383.  1,109. 383.

Education Tuition and Fees Summary 2010

G Keep for your records

Name(s) Shown on Return Your Social Security No.

Part I - Qualified Education Expense Summary

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

Student’s name Qualified Qualified Elected Elected First Name MI Education for: Credit or Credit or Last Name Suffix Expenses Deduction Deduction Social Security Number if if Yes No  ** manual automatic **

Amer Opp Cr Lifetime Cr  Tuition Ded Amer Opp Cr Lifetime Cr  Tuition Ded Amer Opp Cr Lifetime Cr  Tuition Ded Total qualified expenses Amer Opp Cr Lifetime Cr  Tuition Ded

Part II - Optimize Education Expenses for the Lowest Tax

Shonda L Pierce 258-67-8100 3,742. 3,742.  3,742.  Shonda L 3,742. X X Pierce 3,742. X 258-67-8100 3,742. X 3,742.

1 Launch OPTIMIZER - Check to launch Automatic Education Expense Optimizer now

Automatic

2 Automatic - Check to use the Credit choices calculated in Part I, column (e) above or

3 Manual - Check to use the Credit choices you entered in Part I, column (d) above

X

Part III - Summary of Net Tax, Deduction, and Credits

Net Tax Liability based on the Credit combination selected in Part II 1 Total tax 1 2 Making work pay and government retiree credit. ** 2 ** 3  Earned income credit (EIC) ** 3 ** 4  Additional child tax credit. ** 4 ** 5  First-time homebuyer credit from Form 5405 ** 5 ** 6  Credit for federal tax paid on fuels from Form 4136 ** 6 ** 7  Refundable credit from Form 8801 ** 7 ** 8  Health Coverage Tax Credit from Form 8885 ** 8 ** 9 Net tax Liability without carryforwards 9 Credit Carryforwards 10 a General Business Credit ** 10a ** b Mortgage interest credit ** b ** c Foreign tax credit ** c ** d Residential Energy Credit ** d ** e Other carryover ** e ** f Other carryover ** f **

Total Carryovers ** 10 ** 11 Net tax liability with carryforwards 11 Tuition and Fees Deduction Summary 12 Total 2010 tuition and fees paid for purposes of deduction ** 12 ** 13  Modified adjusted gross income ** 13 ** 14  Maximum deduction allowed ** 14 ** 15  Allowable Tuition and Fees Deduction (lesser of line 12 or line 14) ** 15 ** American Opportunity, Lifetime Learning Credits Summary 16 Tentative American Opportunity Credit ** 16 ** 17  Tentative Lifetime Learning Credit ** 17 ** 18  Total Education Credits (after limitations) ** 18 **

Shonda L Pierce 258-67-8100 0. 400.  3,050.  1,000.  0.  0.  0.  2,436.  974.

Federal Carryover Worksheet 2010

G Keep for your records

Name(s) Shown on Return Social Security Number

2009 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- Applied Local ID Extension After 12/31 held/Pmts Return payment Amount Totals Other Tax and Income Information 2009 2010 1 Filing status ** 1 ** 2  Number of exemptions for blind or over 65 (0 - 4) ** 2 ** 3  Itemized deductions after limitation ** 3 ** 4  Check box if required to itemize deductions ** 4 ** 5  Adjusted gross income ** 5 ** 6  Tax liability for Form 2210 or Form 2210-F ** 6 ** 7  Alternative minimum tax ** 7 ** 8  Federal overpayment applied to next year estimated tax ** 8 ** QuickZoom to the IRA Information Worksheet for IRA information

Excess Contributions 2009 2010 9 a Taxpayer’s excess Archer MSA contributions as of 12/31 ** 9 a ** b Spouse’s excess Archer MSA contributions as of 12/31 ** b ** 10 a Taxpayer’s excess Coverdell ESA contributions as of 12/31 ** 10 a ** b Spouse’s excess Coverdell ESA contributions as of 12/31 ** b ** 11 a Taxpayer’s excess HSA contributions as of 12/31 ** 11 a ** b Spouse’s excess HSA contributions as of 12/31 ** b ** Loss and Expense Carryovers 2009 2010 12 a Short-term capital loss ** 12 a ** b AMT Short-term capital loss ** b ** 13 a Long-term capital loss ** 13 a ** b AMT Long-term capital loss ** b ** 14 a Net operating loss available to carry forward ** 14 a ** b AMT Net operating loss available to carry forward ** b ** 15 a Investment interest expense disallowed ** 15 a ** b AMT Investment interest expense disallowed ** b ** 16 Nonrecaptured net Section 1231 losses from: ** a ** 2010 ** 16 a ** b 2009 ** b ** c 2008 ** c ** d 2007 ** d ** e 2006 ** e ** f 2005 ** f **

Shonda L Pierce 258-67-8100 2,596. 1,991. 1 Single 1 Single 2,596. 383. 18,268. 14,904.  0. 0.  GA 2,596. 1,991.

Federal Carryover Worksheet page 3 2010

Charitable Contribution Carryovers 26 2009 Carryover of  ** Other Property Capital Gain **

charitable contributions from: 20%
 * (a) ** 50% ** (b) ** 30% ** (c) ** 30% ** (d) **

a 2009

b 2008

c 2007

d 2006

e 2005

27 2010 Carryover of  ** Other Property Capital Gain **

charitable contributions from: 20%
 * (a) ** 50% ** (b) ** 30% ** (c) ** 30% ** (d) **

a 2010

b 2009

c 2008

d 2007

e 2006

28 Amount overpaid less earned income credit

2009 State Capital Loss Carryovers (For users ** not ** transferring from the prior year)

State Short-term AMT Short-term Long-term AMT Long-term Capital Loss AMT Capital Loss ID Capital Loss Capital Loss Capital Loss Capital Loss (combined) (combined) for State for State for State for State for State for State

Shonda L Pierce 258-67-8100 3,355.

University National Bank Refund Processing Agreement (’Agreement’)

Name: Social Security No.: This Agreement contains important terms, conditions and disclosures about the processing of your refund by University National Bank of Saint Paul, MN, (BANK). Read this Agreement carefully before accepting its terms and conditions, and print a copy and/or retain this information electronically for future reference. As used in this Agreement, the words ’you’ and ’your’ refer to the applicant or both the applicant and joint applicant if the 2010 federal income tax return is a joint return (individually and collectively, ’Applicant’). The words ’we,’ ’us’ and ’our’ refer to BANK. 1. ** NOTICE: No Requirement To Have BANK Process Your Refund In Order To File Electronically. **

YOU UNDERSTAND THAT BANK CHARGES A REFUND PROCESSING SERVICE FEE OF $ TO ESTABLISH A TEMPORARY ACCOUNT TO RECEIVE YOUR TAX REFUND, TO DEDUCT YOUR TURBOTAX FEES FROM THAT ACCOUNT, AND TO FORWARD FUNDS TO YOU. THE REFUND PROCESSING SERVICE FEE IS NOT A LOAN; IT IS DUE TO BANK WHETHER OR NOT THE REFUND TRANSFER OCCURS. YOU CAN AVOID THIS FEE AND NOT USE BANK’S REFUND PROCESSING SERVICE BY, INSTEAD, PAYING THE APPLICABLE TURBOTAX FEES TO INTUIT BY CREDIT OR DEBIT CARD AT THE TIME YOU FILE YOUR 2010 FEDERAL INCOME TAX RETURN AND ELECTING TO HAVE YOUR REFUND DIRECTLY DEPOSITED IN YOUR OWN BANK ACCOUNT OR MAILED TO YOU. IF YOU DO USE THE REFUND-PROCESSING SERVICE, YOU CAN EXPECT TO RECEIVE THE PROCEEDS FROM YOUR TAX REFUND WITHIN 8 TO 15 DAYS FROM WHEN THE IRS ACCEPTS YOUR RETURN. IF YOU DO NOT USE THE REFUND-PROCESSING SERVICE, BUT DO FILE YOUR TAX RETURN ELECTRONICALLY, AND HAVE YOUR TAX REFUND DIRECTLY DEPOSITED INTO A BANK ACCOUNT, YOU CAN EXPECT TO RECEIVE YOUR REFUND WITHIN 8 TO 15 DAYS FROM WHEN THE IRS ACCEPTS YOUR RETURN. IF YOU ELECT TO RECEIVE YOUR TAX REFUND THROUGH THE MAIL, YOU CAN EXPECT TO RECEIVE YOUR REFUND IN 3 TO 4 WEEKS FROM WHEN THE IRS ACCEPTS YOUR RETURN. THE COST OF PREPARING YOUR TAX RETURN IS NOT ANY MORE OR LESS IF YOU PURCHASE THE REFUND PROCESSING SERVICE. 2. You authorize the Internal Revenue Service ("IRS") to disclose any information to BANK related to the funding of your 2010 tax refund. You also authorize Intuit, as the transmitter of your electronically filed tax return, to disclose your tax return and contact information to BANK for use in connection with the refund processing services being provided pursuant to this Agreement and BANK to share your information with Intuit. Neither Intuit nor BANK will disclose or use your tax return information for any other purpose, except as permitted by law. BANK will not use your tax information or contact information for any marketing purpose. For more information concerning our privacy policy please see the disclosures at the end of this Agreement describing how BANK may use or share your personal information. 3. ** Summary of Terms **
 * Authorization to Release Personal Information. **

Expected Federal Refund $

Less BANK Refund Processing Service Fee $

Less TurboTax Fees $

Less Additional Products and Services Purchased $

Expected Proceeds* $

*These charges are itemized. This is only an estimate. The amount will be reduced by any applicable sales taxes, and if applicable, a ten dollar ($10) BANK handling fee as set forth in paragraphs 4 and 7 below. 4. You hereby authorize BANK to establish a temporary deposit account (’Deposit Account’) for the purpose of receiving your tax year 2010 federal income tax refund from the IRS. BANK must receive an acknowledgment from the IRS that your return has been electronically filed and accepted for processing before the Deposit Account can be opened. You authorize BANK to deduct from your Deposit Account the following amounts: (i) the BANK refund processing service fee; (ii) the fees and charges related to the preparation, processing and transmission of your tax return (Turbo Tax Fees); and, (iii) amounts to pay for additional products and services purchased plus applicable taxes. You also authorize BANK to deduct ten dollars ($10) as a BANK handling fee, from your Deposit Account in the event that your deposit is returned or you provide incorrect bank account or routing information, as set forth in the Note below paragraph 7 below.You authorize BANK to disburse the balance of the Deposit Account to you after making all authorized deductions or payments. 5. (a) You understand that: (i) BANK cannot guarantee the amount of your tax year 2010 federal income tax refund or  the date it will be issued, and (ii) BANK is not affiliated with the transmitter of the tax return (Intuit) and does not warrant the accuracy of the software used to prepare the tax return. (b) You agree that Intuit is not acting as your agent and is not under any fiduciary duty with respect to the processing of your refund by BANK. 6. The Deposit Account is being opened for the purpose of receiving your (both spouses if this is a jointly filed  return) tax year 2010 federal tax refund. We will charge the fees set forth in Section 3 for the Account. No other deposits may be made to the Deposit Account. No withdrawals will be allowed from the Deposit Account except as provided in Section 4. No interest is payable on the deposit; thus, the annual percentage yield and interest rate are 0%. The Deposit Account will be closed after all authorized deductions have been made and any remaining balance has been disbursed to you. Questions or concerns about the Deposit Account should be directed to: University National Bank, P.O. Box 261059, San Diego, CA 92126, or via the Internet at http://cisc.sbtpg.com.
 * Temporary Deposit Account Authorization. **
 * Acknowledgments. **
 * Truth in Savings Disclosure. **

RTAPP SCB_1133_12-20-10 SBIA0912 01/05/11

Shonda L Pierce 258-67-8100

29.95

6,533.00 29.95  66.90  6,436.15

8. The Federal Electronic Fund Transfer Act provides you with certain rights and obligations regarding the Federal and state income tax refund that will be electronically deposited into your Account established at BANK for that purpose. If you believe that there is an error or if you have a question about your Account, write to University National Bank, P.O. Box 261059, San Diego, California 92126 or telephone (800) 717-7228 and provide BANK with your name, a description or explanation of the error and the dollar amount of the suspected error. BANK will advise you of the results of its investigation within 10 business days. 9. In addition to any fees paid directly by you to Intuit, BANK will pay a portion of BANK’s refund processing fee to Intuit in  consideration of Intuit’s provision of various programming, testing, data processing, transmission, systems maintenance, status reporting and other software, technical and communications services. 10. The enforcement and interpretation of this Agreement and the transactions contemplated herein shall be governed by the laws of the United States, including the Electronic Signatures in Global and National Commerce Act, and, to the extent state law applies, the substantive law of Minnesota. 11. You agree that any and all disputes which in any way arise out of or relate to this agreement, shall be resolved solely by binding arbitration before the American Arbitration Association (’AAA’) before a single arbitrator in an arbitration commenced as close as possible to where you reside. Judgment on the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. Each party to any such arbitration shall bear its own separate costs and expenses of the arbitration and shall share equally in the charges of the AAA, including the fee of the arbitrator. However, if you are unable to pay any fee of the AAA or the arbitrator, we agree to pay those fee for you. 12. To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When we open an Account for you for the purpose of receiving your IRS refund deposit or if you apply for one of our products, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask for your driver’s license information or information from other identifying documents of yours.
 * Federal Electronic Fund Transfer Act Disclosures: **
 * Compensation. **
 * Governing Law. **
 * Arbitration Provision. **
 * USA Patriot Act Disclosure. **

RTAPP SCB_1133_12-20-10 SBIA0912 01/05/11

b) Direct Deposit to Checking or Savings Account: If you choose this option, the balance of your Deposit Account will be disbursed to you electronically by ACH Direct Deposit to your personal bank account designated below. If a joint return is filed, the bank account may  be a joint account or the individual account of either spouse.

DIRECT DEPOSIT ACCOUNT TYPE: Checking Savings

RTN #: ACCOUNT #: Note: To ensure that there are no delays in receiving your refund, please contact your financial institution to confirm that you are using the correct RTN (routing) and account number. If you or your representative enter your personal bank account information incorrectly and your deposit is returned to BANK, the refund balance minus a $10 BANK handling fee will be disbursed to you via a cashier’s check mailed to the address on your tax return. If the direct deposit is not returned to BANK, you will be responsible for the loss. 7. You agree that the disbursement method selected below will be used by BANK to disburse funds to you. a) Direct Deposit to Prepaid Debit Card: If you choose this option, you authorize BANK to transfer the balance of your Deposit Account to the financial institution that supports your prepaid debit card, so that the financial institution may deposit the balance of your  refund, as directed by you, on the respective prepaid debit card you have selected.  ** Additional fees will be charged for the use of the **  card. Please review the cardholder agreement associated with the use of your prepaid debit card provided by the participating  financial institution to learn of other fees, charges, terms and conditions that will apply. BANK will not be responsible for your  funds once they have been deposited with the respective financial institution.  YOUR AGREEMENT
 * Disbursement Method: **

By selecting the button in TurboTax: (i) You authorize BANK to receive your 2010 federal tax refund from the IRS and to make the deductions from your refund described in the Agreement, (ii) You agree to receive all Communications electronically in accordance with the ’Consent to Conduct Business Electronically’ section of the License Agreement for Tax Year 2010 TurboTax(R) Software and Services, as the term ’Communications’ is defined therein, (iii) You consent to the release of your 2010 refund deposit information and application information as described in Section 2 of this Agreement; and (iv) You acknowledge that you have reviewed, and agree to be bound by, the Agreement’s terms and conditions. You understand that, if you change your tax year 2010 federal tax return information in a way that affects the amount of your refund, you must review and accept the Agreement again. If this is a joint return, selecting indicates that both spouses agree to be bound by the terms and conditions of the Agreement.

Shonda L Pierce 258-67-8100 X X  061000227 3573870189

’I Agree’ ’I Agree’

Rev 01/2011

FACTS What does University National Bank do with your Personal Information?

Why? Financial Companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do.

What? The types of personal information we collect and share depend on the product or service you have with us. This can include:

? Social Security Number

? Income

? Account balances

? Payment history

? Transaction history

How? All Financial Companies need to share customers’ personal information to run their everyday business. In the section below, we list the reasons Financial Companies can share their customers’ personal information; the reasons University National Bank chooses to share and whether you can limit the sharing.

Reasons we can share your personal information Does University National Bank share? Can you limit this sharing? For our everyday business purposes '

such as to process your transaction, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus. Yes No

For our marketing purposes '

to offer our products and services to you. No We don’t share

For joint marketing with other financial companies. No We don’t share

For our affiliates’ everyday business purposes '

information about your transactions and experiences. No We don’t share

For our affiliates’ everyday business purposes '

information about your creditworthiness. No We don’t share

For our affiliates to market to you. No We don’t share

For nonaffiliates to market to you. No We don’t share

Questions? Toll Free: 800-717-7228.

SBIA0912 01/05/11

Shonda L Pierce 258-67-8100

Page 2

Who we are

Who is providing this notice? University National Bank

What we do

How does University National Bank protect my personal information?

To protect your personal information from unauthorized access and use, we use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings. Your information is accessible only to employees who need the information in order to process your product request, answer your questions or determine the types of additional products or services that we think may interest you. We train our employees on their responsibility to maintain the privacy for your personal information.

How does University National Bank collect my personal information?

We collect your personal information about you when you apply for a tax related product. This includes information in your application and your tax return in each year that you applied for a tax-related bank product, such as your name, address, social security number, income, deductions, refund and the like. We also collect information about your transactions with us, other lenders, tax preparers and similar providers, such as payment histories, balances due, and tax information. We may also collect information concerning your credit history from a consumer reporting agency.

Why can’t I limit all sharing? Federal law gives you the right to limit only:

? Sharing for affiliates’ everyday business purposes ' information about your creditworthiness,

? Affiliates from using your information to market to you,

? Sharing for nonaffiliates to market you.

What happens when I limit sharing for an account I hold jointly with someone else?

Your choices will apply to everyone on your account.

Definitions

Affiliates Companies related by common ownership or control. They can be financial and nonfinancial companies.

? University Financial Corp. dba Sunrise Community Banks.

? Franklin National Bank

? Park Midway Bank, NA

Nonaffiliates Companies not related by common ownership or control. They can be financial or nonfinancial companies. University National Bank does not share with nonaffiliates so they can market to you.

Joint marketing A formal joint marketing agreement between nonaffiliated financial companies that together market financial products or services to you. University National Bank does not jointly market.

Other Important Information

This notice is adopted in recognition of our obligations under Title V of Gramm-Leach Bliley Act of 1999. This Notice applies only to individuals who have applied for a tax-related bank product.

SBIA0912 01/05/11

Shonda L Pierce 258-67-8100

The Intuit Electronic Postmark shows the date and time Intuit received your federal tax return. The Intuit Electronic Postmark documents the filing date of your income tax return, and the electronic postmark information should be kept on file with your tax return and other tax-related documentation. There are two important aspects of the Intuit Electronic Postmark: 1. THE INTUIT ELECTRONIC POSTMARK. The electronic postmark shows the date and time Intuit received the federal return, and is deemed the filing date if the date of the electronic postmark is on or before the date prescribed for filing of the federal individual income tax return. TIMELY FILING: For your federal return to be considered filed on time, your return must be postmarked on or before midnight April 18, 2011. Intuit’s electronic postmark is issued in the Pacific Time (PT) zone. If you are not filing in the PT zone, you will need to add or subtract hours from the Intuit Electronic Postmark time to determine your local postmark time. For example, if you are filing in the Eastern Time (ET) zone and you electronically file your return at 9 AM on April 18, 2011, your Intuit electronic postmark will indicate April 18, 2011, 6 AM. If your federal tax return is rejected, the IRS still considers it filed on time if the electronic postmark is on or before April 18, 2011, and a corrected return is submitted and accepted before April 22, 2011. If your return is submitted after April 22, 2011, a new time stamp is issued to reflect that your return was submitted after the IRS deadline and, consequently, is no longer considered to have been filed on time. If you request an automatic six-month extension, your return must be electronically postmarked by midnight October 15, 2011. If your federal tax return is rejected, the IRS will still consider it filed on time if the electronic postmark is on or before October 15, 2011, and the corrected return is submitted and accepted by October 20, 2011. 2. THE ACCEPTANCE DATE. Once the IRS accepts the electronically filed return, the acceptance date will be provided by the Intuit Electronic Filing Center. This date is proof that the IRS accepted the electronically filed return. ELECTRONIC POSTMARK - CERTIFICATION OF ELECTRONIC FILING TAXPAYER: PRIMARY SSN: FEDERAL RETURN SUBMITTED: FEDERAL RETURN ACCEPTANCE DATE:

FDIU0401 12/14/10

Shonda L Pierce 258-67-8100 February 03, 2011 09:46 AM PST 02/03/2011

Electronic Filing Instructions for your 2010 Georgia Tax Return

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

Declaration Control Number: 00-210062-66204-1 Accepted: 02/07/2011

Shonda L Pierce 750 Corder Rd. Warner Robins, GA 31088

Page 1 of 1

|

Balance | Your Georgia state tax return (Form 500) shows a refund due to you in

Due/ | the amount of $229.00. Your tax refund should be direct deposited

Refund | into your account within 8 to 14 days after your return is accepted.

| The account information you entered - Account Number: 3573870189

| Routing Transit Number: 061000227. _____ __ | __ _

|

Where’s My | Before you call the Georgia Department of Revenue with questions

Refund? | about your refund, give them 8 to 14 days processing time from the

| date your return is accepted. If then you have not received your

| refund, or the amount is not what you expected, contact the Georgia

| Department of Revenue directly at 1-404-656-6286. From outside of

| Georgia use 1-877-602-8477. You can also visit the Georgia Department

| of Revenue web site at https://www.dor.ga.gov/WMRefund/index.aspx. _____ __ | __ _

|

What You | Sign and date Form GA-8453 within 1 day of acceptance.

Need to |

Sign |

_____ __ | __ _

|

Do Not | Do not mail a paper copy of your tax return. Since you filed

Mail | electronically, the Georgia Department of Revenue already has your

| return. _____ __ | __ _

|

What You | Your Electronic Filing Instructions (this form)

Need to | - Form GA-8453 and attachment(s)

Keep | Printed copy of your state and federal returns _____ __ | __ _

|

2010 |  Taxable Income $ 6,904.00

Georgia | Total Tax $ 227.00

Tax | Total Payments/Credits $ 383.00

Return | Amount to be Refunded $ 229.00

Summary |

_____ __ | __ _

GEORGIA INDIVIDUAL INCOME TAX DECLARATION SUMMARY OF AGREEMENT BETWEEN TAXPAYER AND ERO OR PAID PREPARER

First Name and Initial Last Name Social Security Number If Joint Return, Spouse’s First Name and Initial Spouse’s Last Name Spouse’s Social Security Number Home Address (number and street) Apartment Number Daytime Telephone Number City, Town or Post Office, State and ZIP Code

PART I TAX RETURN INFORMATION

1 Federal Adjusted Gross Income (Form 500, Line 8; Form 500EZ, Line 1) ** 1 ** 2  Georgia Taxable Income (Form 500, Line 15; Form 500EZ, Line 3) ** 2 ** 3  Net Georgia Tax (Form 500, Line 18; Form 500EZ, Line 4) ** 3 ** 4  Refund (Form 500, Line 37; Form 500EZ, Line 20) ** 4 ** 5  Balance Due (Form 500, Line 36; Form 500EZ, Line 19) ** 5 **

PART II DECLARATION OF TAXPAYER(S)

Under penalties of perjury, I declare that the information I have provided to my Electronic Return Originator (ERO) and/or Online Service Provider and/or transmitter and the amounts shown in Part I agree with the amounts shown on the corresponding lines of the electronic portion of my 2010 Georgia Income Tax Return. I declare that I have examined my tax return, including accompanying schedules and statements, and to the best of my knowledge and belief, my return is is true, correct, and complete. I consent that the electronic portion of my return may be sent by my ERO/Online Service Provider/transmitter.

SIGN HERE

A

TAXPAYER’S SIGNATURE Date ** SPOUSE’S SIGNATURE ** (if joint return, both must sign) Date

PART III DECLARATION OF ELECTRONIC RETURNS ORIGINATOR AND PAID PREPARER

I DECLARE THAT I HAVE REVIEWED THE ABOVE TAXPAYER’S RETURN AND THAT THE ENTRIES ON THE GA-8453 ARE COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

ERO’s Signature Date Firm’s Name Check if also paid preparer Address FEIN/PTIN

ERO’s Use Only

SSN/TIN

IF PREPARED BY ANY PERSON OTHER THAN THE TAXPAYER, THIS DECLARATION IS BASED ON ALL INFORMATION OF WHICH THE TAXPAYER HAS KNOWLEDGE.

Paid Preparer’s Signature Date Firm’s Name FID/TIN Address SSN/TIN

Paid Preparer’s Use Only

Form GAIA0701 09/01/10
 * GA-8453 ** (REV 8/10)

IRS DCN OR SUBMISSION ID

' '

2010

KEEP WITH YOUR RECORDS PLEASE DO NOT MAIL! KEEP WITH YOUR RECORDS

GA-8453

00 21006266204 1 ** GA-8453 **

Shonda L Pierce 258-67-8100 750 Corder Rd. 91 Warner Robins GA 31088 14,904. 6,904.  154.  229.  Self Prepared

1100401611

Georgia Form 500 (Rev 10/10)

Individual Income Tax Return

Georgia Department of Revenue

2010 (Approved software version) DEL EXT

ADDRESS (NUMBER AND STREET or PO BOX) (Use 2nd address line for Apt, Suite or Building number) CHECK IF ADDRESS HAS CHANGED

2 CITY STATE ZIP CODE 3

500 UET Exception Attached (COUNTRY IF FOREIGN)

GAIA0112 12/22/10 Residency Status

4 Enter your Residency Status with the appropriate number ** 4 ** 1  FULL- YEAR RESIDENT 2 PART- YEAR RESIDENT TO 3 NONRESIDENT

Part-Year Residents and Nonresidents must omit Lines 9 thru 14 and use Schedule 3 of Form 500, page 6

Filing Status

5 Enter Filing Status with appropriate letter (See instructions) 5 A Single ** B ** Married filing joint ** C ** Married filing separate (Spouse’s social security number must be entered above) ** D ** Head of Household or Qualifying Widow(er)

6 Number of exemptions (Check appropriate box(es) and enter total in 6c.) 6a Yourself ** 6b ** Spouse ** 6c ** 7 Dependents (If you have more than 3 dependents, attach a list of additional dependents) YOUR FIRST NAME MI YOUR SOCIAL SECURITY NUMBER 1 Special Program Code See instructions LAST NAME SUFFIX SPOUSE’S FIRST NAME MI SPOUSE’S SOCIAL SECURITY NUMBER

DEPARTMENT USE ONLY

LAST NAME SUFFIX Version 1 First Name, MI. Last Name Social Security Number Relationship to You First Name, MI. Last Name Social Security Number Relationship to You First Name, MI. Last Name Social Security Number Relationship to You

Page 1

SHONDA L 258-67-8100 PIERCE 750 CORDER RD APT NO 91 WARNER ROBINS GA 31088 1 A

X 1 SARIAH J JOHNSON 675-44-4711 DAUGHTER

13 Subtract either Line 11c or Line 12c from Line 10; enter balance ** 13 ** 14a Number on Line 6c multiplied by $2,700 ** 14a ** 14b Number on Line 7a multiplied by $3,000 ** 14b ** 14c Add Lines 14a and 14b. Enter total ** 14c ** 15 Georgia taxable income (Line 13 less Line 14c or Schedule 3, Line 14) ** 15 ** 16  Tax (Use Tax Table in the instructions) ** 16 ** 17  Credits from Schedule 2, Page 5, Line 12 of Form 500 (Enter total but not more than the amount on Line 16) ** 17 ** 18  Balance (Line 16 less Line 17) if zero or less than zero, enter zero ** 18 ** 19 Georgia Income Tax Withheld

(Enter Tax Withheld Only and enclose W-2s, 1099s, etc.) ** 19 ** 20 Estimated Tax for 2010 and Form IT-560 20

1100401621

7 a Number of Dependents (DO NOT include yourself or your spouse) ** 7 a ** b Add Lines 6c and 7a. Enter total ** 7 b ** If the amount on line 8, 9, 10, 13 or 15 is negative, check box. 8 Federal adjusted gross income (From Federal Form 1040, 1040A or 1040EZ) ** 8 ** (Do not use FEDERAL TAXABLE INCOME) If the amount on Line 8 is $40,000 or more, or your gross income is less than your W-2s, you must enclose a copy of your Federal Form 1040 Pages 1 and 2. 9 Adjustments from Schedule 1 (See instructions) ** 9 ** 10  Georgia adjusted gross income (Net total of Line 8 and Line 9) ** 10 ** 11  Standard Deduction (Do not use FEDERAL STANDARD DEDUCTION) see instructions ** 11a ** b Self: 65 or over? Blind? Spouse: 65 or over? Blind? Total of boxes x 1,300 = ** 11b ** c Total Standard Deduction (Line 11a + Line 11b) ** 11c ** Use EITHER Line 11c OR Line 12C (Do not write on both lines) 12 Total Itemized Deductions used in computing Federal Taxable Income. If you use itemized deductions, ** you must enclose Federal Schedule A **

a Federal Itemized Deductions (Schedule A-Form 1040) ** 12a ** b Less adjustments: see instructions for Line 12 ** 12b ** c Georgia Total Itemized Deductions ** 12c **

Georgia Form 500

Individual Income Tax Return

Georgia Department of Revenue

2010

2010 GA 004 T1 10

GAIA0112 12/22/10

YOUR SOCIAL SECURITY NUMBER

Version 1

Page 2

SHONDA L PIERCE 258-67-8100 1  2  14904  14904  2300  2300  12604  1 2700  1 3000  5700  6904  227  73  154  383  INTUIT 01 1030

TAXPAYER EMAIL ADDRESS

1100401631 ** YOUR SOCIAL SECURITY NUMBER **

Georgia Form 500

Individual Income Tax Return

Georgia Department of Revenue

2010

(PAYMENT) GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER PO BOX 740399, ATLANTA, GA 30374-0399 (REFUND) GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER PO BOX 740380, ATLANTA, GA, 30374-0380

ENCLOSE ALL ITEMS IN RETURN ENVELOPE. STAPLE YOUR CHECK, W-2’S OR TAX RETURN
 * DO NOT **

30 Georgia National Guard Foundation ** (No gift of less than $1.00) 30 ** 31 Dog and Cat Sterilization Fund ** (No gift of less than $1.00) 31 ** 32 Save the Cure Fund ** (No gift of less than $1.00) 32 ** 33 Georgia Student Finance Authority Fund ** (No gift of less than $1.00) 33 **

GAIA0103 11/05/10

34 Form 500 UET ** (Estimated tax penalty) 34 ** (If you owe) Add Lines 23, 26 thru 34

35 THIS IS THE AMOUNT YOU OWE 35 22 Total prepayment credits ** (Add Lines 19 and 20) 22 ** 23 If Line 18 exceeds Line 22 enter BALANCE DUE STATE ** 23 ** 24  If Line 22 exceeds Line 18 enter OVERPAYMENT amount ** 24 ** 25 Amount to be credited to 2011 ESTIMATED TAX 25 26 Georgia Wildlife Conservation Fund ** (No gift of less than $1.00) 26 ** 27 Georgia Children and Elderly Fund ** (No gift of less than $1.00) 27 ** 28 Georgia Cancer Research Fund ** (No gift of less than $1.00) 28 ** 29 Statewide Land Conservation Program ** (No gift of less than $1.00) 29 ** PHONE NUMBER

Taxpayer’s Signature (Check box if deceased) ** DATE **

Spouse’s Signature (Check box if deceased) ** DATE **

NAME OF PREPARER OTHER THAN TAXPAYER

Do you want to authorize DOR to discuss this return with the named preparer. YES NO

PREPARER’S FEIN PREPARER’S SSN/PTIN PHONE NUMBER

Signature of Preparer

21 Department Use Only DO NOT WRITE IN THIS BOX 36 (If you are due a refund) Subtract the sum of Lines 25 thru 34 from Line 24

THIS IS YOUR REFUND 36

Georgia Public Revenue Code Section 48-2-31 stipulates that taxes shall be paid in lawful money of the United States, free of any expense to the State of Georgia. Under penalty of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which the preparer has knowledge.

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SCHEDULE 1 ADJUSTMENTS to INCOME BASED on GEORGIA LAW (see instructions)

ADDITIONS to INCOME 7 Social Security Benefits (Taxable portion from Federal return) ** 7 ** 8  Georgia Higher Education Savings Plan ** 8 ** 9  Interest on United States Obligations (see instructions) ** 9 ** 10  Other Adjustments (specify) Adjustment Amount Adjustment Amount Adjustment Amount Adjustment Amount

Total ** 10 ** 11  Total Subtractions (enter sum of Lines 6-10 here) ** 11 ** 12  Net Adjustments (Line 5 less Line 11.) Enter Net Total here and on Line 9 of Page 2 (+ or -) of Form 500 ** 12 **

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1 Interest on Non-Georgia Municipal and State Bonds ** 1 ** 2  Lump-Sum Distributions ** 2 ** 3  Federal deduction for income attributable to domestic production activities ** 3 **

(IRC Section 199)

4 Other(specify) ** 4 ** 5  Total Additions (enter sum of Lines 1-4 here) ** 5 ** SUBTRACTION from INCOME 6 Retirement Income Exclusion (see instructions)

a Self: Date of Birth Date of Disability: Type of Disability:

6 a b  Spouse: Date of Birth Date of Disability: Type of Disability:

6 b

Georgia Form 500

Individual Income Tax Return

Georgia Department of Revenue

2010

YOUR SOCIAL SECURITY NUMBER Version 1

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1 Other State(s) Tax Credit (see instructions) ** 1 **

1100401651 ** YOUR SOCIAL SECURITY NUMBER ** 10 Any additional pass-through credits claimed (attach schedule) ** 10 **

Georgia Form 500

Individual Income Tax Return

Georgia Department of Revenue

2010

Pass Through Credits from Ownership of Sole Proprietor, S Corp., LLC or Partnership Interest and Other Credits

You must list the appropriate Credit Type Code in the space provided. If you claim more than four credits, enclose a schedule. Enter the schedule total on Line 10. See instructions for a list of available credits and their applicable codes.

6 COMPANY NAME CREDIT CODE TYPE OWNERSHIP FEIN CREDIT CLAIMED ON THIS RETURN Version 1

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SCHEDULE 2 CREDITS for LINE 17, PAGE 2 (see instructions)

3 Low and Zero Emission Vehicle Credit ** 3 ** 4  Qualified Education Expense Credit (Individual/Non pass through) ** 4 ** 5  Clean Energy Property Credit (Individual/Non pass through) ** 5 ** 2  Credits from Form IND-CR (Rural Physicians Credit, Disabled Person Home Purchase or Retrofit Credit,  Driver Education Credit, Disaster Assistance Credit, Qualified Caregiving Expense Credit, Georgia  National Guard/Air National Guard Credit, Child and Dependent Care Expense Credit, Adoption Credit,  Eligible Single-Family Residence Credit) ** 2 ** 7 COMPANY NAME CREDIT CODE TYPE OWNERSHIP FEIN CREDIT CLAIMED ON THIS RETURN 8 COMPANY NAME CREDIT CODE TYPE OWNERSHIP FEIN CREDIT CLAIMED ON THIS RETURN 9 COMPANY NAME CREDIT CODE TYPE OWNERSHIP FEIN CREDIT CLAIMED ON THIS RETURN 12 Enter the total of Lines 1 through 11 here and on Line 17, Page 2 of 500 form ** 12 ** 11

Low Income Credit (see instructions) ** 11a 11b 11c **

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YOUR FIRST NAME MI YOUR SOCIAL SECURITY NUMBER LAST NAME SUFFIX SPOUSE’S SOCIAL SECURITY NUMBER ADDRESS (NUMBER AND STREET, or P.O. BOX)(Use 2nd address line for Apt, Suite or Building Number) CHECK IF ADDRESS HAS CHANGED DEPARTMENT USE ONLY

CITY (PLEASE INSERT SPACE IF CITY HAS MULTIPLE NAMES) ** STATE ZIP CODE **

Part 1 ' ** Disabled Person Home Purchase or Retrofit Credit **

O.C.G.A. Subsection 48-7-29.1 provides a disabled person credit equal to the lesser of $500 per residence or the taxpayer’s income tax liability for the purchase of a new single-family home that contains all of the accessibility features listed below. It also provides a credit equal to the lesser of the cost or $125 to retrofit an existing single-family home with one or more of these features. The disabled person must be the taxpayer or the taxpayer’s spouse if a joint return is filed. Qualified features are:

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Georgia Form IND-CR (Rev. 11/10)

State of Georgia Individual Credit Form

Georgia Department of Revenue (Approved software version)

2010 ' ** Enclose with Form 500 ** '

1 Purchase of a home that contains all four accessibility features ** OR ** total of accessibility features added to retrofit a home (up to $125 per feature) G ** 1 ** 2 Maximum credit per residence G ** 2 ** 500

3 Enter the lesser of Line 1 or Line 2 and include in Part 10 G  ** 3 **

Part 2 ' ** Child and Dependent Care Expense Credit **

O.C.G.A. Subsection 48-7-29.10 provides taxpayers with a credit for qualified child & dependent care expenses. The credit is a percentage of the credit claimed and allowed under Internal Revenue Code Subsection 21 and claimed by the taxpayer on the taxpayer’s Federal income tax return. The credit is computed as follows:

1 Amount of child & dependent care expense ** credit ** claimed on Federal Form 1040 G  ** 1 ** 2 Georgia allowable rate G ** 2 ** 30%

3 Allowable Child & Dependent Care Expense Credit (Line 1 x .30) Enter here and include in Part 10 G ** 3 **

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X One no-step entrance allowing access into the residence.

X Interior passage doors providing at least a 32-inch-wide opening.

X Reinforcements in bathroom walls allowing installation of grab bars around the toilet, tub, and shower, where such facilities are provided.

X Light switches and outlets placed in accessible locations. To qualify for this credit, the disabled person must be permanently disabled and have been issued a permanent parking permit by the Department of Revenue or have been issued a special permanent parking permit by the Department of Revenue. For more information, see Regulation 560-7-8-.44.

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Part 3 ' ** Georgia National Guard/Air National Guard Credit **

O.C.G.A. Subsection 48-7-29.9 provides a tax credit for Georgia residents who are members of the National Guard or Air National Guard and are on active duty full time in the United States Armed Forces, or active duty training in the United States Armed Forces for a period of more than 90 consecutive days. The credit shall be claimed and allowed in the year in which the majority of such days are served. In the event an equal number of consecutive days are served in two calendar years, then the exclusion shall be claimed and allowed in the year in which the ninetieth day occurs. The credit shall apply with respect to each taxable year in which such member serves for such qualifying period of time. The credit cannot exceed the amount expended for qualified life insurance premiums nor the taxpayer’s income tax liability. Qualified life insurance premiums are the premiums paid for insurance coverage through the service member’s Group Life Insurance Program administered by the United States Department of Veterans Affairs. Any unused tax credit is allowed to be carried forward to the taxpayer’s succeeding year’s tax liability.

Georgia Form IND-CR

State of Georgia Individual Credit Form

Georgia Department of Revenue

2010

Part 4 ' ** Qualified Caregiving Expense Credit **

O.C.G.A Subsection 48-7-29.2 provides a qualified caregiving expense credit equal to 10 percent of the cost of qualified caregiving expenses for a qualifying family member. The credit cannot exceed $150. Qualified services include Home health agency services, personal care services, personal care attendant services, homemaker services, adult day care, respite care, or health care equipment and other supplies which have been determined by a physician to be medically necessary. Services must be obtained from an organization or individual not related to the taxpayer or the qualifying family member. The qualifying family member must be at least age 62 or determined disabled by the Social Security Administration. A qualifying family member includes the taxpayer or an individual who is related to the taxpayer by blood, marriage or adoption. Qualified caregiving expenses do not include expenses that were subtracted to arrive at Georgia net taxable income or for which amounts were excluded from Georgia net taxable income. There is no carryover or carry-back available. The credit cannot exceed the taxpayer’s income tax liability. For more information, see Regulation 560-7-8-.43. Qualifying Family Member Name: Name:

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YOUR SOCIAL SECURITY NUMBER 1 Enter amount of qualified life insurance premiums and include in Part 10 G  ** 1 **

SS# Relationship Age, if 62 or over If disabled, date of disability

1 Qualified caregiving expenses G  ** 1 ** 2 Percentage limitation G ** 2 ** 10%

3 Line 1 multiplied by Line 2 G  ** 3 ** 4 Maximum credit G ** 4 ** 150

5 Enter the lesser of Line 3 or Line 4 and include in Part 10 G  ** 5 **

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Part 6 ' ** Disaster Assistance Credit **

O.C.G.A. Subsection 48-7-29.4 provides for a credit for a taxpayer who receives disaster assistance during a taxable year from the Georgia Emergency Management Agency or the Federal Emergency Management Agency. The amount of the credit is equal to $500 or the actual amount of the disaster assistance, whichever is less. The credit cannot exceed the taxpayer’s income tax liability. Any unused tax credit can be carried forward to the succeeding years’ tax liability but cannot be carried back to the prior years’ tax liability. The approval letter from the disaster assistance agency must be enclosed with the return. The following types of assistance qualify:

X Grants received from the Department of Human Services Individual and Family Grant Program.

X Grants from GEMA and/or FEMA.

X Loans from the Small Business Administration that are due to disasters declared by the President or Governor. Disaster assistance agency

1 Date assistance was received G  ** 1 ** 2 Amount of the disaster assistance received G  ** 2 ** 3 Maximum credit G ** 3 ** 500

4 Enter the lesser of Line 2 or Line 3 and include in Part 10 G  ** 4 **

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Georgia Form IND-CR

State of Georgia Individual Credit Form

Georgia Department of Revenue

2010

Part 5 ' ** Driver Education Credit **

O.C.G.A. Subsection 48-7-29.5 provides for a driver education credit. This is a credit for an amount paid for a dependent minor child for a successfully completed course of driver education at a private driver training school licensed by the Department of Driver Services under Chapter 13 of Title 43, ’The Driver Training School License Act,’ The amount of the credit is equal to $150 or the actual amount paid, whichever is less. A private driver training school is one that primarily engages in offering driving instruction. ** This does not include schools owned or ** operated by local, state, or federal governments. An amount paid for a completed course of driver education to a private or public high school does not qualify for this credit. A completed course of driver education includes additional courses offered by private driver training schools such as defensive driver education. This tax credit is only allowed once for each dependent minor child of a taxpayer. The amount of the tax credit cannot exceed the taxpayer’s income tax liability. The credit is not allowed with respect to any driver education expenses either deducted or subtracted by the taxpayer to arrive at Georgia taxable net income or with respect to any driver education expenses for which amounts were excluded from Georgia net taxable income. Any unused tax credit cannot be carried forward to any succeeding years’ tax liability and cannot be carried back to the prior years’ tax liability. Visit ** www.dds.ga.gov/Training/index.aspx. **

Name of private driver training school Name of dependent minor child Birth Date SS#

1 Date of Successful Completion G  ** 1 ** 2 Amount paid for the successfully completed course G  ** 2 ** 3 Maximum credit G ** 3 ** 150

4 Enter the lesser of Line 2 or Line 3 and include in Part 10 G  ** 4 **

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YOUR SOCIAL SECURITY NUMBER

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Part 7 ' ** Rural Physicians Credit **

O.C.G.A. Subsection 48-7-29 provides for a $5,000 tax credit for rural physicians. The tax credit may be claimed for not more than five years. There is no carryover or carry-back available. The credit cannot exceed the taxpayer’s income tax liability. In order to qualify, the physician must meet the following conditions:

1 The physician must have started working in a rural county after July 1, 1995. If the physician worked in a rural county prior to that date, a period of at least three years must have elapsed before the physician returns to work in a rural county.

2 The physician must practice and reside in a rural county. For taxable years beginning on or after January 1, 2003, a physician qualifies for the credit if they practice in a rural county and reside in a county contiguous to a rural county. A rural county is defined as one with 65 or fewer persons per square mile according to the United States Decennial Census of 1990 or any future such census. For taxable years beginning on or after January 1, 2002, the United States Decennial Census of 2000 is used.

3 The physician must be licensed to practice medicine in Georgia, primarily admit patients to a rural hospital, and practice in the fields of  family practice, obstetrics and gynecology, pediatrics, internal medicine, or general surgery. A rural hospital is defined as an acute-care hospital located in a rural county that contains 80 or fewer beds. For taxable years beginning on or after January 1, 2003, a rural hospital is defined as an acute-care hospital located in a rural county that contains 100 or fewer beds. For more information, see Regulation 560-7-8-.20.

1 County of residence G  ** 1 ** 2 County of practice G  ** 2 ** 3 Type of practice G  ** 3 ** 4 Date started working as a rural physician G  ** 4 ** 5 Number of hospital beds in the rural hospital G  ** 5 ** 6 Rural physicians credit, enter $5,000 and include in Part 10 G  ** 6 **

Georgia Form IND-CR

State of Georgia Individual Credit Form

Georgia Department of Revenue

2010

1105901641

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YOUR SOCIAL SECURITY NUMBER Version 1

Part 8 ' ** Adoption of a Foster Child Credit **

1 Georgia Code Section 48-7-29.15 provides an income tax credit for the adoption of a qualified foster child. The amount of the credit is $2,000 per qualified foster child per taxable year, commencing with the year in which the adoption becomes final, and ending in the year in which the adopted child attains the age of 18. This credit applies to adoptions occuring in the taxable years beginning on or after January 1, 2008. Enter $2,000 per qualified foster child and include in Part 10 G ** 1 **

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Part 10 ' ** Total Section **

1 Add Part 1, Line 3; Part 2, Line 3; Part 3, Line 1; Part 4, Line 5; Part 5, Line 4; Part 6, Line 4; Part 7, Line 6; Part 8, Line 1; and Part 9, Line 3. Enter the total here and on Form 500, Page 5, Schedule 2, Line 2 G ** 1 **

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Part 9 ' ** Eligible Single-Family Residence Tax Credit **

O.C.G.A. Subsection 48-7-29.17 provides taxpayers a credit for the purchase of an eligible single-family residence located in Georgia. An eligible single-family residence is a single-family structure (including a condominium unit as defined in O.C.G.A. Subsection 44-3-71) that is occupied for residential purposes by a single family, that is:

a) Any residence (including a new residence, one occupied at the time of sale, or a previously occupied residence) that was  for sale prior to May 11, 2009 and that remained for sale after May 11, 2009; or

b) A residence with respect to which a foreclosure event has taken place and which is owned by the mortgagor or the mortgagor’s  agent; or

c) An owner-occupied residence with respect to which the owner’s acquisition indebtedness was in default on or before March 1, 2009.  Acquisition indebtedness is debt incurred in acquiring, constructing, or substantially improving a qualified residence and which is secured  by such residence. Refinanced debt is acquisition debt if at least a portion of such debt refinances the principal amount of existing  acquisition indebtedness.  A taxpayer is allowed the tax credit for a purchase of one eligible single-family residence made between June 1, 2009 and  November 30, 2009. The credit amount is the lesser of 1.2 percent of the purchase price of the eligible single-family residence  or $1,800.00. The amount of the tax credit that may be claimed and allowed in a single tax year cannot exceed the lesser  of 1/3 of the credit or the taxpayer’s income tax liability. Any unused tax credit can be carried forward but cannot be carried back.

1 Total credit. (Enter the amount from 2009 IND-CR, Part 9, Line 5.) G ** 1 ** 2 Maximum allowed per year G ** 2 ** 33.33%

3 Credit allowed, multiply Line 1 by Line 2, enter here and include in part 10 G  ** 3 **

Georgia Form IND-CR

State of Georgia Individual Credit Form

Georgia Department of Revenue

2010

1105901651

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YOUR SOCIAL SECURITY NUMBER Version 1

The taxpayer must have been claimed the credit in 2009 in order to claim the unused credit below.

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