Scan 0001

Department of the TreasuryInternal Revenue Service

OMS No. 1545·0074

IRS e-fi/e Signature Authorization~ Do not send to the IRS. This is not a tax return.

~ Keep this form for your records. See instructions.2010Form 8879

Declaration Control Number (DCN) 00-871154-18103-1Taxpayer's name Social security number

JEREMIAH GRIFFITH 474-04-3631Spouse's name Spouse's social security number

KIM SESSIONS 528-97-6647lea.•tl~i#1Tax Return Information - Tax Year Ending December 31, 2010 (Whole Dollars Only)

1 Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4). .................... 1 32,432.2 Total tax (Form 1040, line 60; Form 1040A, line 37; Form 1040EZ, line 11). ..... ,., ... , ... , .. ,.,., . ... , . .. . 23 Federal income tax withheld (Form 1040, line 61; Form 1040A, line 38; Form 1040EZ, line 7). . . . . . . . . . . . 3 1,060.4 Refund(Form 1040,line 74a; Form 1040A,line 46a; Form 1040EZ,line 12a;Form 1040·SS,Part I, line 12a) ....... . " ..... .. . 4 4,899.5 Amount you owe (Form 1040, line 76; Form 1040A, line 48; Form 1040EZ, line 13). ....... 5

11.11Iii1 Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)Underpenaltiesof perjury, I declarethat I haveexamineda copyof my electronic individual incometax return and accompanyingschedulesand statementsfor the tax year endingDecember31, 2010,and to the best of my knowledgeand belief, it is true, correct, and complete.I further declarethat the amounts in Part I aboveare the amountsfrom my electronicincometax return, I consentto allow my intermediateservice provider, transmitter, or electronic return originator (ERO)to send my return to the IRSand to receivefrom the IRS(a)an acknowledgementof receipt or reasonfor rejectionof the transmission, (b) the reasonfor any delay in processingthe return or refund, and (c) the date of any refund. If applicable,I authorizethe U.S.Treasuryand its designatedFinancialAgentto initiate an ACHelectronicfunds withdrawal (direct debit) entry to the financial institution accountindicated in thetax preparationsoftware for paymentof my Federaltaxesowedon this return and/or a paymentof estimatedtax, and the financial institution to debit the entry to this account.Ifurther understandthat this authorizationmayapply to future Federaltax paymentsthat I direct to be debitedthroughthe ElectronicFederalTax PaymentSystem(EFTPS).In order forme to initiate future payments,I requestthat the IRSsend me a personalidentification number(PIN) to accessEFTPS.This authorizationis to remain in full force and effect until Inotify the U.S.TreasuryFinancialAgentto terminate the authorization.To revokea payment,I must contactthe U.S.Treasury FinancialAgentat 1-888-353-4537no later than 2businessdays prior to the payment(settlement) date. I also authorizethe financial institutions involvedin the processingof the electronic paymentof taxesto receiveconfidentialinformation necessaryto answer inquiries and resolve issues relatedto the payment. I further acknowledgethat the personal identification number(PIN) below is my signaturefor myelectronic incometax return and, if applicable,my ElectronicFundsWithdrawalConsent.

Taxpayer's PIN: check one box only

[K] I authorize HAYNIE AND COMPANY CPA'SERO finn name

to enter or generate my PIN 78905Enter five numbers, but

do not enter all zerosas my signature on my tax year 2010 electronically filed income tax return.

D I will enter my PIN as my signature on my tax year 2010 electronically filed income tax return. Check this box only if you are entering yourown PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Your signature Date ~

Spouse's PIN: check one box only

[K] I authorize HAYNIE AND COMPANY CPA'SERO firm name

to enter or generate my PIN 80240Enter five numbers, but

do not enter all zeros

as my signature on my tax year 2010 electronically filed income tax return.D I will enter my PIN as my signature on my tax year 2010 electronically filed income tax return. Check this box only if you are entering your

own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Spouse's signature ~ Date ~

Practitioner PIN Method Returns Only - continue below

(pitt. frO Certification and Authentication - Practitioner PIN Method Only

ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN ... 87115412345do not enter all zeros

I certify that the above numeric entry is my PIN, which is my signature for the tax year 2010 electronically filed income tax return for thetaxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN methodand Publication 1345, Handbook for Authorized IRS e-tite Providers of Individual Income Tax Returns.

ERa's signature ~ LARRY R. BERGHOUT, CPA Date ~

ERO Must Retain This Form - See Instructions. Do Not Submit This Form to the IRS Unless Requested To Do So

BAA For Paperwork Reduction Act Notice, see your tax return instructions.FDIA1701L 11119110

Form 8879 (2010)

Your first name and initial - Last name OMS No. 1545·0074Name,Address, Your social security number

and SSN JEREMIAH GRIFFITH 474-04-3631If a joint return, spouse's first name and initial Last name Spouse's social security number

See separate KIM SESSIONS 528-97-6647instructions Home address (number and street). If you have a P.O. box, see instructions. Apartment no. Make sure the SSN(s)

1300 E 6125 S •. above and on line 6care correct.

City. town or post office. If you have a foreign address, see instructions. State ZIP codeChecking a box belowwillSOUTH OGDEN, UT 84405-7116 not change your

Form 1040A

Presi denti alElectionCampaign

Department of the Treasury - Internal Revenue Service

U.S. Individual Income Tax Return (99) 2010 IRS Use Only - Do not write or staple in this space

tax or refund

Filingstatus

~ Check here if you, or your spouse if filin jointl ,want $3 to go to this fund (see instructions)., ~ You Spouse

Check onlyone box.

1 ~ Single 4 Headof household(withqualifyingperson).(Seeinstructions.)2 X Marriedfilingjointly(evenif onlyonehadincome) If thequalifyingpersonis achildbutnotyourdependent,3 Marriedfilingseparately.Enterspouse'sSSN aboveand enterthischild'snamehere~ -----------------------

full namehere~ 5 0Qualifying widow(er) with dependent child(see instructions)

Exemptions2

6a [R] Yourself. If someone can claim you as a dependent, do not check box 6a. " "" } Boxeschecked on6aand6b, ,

b [Xl Spouse .------

•••••• 0 ••••• .... ····.0' ..... . ... . ..... . .. . . ... . .......

c Dependents: (2) Dependent's (3) Dependent's (4) t/ IT No. of childrenchild under on 6c who:

social security relationship age 17 • livednumber to you qual for with you. .. , .. 1

(1) First name Last name child tax cr ------(see instrs)If more than six • did notdependents, ZACHARY GRIFFITH 646-90-8270 SON Ix live withsee instructions. you due to

divorce orseparation (seeinstructions) ... ------Dependentson 6c notentered above ... ------

Add numbers .\ 31d Total number of exemptions claimed .... , .......... . ...... ..... . . . . . . . . . . ..... . ..... . . .... on lines above ~

Income

AttachForm(s)W-2 here.AlsoattachForm(s)1099-Rif taxwaswithheld.

If you did notget a W-2,see irrstructiona.

Enclose, butdo not attach.any payment.Also, pleaseuse Form 1040-V.

7 Wages, 'salaries, tips, etc. Attach Form(s) W-2 ..8a Taxable interest. Attach Schedule B if required.

b Tax-exemptinterest.Donot includeonline8a..... , .9a Ordinary dividends. Attach Schedule B if required ... , .. , ....

b Qualified dividends (see instructions), .. ,10 Capital gain distributions (see instructions) ...11 a IRA distributions. ' 11 a 11b Taxable amount,12a Pensions and annuities 12a 12bTaxabie amount.

13 Unemployment compensation and Alaska Permanent Fund dividends(see instructions). . . . . . , ., .

32,432.7......... __:=.8.::a _

8b

9b9a

1011 b12b

13

14b~ 15 32,432.

14a Social securitybenefits. . . . ... , .... , ... , 14a 14b Taxable amount.

15 Add lines 7 through 14b (far right column). This is your total income, , .

Adjustedgrossincome

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. --'-1.:..9 _20 Add lines 16 through 19. These are your total adjustments. , . , .. , . 20 O.

21 Subtract line 20 from line 15. This is your adjusted gross income, ~ 21 32,432.BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040A (2010)

FDIA1312L 01108111

Form 1040A (2010) JEREMIAH GRIFFITH AND KIM SESSIONS 474-04-3631 Page 2

Tax, credits,andpayments

If you havea qualifyingchild, attachSchedule EIC.

22 Enter the amount from line 21 (adjusted gross income). . . . . . . . . . . . . . . . . . . . . . . . .. ,....:22==- --=3-=2'-',_4.::..3=-=.2-=-.

23a Check {D You were born beforeJanuary2,1946, 0Blind } Total boxes DIf: 0 Spousewas born beforeJanuary2, 1946, 0 Blind checked. ~ 23a

b If you are married filing separately and your spouse itemizes deductions,see instructions and check here. . . . . . . . . . .. •. 23 b D

24 Enter your standard deduction (see instructions). . . . .

25 Subtract line 24 from line 22. If line 24 is more than line 22, enter ·0-..

26 Exemptions. Multiply $3,650 by the number on line 6d. ..

27 Subtract line 26 from line 25. If line 26 is more than line 25, enter -0-. This is yourtaxable income. . . . . .

28 Tax, including any alternative minimum tax(see instructions) ..

24 11,400.

25 21,032_

26 10,950.

~ 27 10,082.

28 1,008.

29 Creditfor child and dependentcare expenses.Attach Form2441.. . . _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-=-- 8~1_=6~.34 Add lines 29 through 33. These are your total credits .35 Subtract line 34 from line 28. If line 34 is more than line 28, enter -0- s .36 Advance earned income credit payments from Form(s) W-2, box 937 Add lines 35 and 36. This is your total tax .

38 Federal income tax withheld from Forms W-2 and 1099. --=.38::....... -=1:..!.,....:0=-6~0-=-.

39 2010 estimated tax payments and amount applied from2009 return . --=-39~ _

40 Making work pay credit. Attach Schedule M. . . . _4...:.;0=-- -::-.-:8:,-0'-:0'-'--.

41 a Earned income credit (EIC). . --.:41=-=.a --=2:::..,<-7-=-=2...:.7-=-.bNontaxable combat pay election._4...:.1'-b"-- _

42 Additional child tax credit. Attach Form 8812... --"42=- -='1..;:,8-,:4;...:..-.43 American opportunity credit from Form 8863, line 14. _4_3"-- 1_2__8_.

192.

34 1,008.35 0.

................. -=..:36=-- _~ 37 0.

44 Add lines 38, 39, 40, 41a,42, and 43. Theseareyour total payments.. ~44 4,899.

Refund

Direct deposit?See instructionsand fill in 46b,46c, and 46d orForm 8888.

45 If line 44 is more than line 37, subtract line 37 from line 44.This is the amount you overpaid. . .

46a Amount of line 45 you want refunded to

~ bRoutingnumber ...

~ dAccountnumber ..

45 4,899.

~0_46=.=a 4::...<,-=8c.::.9-.::..9...:-.

o Savings324377613

190001383024

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

Amountyou 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

Third partydesignee

Doyouwant to allow anotherpersonto discussthis rsturn with the IRS (soo instructions)? lID Yes. Complete the following. ~

~:~~nee's ~ LARRY R. BERGHOUT, CPAPersonalidentification •. 12345number(PIN)

Signhere

~~~ne~ 801-972-4800

Joint return?Seeinstructions. ~

Keepa copyfor your records.

Underpenaltiesof perjury.I declarethat I haveexaminedthis returnandaccompanyingSChedulesandstatements,andto the bestof my knowledgeand belief,theyare true,correct.andaccuratelylist all amountsandsourcesof incomeI receivedcunnq the taxyear.Declarationof preparer(otherthanthetaxpayer)IS basedon allinformationof whichthe preparerhasanyknowledge.Yoursignature Date Youroccupation

Spouse'ssignature.If a joint return.both mustsign.OPERATOR

Date Spouse's occupation

HOMEMAKER

Paidprepareruse only Firm'sname •. HAYNIE AND COMPANY CPA 1 S

Phoneno. 8 °1- 97 2 - 4 8 0 0

DatePrintIType preparer"s name Preparer's signature Check~

2/07/11 P00439981LARRY R. BERGHOUT, CPA LARRY R. BERGHOUT,

Firm'sEIN ~ 87-0325228Firm'saddress~ 1785 WEST 2300 SOUTHSALT LAKE CITY, DT 84119-2065

Form 1040A (2010)

FDIA1312L 01/08/11

Department of the TreasuryInternal Revenue Service (99)

Earned Income CreditQualifying Child Information

Complete and attach to Form 7040A or 7040only if you have a qualifying child.

2010SCHEDULE EIC(Form 1040A or 1040)

OMB No. 1545·0074

Attachment 43Sequence No.

Name(s) shown on return Your social security number

JEREMIAH GRIFFITH AND KIM SESSIONS 474-04-3631Before you begin: • See the instructions for Form 1040A, lines 41a and 41b, or Form 1040, lines 64a and

64b, to make sure that (a) you can take the EIC and (b) you have a qualifying child.

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

CAUTION!• 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

instructions for details.• It will take us longer to process your return and issue your refund if vou do not fill in all lines that apply for each qualifying child .

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 qualifyingchildren, you only have to list three to get

ZACHARY GRIFFITH BRYSON SESSIONSthe maximum credit . . . , . . ......... ......... .2 Child's SSN

The child must have an SSN as defined in theinstructions for Form 1040A, lines 41a and41b, or Form 1040, lines 64a and 64b, unlessthe child was born and died in 201O. If yourchild was born and died in 2010 and did nothave an SSN, enter 'Died' on this line andattach a copy of the child's birth certificate, 646-90-8270 647-36-4901death certificate, or hospital medical records ...

3 Child's year of birth Year 2006 Year 1997 Year

If born after 7997 AND the child was If born after 7997 AND the child was If born after 7997 AND the child was*~~g%'i~P,:f ~~Yp~?Mt!{a Sf~)N6; ~o *~~g~~ntp,:f ~~!f,~?~ls°'l!asf,fJs,{f;;~o *~~g~~'i~p,~~~~Ih~?~ls°~~Sf~Js,{f;;iboto Ime5. to Ime 5. to Ime 5.

4a Was the child under age 24 at the end of2010, a student, and younger than you (or

DYes. DNo. DYes. DNo. DYes. DNo.your spouse, if filing jointly)? ..............Go to line 5. Continue. Go to line 5. Continue. Go to line 5. Continue.

bWas the child permanently and totallyDv--. D ..~· n-. ONQ. O'G~' Orto.d;sabl",d dur:na !Ony D""{ 01 ~~1M ...

Continuo. The child Continue. The child Continue. The childis not a is not :l is not aqualifying child. qualifying child. qualifying child.

S Child's relationship to you

(for example, son, daughter, grandchild,SON SONniece, nephew, foster child, etc) ..... ........ .

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

• If the child lived with you for more thanhalf of 2010 but less than 7 months,enter 'T.

• If the child was born or died in 2010 andyour home was the child's home for theentire time he or she was alive during 1-2 122010, enter '12:. . . . . . . . . . . . . . . , ... , .. .... months months months-- -- --

Do not enter more than Do not enter more than Do not enter more than72 months. 72 months. 72 months.

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

FDIA7401L11/04110

Form 881 2 Additional Child Tax Credit

Department of the TreasuryInternal Revenue Service (99)

OMS No. 1545-0074

2010Name(s) shown on return

Complete and attach to Form 7040, Form 7040A, or Form 7040NR. ~~g~~~c~n~o. 47

KIM SESSIONSYour social security number

474-04-3631

1040 filers:

1040A filers:

1040NR filers:

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

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 .3 Subtract line 2 from line 1. If zero, stop; you cannot take this credit ...4a Earned income (see instructions) ...

b Nontaxable combat pay (see instructions) .....5 Is the amount on line 4a more than $3,000?o No. Leave line 5 blank and enter -0- on line 6.

~ Yes. Subtract $3,000 from the amount on line 4a. Enter the result.6 Multiply the amount on line 5 by 15% (.15) and enter the result. .

Next. Do you have three or more qualifying children?[R] 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.

4b32,432.

29,432.

o 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.

Certain Filers Who Have Three or More Qualif in Children

8

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 workedfor a railroad, see the instructions. . . . . . . . . . . . . . . . . . . . . . . . . . 1--7_1-- _

8 1040 filers: Enter the total of the amounts from Form 1040, Slines 27 and 57, plus any taxes that you Identified usinqcode 'UT' and entered on the dotted line next to line 60.Enter -0-.Enter the total of the amounts from Form 1040NR, lines 27and 55, plus any taxes that you Identified usmq code 'UT'and entered on the dotted line next to line 59.

1040A filers:1040NR filers:

9 Add lines 7 and 8. . 9

10 1040 filers: Enter the total of the amounts from Form 1040, lines64a and 69.

1040A filers: Enter the total of the amount from Form 1040A, line 41a,plus any excess social security and tier 1 RRTA taxeswithheld that you entered to the left of line 44(see instructions). L....:..10-'--'-- _

l040NR filers: Enter the amount from Form 1040NR, line 64.

11 Subtract line 10 from line 9. If zero or less, enter -0-.

12 Enter the larger of line 6 or line 11 .....

Next, enter the smaller of line 3 or line 12 on line 13.

13 This is your additional child tax credit. .

1,000.

2 816.184.3

11

12

13 184.

Enter this amount onForm 7040, line 65,Form 1040A, line 42, orForm 7040NR, line 62.

BAA For Paperwork Reduction Act Notice, see your tax return instructions. FDIA300lL 07/08/10 Form 8812 (2010)

Form 8863OMB No. 1545-0074

Department of the TreasuryInternal Revenue Service (99)

Education Credits (American Opportunity andLifetime Learning Credits)

~ See separate instructions to find out if you are eligible to take the credits.~ Attach to Form 1040 or Form 1040A. .

2010AttachmentSequence No. 50

Name(s) shown on return Your social security number

JEREMIAH GRIFFITH AND KIM SESSIONS 474-04-3631CAUTION! You cannot take both an education credit and the tuition and fees deduction (see Form 8977) for the same student for the

same year.

W.lII.'. American Opportunity CreditCaution' You cannot take the American opportunity credit for more than 4 tax years for the same student

1 (a) Student's name (b) Student's (c) Qualified (d) Subtract $2,000 (e) Multiply the (t) If column (d) is(as shown on page 1 social security expenses (see from the amount in amount in column zero, enter the

of your tax return) number (as shown instructions). Do column (c). If zero (d) by 25% (.25) amount fromon page 1 of not enter more or less, enter -0- column (c). Other-

First name your tax return) than $4,000 for wise, add $2,000 to--------------- each student. the amount in

Last name column (e).JEREMIAH---------------GRIFFITH 474-04-3631 320. 320.---------------

---------------

2 Tentative American opportunity credit. Add the amounts on line 1, column (t). .If .you.are t~klng t.helifetime ~Ilearning credit for a different student, go to Part II; otherwise, go to Part III .... 2 320.

~arari:l.lLifetime Learning Credit.Caution: You cannot take the Amencan 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 (c) Qualifiedsecurity number (as expensesshown on page 1 of (see instructions)

First name Last name your tax return)

4 Add the amounts on line 3, column (c), and enter the total ........... _.... .. , ... .... ' . . . . . . . . . .. .... , ..... 45 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. FDIA3601L 12131110 Form 8863 (2010)

11 Enter: $20,000 if married filing jointly; $10,000 if single, head of household,or qualifying widow(er).

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). . . . . . . . . . . .. .. . .

13 Multiply line 7 by line 12. Caution: If you were under age 24 at the end of the year and meet theconditions in the instructions, you cannot take the refundable American opportunity credit. Skipline 14, enter the amount from line 13 on line 15, and check this box.. . ... • Df-'-13=--1-- 3.:....:;.2...:.0--'-.

474-04-3631 Page 2

320.

8 180,000.9 32,432.

10 147,568.

11 20,000.

1. 000

8 Enter: $180,000 if married filing jointly; $90,000 if single, head of household,or qualifying widow(er). . . . . . . . .

9 Enter the amount from Form 1040, line 38,* or Form 1040A, line 22

10 Subtract line 9 from line 8. If zero or less, stop; you cannot take anyeducation credit. . . . . . . . . . . .

14 Refundable American opportunity credit. Multiply line 13 by 40% (.40). Enter the amount here and on Form1040, line 66, or Form 1040A, line 43. Then go to line 15 below 14 128.

tRait .l~ Nonrefundable Education Credits15 192.15 Subtract line 14 from line 13.

16 Enter the amount from line 6, if any. If you have no entry on line 6, skip lines 17 through 22, and enter theamount 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). f-'-'7=-----1-- _

18 Enter the amount from Form 1040, line 38,* or Form 1040A, line 22. f-=-18::......f- _

19 Subtract line 18 from line 17. If zero or less, skip lines 20 and 21, and enterzero on line 22. 19r--~-------

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). . . . . . . . . . . . . . . . . . . . . . . r=2'=--f--------22 Multiply line 16 by line 21. Enter here and on line 1 of the Credit limit Worksheet (see instructions). ·f--=22=-t--------

23 Nonrefundable education credits. Enter the amount from line 11 of the Credit Limit Worksheet (seeinstructions) here and on Form 1040, line 49, or Form 1040A, line 31 . . . 192.23• 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 8863 (2010)

FDIA3601L12131110

SCHEDULE M(Form 1040A or 1040)

• See separate instructions.

Making Work Pay Credit• Attach to Form 1040A or 1040.Department of the Treasury

Internal Revenue Service (99)

OM8 No. 1545-0074

2010166Attachment

Sequence No.Your social security numberName(s) shown on return

JEREMIAH GRIFFITH AND KIM SESSIONS 474-04-3631Caution: 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 theSocial 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.

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 nongovernmentalsection 457 plan, or

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

1 a Doyou(andyourspouseif filing jointly) have2010 wagesof morethan$6,451 ($12,903 if marriedfilingjointly)?!Kl Yes. Skip lines 1a through 3. Enter $400 ($800 if married filing jointly) on line 4 and go to line 5.o No. Enter your earned Income (see Instructions). . . . . . . . . . . . . . . . . . . . . . . . . . 1 a _

b Nontaxable combat pay included on line 1a(see instructions) .

2 Multiply line 1a by 6.2% (,062). .1b

3 Enter $400 ($800 if married filing jointly). 3

2

4 Enter the smaller of line 2 or line 3 (unless you checked 'Yes' on line 1a) .

5 Enter the amount from Form 1040, line 38*, or Form 1040A, line 22 . 5 32,432.

150,000.6 Enter $75,000 ($150,000 if married filing jointly) . 6

7 Is the amount on line 5 more than the amount on line 6?!Kl No. Skip line 8. Enter the amount from line 4 on line 9 below.o Yes. Subtract line 6 from line 5 .

8 Multiply line 7 by 2% (,02). .

800.

9 Subtract line 8 from line 4. If zero or less, enter -0-.....

. I-~+---------

800.10 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 receivedsocial security benefits, supplemental security income, railroad retirement benefits, or veterans disabilitycompensation or pension benefits in November 2008, December 2008, or January 2009 (see instructions).

!Kl No. Ent~r -0- on line 10 and go to line 11.o 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) f---'-10"--f- ...:..O-'-,

11 Making work pay credit. Subtract line 10 from line 9. If zero or less, enter -0-. Enter the result here and onForm 1040, line 63; or Form 1040A, line 40.... . '---'-11-'---'-- 8-'--'-0...:..0-'-.

*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 L 09/2011 0

r 40001 Utah Individual Income Tax ReturnAll State Income Tax Dollars Fund Education

2010TC-40

Intuit

1032 Form 8886 filedFiscal year end month/year (mm/yy) -Amended Return - enter code

Your Social Security No.

474043631 JEREMIAH GRIFFITHSpouse's SSN

528976647 KIM SESSIONS1300 E 6125 SSOUTH OGDEN UT 844057116

UTIA0112L 11/10110

Filing Status - enter code1= Single

- 2 2= Married filing jointly3= Marriedfilingseparately4= Head of Household5= Qualifying widow(er)

3 Election Campaign Fund - enter codeC = Constitution Yourself Spouse

o = Democratic - N - NL = LibertarianR = Republican Does not increase tax

or reduce refund.N = No contribution

- 2 Exemptions - enter number

a 1 Yourself }b 1 Spouse fromfederalreturnc 1 Dependentsd 3 Total exemptions (add a throughc)

X if deceased

4 Federal adjusted gross income from federal return - 4 324325 Additions to income from TC-40A, Part 1 (attach TC-40A, page 1)

6 Total income (add lines 4 and 5)

7 State tax refund included on federal Form 1040, line 10

8 Subtractions from income from TC-40A, Part 2 (attach TC-40A, page 1)

9 Utah taxable income (subtract the total of lines 7 and 8 from line 6 (not less than zero»

10 Utah tax calculation - multiply line 9 by 5% (.05)11 Exemption amount - multiply $2,738 by line 2d above - 11

-10821412 Enter your federal standard or itemized deductions 1140013 Add lines 11 and 12 1961413

14 State income tax deducted on federal Schedule A, line 5 (see instructions)

15 Subtract line 14 from line 13 1961415

16 Multiply line 15 by 6% (.06) 117717 Enter amount based on filing status: if line 1 equals 1 or 3, enter $12,535;

if line 1 equals 4, enter $18,802; if line 1 equals 2 or 5, enter $25,070

18 Subtract line 17 from line 9 (not less than zero)

2507018 7362

19 Multiply line 18 by 1.3% (.013)20 Taxpayer tax credit (subtract line 19 from line 16 (not less than zero»21 If you are a qualified exempt taxpayer, enter 'X' (see worksheet in instructions)22 Utah income tax (subtract line 20 from line 10 (not less than zero»

96

23 Apportionable nonrefundable credits from TC-40A, Part 3 (attach TC-40A, page 1)

24 Subtract line 23 from line 22 (not less than zero)L Non or Part-Year Residents, complete TC-408 before continuing on page 2

- 5

6 32432-7

-8

- 9 324321622

To learn more,go to

taxexpress.utah.gov

Filingelectronically

is quick, easy andfree, and will

speed up yourrefund.f----------

- 20 1081541

24 541--.J

r 40002 Utah Individual Income Tax Return - 2010 TC-40 Intuit Page 2

_L_as_t_na_m_e----'G_R_I_F_F_I_T_H-'-- I SSN 47404363154125 Entertax (full-year resident,entertax from line 24; nonor part-yearresident,entertax from TC-40B,line 37)

26 Nonapportionable nonrefundable credits from form TC-40A, Part 4 (attach TC-40A, page 1)

27 Subtract line 26 from line 25 (not less than zero)

28 Contributions - add lines 28a through 28d and enter total contributions on line 28

Code Description Code01 Utah Nongame Wildlife Account .28a02 Pamela Atkinson Homeless Account .28b03 Kurt Oscarson Children's Organ Transplant Account .28c05 School District & Nonprofit School District Foundation .28d09 Cat & Dog Community Spay and Neuter Program

10 Methamphetamine Housing Reconstruction & Rehabilitation Fund

29 AMENDED RETURN ONLY - previous refund

27 541Amount

Sch DistCode

28

30 Recapture of low-income housing credit

31 Utah use tax

32 Total tax, use tax and additions to tax (add lines 27 through 31) 32 54133 Utah income tax withheld shown on TC-40W, Part 1 (attach TC-40W, page 1) 88834 Credit for Utah income taxes prepaid from TC-546 and 2009 refund applied to 2010

35 Pass-through entity withholding tax from TC-40W, Part 3 (attach TC-40W, page 2)

36 Mineral production withholding tax from TC-40W, Part 2 (attach TC-40W, page 2)

37 AMENDED RETURN ONLY - previous payments

38 Refundable credits from TC-40A, Part 5 (attach TC-40A, page 2)

39 Total withholding and refundable credits (add lines 33 through 38) 39 88840 TAX DUE - Subtrad line 39 from line 32 (not less than zero)

41 Penalty and interest

42 PAY THIS AMOUNT (add lines 40 and 41)

41

43 REFUND - Subtract line 32 from line 39 (not less than zero)44 Enter the amount of refund you want applied to your 2011 taxes .4445 DIRECT DEPOSIT YOUR REFUND - provide account information

• Routing number 324377613 •Account number 190001383024Check box if refund will go to an account outside the United States (see instructions) •

46 To deposit total refund to your Utah Educational Savings Plan account(s), enter 'X' (see instructions)

347checking

Account type: • Xsavings

•

Under penalties of perjury, I declare to the best of my knowledge and belief, this return and accompanying schedules reflect my true tax status,

SIGN Your signature Date I Spouse's signature Date

HEREThird Party Name of designee (if any) you authorize to discuss this return Desiqnee's telephone number Designee.

Designee PREPARER PIN

Paid Preparer's signature Date Preparer's telephone number Preparer's •

Preparer's LARRY R_ BERGHOUT, CPA 2/07/11 801-972-4800 PTIN P0043998Section Firm's name and address HAYNIE AND COMPANY CPA'S Preparer's •

1785 WEST 2300 SOUTH EIN 87032522SALT LAKE CITY UT 841192065

1

8

L UTIAOl12L 11110110

r 40008 Part 1 - Utah Withholding Tax Schedule Intuit TC-40W Page 1=La=s~tn=a~m=e__ G=R~I=F~F~IT==H I~s=sN~~4~7~4~-~0~4~-~3~6~3~1~

Line Explanations: IMPORTANT

1 Employer/payer 10 number from W-2 box 'b' or 10992 Utah withholding 10 number from W-2 box '15' or 10993 Employer/payer name and address from W-2 box 'c' or 10994 Enter 'X' if reporting Utah withholding from form 10995 Employee's Social Security number from W-2 box 'a' or 10996 Utah wages/income fromW-2 box '16' or 10997 Utah withholding tax from W-2 box '17' or 1099

Do not send your W-2s or 1099s with your return. Instead, enterW-2 or 1099 information below, but only if there is Utah withholdingon the form.

Use additional forms TC·40W if you have more than four W-2sand/or 1099s with Utah withholding tax.

Enter mineral production withholding from TC-675R in Part 2 ofTC-40W; enter pass-through entity withholding in Part 3 of TC-40W.

1 410215170 5103916282 Z884643 TARGET CORPORATIONMAILSTOP NCD-0280, PO BOX 9401

MINNEAPOLIS, MN 55440-94014

5 4740436316 99577 123

2 12251777-003-W3 URS FEDERAL TECHNICAL SERVICES20501 SENECA MEADOWS PKW

GERMANTOWN, MD 208764

5 4740436316 224757 765

2

3

4

5

6

7

1

2

3

4

5

6

7

888Enter total Utah withholding lax from all lines 7 here and on TC-40, page 2, line 33

LSubmit this page ONLY if data entered. UTIA0212L 11/1 1/10

Attach this form to your 2010 Utah Income Tax Return. Do not attach W-2s or 1099s to your Utah return.