JUSTIN F NEWLAND

SARAH K NEWLAND
Tax Return Signature/Consent to Disclosure
On-Line Self Select PIN without Direct Debit

Perjury Statement
Under penalties for perjury, I declare that I have examined this return, including any accompanying statements and schedules and, to the best of my
knowledge and belief, it is true, correct, and complete.

Consent to Disclosure
I consent to allow my Intermediate Service Provider, transmitter, or Electronic Return Originator (ERO) to send my return to IRS and to receive the following
information from IRS: a) an acknowledgement of receipt or reason for rejection of transmission; b) an indication of any refund offset; c) the reason
for any delay in processing or refund; and, d) the date of any refund.

I am signing this Tax Return and Electronic Funds Withdrawal Consent, if applicable, by entering my Self
Select PIN below.

Taxpayer's PIN: 92180 Date: 02/02/2021

Taxpayer's Date of Birth: 11/21/1986
Taxpayer's Prior Year Adjusted Gross Income: 110,892.
Taxpayer's Prior year PIN
Taxpayer's Electronic Filing PIN
Spouse's PIN: 22113
Spouse's Date of Birth: 06/25/1993
Spouse's Prior Year Adjusted Gross Income: 110,892.
Spouse's Prior year PIN
Spouse's Electronic Filing PIN

8453OL(D) (2020) FD8453OD-1WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
 Name: JUSTIN F & SARAH K NEWLAND

IRS Direct Deposit Information

Routing Transit Number (RTN) 091409843

Depositor Account Number (DAN) 8069685013

Refund Transfer Proceeds - Direct Deposit Information

Routing Transit Number (RTN) 074000010

Depositor Account Number (DAN) 570193760

8453OL(D) (2020) FD8453OD-2WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
 Form I nd i ana In d i v i d u al In c o m e Ta x Do Not Mail
IT- 8 453OL DECLARATION OF ELECTRONIC FILING This Form
State Fo r m 46 20 1
(R 21 / 9- 20)
Income Tax f or the Tax Year J anuary 1 - Decem ber 31, 202 0 To DOR

S u bm is sio n ID

First Name and Midd le Initial Last Name Your Social Security Number Spouse's Social Security Number
JUSTIN F NEWLAND 310963942 315135089
Spouse's First Name and Midd le Spouse's Last Name Street Address
Initi al SARAH K NEWLAND 2729 US HWY 421
City State Zip Code Daytime Telephone Number
WESTVILLE IN 46391 5749332590

Part I Tax Return Information (See instruc tions o n next page)

1. Federal Adjusted Gross Income 1. 80919.00
2. Indiana Adjusted Gross Income 2. 76919.00
3. Total Indiana Tax 3. 3215.00
4. Total State Tax Withheld 4. 3459.00
5. Total County Tax Withheld 5. 807.00
6. Total Indiana Tax Credits 6. 4266.00
7. Refund 7. 1051.00
8. Amount You Owe 8.

Part II Direct Deposit

A
T
T
9. Routing number 074000010 Note: The first two digits of the ro uting number must be 01 - 12 or 21 - 32.
A
C
H
10. Account number 570193760 Do Not Mail
W
2
11. Type of account: X Checking Savings Hoosier Works MC This Form
F
O 12. Place an "X" in the box if refund will go to an account outsid e the United States. To DOR
R
M
S My request for direct deposit of my refund includes my authorization for the Indiana Department of Revenue to furnish my
H
E financial institution with my routing number, account number, account type, and social secur ity number to ensure my refund is
R
E properly deposited.

Part II I Declaration of Taxpayer

If I have filed a balance due return, I understand that if the DOR does not receive full and timely payment of my tax liability, I will I
remain liable for the tax liability and all applic able interest and penalties.
Under penalties of perjury, I declare that the amounts in Part I above agree with the amounts on the corresp onding lines of the N
electronic portion of my 2020 income tax return. To the best of my knowledge and belief, my return is true, correct and complete
I consent to allow my transmitter to send my return, this declaration, and accompanying schedule s and statements to the D OR.
D
I also consent to the DOR sending an acknowledgement of receipt of transmission and an indication of whether or not my return
is accepted, and, if rejected, the reason(s) f or the rejection. I
In additio n, by using a computer system and software to prepare and transmit my return electronically, I consent to the disclosure to A
the DOR of all information pertaining to my use of the system and software and to the transmission of my tax return electronically.
N
Taxpayer's Signature Date Spouse's Signature Date A
1029
 2020 Federal Tax Return Filing Instructions
FOR THE YEAR ENDING
December 31, 2020

JUSTIN F NEWLAND
Prepared for
SARAH K NEWLAND
Gross Income $ 80,919
Tax Adjusted Gross Income $ 80,919
Summary Total Deductions $ 24,800
Total Taxable Income $ 56,119
Total Tax $ 4,447
Total Payments $ 11,796
Refund Amount $ 7,349
Amount You Owe $ 0

Make check United States Treasury

payable to

Since you are filing your return electronically and you chose
Mailing to use an electronic signature, you do not mail your return.
Address

Instructions
STEP 1 - Once your e-filed return has been accepted, you will receive
an e-mail
STEP 2 - Keep a copy
Print a copy of the return for your records.
Please attach a copy of each W-2, W-2G, 1099G and 1099R to your return.

Checklist (2020) FDCHECKE-1WV 1.0 Ver 0219

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
 F (99)
O D epart ment of t h e Treasury - Int ernal Revenue Service
R
M
1040 U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only - D o not w rit e or st aple in t h is space.

Filing Status Single X Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er)(QW)
Check only If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QW box, enter the child's name if the qualifying person
one box. is a child but not your dependent
Your first name and middle initial Last name Your social security number
JUSTIN F NEWLAND 310-96-3942
If joint return, spouse's first name and middle initial Last name Spouse's social security no.
SARAH K NEWLAND 315-13-5089
Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
2729 US HWY 421 Ch eck h ere if y ou, or y our spouse
if f iling j oint ly, w ant $3 t o go t o t h is
City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code f und . Ch eck ing a b ox b elow w ill not
WESTVILLE IN 46391 ch ange y our t ax or ref und .

Foreign country name Foreign province/ st at e/ count y Foreign postal code

You Spouse

At any time during 2020, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency? Yes X No
Standard Someone can claim: You as a dependent Your spouse as a dependent
Deduction Spouse itemizes on a separate return or you were dual- status alien

Age/Blindness You: Were born before January 2, 1956 Are blind Spouse: Was born before January 2, 1956 Is blind
Dependents (see instructions): (2) Social securit y no. (3) Relat ionsh ip t o y ou (4) if q ualif ies f or (see inst .):
If more Cred it f or ot h er
(1) First name Last name Ch ild t ax cred it
d epend ent s
than four
dependents, MARY NEWLAND 316-44-6785GRANDPARENT X
see instrs. FREDRICK NEWLAND 305-36-1569GRANDPARENT X
and check
here
1 Wages, salaries, tips, etc. Attach Form(s) W-2 1 79,749.
Attach 2a Tax-exempt interest 2a b Taxable interest 2b
Sch. B if
3a Qualified dividends 3a b Ordinary dividends 3b
required.
4a IRA distributions 4a b Taxable amount 4b
Standard 5a Pensions and annuities 5a b Taxable amount 5b
Deduction for - 6a Social security benefits 6a b Taxable amount 6b
Single or M arried
f iling separat ely, 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here 7
$12,400
8 Other income from Schedule 1, line 9 8 1,170.
M arried f iling
j oint ly or 9 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income 9 80,919.
Qualifying 10 Adjustments to income:
widow(er),
$24,800 a From Schedule 1, line 22 10a
Head of b Charitable contributions if you take the standard deduction. See instr. 10b
h ouseh old ,
$18,650 c Add lines 10a and 10b. These are your total adjustments to income 10c
If y ou ch ecked 11 Subtract line 10c from line 9. This is your adjusted gross income 11 80,919.
any box under
St and ard
12 Standard deduction or itemized deductions (from Schedule A) 12 24,800.
D ed uct ion, 13 Qualified business income deduction. Attach Form 8995 or Form 8995- A 13
see inst ruct ions.
14 Add lines 12 and 13 14 24,800.
15 Taxable income. Subtract line 14 from line 11. If zero or less, enter - 0- 15 56,119.
KBA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2020)

1040 (2020) FD1040-1WV 1.25

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
Form 1040 (2020) JUSTIN F & SARAH K NEWLAND 310-96-3942 Page 2
16 Tax (see instructions).Check if any from Form(s):1 8814 2 4972 3 16 6,340.
17 Amount from Schedule 2, line 3 17
18 Add lines 16 and 17 18 6,340.
19 Child tax credit or credit for other dependents 19 1,000.
20 Amount from Schedule 3, line 7 20 893.
21 Add lines 19 and 20 21 1,893.
22 Subtract line 21 from line 18. If zero or less, enter - 0- 22 4,447.
23 Other taxes, including self- employment tax, from Schedule 2, line 10 23
24 Add lines 22 and 23. This is your total tax 24 4,447.
25 Federal income tax withheld from:
a Form(s) W-2 25a 9,284.
b Form(s) 1099 25b 117.
c Other forms (see instructions) 25c
d Add lines 25a through 25c 25d 9,401.
If you have a
q ualif y ing ch ild , 26 2020 estimated tax payments and amount applied from 2019 return 26
at t ach Sch .EIC
27 Earned income credit (EIC) 27
If you have
nontaxable 28 Additional child tax credit. Attach Schedule 8812 28
comb at pay, see
inst ruct ions. 29 American opportunity credit from Form 8863, line 8 29 595.
30 Recovery rebate credit. See instructions 30 1,800.
31 Amount from Schedule 3, line 13 31
32 Add lines 27 through 31. These are your total other payments and refundable credits 32 2,395.
33 Add lines 25d, 26, and 32. These are your total payments 33 11,796.
Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid 34 7,349.
35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here 35a 7,349.
D irect d eposit ? b Routing number 091409843 c Type: X Checking Savings
See inst ruct ions.
Account number 8069685013
d
36
Amount of line 34 you want applied to your 2021 estimated tax 36
Amount 37 Subtract line 33 from line 24. This is the amount you owe now 37
You Owe Note: Schedule H and Schedule SE filers, line 37 may not represent all of the taxes you owe for
For details on
how to pay, see 2020. See Schedule 3, line 12e, and its instructions for details.
instructions. 38 Estimated tax penalty (see instructions) 38
Do you want to allow another person to discuss this return with the IRS? See
Third Party
Designee instructions Yes. Complete below. X No
Designee's Phone Personal id ent if icat ion numb er

name no. (PIN)

Und er penalt ies of perj ury, I d eclare t h at I h ave examined t h is ret urn and accompany ing sch ed ules and st at ement s, and t o t h e b est of my k now led ge and b elief ,
Sign t h ey are t rue, correct , and complet e. D eclarat ion of preparer (ot h er t h an t axpay er) is b ased on all inf ormat ion of w h ich preparer h as any k now led ge.
Here
If t h e IRS sent y ou an ID
Joint return? Your signature Date Your occupation Protection
See instructions. PIN, enter it
FORMEN here (see inst.)
Keep a copy for If t h e IRS sent y our spouse
your records. Spouse's signature. If a joint return, both must sign. Date Spouse's occupation an ID Prot ect ion
PIN, enter it
STUDENT here (see inst.)
Phone no. Email address
Paid Preparer's name Preparer's signature Date PTIN Check if:
Preparers Self - employ ed

Use Only Firm's name Phone no.

Firm's address Firm's EIN
Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2020)
SCHEDULE 1 OMB No. 1545-0074
(Form 1040) Additional Income and Adjustments to Income
Attach to Form 1040, 1040-SR, or 1040-NR.
D epart ment of t h e Treasury At t ach ment
Int ernal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No.01
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
JUSTIN F & SARAH K NEWLAND 310-96-3942
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 1,170.
8 Other income. List type and amount
8
9 Combine lines 1 through 8. Enter here and on Form 1040, 1040- SR, or 1040- NR, line 8 9 1,170.
Part II Adjustments to Income
10 Educator expenses 10
11 Certain business expenses of reservists, performing artists, and fee- basis government officials. Attach
Form 2106 11
12 Health savings account deduction. Attach Form 8889 12
13 Moving expenses for members of the Armed Forces. Attach Form 3903 13
14 Deductible part of self-employment tax. Attach Schedule SE 14
15 Self-employed SEP, SIMPLE, and qualified plans 15
16 Self-employed health insurance deduction 16
17 Penalty on early withdrawal of savings 17
18a Alimony paid 18a
b Recipient's SSN
c Date of original divorce or separation agreement (see instructions)
19 IRA deduction 19
20 Student loan interest deduction 20
21 Tuition and fees deduction. Attach Form 8917 21
22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040,
1040-SR, or 1040-NR, line 10a 22
KBA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040) 2020

1040-Sch123 (2020) FDSCH123-1WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
SCHEDULE 3 OMB No. 1545-0074
(Form 1040) Additional Credits and Payments
Attach to Form 1040, 1040-SR, or 1040-NR.
D epart ment of t h e Treasury At t ach ment
Int ernal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 03
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
JUSTIN F & SARAH K NEWLAND 310-96-3942
Part I Nonrefundable Credits
1 Foreign tax credit. Attach Form 1116 if required 1
2 Credit for child and dependent care expenses. Attach Form 2441 2
3 Education credits from Form 8863, line 19 3 893.
4 Retirement savings contributions credit. Attach Form 8880 4
5 Residential energy credits. Attach Form 5695 5
6 Other credits from Form: a 3800 b 8801 c 6
7 Add lines 1 through 6. Enter here and on Form 1040, 1040- SR, or 1040- NR, line 20 7 893.
Part II Other Payments and Refundable Credits
8 Net premium tax credit. Attach Form 8962 8
9 Amount paid with request for extension to file (see instructions) 9
10 Excess social security and tier 1 RRTA tax withheld 10
11 Credit for federal tax on fuels. Attach Form 4136 11
12 Other payments or refundable credits:
a Form 2439 12a
b Qualified sick and family leave credits from Schedule(s) H and Form(s) 7202 12b
c Health coverage tax credit from Form 8885 12c
d Other: 12d
e Deferral for certain Schedule H or SE filers (see instructions) 12e
f Add lines 12a through 12e 12f
13 Add lines 8 through 12f. Enter here and on Form 1040, 1040- SR, or 1040- NR, line 31 13
KBA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 3 (Form 1040) 2020

1040-Sch123 (2020) FDSCH123-2WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
 Education Credits OMB No. 1545-0074
Form 8863 (American Opportunity and Lifetime Learning Credits)
D epart ment of t h e Treasury
Attach to Form 1040 or 1040- SR. Attachment
Int ernal Revenue Service (99) Go to www.irs.gov/Form8863 for instructions and the latest information. Sequence No. 50
Name(s) shown on return Your social security number
JUSTIN F & SARAH K NEWLAND 310-96-3942
Complete a separate Part III on page 2 for each student for whom you're claiming either credit
before you complete Parts I and II.
Part I Refundable American Opportunity Credit
1 After completing Part III for each student, enter the total of all amounts from all Parts III, line 30 1 1,488.
2 Enter: $180,000 if married filing jointly; $90,000 if single, head of
household, or qualifying widow(er) 2 180,000.
3 Enter the amount from Form 1040 or 1040- SR, line 11. If you're filing Form
2555 or 4563, or you're excluding income from Puerto Rico, see Pub. 970 for
the amount to enter 3 80,919.
4 Subtract line 3 from line 2. If zero or less, stop; you can't take any education
credit 4 99,081.
5 Enter: $20,000 if married filing jointly; $10,000 if single, head of household,
or qualifying widow(er) 5 20,000.
6 If line 4 is:
Equal to or more than line 5, enter 1.000 on line 6
Less than line 5, divide line 4 by line 5. Enter the result as a decimal (rounded to 6 1.000
at least three places)
7 Multiply line 1 by line 6. Caution: If you were under age 24 at the end of the year and meet
the conditions described in the instructions, you can't take the refundable American opportunity
credit; skip line 8, enter the amount from line 7 on line 9, and check this box 7 1,488.
8 Refundable American opportunity credit. Multiply line 7 by 40% (0.40). Enter the amount here and
on Form 1040 or 1040- SR, line 29. Then go to line 9 below 8 595.
Part II Nonrefundable Education Credits
9 Subtract line 8 from line 7. Enter here and on line 2 of the Credit Limit Worksheet (see instructions) 9 893.
10 After completing Part III for each student, enter the total of all amounts from all Parts III, line 31. If
zero, skip lines 11 through 17, enter - 0- on line 18, and go to line 19 10
11 Enter the smaller of line 10 or $10,000 11
12 Multiply line 11 by 20% (0.20) 12
13 Enter: $138,000 if married filing jointly; $69,000 if single, head of household, or
qualifying widow(er) 13
14 Enter the amount from Form 1040 or 1040- SR, line 11. If you're filing Form 2555 or 4563,
or you're excluding income from Puerto Rico, see Pub. 970 for the amount to
enter 14
15 Subtract line 14 from line 13. If zero or less, skip lines 16 and 17, enter - 0-
on line 18, and go to line 19 15
16 Enter: $20,000 if married filing jointly; $10,000 if single, head of household,
or qualifying widow(er) 16
17 If line 15 is:
Equal to or more than line 16, enter 1.000 on line 17 and go to line 18
Less than line 16, divide line 15 by line 16. Enter the result as a decimal (rounded to at least three places) 17
18 Multiply line 12 by line 17. Enter here and on line 1 of the Credit Limit Worksheet (see instructions) 18 0.
19 Nonrefundable education credits. Enter the amount from line 7 of the Credit Limit Worksheet (see
instructions) here and on Schedule 3 (Form 1040), line 3 19 893.
KBA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8863 (2020)

8863 (2020) FD8863-1WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
Form 8863 (2020) Page 2
Name(s) shown on return Your social security number
JUSTIN F & SARAH K NEWLAND 310-96-3942
Complete Part III for each student for whom you're claiming either the American
opportunity credit or lifetime learning credit. Use additional copies of page 2 as needed for
each student.
Part III Student and Educational Institution Information. See instructions.
20 Student name (as shown on page 1 of your tax return) 21 Student social security number (as shown on page 1 of your tax return)
SARAH
NEWLAND 315-13-5089
22 Educational institution information (see instructions)
a. Name of first educational institution b. Name of second educational institution (if any)

IVY TECH COMMUNITY COLLEGE

(1) Address. Number and street (or P.O. box). City, town or (1) Address. Number and street (or P.O. box). City, town or
post office, state, and ZIP code. If a foreign address, see post office, state, and ZIP code. If a foreign address, see
instructions. instructions.

50 W FALL CREEK PARKWAY N

INDIANAPOLIS IN 46208
(2) Did the student receive Form 1098-T (2) Did the student receive Form 1098-T
from this institution for 2020? X Yes No from this institution for 2020? Yes No

(3) Did the student receive Form 1098-T (3) Did the student receive Form 1098-T
from this institution for 2019 with box Yes X No from this institution for 2019 with box Yes No
7 checked? 7 checked?

(4) Enter the institution's employer identification number (EIN) (4) Enter the institution's employer identification number
if you're claiming the American opportunity credit or if you (EIN) if you're claiming the American opportunity credit or
checked "Yes" in (2) or (3). You can get the EIN from Form if you checked "Yes" in (2) or (3). You can get the EIN
1098-T or from the institution. from Form 1098-T or from the institution.

35-1180631
23 Has the Hope Scholarship Credit or American opportunity Yes - Stop!
credit been claimed for this student for any 4 tax years Go to line 31 for this student. X No - Go to line 24.
before 2020?
24 Was the student enrolled at least half- time for at least one
academic period that began or is treated as having begun in
2020 at an eligible educational institution in a program X Yes - Go to line 25. No - Stop! Go to line 31
leading towards a postsecondary degree, certificate, or for this student.
other recognized postsecondary educational credential?
See instructions.
25 Did the student complete the first 4 years of postsecondary Yes - Stop!
education before 2020? See instructions. Go to line 31 for this X No - Go to line 26.
student.
26 Was the student convicted, before the end of 2020, of a Yes - Stop! No - Complete lines 27
felony for possession or distribution of a controlled Go to line 31 for this X through 30 for this student.
substance? student.

You can't take the American opportunity credit and the lifetime learning credit for the same student in the same year.
If you complete lines 27 through 30 for this student, don't complete line 31.

American Opportunity Credit

27 Adjusted qualified education expenses (see instructions). Don't enter more than $4,000 27 1,488
28 Subtract $2,000 from line 27. If zero or less, enter - 0- 28 0
29 Multiply line 28 by 25% (0.25) 29
30 If line 28 is zero, enter the amount from line 27. Otherwise, add $2,000 to the amount on line 29 and
enter the result. Skip line 31. Include the total of all amounts from all Parts III, line 30, on Part I, line 1 30 1,488
Lifetime Learning Credit
31 Adjusted qualified education expenses (see instructions). Include the total of all amounts from all Parts
III, line 31, on Part II, line 10 31
Form 8863 (2020)

8863 (2020) FD8863-1WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
 2020 STATE TAX RETURN FILING INSTRUCTIONS
INDIANA
FOR THE YEAR ENDING
December 31, 2020

Prepared for JUSTIN F NEWLAND and SARAH K NEWLAND

Tax Gross Income $ 80,919

Summary Adjusted Gross Income $ 80,919
Total Deductions $ 0
Total Taxable Income $ 76,919
Total Tax $ 3,215
Total Payments $ 4,266
Refund Amount $ 1,051
Amount You Owe $ 0

Make check
payable to

Mailing
Address

Special You have one or more forms in your Indiana return that are
Instructions not ready for printing. Your state has approved the forms for
e-filing, but hasn't approved the final layout for filing on
paper and printing for your records. You will have to wait before
you can print a final copy for your records. We expect final
forms to be available by mid-January at the latest. You can
check back then to review and print your state tax return.

Check List (2020) STCHECK-1WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
 Form Indiana Full -Year Resident Due April 15, 2 021
IT-40
S t a t e F o r m 15 4
2 02 0 Individual Income Tax Return
( R 19 / 9 - 2 0 ) If filing for a fiscal year, enter the dates (see instru ctions) (MM/DD/Y YYY):
Place "X" in box
fro m to: if amending

Your Socia l Spouse' s Social

Security Number 310 96 3942 Security Number 315 13 5089
Place "X" in box if applying for ITIN Place "X" in box if applying for ITIN
Your first n ame Initial Last nam e Suff ix

JUSTIN F NEWLAND
If filing a joint return, spouse' s first name Initial Last name Suffix

SARAH K NEWLAND
Present address (number and street or rural route)
Place "X" in box if you are
2729 US HWY 421 married filing separately.
Cit y State Zip/Postal code

WESTVILLE IN 46391
Foreign country 2-character code (see instructions)

Enter below the 2-digit county code numbers (found on t he back of Schedule CT-40) for the county where you lived and
worked on January 1, 2020.
County where County where Coun ty where County where
you lived 46 you worked 46 spouse lived 46 spouse worked 46
Round all ent r ies
1. Enter your federal adjusted gross inco me from your federal
income ta x return, Form 1040 or Form 1040-SR, line 8b Federal AGI 1 80919.00
2. Enter amount fr om Schedu le 1, line 7, and encl ose Schedule 1 Indiana Add-Backs 2 0.00
3. Add line 1 and line 2 3 80919.00
4. Enter amount from Schedule 2, line 12, and enclose Schedule 2 Indiana Deductio ns 4 0.00
5. Subtract line 4 from line 3 5 80919.00
6. You must complete Schedule 3. Enter amo unt fro m Schedule 3, line 6,
and enclose Sch edule 3 Indiana Exempt ions 6 4000.00
7. Subtract line 6 from line 5 Indiana Adjusted Gross Income 7 76919.00
8. State adjusted gross income ta x : multiply line 7 by 3 .23% (.0323)
(if answer is less than zero, leave bla nk) 8 2484.00
9. County tax. Enter county ta x due from Schedule CT-40
(if answ er is less than zero, leave blank) 9 731.00
10. Other taxes. Enter amount from Schedule 4, line 4 (enclose sch.) 10 0.00
11. Add lines 8, 9 and 10. Enter total here and on line 15 on the back Indi ana Taxes 11 3215.00

15120111029
12. Enter credits from Schedule 5, line 10 (enclose sch edule) 12 4266.00
13. Enter offse t cred its from Schedule 6, line 8 (enclose schedule) 13 0.00
14. Add lines 1 2 and 13 Indian a Credits 14 4266.00
15. Enter amount from line 11 Indiana Taxes 15 3215.00
16. If line 14 is equal to or more than line 15, subtract line 15 from line 14 (if smaller, skip to line 23) 16 1051.00
17. Enter donations from Schedule IN-DONATE (enclose schedule); cannot be greater than line 16 17 0.00
18. Subtra ct line 17 from line 16 Overpayment 18 1051.00
19. Amount from line 18 to be applied to your 2021 estimated tax ac count ( s e e i n s t ru c tio n s ).

Enter your county code coun ty tax to be applied $ a 0.00

Spouse's county code coun ty tax to be applied $ b 0.00
Indiana adjusted gross income tax to be applied $ c 0.00
Total to be applied to your estimated tax account (a + b + c; cannot be more than line 18) 19d 0.00
20. Penalty for under payment of estimated tax from Schedul e IT-2210 or IT-2210A (enclose sch.) 20 0.00
21. Re fund: Line 18 minus lines 19d and 20. Note: If less than zero, see line 23 Your Refund 21 1051.00
22. Di rect Deposit (see instruc tions)

a. Routing Number

b . Account Number

c. Type: Checking Savings Hoosier Works MC

d. Place an "X" in the box if refund will go to an account outside the U nited States

23. If line 15 is more than line 14, subtract line 14 from line 15. Add to this any amount on line 20
(see instruct ions ) 23 0.00
24. Penalt y if filed after due date (see instructions) 24 0.00
25. Interest if filed after due date (see instructions) 25 0.00
26. Amount Due: Add lines 23, 24 and 25 Amount You Owe 26 0.00
Do not send cash. Please make your check or money order payable to:
Indiana Department of Revenue . Credit card payers must see instructions.

Sig n an d date this return after reading the Au thori zatio n s tatement on Schedule 7. You must enclose Schedule 7.

For Info Only For Info Only

Your Signature Date Spouse's Signature Date

If enclosing pay ment mail to: Indiana Department of Revenue, P.O. Box 7224, Indianapolis, IN 46207 -7224.
Mail all other returns to: Indiana Department of Revenue, P.O. Box 40, Indianapolis, IN 46206-0040.

1512 0121029
 Schedul e 3 S chedule 3: Exemptions Enclosure
Form IT-40,
( R 1 1 / 9 - 2 0)
S ta te F o r m 5 3 9 97
2020 Sequence No. 03

Name(s) show n on Form IT-40 Your So cial Security Number

JUSTIN F & SARAH K NEWLAND 310 96 3942

Complete and enclose Schedule IN -DEP : Dependent Inform ation and Add itional
Dependent Child Information if you are cla iming dependents on lines 2 and/or 3 below. R oun d all entr ies

1. Enter $2000 if you are married filing jointly; otherwise, enter $1000 1 2000.00
2. Enter the numb er of dependents listed on Schedule IN-DEP, Box 6 2 x $10 00 2 2000.00
You MUST enclose Schedule IN-D EP.

3. You may claim an additional exemption for ea ch qualifying dependent child :

. who is a son, stepson, daugh ter, stepdaughter, foster child and/or child for whom you are a
legal guardia n,
. who was under the age of 19 by Dec. 31, 2020,
. or a full-time student who was under the ag e of 24 by Dec. 31, 2020, a nd
. who you are eligible to claim as a dependent
d on line 2 above .

Enter the number of additional dependent s

listed on Schedule IN-DEP, Box 7. 0 x $1500 3 0.00
4. Place "X " in box(es) below if, by December 31, 2020

You were age 6 5 or older and/or blind

Spouse w as 65 or older and/or blind

Total number of boxes with Xs x $1000 4 0.00

5. If age 65 or older, enter amount from Form IT-40, line 1.

If this amount is less than $40,00 0, place "X" in box(es) below if :

You were age 65 or older

Spouse was 65 or older

Total numb er of boxes with Xs 0 x $500 5 0.00

6. Add lines 1, 2, 3, 4 and 5. Enter here and on Form IT-40, line 6 Total Exempti ons 6 4000.00

2 3020111029
Schedule IN-DEP Schedule IN-DEP: Dependent Information and Additional Enclosure
Form IT-40/IT-40PNR Sequence No. 03A/04 A
S t a te F o r m 5 4 81 5 Dependent Child Info rmation
( R 9 / 9 -2 0 )
2020
Name(s) shown on Form IT-40/IT-40PNR Your Soci al Security Number

JUSTIN F & SARAH K NEWLAND 310 96 3942

Depend ent's First Na me Dependent's Last Name

1A. MARY 1B. NEWLAND

Depend ent's Social Security Number Dependent's Date of B irth (mm dd yyyy)

1C. 316 44 6785 1D. 11 07 1944

1E. Place "X " in box if claiming dependent as an additional dependent child exemption 1E

Depend ent's First Na me Dependent's Last Name

2A. FREDRICK 2B. NEWLAND

Depend ent's Social Security Number Dependent's Date of B irth (mm dd yyyy)

2C. 305 36 1569 2D. 08 29 1938

2E. Place "X " in box if claiming dependent as an additional dependent child exemption 2E

Depend ent's First Na me Dependent's Last Name

3A. 3B.
Depend ent's Social Security Number Dependent's Date of B irth (mm dd yyyy)

3C. 3D.
3E. Place "X " in box if claiming dependent as an additional dependent child exemption 3E

Depend ent's First Na me Dependent's Last Name

4A. 4B.
Depend ent's Social Security Number Dependent's Date of B irth (mm dd yyyy)

4C. 4D.
4E. Place "X " in box if claiming dependent as an additional dependent child exemption 4E

Depend ent's First Na me Dependent's Last Name

5A. 5B.
Depend ent's Social Security Number Dependent's Date of B irth (mm dd yyyy)

5C. 5D.
5E. Place "X " in box if claiming dependent as an additional dependent child exemption 5E

6. Dependent Exemptions. Add the number of dependents listed above (see instructions ). Enter the total
here and in the box on line 2 of Schedule 3 (if filing Form IT-40) or Schedule D (if f iling Form I T-40 PNR) Box 6 2
7. Ad ditio nal Dependent Exemp tions. Add the total number of boxes with Xs from lines 1E, 2E, 3E, 4E,
and 5E, if applicable. Enter the total here and in the box on line 3 of Schedule 3 (if filing Form IT-40) or
Sched ule D (if filing Form IT-40PN R) Box 7 0

25 620111029
 Schedule 5 / Schedule IN-DONATE Schedule 5: Credits Enclosur e
Form IT- 40,
( R 1 1 / 9 - 2 0)
S ta te F o r m 53 9 9 8
2020 Sequence N o. 04

Na me(s) shown on Form IT- 40 Your Social Security Number

JUSTIN F & SARAH K NEWLAND 310 96 3942

Rou nd all entri es

1. Indiana state tax withheld: enclose W-2s, 1099s showing state ta x withholding am ounts 1 3459.00
2. Indiana county tax withheld: enclo se W-2s, 1099s showing county tax withholding amounts 2 807.00
3. Estimated tax paid for 2020: include any extension payment made with Form IT-9 3 0.00
4. Unified tax credit for the elderly 4 0.00
5. Earned income credit: enclose Schedule IN- EIC and enter amount from line A- 3 5 0.00
6. Lake County residen tial income tax credit 6 0.00
7. Economic develo pment for a growing economy credit. Enter am ount from Schedule IN- EDGE,
line 19 (enclose schedule ) 7 0.00
8. Economic development for a growing economy retention cr edit. Enter amount from
Schedule IN-EDGE-R, line 19 (enclose schedule) 8 0.00
9. Headquarters relocation credit (refundable portion - see instructions) 9 0.00
10. Add lines 1 through 9. Enter total here and on For m IT- 40, line 12 Total Credits 10 4266.00

Schedule IN-DONATE
Important. The amount on line 2 c annot exceed the amount on Form I T-40/IT- 40PNR, line 16.

1. Donations: List fund name, 3 -digit code and amount to b e donated (see instructions)

a. Enter f und nam e code no. 1a .00

b. Enter f und name code no. 1b .00
c . Ent er f und name code no. 1c .00
2. Add li nes 1a th rough 1 c . Enter tota l here and on Form IT-40/IT-40P NR , line 1 7 Total Donations 2 0.00

23120111029
 Schedule 7 Schedule 7: Additional Required In format ion Enclosure
Form IT-40, S t a te
( R 1 1 / 9 -2 0)
F o r m 54 0 0 0
2020 Sequence No. 06

Name(s) show n on Form IT-40 Your Social Security Number

JUSTIN F & SARAH K NEWLAND 310 96 3942

1. Federal filing information
Are you filing a federal income tax return for 20 20? Place "X" in approp riate box. Yes X No

2. Out-of-state income Complete if you and/or your spouse (if filing a joint return) received any salary, wage, tip and/or commission
income from Illinois, Kentucky, Michigan, Ohio, Pennsylvania or Wisco nsin. Enter two-digit code number from the back of Schedule C T-40
for state where you and/or your spouse worked.
State where you worked Your in come State where spouse worked Spouse' s income

$ .00 $ .00
3. Extension of tim e to file
a. Place "X" in box if you have filed a federal extension of time to file, Form 4 868, or made an online extension pay ment.

b. Place "X" in box if you have filed an Indiana extension of time to file , Form IT-9, or made an Ind iana exten sion payment online.

4. Farm / F ishing income

Place "X" in box if at least two- third s of your gross inc ome was made from farming or fi shing.
Important: If you placed an "X" in the box, you MUST attach Schedule IT-2210.

5. MFJ filers. If you are eligi ble for a refund and you do not wa nt i t applied to an existi ng state income ta x liabilit y of your spouse,
or to anoth er d ebt of your spouse to which the state ta x refund may be applied, p lace an "X" in the box and see instructions.

6. Date of death
If any ind ivid u al listed at the top of the IT-40 died during 2 020, enter date of death (MM /DD).

Taxpayer's date of death 2020 Spouse's date of death 2020

Authoriz ation Sign Form IT-40 after reading the following statement.
Under penalty of perj ury, I have examined this return and all attachments and to the best of my knowledge and belief, it is true, com-
plete and correct. I understand that if th is is a joint return, any refund will be made payable to us jointly and each of us is liable for all
taxes due under this return. Also, my request for direct deposit of my refund inclu des my authorization to the Indiana Department of
Revenue to fur nish my financial institution with my routing number, account number, account type and Social Security numb er to ensure
my refund is properly depos ited. I give permission to the Department to con tact the Social Security Administration to confirm that the
Social Security number(s) used on this return is cor rect.

7. Your daytime Your

telephone number 5749332590 email address TOO LONG FOR BARCODE
I authorize the De partment to d i scuss my return w ith my Paid Preparer: Firm's Name (or yours if self-employed)
.
per sonal represe ntative.

Yes No X If yes, complete the information below.

Personal Representative's Name (please print) IN-OPT on file with paid preparer if not filing electronically

PTIN
Telephone
number Address

Address City

City State Z ip Code

Preparer's
State Zip Code signature

23320111029
 Schedule CT-40 County Tax Schedule for Enclo sure
F o r m IT - 40, S t a t e Fo r m 4 7 9 07
( R 1 9 / 9 - 2 0) Fu ll-Year Indiana Residents 2020 Sequence No. 07

Name(s) shown on Form IT-40 Your Social Security Number

JUSTIN F & SARAH K NEWLAND 310 96 3942

1. Enter the amou nt from IT-40, line 7. Not e: If both you and
your spous e lived in the same county on January 1, enter the Column A - Yourself Column B - Spouse's
entire a mount from F orm IT-40, line 7 o n line 1A
(do not com plet e Column B). See instructions 1A 76919 .00 1B 0.00
2. E nter the county tax rate fro m the chart on the back of
this sched ule for the county where you lived on Jan. 1, 2020 2A . 0095000 2B . 0000000
3. Multiply lin e 1 by the rate on line 2 (leave blank if less than zero) 3A 731 .00 3B .00
4. Add lines 3A and 3B. Ente r the total here. N ote: Perry County residents: If you li ve in Perry
County and worked in the Kentucky counties of B r eckinridge, Hancock or Meade, you must
complete lines 5 and 6. Otherwise, enter the total here and on line 7 below (see instructions ) 4 731.00
5. Enter the amount of income that was taxed by certain K entucky localities (see instructions) 5 0.00
6. Multiply line 5 b y .0181 and enter total here 6 0.00
7. Enter total of line 4 minus line 6. Ent er this amount on line 9 of Form IT-40 7 731.00

16 620111029
 Credit Limit Worksheet - Keep For Your Records
Name JUSTIN F & SARAH K NEWLAND SSN 310-96-3942

Credit Limit Worksheet - Form 8863 - Line 19

Nonrefundable Credit Worksheet
1. Enter the amount from Form 8863, line 18 1. 0.
2. Enter the amount from Form 8863, line 9 2. 893.
3. Add lines 1 and 2 3. 893.
4. Enter the amount from:
Form 1040 or 1040-SR, line 18 4. 6,340.
5. Enter the total of your credits from:
Schedule 3 (Form 1040), lines 1 and 2, and Schedule R, line 22 5. 0.
6. Subtract line 5 from line 4 6. 6,340.
7. Enter the smaller of line 3 or line 6 here and on Form 8863, line 19 7. 893.

Credit Limit Worksheet - Form 8880, line 11

1. Enter the amount from Form 1040, 1040- SR, or 1040- NR, line 18 1.
2. Form 1040 or 1040- SR filers: Enter the total of your credits from Schedule 3, lines 1 through 3, and Schedule R, line 22.
Form 1040- NR filers: Enter the total of your credits from Schedule 3, line 1 through 3 2.
3. Subtract line 2 from line 1. Also enter this amount on Form 8880, line 11. But if zero or less, stop; you can't
take the credit - don't file this form 3.

CLWS (2020) FDCLWS-1WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
JUSTIN F NEWLAND 310-96-3942
2020 Child Tax Credit and Credit for Other Dependents Worksheet
1. Number of qualifying children under 17 with the required
social security number: X $2,000. Enter the result. 1
2. Number of other dependents, including qualifying children who are not under 17
or who do not have the required social security number: 2 X $500. 2 1,000
Enter the result.
Caution. Dont include yourself, your spouse, or anyone who is not a U.S. citizen, U.S.
national, or U.S. resident alien. Also, don't include anyone you included on line 1.

3. Add lines 1 and 2. 3 1,000

4. Enter the amount from line 11of your Form 1040, 1040- SR, or Form 1040- NR. 4 80,919
5. 1040 and 1040- SR filers. Enter the total of any -
Exclusion of income from Puerto Rico; and
Amounts from Form 2555, lines 45 and 50 and Form 4563, line 15. 5 0
1040- NR filers. Enter -0-.

6. Add lines 4 and 5. Enter the total. 6 80,919

7. Enter the amount shown below for your filing status.
Married filing jointly - $400,000
All other filing statuses - $200,000 7 400,000
8. Is the amount on line 6 more than the amount on line 7?
X No. Leave line 8 blank. Enter -0- on line 9.
8
Yes. Subtract line 7 from line 6. If the result isn't a multiple of $1,000,
increase it to the next multiple of $1,000. For example, increase $425 to $1,000, increase $1,025 to $2,000, etc.

9. Multiply the amount on line 8 by 5% (.05). Enter the result. 9 0

10. Is the amount on line 3 more than the amount on line 9?
No. You cannot take the child tax credit or credit for other dependents on line 19 of your Form 1040, 1040- SR, or
Form 1040- NR. You also can't take the additional child tax credit on line 28 of your Form 1040, 1040- SR, or
Form 1040- NR. Complete the rest of your Form 1040, Form 1040- SR, or Form 1040- NR.
10 1,000
X Yes. Subtract line 9 from line 3. Enter the result. Go to Line 11.
11 6,340
11. Enter the amount from line 18 of your Form 1040, 1040- SR, or Form 1040- NR.
12. Add the following amounts (if applicable) from:
Schedule 3, line 1 + Form 5695, line 30 +
Schedule 3, line 2 + Form 8910, line 15 +
Schedule 3, line 3 + 893 Form 8936, line 23 +
Schedule 3, line 4 + Schedule R, line 22 +
Enter the total. 12 893
13 5,447
13. Subtract line 12 from line 11.
14. Are you claiming any of the following credits?
Mortgage interest credit, Form 8396.
Adoption credit, Form 8839.
Residential energy efficient property credit, Form 5695, Part I.
District of Columbia first-time homebuyer credit. Form 8859.
X No. Enter -0-.
Yes. If you are filing Form 2555, enter -0-. Otherwise, 14 0
complete the Line 14 Worksheet, later, to figure the amount to enter here.

15. Subtract line 14 from line 13. Enter the result. 15 5,447
16. Is the amount on line 10 more than the amount on line 15?

Yes. Enter the amount from line 15. This is your child tax 16 1,000
See the TIP below. credit and credit for Enter this amount on Form 1040,
X No. Enter the amount from line 10. other dependents. 1040-SR, or Form 1040-NR,
line 19.
You may be able to take the additional child tax credit on line 28 of your Form 1040, 1040- SR, or 1040- NR, only if you answered "Yes"
on line 16 and line 1 is more than zero.
First, complete your Form 1040, 1040- SR, or Form 1040- NR through line 27 (also complete Schedule 3, line 10).
Then, use Schedule 8812 to figure any additional child tax credit.

WS CTC (2020) FDCTC-1WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.
 JUSTIN F & SARAH K NEWLAND 310-96-3942
Recovery Rebate Credit Worksheet- Line 30
1. Can you be claimed as a dependent on another person's 2020 return? If filing a joint return, go to line 2.
X No. Go to line 2.
Yes. You can't take the credit. Stop here. Don't complete the rest of this worksheet and don't enter any amount on line 30.
2. Does your 2020 return include a valid social security number (defined under Valid social security
number; earlier) for you and, if filing a joint return, your spouse?
X Yes. Skip lines 3 and 4, and go to line 5.
No. If you are filing a joint return, go to line 3.
If you aren't filing a joint return, Stop you can't take the credit. Don't complete the rest of this worksheet and don't enter any amount on line 30.
3. Was at least one of you a member of the U.S. Armed Forces at any time during 2020, and does at
least one of you have a valid social security number (defined under Valid social security number, earlier)?
Yes. Your credit is not limited. Go to line 5.
No. Go to line 4.
4. Does one of you have a valid social security number (defined under Valid social security number, earlier)?
Yes. Your credit is limited. Go to line 5.
No. Stop here. You can't take the credit. Don't complete the rest of this worksheet and don't enter any amount on line 30.
5. If your EIP 1 was $1,200 ($2,400 if married filing jointly) plus $500 for each qualifying child you had in 2020,
skip lines 5 and 6, enter zero on lines 7 and 16, and go to line 8. Otherwise, enter:
$1,200 if single, head of household, married filing separately, qualifying widow(er), or if married filing
jointly and you answered "Yes" to question 4, or
$2,400 if married filing jointly and you answered "Yes" to question 2 or 3 5. 2,400
6. Multiply $500 by the number of qualifying children under age 17 at the end of 2020 listed in the Dependents section on page 1 of Form 1040
or 1040- SR for whom you either checked the "Child tax credit" box or entered an adoption taxpayer identification number 6. 0
7. Add lines 5 and 6 7. 2,400
8. If your EIP 2 was $600 ($1,200 if married filing jointly) plus $600 for each qualifying child you had in 2020, skip
lines 8 and 9, enter zero on lines 10 and 19, and go to line 11. Otherwise, enter:
$600 if single, head of household, married filing separately, qualifying widow(er), or if married filing
jointly and you answered "Yes" to question 4, or
$1,200 if married filing jointly and you answered "Yes" to question 2 or 3 8. 1,200
9. Multiply $600 by the number of qualifying children under age 17 at the end of 2020 listed in the Dependents
section on page 1 of Form 1040 or 1040- SR for whom you either checked the "Child tax credit" box or entered an
adoption taxpayer identification number 9. 0
10. Add lines 8 and 9 10. 1,200
11. Enter the amount from line 11 of Form 1040 or 1040- SR 11. 80,919
12. Enter the amount shown below for your filing status:
$150,000 if married filing jointly or qualifying widow(er)
$112,500 if head of household
$75,000 if single or married filing separately 12. 150,000
13. Is the amount on line 11 more than the amount on line 12?
X No. Skip line 14. Enter the amount from line 7 on line 15 and the amount from line 10 on line 18.
Yes. Subtract line 12 from line 11 13.
14. Multiply line 13 by 5% (0.05) 14.
15. Subtract line 14 from line 7. If zero or less, enter - 0- 15. 2,400
16. Enter the amount, if any, of the EIP 1 that was issued to you (before offset for any past- due child support payment).
You may refer to Notice 1444 on your tax account information at IRS.gov/Account for the amount to enter here 16. 1,200
17. Subtract line 16 from line 15. If zero or less, enter - 0- . If line 16 is more than line 15, you don't have to pay back
the difference 17. 1,200
18. Subtract line 14 from line 10. If zero or less, enter - 0- 18. 1,200
19. Enter the amount, if any, of EIP 2 that was issued to you. You may refer to Notice 1444- B or your tax account
information at IRS.gov/Account for the amount to enter here 19. 600
20. Subtract line 19 from line 18. If zero or less, enter - 0- . If line 19 is more than line 18, you don't have to pay back
the difference 20. 600
21. Recovery rebate credit. Add lines 17 and 20. Enter the result here and, if more than zero, on line 30 of Form
1040 or 1040-SR 21. 1,800

WS 1040 (2020) FD1040WS-1WV 1.0

Form Sof t w are Copyrigh t 1996 - 2018 H RB Tax Group, Inc.