Complete a 1040A form for Kevin Hooper. Kevin is a butcher. He is single with two children, which he can claim as dependents. He also takes care of his dad, who lives with his family. Use the following amounts and his W-2 form that is shown: bank interest: $1,300; dividends: $672; and unemployment insurance: $900.

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a Employee's social Safe, accurate, Visit the IRS website 000-00-0000 MB No. 1545-0008 FASTI Use e file at www.irs.gowetile b Employer identification number (EIN) 2 Fec income tax withheld 00-0000000 Butchers Block Sea Cliff, New York 11579 03764 3.908.00 $2,022.38 8 c Employer's name, address, and ZiP code 3 Social security wages 4 Social security tax withhekd $32,619.00 Medicare wages and tips $32,619.00 5 6 Medicare tax withheld 130 Burger Blvd. 7 Social security tips 8 Allocated tips d Control number 9 Advance ElC payment 10 Dependent care benefit:s e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12 Kevin Hooper 14 Other 12c 15 Yonder Road Glen Head, New York 11545 12d address and ZIP code 15 State Employer's state ID number 16 State wages, tps, etc 17 State income tax 18 Local wages, tips, etc. 19 Local income tax20 Locality 1.00-0000000$32,619.00 $1,007.00