Mukul is a teacher at Rockland School and he runs a tennis shop called Racket's Rackets. He and his wife Nikki have combined bank interest of $1,011. Nikki made $850 in tips last year. If they get a refund, they would like their money deposited into their checking account (number 88535244, with routing number 100078456). Complete their 1040EZ form.

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a Employee's social security number 000-00-0000 Safe, accurate, Visit the IRS website efile OMB No. 1545-0008 FASTI Use 1 W at www.irs.gov/efile b Employer identfication number (EIN) 42,12.76 ips, other com al income tax withheld 00-0000000 8,198.00 c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld $42,126.76 Medicare wages and tips 42,126.76 $2,611.81 Rockland School 76 Rickety Road Rockford, Illinois 61126 5 6 Medicare tax withheld 610.83 7 Social security tips 8 Allocated tips d Control number 9 Advance Elc payment 10 Dependent care benefits 09945 e Employee's first name and initia Last name Sutf. 11 Nonqualified plans 12a See instructions for box 12 Mukul Racket 13 staoy 14 Other 12c 5 Rockefeller Drive Rockford, Illinois 61126 12d s address and ZIP code 15 StatoEmployer's state ID number 16 State wages, tps, etc. 17 State income tax | 18 Local wages, tips, etc. | 19 Local income tax | 20 Locality n 1..00-0000000 $42,126.76. $3,198.10.... a Employee's social security number 000-00-0000 Safe, accurate, Visit the iRS website efile OMB No. 1545-0008 FASTI Use at www.irs.gov/efie. b Empioyer identification number (EIN) 2 Federal income tax withheld os, other .compensation 00-0000000 66,199.00 Sas 4134 c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld $66,199.00 5 Medicare wages and tips Racket's Rackets 3 Net Highway Rockford, Illinois 61126 6 Medicare tax withheld $959.89 7 Social security tips d Control number 10 Dependent care benefits 88345 e Employee's first name and initial Last name Suff. 11 Nonqualified plans 12a See instructions for box 12 Mukul Racket ird-parly 12 14 Other 12c 5 Rockefeller Drive Rockford, Illinois 61126 12d s address and ZIP code Employer's state ID number 15 Stato 16 State wages, tps, etc. 17 State income tax 18 Local wages, tips, etc. | 19 Local income tax | 20 Locality n .1.00-0000000$66,199.00$3,267.00