Complete1040.docx

for instructions and the latest information.

OMB No. 1545-0074

2022

AttachmentSequence No. 01

Name(s) shown on Form 1040, 1040-SR, or 1040-NR Donna and Chris Hoser

Your social security number

465-74-3322

Part I

Additional Income

1	Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	1
2a	Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	2a
b	Date of original divorce or separation agreement (see instructions) ►
3	Business income or (loss). Attach Schedule C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	3
4	Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	4
5	Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . . . . . . . . . . . . .	5
6	Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	6
7	Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	7
8	Other income:
a	Net operating loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8a	()
b	Gambling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8b
c	Cancellation of debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8c
d	Foreign earned income exclusion from Form 2555 . . . . . . . . . . . . . . . . . . . . . . .	8d	()
e	Income from Form 8853 . . . . . . . . . . . . . . . . . . . . . . . . . . .	8e
f	Income from Form 8889 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8f
g	Alaska Permanent Fund dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8g
h	Jury duty pay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8h
i	Prizes and awards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8i	fill in the blank c4f5eaf99005069_1
j	Activity not engaged in for profit income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8j
k	Stock options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8k
l	Income from the rental of personal property if you engaged in the rental for profit but were not in the business of renting such property . . . . . . . . . . . . . . . . . . . . .	8l
m	Olympic and Paralympic medals and USOC prize money (see instructions) . . . . . .	8m
n	Section 951(a) inclusion (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8n
o	Section 951A(a) inclusion (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . .	8o
p	Section 461(l) excess business loss adjustment . . . . . . . . . . . . . . . . . . . . . . . . .	8p
q	Taxable distributions from an ABLE account (see instructions) . . . . . . . . . . . . . . .	8q
r	Scholarship and fellowship grants not reported on Form W-2 . . . . . . . . . . . . . . .	8r
s	Nontaxable amount of Medicaid waiver payments included on Form 1040, line 1a or 1d . . . . . . . . . . . . . . . . . . .	8s	()
t	Pension or annuity from a nonqualifed deferred compensation plan or a nongovernmental section 457 plan . . . . . . . . . . . .	8t
u	Wages earned while incarcerated . . . . . . . . . . . . .	8u
z	Other income. List type and amount: ►
		8z
9	Total other income. Add lines 8a through 8z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	9	fill in the blank c4f5eaf99005069_2
10	Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 . . . . . . . . . . .	10	fill in the blank c4f5eaf99005069_3

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

Cat. No. 71479F

Schedule 1 (Form 1040) 2022

Complete the Hoser's Form 1040.

Form

1040

Department of the Treasury—Internal Revenue Service (99) U.S. Individual Income Tax Return

2022

OMB No. 1545-0074

IRS Use Only

Filing Status
Your first name and middle initial Donna	Last name Hoser	Your social security number465-74-3322
If joint return, spouse's first name and middle initial Chris	Last name Hoser	Spouse's social security number 465-57-9935
Home address (number and street). If you have a P.O. box, see instructions. 1313 W. Washington Street	Apt. no.	Presidential Election CampaignCheck here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund.
City, town, or post office. If you have a foreign address, also complete spaces below. Stephenville	State TX	ZIP code 76401
Foreign country name	Foreign province/state/country	Foreign postal code

At any time during 2022, did you receive, sell, exchange, or otherwise dispose of any financial interest in any virtual currency?

Standard Deduction

Someone can claim:

Age/Blindness

You:

Spouse:

DependentsIf more than four dependents, see instructions and check here ► ◻	(see instructions):	(2) Social securitynumber	(3) Relationshipto you	(4) ✓ if qualifies for (see instructions):
	(1) First name	Last name			Child tax credit	Credit for other dependents
				◻	◻
				◻	◻
				◻	◻
				◻	◻

IncomeAttach Form(s)W-2 here. Alsoattach FormsW-2G and1099-R if taxwas withheld.If you did notget a FormW-2, seeinstructions.	1a	Total amount from Form(s) W-2, box 1 (see instructions) . . . . . . . . . . . . . . . . . . . . .	1a	fill in the blank f1a4f3fcd014fbb_7
	b	Household employee wages not reported on Form(s) W-2 . . . . . . . . . . . . . . . . . . .	1b
	c	Tip income not reported on line 1a (see instructions) . . . . . . . . . . . . . . . . . . . . . . .	1c
	d	Medicaid waiver payments not reported on Form(s) W-2 (see instructions) . . . . . .	1d
	e	Taxable dependent care benefits from Form 2441, line 26 . . . . . . . . . . . . . . . .	1e
	f	Employer-provided adoption benefits from Form 8839, line 29 . . . . . . . . . . . . . . . . .	1f
	g	Wages from Form 8919, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	1g
	h	Other earned income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	1h
	i	Nontaxable combat pay election (see instructions) . . . .	i
	z	Add lines 1a through 1h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	1z	fill in the blank f1a4f3fcd014fbb_8
AttachSch. B ifrequired.
	2a	Tax-exempt interest . .	2a	fill in the blank f1a4f3fcd014fbb_9	b	Taxable interest . . . . . . . . . .	2b	fill in the blank f1a4f3fcd014fbb_10
	3a	Qualified dividends . .	3a	fill in the blank f1a4f3fcd014fbb_11	b	Ordinary dividends . . . . .	3b	fill in the blank f1a4f3fcd014fbb_12
	4a	IRA distributions . .	4a		b	Taxable amount . . . . . . . . . .	4b
	5a	Pensions and annuities	5a		b	Taxable amount . . . . . . . . . .	5b
Standard Deduction for– · Single or Married filing separately, $12,950 · Married filing jointly or Qualifying widow(er), $25,900 · Head of household, $19,400 · If you checked any box under Standard Deduction, see instructions.	6a	Social security benefits	6a		b	Taxable amount . . . . . . . . . .	6b
	c	If you elect to use the lump-sum election method, check here (see instructions) . ◻
	7	Capital gain or (loss). Attach Schedule D if required. If not required, check here . ► ◻	7
	8	Other income from Schedule 1, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8	fill in the blank f1a4f3fcd014fbb_13
	9	Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . . . . . . . . . ►	9	fill in the blank f1a4f3fcd014fbb_14
	10	Adjustments to income from Schedule 1, line 26 . . . . . . . . . . . . . . . . . . . . . . . . .	10
	11	Subtract line 10 from line 9. This is your adjusted gross income . . . . . . . . . . . . . . ►	11	fill in the blank f1a4f3fcd014fbb_15
	12	Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . . . . . . . . .	12	fill in the blank f1a4f3fcd014fbb_16
	13	Qualified business income deduction from Form 8995 or Form 8995-A . . . . . . . . . . . . .	13
	14	Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	14	fill in the blank f1a4f3fcd014fbb_17
	15	Subtract line 14 from line 11. This is your taxable income . . . . .	15	fill in the blank f1a4f3fcd014fbb_18

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 11320B

Form 1040 (2022)

Form 1040 (2022)

Page 2

Tax andCredits	16	Tax (see instructions). Check if any from Form(s): 1 ◻ 8814 2 ◻ 4972 3 ◻ . .	16	fill in the blank f1a4f3fcd014fbb_19
	17	Amount from Schedule 2, line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	17
	18	Add lines 16 and 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	18	fill in the blank f1a4f3fcd014fbb_20
	19	Child tax credit or credit for other dependents from Schedule 8812 . . . .	19
	20	Amount from Schedule 3, line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
	21	Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	21
	22	Subtract line 21 from line 18. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . .	22	fill in the blank f1a4f3fcd014fbb_21
	23	Other taxes, including self-employment tax, from Schedule 2, line 21 . . . . . . . . . . . . . .	23
	24	Add lines 22 and 23. This is your total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ►	24	fill in the blank f1a4f3fcd014fbb_22
Payments	25	Federal income tax withheld from: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
	a	Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	25a	fill in the blank f1a4f3fcd014fbb_23
	b	Form(s) 1099 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	25b
	c	Other forms (see instructions) . . . . . . . . . . . . . . . . . . . . . .	25c
	d	Add lines 25a through 25c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	25d	fill in the blank f1a4f3fcd014fbb_24
If you have a qualifying child, attach Sch. EIC.	26	2022 estimated tax payments and amount applied from 2021 return . . . . . . . . . . . . . .	26
	27	Earned income credit (EIC) . . . . . . . . . . . . . . . . . . . . . . . . .	27
	28	Additional child tax credit from Schedule 8812 . . . . . . . . . . . . . . . . .	28
	29	American opportunity credit from Form 8863, line 8 . . . . . . . .	29
	30	Reserved for future use . . . . . . . . . . . . . . . .	30
	31	Amount from Schedule 3, line 15 . . . . . . . . . . . . . . . . . . . . .	31
	32	Add lines 27, 28, 29 and 31. These are your total other payments and refundable credits . . ►	32
	33	Add lines 25d, 26, and 32. These are your total payments . . . . . . . . . . . . . . . . . . . ►	33	fill in the blank f1a4f3fcd014fbb_25

Refund

If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid . . .

fill in the blank f1a4f3fcd014fbb_26

35a

Amount of line 34 you want refunded to you. If Form 8888 is attached, check here ► ◻

35a

fill in the blank f1a4f3fcd014fbb_27

Direct deposit?

► b

Routing number

► c Type: ◻ Checking ◻ Savings

See instructions.

► d

Account number

Amount of line 34 you want applied to your 2023 estimated tax . . ►

AmountYou Owe

Subtract line 33 from line 24. This is the amount you owe. For details on how to pay, go to or see instructions . . . . . . . . . . . . . . . . . . . . . . . ►

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

Third Party Designee

Do you want to allow another person to discuss this return with the IRS? See instructions. ►

▢ Yes. Complete below.▢ No

Designee'sname ►

Phoneno. ►

Personal identificationnumber (PIN) ►

SignHereJoint return? See instructions. Keep a copy for your records.

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

►

Your signature

Date

Your occupation Nurse

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

Spouse's signature. If a joint return, both must sign.

Date

Spouse's occupation Student

If the IRS sent your spouse an Identity Protection PIN, enter it here
(see inst.) ►

Phone no.

Email address

Paid Preparer Use Only	Preparer's name	Preparer's signature	Date	PTIN	Check if:◻ Self-employed
	Firm's name ►	Phone no.
	Firm's address ►	Firm's EIN ►

Complete1040.docx

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