2022 Federal Tax Return Filing

Instructions
FOR THE YEAR ENDING
December 31, 2022

Prepared
DANIEL YANDLE SR
for

Gross Income..................................... $1456

Adjusted Gross Income...................... $1353

Total Deductions................................ $12950

Tax Total Taxable Income........................ $0

Summary Total Tax............................................ $206

Total Payments.................................. $1889

Refund Amount.................................. $1683

Amount You Owe............................... $0

Make check
payable to

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

Instructions

If you e-filed your return and it has been accepted, you will get notified via text or email if you opted for that option.

Your tax obligation is exactly met. No additional tax is due.

Checklist(2022) FDCHECKE-1WV 1.0

Form Software Copyright 1996 - 2022 HRB Tax Group, Inc.
 2022 STATE TAX RETURN FILING
INSTRUCTIONS
NORTH CAROLINA
FOR THE YEAR ENDING
December 31, 2022

Prepared
for

Adjusted Gross Income...................... $ 1,353

Total Deductions................................ $ 12,750

Total Taxable Income........................ $ -113,969

Tax
Total Tax............................................ $ 0
Summary
Total Payments.................................. $ 6,750

Refund Amount.................................. $ 6,750

Amount You Owe............................... $ 0

Make check
payable to

Mailing
Address

Special Instructions

Checklist( 2022) STCHECK-1WV 1.0

Form Software Copyright 1996 - 2022 HRB Tax Group, Inc.
 2022 STATE TAX RETURN FILING
INSTRUCTIONS
NORTH CAROLINA
FOR THE YEAR ENDING
December 31, 2022

Sign and Date Your Return

Please Sign and Date Form D-400. If filing a joint return both you and your spouse need to sign the form.

Assemble What You Need to Mail

Attach any schedules and forms behind Form D-400. Include all pages of the D-400. If there are supporting statements,
arrange them in the same order as the schedules and forms they support and attach them last. Attach a copy of each
W-2, W-2G, 1099R, and 1099G for which NC tax has been withheld.

Mail Form D-400 & Other Documents To:

Mailing Address listed above. To retain the proof of mailing, we recommend using certified mail to send your form(s).
When mailing to an address without a P.O. box, you may also use: Airborne Express, DHL Worldwide Express, FedEx, or
UPS.

Keep A Copy
Click on Main Menu and then E-File or Print to print your return. Attach your copy of each W-2, W-2G, 1099R or 1099G
with withholding. Keep with your records for three years.

Checklist( 2022) STCHECK-1WV 1.0

Form Software Copyright 1996 - 2022 HRB Tax Group, Inc.
 2022 REFUND TRANSFER INFORMATION

DANIEL YANDLE SR Keep for Your Records

IRS Direct Deposit Information

Routing Transit Number (RTN) 101089742

Depositor Account Number (DAN) 8141710242

Refund Transfer Proceeds - Direct Deposit Information

Routing Transit Number (RTN)

Depositor Account Number (DAN)

GEB Form Software Copyright 1996 - 2022 HRB Tax Group, Inc. K0505S 22_REFUNDTRANSFER
 Statement of Profit and Loss
For the year ended December 31, 2022

yandle Daniel

Income 2022 Amounts 2021 Amounts Difference

Gross receipts or sales 2,420 2,420
Returns and allowances
Net sales 2,420 2,420
Cost of goods sold
Gross profit 2,420 2,420
Other income
Gross income 2,420 2,420

Expenses
Advertising
Car and truck expenses
Commissions and fees
Contract labor
Depletion
Depreciation and section 179 expense
Employee benefit programs
Insurance
Interest: Mortgage
Interest: Other
Legal and professional services
Office expenses
Pension and profit-sharing plans
Rent or lease: Vehicles, machinery and equipment
Rent or lease: Other business property 756 756
Repairs and maintenance
Supplies 208 208
Taxes and licenses
Travel
Deductible meals
Utilities
Wages
Other expenses
Total expenses 964 964

Net income (loss) 1,456 1,456

Note: This report is based solely upon information that you provided to H&R Block. We do not perform any independent verification of your
infoirmation, and this report should not be relied upon by third parties.

GEB Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. K0505S 22_LSSTMTPL
 Department of the Treasury -- Internal Revenue Service
Form 1040-X Amended U.S. Individual Income Tax Return OMB No. 1545-0074
Use this revision to amend 2019 or later tax returns.
(Rev. July 2021) Go to www.irs.gov/Form1040X for instructions and the latest information.
This return is for calendar year (enter year) 2022 or fiscal year (enter month and year ended)
Your first name and middle initial Last name Your social security number
DANIEL YANDLE SR 242-39-4123
If joint return, spouse's first name and middle initial Last name Spouse's social security number

Current home address (number and street). If you have a P.O. box, see instructions. Apt. no. Your phone number
602 Henry St 484-531-4090
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below. See instructions.
Roanoke Rapids, NC 27870
Foreign country name Foreign province/state/county Foreign postal code

Amended return filing status. You must check one box even if you are not changing your filing status. Caution: In general, you can't change
your filing status from married filing jointly to married filing separately after the return due date.
X Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW)
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 is a child but not your dependent
Enter on lines 1 through 23, columns A through C, the amounts for the return A. Original amount B. Net change --
year entered above. reported or as amount of increase C. Correct
previously adjusted or (decrease) -- amount
Use Part III on page 2 to explain any changes. (see instructions) explain in Part III
Income and Deductions
1 Adjusted gross income. If a net operating loss (NOL) carryback is
included, check here 1 1,353 1,353
2 Itemized deductions or standard deduction 2 12,950 12,950
3 Subtract line 2 from line 1 3 -11,597 -11,597
4a Reserved for future use 4a
b Qualified business income deduction 4b
5 Taxable income. Subtract line 4b from line 3. If the result is
zero or less, enter -0- 5
Tax Liability
6 Tax. Enter method(s) used to figure tax (see instructions):
Table 6
7 Nonrefundable credits. If a general business credit carryback is
included, check here 7
8 Subtract line 7 from line 6. If the result is zero or less, enter -0- 8
9 Reserved for future use 9
10 Other taxes 10 206 206
11 Total tax. Add lines 8 and 10 11 206 206
Payments
12 Federal income tax withheld and excess social security and tier 1
RRTA tax withheld. (If changing, see instructions.) 12
13 Estimated tax payments, including amount applied from prior year's
return 13 1,784 1,784
14 Earned income credit (EIC) 14 105 105
15 Refundable credits from: Schedule 8812 Form(s) 2439
4136 8863 8885 8962 or
other (specify): 15
16 Total amount paid with request for extension of time to file, tax paid with original return, and additional
tax paid after return was filed 16
17 Total payments. Add lines 12 through 15, column C, and line 16 0 17 1,889
Refund or Amount You Owe
18 Overpayment, if any, as shown on original return or as previously adjusted by the IRS 18 1,683
19 Subtract line 18 from line 17. (If less than zero, see instructions.) 19 206
20 Amount you owe. If line 11, column C, is more than line 19, enter the difference 20
21 If line 11, column C, is less than line 19, enter the difference. This is the amount overpaid on this return 21
22 Amount of line 21 you want refunded to you 22
23 Amount of line 21 you want applied to your (enter year): estimated tax 23
Complete and sign this form on page 2.
For Paperwork Reduction Act Notice, see separate instructions. Form 1040-X (Rev. 7-2021)
GEB 22 1040X1 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
 Form 1040-X (Rev. 7-2021) Page 2
Part I Dependents
Complete this part to change any information relating to your dependents. A. Original number B. Net change -
of dependents C. Correct
This would include a change in the number of dependents. amount of increase number
reported or as
Enter the information for the return year entered at the top of page 1. previously adjusted or (decrease)
24 Reserved for future use 24
25 Your dependent children who lived with you 25 0
26 Your dependent children who didn't live with you due to divorce or
separation 26 0
27 Other dependents 27 0
28 Reserved for future use 28
29 Reserved for future use 29
30 List ALL dependents (children and others) claimed on this amended return.
Dependents (see instructions): (d) if qualifies for (see inst.):
If more (b) Social security (c) Relationship Credit for other
number to you Child tax credit
than four (a) First name Last name dependents
dependents,
see
instructions
and check
here
Part II Presidential Election Campaign Fund (for the return year entered at the top of page 1)
Checking below won't increase your tax or reduce your refund.
Check here if you didn't previously want $3 to go to the fund, but now do.
Check here if this is a joint return and your spouse did not previously want $3 to go to the fund, but now does.
Part III Explanation of Changes. In the space provided below, tell us why you are filing Form 1040-X.
Attach any supporting documents and new or changed forms and schedules.

I made a change of employment status because Im not self employed i work

for someone

Remember to keep a copy of this form for your records.

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

Public Safety
Your signature Date Your occupation

Spouse's signature. If a joint return, both must sign. Date Spouse's occupation
Print/Type preparer's name Preparer's signature Date Check if PTIN
Paid self-employed
Preparer Firm's name Firm's EIN
Use Only Firm's address Phone no.
For forms and publications, visit www.irs.gov/Forms. Form 1040-X (Rev. 7-2021)

GEB 22 1040X2 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
 2022 TWO YEAR COMPARISON
DANIEL YANDLE SR
242-39-4123 Keep for Your Records
2022 2021 Difference
Filing status Single

INCOME:
Wages, salaries, tips, etc.
Interest income
Ordinary dividend income
IRA distributions and pension income
Taxable social security income
Capital gain or (loss) (Schedule D)
Schedule 1 - Income
Refunds of state and local taxes
Alimony received
Business income or (loss) (Schedule C) 1,456 1,456
Other gains or (losses) (Form 4797)
Rental real estate, partnerships, estates, etc. (Schedule E)
Farm income or (loss) (Schedule F)
Unemployment compensation
Other income
Total income 1,456 1,456

ADJUSTMENTS:
Schedule 1 - Adjustments
Educator expenses
Busn expenses for reserviists, performing artists, etc
Health savings account deduction
Moving expenses
Deductible part of self-employment tax 103 103
Self-employed SEP, SIMPLE and qualified plans deduction
Self-employed health insurance
Penalty on early withdrawal of savings
Alimony paid
IRA contributions
Student loan interest deduction
Archer MSA deduction
Other adjustments
Total adjustments 103 103
ADJUSTED GROSS INCOME: 1,353 1,353

DEDUCTIONS:
Standard deduction or Itemized deductions 12,950 12,950
Charitable contributions if taking standard deduction N/A
If itemized, Schedule A deductions:
Medical and dental expenses
Sales, income, and other taxes paid 12,159 12,159
Interest paid
Gifts to charity
Casualty and theft losses
Other miscellaneous deductions
Qualified business income deduction
TAXABLE INCOME:

GEB Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. S0505S 22_ANALYS
 2022 TWO YEAR COMPARISON
DANIEL YANDLE SR
242-39-4123 Keep for Your Records

2022 2021 Difference

TAX COMPUTATION (BEFORE CREDITS):

Tax
Tax calculation method TABLE
Schedule 2 - Taxes
Alternative minimum tax
Excess advance premium tax credit repayment
Total taxes
Tax rate 10%

CREDITS:
Child and other dependents tax credit
Schedule 3 - Non-Refundable Credits
Foreign tax credit
Child care credit
Education credit
Retirement savings contribution credit
Other credits
Total credits

OTHER TAXES:
Schedule 2 - Other Taxes
Self-employment tax 206 206
Additional tax on IRAs
Other taxes
TOTAL TAXES: 206 206

PAYMENTS:
Federal income tax withheld
Estimated payments made 1,784 1,784
Earned income credit 105 105
Refundable child tax credit or additional child tax credit
American opportunity credit
Recovery rebate credit
Schedule 3 - Refundable Credits & Payments
ACA premium tax credit
Qualified sick and family leave credit

Other payments
Total payments 1,889 1,889

AMOUNT DUE / REFUND:

Amount overpaid 1,683 1,683
Overpayment applied to next year
Refund 1,683 1,683
Amount due
Penalty

Tax Calculation Methods:

Sch D = Sch D tax worksheet QDCGTW = Qual Div Cap Gain Tax WS TCW = Tax Comp Worksheet (rates)
Sch J = Inc Aver for Farmer/Fisherman F8615 = Child with unearned income TABLE = Tax Table
FEITW = Foreign Earned Income Tax WS
GEB Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. S1003O 22_ANALYS2
 Department of the Treasury--Internal Revenue Service
Form

1040 U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only--Do not write or staple in this space.

Filing Status X Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying surviving spouse (QSS)

Check only If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child's name if the
one box. qualifying person is a child but not your dependent:
Your first name and middle initial Last name Your social security number
DANIEL YANDLE SR 242-39-4123
If joint return, spouse's first name and middle initial Last name Spouse's social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
Check here if you, or your
602 Henry St spouse if filing jointly, want $3
City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code to go to this fund. Checking a
Roanoke Rapids NC 27870 box below will not change
Foreign country name Foreign province/state/county Foreign postal code your tax or refund.
You Spouse
Digital At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell,
Assets exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) 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 a dual-status alien

Age/Blindness You: Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 1958 Is blind
(4) Check the box if qualifies
Dependents (see instructions): (2) Social security (3) Relationship for (see inst.):
Child tax credit Credit for other
(1) First name Last name number to you dependents
If more
than four
dependents,
see instructions
and check
here

Income 1a Total amount from Form(s) W-2, box 1 (see instructions) 1a

b Household employee wages not reported on Form(s) W-2 1b
Attach Form(s)
W-2 here. Also c Tip income not reported on line 1a (see instructions) 1c
attach Forms d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) 1d
W-2G and
1099-R if tax e Taxable dependent care benefits from Form 2441, line 26 1e
was withheld. f Employer-provided adoption benefits from Form 8839, line 29 1f
If you did not g Wages from Form 8919, line 6 1g
get a Form h Other earned income (see instructions) 1h
W-2, see Nontaxable combat pay election (see instructions)
instructions. i 1i
z Add lines 1a through 1h 1z
Attach 2a Tax-exempt interest 2a b Taxable interest 2b
Sch. B if
required. 3a Qualified dividends 3a b Ordinary dividends 3b
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 Married c If you elect to use the lump-sum election method, check here (see instructions)
filing separately,
$12,950
7 Capital gain or (loss). Attach Schedule D if required. If not required, check here 7
Married filing 8 Other income from Schedule 1, line 10 8 1,456
jointly or
Qualifying 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income 9 1,456
surviving spouse,
$25,900
10 Adjustments to income from Schedule 1, line 26 10 103
Head of
11 Subtract line 10 from line 9. This is your adjusted gross income 11 1,353
household, 12 Standard deduction or itemized deductions (from Schedule A) 12 12,950
$19,400
13 Qualified business income deduction from Form 8995 or Form 8995-A 13
If you checked
any box under
Standard
14 Add lines 12 and 13 14 12,950
Deduction, 15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income 15 0
see instructions.

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2022)

GEB 22 1040S1 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
Form 1040 (2022) DANIEL YANDLE SR 242-39-4123 Page 2
Tax and 16 Tax (see instructions). Check if any from Form(s): 1 8814 2 4972 3 16 0
Credits 17 Amount from Schedule 2, line 3 17
18 Add lines 16 and 17 18 0
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 0
23 Other taxes, including self-employment tax, from Schedule 2, line 21 23 206
24 Add lines 22 and 23. This is your total tax 24 206
Payments 25 Federal income tax withheld from:
a Form(s) W-2 25a
b Form(s) 1099 25b
c Other forms (see instructions) 25c
d Add lines 25a through 25c 25d
26 2022 estimated tax payments and amount applied from 2021 return 26 1,784
If you have a
qualifying 27 Earned income credit (EIC) 27 105
child, attach
Sch. EIC. 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 32 105
33 Add lines 25d, 26, and 32. These are your total payments 33 1,889
Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid 34 1,683
35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here 35a 1,683
Direct deposit? b Routing number XXXXXXXXXXXXXXXXXX c Type: Checking Savings
See instructions.
d Account number XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
36 Amount of line 34 you want applied to your 2023 estimated tax 36
Amount 37 Subtract line 33 from line 24. This is the amount you owe.
You Owe For details on how to pay, go to www.irs.gov/Payments or see instructions 37
38 Estimated tax penalty (see instructions) 38
Third Party Do you want to allow another person to discuss this return with the IRS? See
Designee instructions Yes. Complete below. X No
Designee's Phone Personal identification
name no. number (PIN)
Sign 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.
Here
Your signature Date Your occupation If the IRS sent you an Identity
Joint return? Protection PIN, enter
See instructions. Public Safety it here (see inst.)
Keep a copy for Spouse's signature. If a joint return, both must sign. Date Spouse's occupation If the IRS sent your spouse an Identity
your records. Protection PIN, enter
it here (see inst.)

Phone no. 484-531-4090 Email address [email protected]

Preparer's name Preparer's signature Date PTIN Check if:
Paid Self-employed
Preparer Firm's name Phone no.
Use Only Firm's address
Firm's EIN
Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2022)

GEB 22 1040S2 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
SCHEDULE 1 OMB No. 1545-0074
(Form 1040) Additional Income and Adjustments to Income
Attach to Form 1040, 1040-SR, or 1040-NR.
Department of the Treasury Go to www.irs.gov/Form1040 for instructions and the latest information. Attachment
Internal Revenue Service Sequence No. 01
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
DANIEL YANDLE SR 242-39-4123
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 1,456
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
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 0
9 Total other income. Add lines 8a through 8z 9
10 Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 10 1,456
For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040) 2022
GEB 22 1040SCH1 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
Schedule 1 (Form 1040) 2022 DANIEL YANDLE SR 242-39-4123 Page 2
Part II Adjustments to Income
11 Educator expenses 11
12 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach
Form 2106 12
13 Health savings account deduction. Attach Form 8889 13
14 Moving expenses for members of the Armed Forces. Attach Form 3903 14
15 Deductible part of self-employment tax. Attach Schedule SE 15 103
16 Self-employed SEP, SIMPLE, and qualified plans 16
17 Self-employed health insurance deduction 17
18 Penalty on early withdrawal of savings 18
19a Alimony paid 19a
b Recipient's SSN
c Date of original divorce or separation agreement (see instructions):
20 IRA deduction 20
21 Student loan interest deduction 21
22 Reserved for future use 22
23 Archer MSA deduction 23
24 Other adjustments:
a Jury duty pay (see instructions) 24a
b Deductible expenses related to income reported on line 8l from
the rental of personal property engaged in for profit 24b
c Nontaxable amount of the value of Olympic and Paralympic
medals and USOC prize money reported on line 8m 24c
d Reforestation amortization and expenses 24d
e Repayment of supplemental unemployment benefits under the
Trade Act of 1974 24e
f Contributions to section 501(c)(18)(D) pension plans 24f
g Contributions by certain chaplains to section 403(b) plans 24g
h Attorney fees and court costs for actions involving certain
unlawful discrimination claims (see instructions) 24h
i Attorney fees and court costs you paid in connection with an
award from the IRS for information you provided that helped the
IRS detect tax law violations 24i
j Housing deduction from Form 2555 24j
k Excess deductions of section 67(e) expenses from Schedule K-1
(Form 1041) 24k
z Other adjustments. List type and amount:
24z
25 Total other adjustments. Add lines 24a through 24z 25
26 Add lines 11 through 23 and 25. These are your adjustments to income. Enter here and on Form 1040 or
1040-SR, line 10, or Form 1040-NR, line 10a 26 103
GEB 22 1040SCH12 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. Schedule 1 (Form 1040) 2022
 OMB No. 1545-0074
SCHEDULE 2 Additional Taxes
(Form 1040)
Attach to Form 1040, 1040-SR, or 1040-NR.
Department of the Treasury Attachment
Go to www.irs.gov/Form1040 for instructions and the latest information.
Internal Revenue Service Sequence No. 02
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
DANIEL YANDLE SR 242-39-4123
Part l Tax
1 Alternative minimum tax. Attach Form 6251 1
2 Excess advance premium tax credit repayment. Attach Form 8962 2
3 Add lines 1 and 2. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 17 3
Part ll Other Taxes
4 Self-employment tax. Attach Schedule SE 4 206
5 Social security and Medicare tax on unreported tip income.
Attach Form 4137 5
6 Uncollected social security and Medicare tax on wages. Attach
Form 8919 6
7 Total additional social security and Medicare tax. Add lines 5 and 6 7
8 Additional tax on IRAs or other tax-favored accounts. Attach Form 5329 if required
If not required, check here 8
9 Household employment taxes. Attach Schedule H 9
10 Repayment of first-time homebuyer credit. Attach Form 5405 if required 10
11 Additional Medicare Tax. Attach Form 8959 11
12 Net investment income tax. Attach Form 8960 12
13 Uncollected social security and Medicare or RRTA tax on tips or group-term life
insurance from Form W-2, box 12 13
14 Interest on tax due on installment income from the sale of certain residential lots
and timeshares 14
15 Interest on the deferred tax on gain from certain installment sales with a sales price
over $150,000 15
16 Recapture of low-income housing credit. Attach Form 8611 16
(continued on page 2)
For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 2 (Form 1040) 2022

GEB 22 1040SCH2 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
Schedule 2 (Form 1040) 2022 DANIEL YANDLE SR 242-39-4123 Page 2
Part ll Other Taxes (continued)

17 Other additional taxes:

a Recapture of other credits. List type, form number, and amount:
17a
b Recapture of federal mortgage subsidy, if you sold your home
see instructions 17b
c Additional tax on HSA distributions. Attach Form 8889 17c
d Additional tax on an HSA because you didn't remain an eligible
individual. Attach Form 8889 17d
e Additional tax on Archer MSA distributions. Attach Form 8853 17e
f Additional tax on Medicare Advantage MSA distributions. Attach
Form 8853 17f
g Recapture of a charitable contribution deduction related to a
fractional interest in tangible personal property 17g
h Income you received from a nonqualified deferred compensation
plan that fails to meet the requirements of section 409A 17h
i Compensation you received from a nonqualified deferred
compensation plan described in section 457A 17i
j Section 72(m)(5) excess benefits tax 17j
k Golden parachute payments 17k
l Tax on accumulation distribution of trusts 17l
m Excise tax on insider stock compensation from an expatriated
corporation 17m
n Look-back interest under section 167(g) or 460(b) from Form
8697 or 8866 17n
o Tax on non-effectively connected income for any part of the
year you were a nonresident alien from Form 1040-NR 17o
p Any interest from Form 8621, line 16f, relating to distributions
from, and dispositions of, stock of a section 1291 fund 17p
q Any interest from Form 8621, line 24 17q
z Any other taxes. List type and amount:
17z
18 Total additional taxes. Add lines 17a through 17z 18
19 Reserved for future use 19
20 Section 965 net tax liability installment from Form 965-A 20
21 Add lines 4, 7 through 16, and 18. These are your total other taxes. Enter here
and on Form 1040 or 1040-SR, line 23, or Form 1040-NR, line 23b 21 206
Schedule 2 (Form 1040) 2022

GEB 22 1040SCH22 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
1
SCHEDULE C Profit or Loss From Business OMB No. 1545-0074
(Form 1040) (Sole Proprietorship)
Department of the Treasury Go to www.irs.gov/ScheduleC for instructions and the latest information. Attachment
Internal Revenue Service Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships must generally file Form 1065. Sequence No. 09
Name of proprietor Social security number (SSN)
DANIEL YANDLE SR 242-39-4123
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
Laundry service 561740
C Business name. If no separate business name, leave blank. D Employer ID no. (EIN) (see instr.)

yandle Daniel
E Business address (including suite or room no.) 602 Henry St
City, town or post office, state, and ZIP code Roanoke Rapids, NC 27870
F Accounting method: (1) X Cash (2) Accrual (3) Other (specify)
G Did you ``materially participate" in the operation of this business during 2022? If ``No," see instructions for limit on losses X Yes No
H If you started or acquired this business during 2022, check here
I Did you make any payments in 2022 that would require you to file Form(s) 1099? See instructions Yes X No
J If ``Yes," did you or will you file required Form(s) 1099? Yes No
Part I Income
1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
Form W-2 and the ``Statutory employee" box on that form was checked 1 2,420
2 Returns and allowances 2
3 Subtract line 2 from line 1 3 2,420
4 Cost of goods sold (from line 42) 4
5 Gross profit. Subtract line 4 from line 3 5 2,420
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) 6
7 Gross income. Add lines 5 and 6 7 2,420
Part II Expenses. Enter expenses for business use of your home only on line 30.
8 Advertising 8 18 Office expense (see instructions). 18
9 Car and truck expenses (see 19 Pension & profit-sharing plans. 19
instructions) 9 20 Rent or lease (see instructions):
10 Commissions and fees 10 a Vehicles, machinery, and equipment 20a
11 Contract labor (see instructions) 11 b Other business property 20b 756
12 Depletion 12 21 Repairs and maintenance 21
13 Depreciation and section 179 22 Supplies (not included in Part III) 22 208
expense deduction (not 23 Taxes and licenses 23
included in Part III) (see instr.) 13 24 Travel and meals:
14 Employee benefit programs a Travel 24a
(other than on line 19) 14 b Deductible meals
15 Insurance (other than health) 15 (see instructions) 24b
16 Interest (see instructions): 25 Utilities 25
a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) 26
b Other 16b 27 a Other expenses (from line 48) 27a
17 Legal and professional services 17 b Reserved for future use 27b
28 Total expenses before expenses for business use of home. Add lines 8 through 27a 28 964
29 Tentative profit or (loss). Subtract line 28 from line 7 29 1,456
30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method. See instructions.
Simplified method filers only: Enter the total square footage of (a) your home:
and (b) the part of your home used for business: . Use the Simplified
Method Worksheet in the instructions to figure the amount to enter on line 30 30
31 Net profit or (loss). Subtract line 30 from line 29.
If a profit, enter on both Schedule 1 (Form 1040), line 3, and on Schedule SE, line 2.
(If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. 31 1,456
If a loss, you must go to line 32.
32 If you have a loss, check the box that describes your investment in this activity. See instructions.
If you checked 32a, enter the loss on both Schedule 1 (Form 1040), line 3, and on 32a All investment is at risk.
Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates 32b Some investment is not
and trusts, enter on Form 1041, line 3. at risk.
If you checked 32b, you must attach Form 6198. Your loss may be limited.
For Paperwork Reduction Act Notice, see the separate instructions. Schedule C (Form 1040) 2022
GEB 22 C1 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
SCHEDULE SE OMB No. 1545-0074
(Form 1040) Self-Employment Tax
Go to www.irs.gov/ScheduleSE for instructions and the latest information.
Department of the Treasury Attachment
Internal Revenue Service Attach to Form 1040, 1040-SR, or 1040-NR. Sequence No. 17
Name of person with self-employment income (as shown on Form 1040, 1040-SR, or 1040-NR) Social security number of person
DANIEL YANDLE SR with self-employment income 242-39-4123
Part I Self-Employment Tax
Note: If your only income subject to self-employment tax is church employee income, see instructions for how to report your income
and the definition of church employee income.
A If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361, but you had
$400 or more of other net earnings from self-employment, check here and continue with Part I
Skip lines 1a and 1b if you use the farm optional method in Part II. See instructions.
1a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065),
box 14, code A 1a
b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve
Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code AH 1b ( )
Skip line 2 if you use the nonfarm optional method in Part II. See instructions.
2 Net profit or (loss) from Schedule C, line 31; and Schedule K-1 (Form 1065), box 14, code A (other than
farming). See instructions for other income to report or if you are a minister or member of a religious order 2 1,456
3 Combine lines 1a, 1b, and 2 3 1,456
4a If line 3 is more than zero, multiply line 3 by 92.35% (0.9235). Otherwise, enter amount from line 3 4a 1,345
Note: If line 4a is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions.
b If you elect one or both of the optional methods, enter the total of lines 15 and 17 here 4b
c Combine lines 4a and 4b. If less than $400, stop; you don't owe self-employment tax. Exception: If
less than $400 and you had church employee income, enter -0- and continue 4c 1,345
5a Enter your church employee income from Form W-2. See instructions for
definition of church employee income 5a
b Multiply line 5a by 92.35% (0.9235). If less than $100, enter -0- 5b 0
6 Add lines 4c and 5b 6 1,345
7 Maximum amount of combined wages and self-employment earnings subject to social security tax or
the 6.2% portion of the 7.65% railroad retirement (tier 1) tax for 2022 7 147,000
8a Total social security wages and tips (total of boxes 3 and 7 on Form(s) W-2)
and railroad retirement (tier 1) compensation. If $147,000 or more, skip lines
8b through 10, and go to line 11 8a
b Unreported tips subject to social security tax from Form 4137, line 10 8b
c Wages subject to social security tax from Form 8919, line 10 8c
d Add lines 8a, 8b, and 8c 8d
9 Subtract line 8d from line 7. If zero or less, enter -0- here and on line 10 and go to line 11 9 147,000
10 Multiply the smaller of line 6 or line 9 by 12.4% (0.124) 10 167
11 Multiply line 6 by 2.9% (0.029) 11 39
12 Self-employment tax. Add lines 10 and 11. Enter here and on Schedule 2 (Form 1040), line 4 12 206
13 Deduction for one-half of self-employment tax.
Multiply line 12 by 50% (0.50). Enter here and on Schedule 1 (Form
1040), line 15 13 103
Part II Optional Methods To Figure Net Earnings (see instructions)
Farm Optional Method. You may use this method only if (a) your gross farm income1 wasn't more than
$9,060, or (b) your net farm profits 2 were less than $6,540.
14 Maximum income for optional methods 14 6,040
15 Enter the smaller of: two-thirds (2/3) of gross farm income1 (not less than zero) or $6,040. Also include
this amount on line 4b above 15
Nonfarm Optional Method. You may use this method only if (a) your net nonfarm profits 3 were less than $6,540
and also less than 72.189% of your gross nonfarm income,4 and (b) you had net earnings from self-employment of
at least $400 in 2 of the prior 3 years. Caution: You may use this method no more than five times.
16 Subtract line 15 from line 14 16
17 Enter the smaller of: two-thirds (2/3) of gross nonfarm income4 (not less than zero) or the amount on
line 16. Also, include this amount on line 4b above 17
1From Sch. F, line 9; and Sch. K-1 (Form 1065), box 14, code B. 3 From Sch. C, line 31; and Sch. K-1 (Form 1065), box 14, code A.

2From Sch. F, line 34; and Sch. K-1 (Form 1065), box 14, code A -- minus the amount 4
From Sch. C, line 7; and Sch. K-1 (Form 1065), box 14, code C.

you would have entered on line 1b had you not used the optional method.

For Paperwork Reduction Act Notice, see your tax return instructions. Schedule SE (Form 1040) 2022
GEB 22 SE1 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
 2022 SCHEDULE A - STATE AND LOCAL TAX ATTACHMENT
DANIEL YANDLE SR
242-39-4123

NC STATE 2022 Estimated Payment 6,750

TOTAL TO SCHEDULE A LINE 5A 6,750

GEB Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. S0505S 22_ASLT
 2022 WORKSHEET B, EARNED INCOME CREDIT (EIC) - LINE 27
DANIEL YANDLE SR
242-39-4123 Keep for Your Records

Use this worksheet if you answered "Yes" to Step 5, question 2.

v/ Complete the parts below (Parts 1 through 3) that apply to you. Then, continue to Part 4.
v/ If you are married filing a joint return, include your spouse's amounts, if any, with yours to figure the amounts to enter in
Parts 1 through 3.

PART 1
Self-Employed, 1a. Enter the amount from Schedule SE, Part I, line 3 1a 1,456
Members of the b. Enter any amount from Schedule SE, Part I, line 4b and line 5a + 1b
Clergy, and c. Combine lines 1a and 1b = 1c 1,456
People With d. Enter the amount from Schedule SE, Part I, line 13 - 1d 103
Church Employee
Income Filing e. Subtract line 1d from line 1c = 1e
1,353
Schedule SE

PART 2 2. Don't include on these lines any statutory employee income, any net profit from services
performed as a notary public, any amount exempt from self-employment tax as the result
of the filing and approval of Form 4029 or Form 4361, or any other amounts exempt from
self-employment tax.
Self-Employed
NOT Required a. Enter any net farm profit or (loss) from Schedule F, line 34; and from farm
To File partnerships, Schedule K-1 (Form 1065), box 14, code A*
2a
Schedule SE b. Enter any net profit or (loss) from Schedule C, line 31; and
For example, your Schedule K-1 (Form 1065), box 14, code A (other than 2b
net earnings from farming)* +
self-employment
were less than $400. 2c
c. Combine lines 2a and 2b =
* If you have any Schedule K-1 amounts, complete the appropriate lines(s) of
Schedule SE, Part I. Reduce the Schedule K-1 amounts as described in the
Partner's Instructions for Schedule K-1. Enter your name and social security
number on Schedule SE and attach it to your return.

PART 3
Statutory Employees 3. Enter the amount from Schedule C, line 1, that
Filing Schedule C you are filing as a statutory employee 3

4a
PART 4 4a. Enter your earned income from Step 5

All Filers Using b. Combine lines 1e, 2c, 3, and 4a. This is your total earned income 4b
1,353
Worksheet B
If line 4b is zero or less, STOP You can't take the credit. Enter ``No" on the
Note: If line 4b
dotted line next to Form 1040 or 1040-SR, line 27.
includes income on
which you should
have paid self- 5. If you have:
employment tax but
3 or more qualifying children who have valid SSNs, is line 4b less than $53,057
didn't, we may
reduce your credit by ($59,187 if married filing jointly)?
the amount of 2 qualifying children who have valid SSNs, is line 4b less than $49,399 ($55,529 if married filing jointly)?
self-employment tax
1 qualifying child who has a valid SSN, is line 4b less than $43,492 ($49,622 if married filing jointly)?
not paid.
No qualifying children who have valid SSNs, is line 4b less than $16,480 ($22,610 if married filing jointly)?
X Yes. If you want the IRS to figure your credit, see the instructions. If you want to
figure the credit yourself, enter the amount from line 4b on line 6 of this worksheet.
No. STOP You can't take the credit. Enter ``No'' on the dotted line next to Form 1040
or 1040-SR, line 27.
GEB Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. S0919O 22_EICB

NUMBER OF QUALIFYING CHILDREN: 0

 2022 WORKSHEET B, PAGE 2, EARNED INCOME CREDIT (EIC) - LINE 27
DANIEL YANDLE SR
242-39-4123 Keep for Your Records

PART 5 6. Enter your total earned income from

Part 4, line 4b 6 1,353
All Filers Using
Worksheet B 7. Look up the amount on line 6 above in the EIC Table in the instructions
to find the credit. Be sure you use the correct column for your filing
status and the number of qualifying children you have who have a
valid SSN. Enter the credit here 7 105
If line 7 is zero, STOP. You can't take the credit.
Enter ``No'' on the dotted line next to Form 1040 or 1040-SR, line 27.

8. Enter the amount from Form 1040 or

8 1,353
1040-SR, line 11

9. Are the amounts on lines 8 and 6 the same?

X Yes. Skip line 10; enter the amount from line 7 on line 11.
No. Go to line 10.

PART 6 10. If you have:

No qualifying children who have a valid SSN, is the amount on line 8
Filers Who less than $9,200 ($15,300 if married filing jointly)?
Answered 1 or more qualifying children who have a valid SSN, is the amount on
``No'' on line 8 less than $20,150 ($26,300 if married filing jointly)?
Line 9
Yes. Leave line 10 blank; enter the amount from line 7 on line 11.
No. Look up the amount on line 8 in the EIC Table in the
instructions to find the credit. Be sure you use the correct
column for your filing status and the number of children
you have. Enter the credit here 10

Look at the amounts on lines 10 and 7.

Then, enter the smaller amount on line 11.

PART 7 11. This is your earned income credit 11 105

Enter this amount on
Your Earned Form 1040 or 1040-SR,
Income Credit Reminder - line 27.
If you have a qualifying child, complete and attach Schedule EIC.

Caution: If your EIC for a year after 1996 was reduced or disallowed, see the
instructions to find out if you must file Form 8862 to take the credit
for 2022.

GEB Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. S0919O 22_EICB2
 2022 QUALIFIED BUSINESS INCOME DEDUCTION WORKSHEET
DETAIL BY BUSINESS
DANIEL YANDLE SR 242-39-4123
Schedule/Form SchC # 1
Business Name Laundry
EIN/SSN 242-39-4123
Business Type Non-Spec
Included in Aggregation #
PTP Income No
Qualified Business Income (QBI)

1. Specified Business Income/Loss from Sch/Form

2. Non-Specified Business Income/Loss from Sch/Form 1456
Less applicable adjustments from 1040 Schedule 1
(includes SE Tax, SEHIN, & Qual Retirement plans) -103
3. QBID Qualifed Losses and ST Gains from Asset Disposition
4. Net Qualifed Business Income (QBI) (sum L1 - L3) 1353
Qualified Other Income (QOI)

5. Qualified REIT Sec 199A Dividends from 1099-DIV and K-1s

6. Qualfied Other Income from PTPs
7. QOI Qualifed Losses and ST Gains from Disposition incl Sale of PTP
8. Net Qualfied Other Income (QOI) (L5 + L6 + L7)

9. Net QBI and QOI (L4 + L8) 1353

GEB Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. K0505S 22_QBIDBUSDETAIL
 2023 CARRYFORWARD INFORMATION
DANIEL YANDLE SR
242-39-4123 Keep for Your Records
Itemized Returns Only - 2022 state and local tax refund (this amount may not be taxable in 2022)
Charitable contributions carryover to 2023
Estimated short-term capital loss carryover
Estimated long-term capital loss carryover
2022 tax liability (for 2023 Form 2210 purposes) 206
Form 8839: 2021 carryover of unqualified expenses
Refund amount applied to 2023
Disallowed investment interest in 2022
Additional state taxes paid
Form 8396: Mortgage interest credit from 2020
Mortgage interest credit from 2021
Mortgage interest credit from 2022
Form 8801: Minimum tax credit carryforward 0
Potential 2023 IRA contribution from 2022 tax refund
NOL carryforward: Regular Tax AMT Tax
from 2002 from 2012 from 2002 from 2012
from 2003 from 2013 from 2003 from 2013
from 2004 from 2014 from 2004 from 2014
from 2005 from 2015 from 2005 from 2015
from 2006 from 2016 from 2006 from 2016
from 2007 from 2017 from 2007 from 2017
from 2008 from 2018 from 2008 from 2018
from 2009 from 2019 from 2009 from 2019
from 2010 from 2020 from 2010 from 2020
from 2011 from 2021 from 2011 from 2021
Gross NOL generated in 2022 Gross AMT NOL generated in 2022
To be absorbed in carryback period To be absorbed in carryback period
Net carryforward from 2022 Net carryforward from 2022
Total carryforward to 2023 Total carryforward to 2023

The amounts carried to next year from Schedule(s) E, pages 1 and/or 2, are found on Form 8582,
Worksheet 6. Carryover AMT amounts are found on the AMT Form 8582, Worksheet 6.
Foreign Tax Credit carryforward to 2023
General Business Credit carryforward to 2023
First-Time Homebuyer Credit Repayment carryforward to 2023
If there are Form(s) 6252 in this tax return, the gross profit ratio and prior payments received (including
the current year payments) will carry forward from each Form 6252.
Amounts from Form 6251, lines 16 through 18, lines 27 and 28 are automatically carried forward to 2023.

GEB Form Software Copyright 1996 - 2023 HRB Tax Group, Inc. S0506S 22_CRYFWD
D-400 ( 79 ) 8-8-22 2022 Individual Income Tax Return DOR
< Staple All Pages of Your North Carolina Department of Revenue Use
Only
Return and W-2s Here Amended Return
For calendar year 2022, or fiscal year beginning 22 and ending Are you a veteran? Yes No X
DANIEL YANDLE SR Is your spouse a veteran? Yes No
602 HENRY ST Your SSN: 242394123 Were you granted an automatic extension to file your
ROANOKE RAPIDS NC 27870 Spouse's SSN: 2022 federal income tax return, e.g., Form 1040?
Filing Status X 1. Single 2. Married Filing Jointly 3. Married Filing Separately Yes No X
4. Head of Household 5. Qualifying Widow(er) Year spouse died:
Were you a resident of N.C. for the entire year? Yes No X Return for deceased taxpayer. Date of death:
Was your spouse a resident for the entire year? Yes No Return for deceased spouse. Date of death:
N.C. Education Endowment Fund: You may contribute to the N.C. Education Endowment Fund by making a contribution or designating some or all of
your overpayment to the Fund. To make a contribution, enclose Form NC-EDU and your payment of $ 0 . To designate your
overpayment to the Fund, enter the amount of your designation on Page 2, Line 31. (See instructions for information about the Fund.)
Select box if you, or if married filing jointly, your spouse were out of the country on April 15, 2023, and a U.S. citizen or resident.
Select box if return is filed and signed by Executor, Administrator, or Court-Appointed Personal Representative.

FS 1 PP N DT N OC N TPRES N SPRES N VT N SVT N

YAND 602 27870 DS N EA N TD SD FDEXT N

DANIEL YANDLE SR 242394123

NC 27870

602 HENRY ST ROANOKE RAPIDS

06 1353 16 0 26C 0

7020179024
07 0 18 Y 0 26E 0
09 0 20A 0 EU
10A 0 20B 0 27 0
10B 0 21A 6750 29 0
11 S Y I N 21B 0 30 0

11 12750 21C 0 31 0
13 99999 21D 0 32 0

14 -113969 26A 0 34 6750

15 0 26B 0

TN 4845314090 PN PP
Sign Return Below X Refund Due 6750 Payment Due 0
I declare and certify that I have examined this return and accompanying schedules and statements, and to Check here if you authorize the North Carolina Department of Revenue
the best of my knowledge and belief, they are true, correct, and complete. to discuss this return and attachments with the paid preparer below.

484 531 4090

Your Signature Date Spouse's Signature (If filing joint return, both must sign.) Date Contact Phone No. (Include area code)
PAID PREPARER USE ONLY If prepared by a person other than taxpayer, this certification is based on all information of which the preparer has any knowledge.

Paid Preparer's Signature Date Preparer's Contact Phone Number (Include area code) Preparer's FEIN, SSN, or PTIN

If REFUND, mail return to: N.C. DEPT. OF REVENUE, P.O. BOX R, RALEIGH, NC 27634-0001
If you ARE NOT due a refund, mail return, any payment, and D-400V to: N.C. DEPT. OF REVENUE, P.O. BOX 25000, RALEIGH, NC 27640-0640

22 NC1 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
D-400 2022 Page 2 (79 )
Last Name (First 10 Characters) Yandle Your Social Security Number 242394123
D-400 Line-by-Line Information

6. Federal Adjusted Gross Income 6. 1353

7. Additions to Federal Adjusted Gross Income 7. 0
8. Add Lines 6 and 7 8. 1353
9. Deductions From Federal Adjusted Gross Income 9. 0
10. Child Deduction
a. Enter the number of qualifying children for whom you were allowed a federal child tax credit 10a. 0
b. Enter the amount of the child deduction 10b. 0
11. N.C. Standard Deduction 11. Y
11. N.C. Itemized Deduction 11. N
11. Deduction amount 11. 12750
12. a. Add Lines 9, 10b, and 11 12a. 12750
b. Subtract Line 12a from Line 8 12b. -11397
13. Part-year Residents and Nonresidents Taxable Percentage 13. 9.9999
14. N.C. Taxable Income 14. -113969
15. N.C. Income Tax 15. 0
16. Tax Credits 16. 0
17. Subtract Line 16 from Line 15 17. 0
18. Consumer Use Tax 18. 0
You certify that no Consumer Use Tax is due Y
19. Add Lines 17 and 18 19. 0
North Carolina Income Tax Withheld

20a. Your tax withheld 20a. 0

20b. Spouse's tax withheld 20b. 0
Other Tax Payments

21a. 2022 estimated tax 21a. 6750

21b. Paid with extension 21b. 0
21c. Partnership 21c. 0
21d. S Corporation 21d. 0
22. Additional Payments 22. 0
23. Add Lines 20a through 22 23. 6750
24. Previous Refunds 24. 0
25. Subtract Line 24 from Line 23 25. 6750
26a. Tax Due 26a. 0
26b. Penalties 26b. 0
26c. Interest 26c. 0
26d. Add Lines 26b and 26c and enter the total on 26d 26d. 0
EU Exception to Underpayment of Estimated Tax EU
26e. Interest on the Underpayment of Estimated Income Tax 26e. 0
27. Pay this Amount 27. 0
28. Overpayment 28. 6750
Amount of Refund to Apply to:

29. Amount of Line 28 to be applied to 2023 Estimated Income Tax 29. 0

30. N.C. Nongame and Endangered Wildlife Fund 30. 0
31. N.C. Education Endowment Fund 31. 0
32. N.C. Breast and Cervical Cancer Control Program 32. 0
33. Add Lines 29 through 32 33. 0
34. Amount to be Refunded 34. 6750

This page must be filed with the first page of this form.
22 NC2 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
D-400 Sch PN ( 79 ) 2022 Part-Year Resident and
8-17-22 Nonresident Schedule DOR
Use
North Carolina Department of Revenue Only

If you enter a taxable percentage on Form D-400, Line 13 because you or your spouse, if married filing jointly, were not full-year residents of North Carolina
during tax year 2022, you must attach this schedule to Form D-400. Importantly, you must attach both pages of this schedule to Form D-400. If you do not,
the Department may be unable to process your return.

Last Name (First 10 Characters) YANDLE SR Your Social Security Number 242394123
A part-year resident or a nonresident who receives income from N.C. sources must complete this form to determine the percentage of total income from all
sources that is subject to N.C. tax. You are a “part-year resident” if you moved to N.C. and became a resident during the tax year, or you moved out of
N.C. and became a resident of another state during the tax year. You are a “nonresident” if you were not a resident of N.C. at any time during the tax year.
Important: Refer to the Instructions before completing this form.

NRT N PYT Y 22 28610

NRS N PYS N 23 1456
Part A. Residency Status
Taxpayer is: (Select applicable box) Spouse is: (Select applicable box)
Full-Year Resident Nonresident X Part-Year Resident Full-Year Resident Nonresident Part-Year Resident
Date N.C. residency began Date N.C. residency ended Date N.C. residency began Date N.C. residency ended

If you and your spouse were both full-year residents of N.C., stop here ; do not complete Parts B and C. Do not attach Schedule PN to Form D-400.
Part B. Allocation of Income for Part-Year Residents and Nonresidents
COLUMN A COLUMN B
Total Income Total Income Amount of Column A
from all sources subject to N.C. tax

1. Wages, Salaries, Tips, Etc. 1. 0 0

2. Taxable Interest 2. 0 0
3. Taxable Dividends 3. 0 0
4. Taxable Refunds, Credits, or Offsets
of State and Local Income Taxes 4. 0 0
5. Alimony Received 5. 0 0
6. Business Income or (Loss) 6. 1456 7542
7. Capital Gain or (Loss) 7. 0 3580
7020979024

8. Other Gains or (Losses) 8. 0 4207

9. Taxable Amount of IRA Distributions 9. 0 0
10. Taxable Amount of Pensions
and Annuities 10. 0 0
11. Rental Real Estate, Royalties, Partnerships,
S-Corps, Estates, Trusts, Etc. 11. 0 6480
12. Farm Income or (Loss) 12. 0 6801
13. Unemployment Compensation 13. 0 0
14. Taxable Portion of Social Security
and Railroad Retirement Benefits 14. 0 0
15. Other Income 15. 0 0
16. Total Income 16. 1456 28610

COLUMN A COLUMN B
North Carolina Adjustments Enter the amount from Amount of Column A
Form D-400 Schedule S subject to N.C. tax
17. Additions
a. Interest Income From Obligations of States Other Than N.C. 17a. 0 0
b. Deferred Gains Reinvested Into an Opportunity Fund 17b. 0 0
c. Bonus Depreciation 17c. 0 0
d. IRC Section 179 Expense 17d. 0 0
e. Other Additions to Federal Adjusted Gross Income That Relate to Gross Income 17e. 0 0
18. Total Additions 18. 0 0
22 NC400PN1 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.
D-400 Sch. PN 2022 Page 2 (79 )
Last Name (First 10 Characters) YANDLE SR Your Social Security Number 242394123
Part B. Allocation of Income for Part-Year Residents and Nonresidents (continued)
COLUMN A COLUMN B
Enter the amount from Amount of Column A
Form D-400 Schedule S subject to N.C. tax
19. Deductions
a. State or Local Income Tax Refund 19a. 0 0
b. Interest Income From Obligations of the United States
or United States’ Possessions 19b. 0 0
c. Taxable Portion of Social Security and
Railroad Retirement Benefits 19c. 0 0
d. Retirement Benefits Received by Vested N.C. State Government, N.C. 19d. 0 0
Local Government, or Federal Government Retirees, i.e. Bailey Settlement
e. Bonus Asset Basis 19e. 0 0
f. Bonus Depreciation 19f. 0 0
g. IRC Section 179 Expense 19g. 0 0
h. Other Deductions From Federal Adjusted Gross
Income That Relate to Gross Income 19h. 0 0
20. Total Deductions 20. 0 0
21. Total Income Modified by N.C. Adjustments 21. 1456 28610
Part C. Part-Year Residents and Nonresidents Taxable Percentage

22. Enter the Amount From Column B, Line 21 22. 28610

23. Enter the Amount From Column A, Line 21 23. 1456
24. Part-Year Residents and Nonresident Taxable Percentage 24. 9.9999

22 NC400PN2 TXO 1040 Form Software Copyright 1996 - 2023 HRB Tax Group, Inc.