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This Product Contains Sensitive Taxpayer Data

Wage and Income Transcript

Request Date: 12-21-2021
Response Date: 12-21-2021
Tracking Number: 999999999999

SSN Provided: 707-00-8679
Tax Period Requested: December, 2012

Form 5498 Individual Retirement Arrangement Contribution Information

Trustee:

Trustee/Issuer's Federal Identification Number (FIN): 00-1461858
SAMPLE PAYER 1
9215 VIEW ST
DETROIT, MI 48216

Participant:

Participant's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number (Optional):999999999
IRA Contributions:$0.00
Rollover Contributions:$0.00
Roth Conversion Amount:$0.00
Recharacterized Contributions:$0.00
Fair Market Value of Account:$119.00
Life Insurance Cost Included in Box 1:$0.00
SEP Code:Not Checked
IRA Code:Checked
Simple Code:Not Checked
Roth IRA Code:Not Checked
RMD For Subsequent Year:RMD box not checked
SEP Contributions:$0.00
SIMPLE Contributions:$0.00
Roth IRA Contributions:$0.00

Schedule K-1 1065

Partnership:

Partnership's Employer Identification Number: 00-9612213
SAMPLE PAYER 2
3932 LAKE ST
KNOXVILLE, TN 37918

Partner:

Partner's Identifying Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Partner Share of Capital Beginning:10.83%
Partner Share of Capital Ending:10.83%
IRA SEP KEOGH Indicator:Box is not checked
Dividends:$0.00
Interest:$2,628.00
Royalties:$0.00
Ordinary Income K-1:-$9,946.00
Real Estate:$0.00
Other Rental:$0.00
Guaranteed Payments:$0.00
Section 179 Expenses:$0.00
Short Term Capital Gain:$0.00
Long Term Capital Gain:$0.00

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN): 00-9249194
SAMPLE PAYER 3
7322 FIRST ST
AKRON, OH 44223

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number:999999999
Date of Sale or Exchange:02-27-2012
CUSIP Number:88888888888
Gross Proceeds:Gross proceeds minus commissions and option premiums
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Stocks and Bonds:$7.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$0.00
Wash Sale Loss Disallowed:$0.00
Description:1 SHARES EXCO RESOURCES INC
Second Notice Indicator:
Acquisition Date:00-00-0000
Noncovered Security Indicator:Noncovered Security Basis not reported to IRS
Type of Gain or Loss Code:
Stocks or other Symbols:XCO
Quantity Sold:0000000000001
Loss Not Allowed Indicator:

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN): 00-6055875
SAMPLE PAYER 4
4133 FOURTH ST
DETROIT, MI 48216

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number:999999999
Date of Sale or Exchange:02-27-2012
CUSIP Number:88888888888
Gross Proceeds:Gross proceeds minus commissions and option premiums
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Stocks and Bonds:$1,410.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$2,064.00
Wash Sale Loss Disallowed:$0.00
Description:198 SHARES EXCO RESOURCES INC
Second Notice Indicator:
Acquisition Date:00-00-0000
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Stocks or other Symbols:XCO
Quantity Sold:0000000000198
Loss Not Allowed Indicator:

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN): 00-9140372
SAMPLE PAYER 5
1778 FIRST AVE
DETROIT, MI 48216

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number:999999999
Date of Sale or Exchange:02-27-2012
CUSIP Number:88888888888
Gross Proceeds:Gross proceeds minus commissions and option premiums
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Stocks and Bonds:$4,254.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$6,108.00
Wash Sale Loss Disallowed:$0.00
Description:600 SHARES EXCO RESOURCES INC
Second Notice Indicator:
Acquisition Date:00-00-0000
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Stocks or other Symbols:XCO
Quantity Sold:0000000000600
Loss Not Allowed Indicator:

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN): 00-7370479
SAMPLE PAYER 6
3961 CEDAR AVE
ATLANTA, GA 30305

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number:999999999
Date of Sale or Exchange:03-19-2012
CUSIP Number:88888888888
Gross Proceeds:Gross proceeds minus commissions and option premiums
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Stocks and Bonds:$765.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$1,006.00
Wash Sale Loss Disallowed:$241.00
Description:100 SHARES EXCO RESOURCES INC
Second Notice Indicator:
Acquisition Date:01-05-2012
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Stocks or other Symbols:XCO
Quantity Sold:0000000000100
Loss Not Allowed Indicator:

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN): 00-4822228
SAMPLE PAYER 7
7898 LAKE AVE
TAMPA, FL 33607

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number:999999999
Date of Sale or Exchange:03-19-2012
CUSIP Number:88888888888
Gross Proceeds:Gross proceeds minus commissions and option premiums
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Stocks and Bonds:$1,914.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$2,516.00
Wash Sale Loss Disallowed:$601.00
Description:250 SHARES EXCO RESOURCES INC
Second Notice Indicator:
Acquisition Date:01-05-2012
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Stocks or other Symbols:XCO
Quantity Sold:0000000000250
Loss Not Allowed Indicator:

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN): 00-8121084
SAMPLE PAYER 8
7456 HILL ST
KANSAS CITY, MO 64112

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number:999999999
Date of Sale or Exchange:04-03-2012
CUSIP Number:88888888888
Gross Proceeds:Gross proceeds minus commissions and option premiums
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Stocks and Bonds:$3,205.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$5,032.00
Wash Sale Loss Disallowed:$456.00
Description:500 SHARES EXCO RESOURCES INC
Second Notice Indicator:
Acquisition Date:01-05-2012
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Stocks or other Symbols:XCO
Quantity Sold:0000000000500
Loss Not Allowed Indicator:

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN): 00-3169830
SAMPLE PAYER 9
4221 SIXTH ST
AKRON, OH 44223

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number:999999999
Date of Sale or Exchange:04-11-2012
CUSIP Number:88888888888
Gross Proceeds:Gross proceeds minus commissions and option premiums
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Stocks and Bonds:$435.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$754.00
Wash Sale Loss Disallowed:$0.00
Description:75 SHARES EXCO RESOURCES INC
Second Notice Indicator:
Acquisition Date:01-05-2012
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Stocks or other Symbols:XCO
Quantity Sold:0000000000075
Loss Not Allowed Indicator:

Form 1099-B Proceeds From Broker and Barter Exchange Transactions

Payer:

Payer's Federal Identification Number (FIN): 00-4618401
SAMPLE PAYER 10
5627 SECOND ST
CHICAGO, IL 60603

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number:999999999
Date of Sale or Exchange:04-24-2012
CUSIP Number:88888888888
Gross Proceeds:Gross proceeds minus commissions and option premiums
Bartering:$0.00
Federal Income Tax Withheld:$0.00
Stocks and Bonds:$3,003.00
Aggregate Profit or (Loss):$0.00
Realized Profit or (Loss):$0.00
Unrealized Profit or (Loss) 12/31 Prior Year:$0.00
Unrealized Profit or (Loss) 12/31 Current Year:$0.00
Cost or Basis:$4,102.00
Wash Sale Loss Disallowed:$0.00
Description:475 SHARES EXCO RESOURCES INC
Second Notice Indicator:
Acquisition Date:00-00-0000
Noncovered Security Indicator:Nothing checked
Type of Gain or Loss Code:Short-term
Stocks or other Symbols:XCO
Quantity Sold:0000000000475
Loss Not Allowed Indicator:

Form 1099-G

Payer:

Payer's Federal Identification Number (FIN): 00-8796152
SAMPLE PAYER 11
8204 SIXTH ST
DALLAS, TX 75243

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number (Optional):999999999
ATAA Payments:$0.00
Tax Withheld:$0.00
Taxable Grants:$0.00
Unemployment Compensation:$0.00
Agricultural Subsidies:$0.00
Prior Year Refund:$350.00
Market gain on Commodity Credit Corporation loans repaid:$0.00
Year of Refund:2009
1099G Offset:Not Refund, Credit, or Offset for Trade or Business

Form 1099-DIV

Payer:

Payer's Federal Identification Number (FIN): 00-2235470
SAMPLE PAYER 12
5220 FIFTH ST
KNOXVILLE, TN 37918

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number (Optional):999999999
Tax Withheld:$0.00
Capital Gains:$0.00
Non-Dividend Distribution:$37.00
Cash Liquidation Distribution:$0.00
Non-Cash Liquidation Distribution:$0.00
Investment Expense:$0.00
Ordinary Dividend:$0.00
Collectibles (28%) Gain:$0.00
Unrecaptured Section 1250 Gain:$0.00
Section 1202 Gain:$0.00
Foreign Tax Paid:$0.00
Qualified Dividends:$0.00
Second Notice Indicator:No Second Notice
Exempt Interest Dividends:$0.00
Specified Private Activity Bond Interest Dividend:$0.00

Form 1099-INT

Payer:

Payer's Federal Identification Number (FIN): 00-9283884
SAMPLE PAYER 13
9278 MAPLE AVE
TAMPA, FL 33607

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number (Optional):999999999
Interest:$0.00
Tax Withheld:$0.00
Savings Bonds:$0.00
Investment Expense:$0.00
Interest Forfeiture:$0.00
Foreign Tax Paid:$0.00
Tax-Exempt Interest:$0.00
Specified Private Activity Bond Interest:$0.00
Second Notice Indicator:No Second Notice
Foreign Country or US Possession:
CUSIP Number:

Form 1099-MISC

Payer:

Payer's Federal Identification Number (FIN): 00-1006489
SAMPLE PAYER 14
3761 MAIN ST
BIRMINGHAM, AL 35064

Recipient:

Recipient's Identification Number: 707-00-8679
BRIAN TAYLOR
8721 Flint Falls Dr
DALLAS, TX 75243

Submission Type:Original document
Account Number (Optional):
Tax Withheld:$0.00
Non-Employee Compensation:$24,657.00
Medical Payments:$0.00
Fishing Income:$0.00
Rents:$0.00
Royalties:$0.00
Other Income:$0.00
Substitute Payments for Dividends:$0.00
Excess Golden Parachute:$0.00
Crop Insurance:$0.00
Attorney Fees:$0.00
Section 409A Deferrals:$0.00
Section 409A Income:$0.00
Direct Sales Indicator:Not Direct Sales
FATCA Filing Requirement:Box not checked no Filing Requirement
Second Notice Indicator:No Second Notice

This Product Contains Sensitive Taxpayer Data