EDUCATION CREDIT AMOUNT PER COMPUTER:..............................$0.00
Form 8867 -
Skills
Transportation
Indirect Patient Care
Appointment Scheduling
Progress Documentation
Care Delivery
Direct Patient Care
Medication Administration
First Aid and Safety
Patient Care
Accomplishments
Apr.15, 2022
REMITTANCE: $0.00
EXEMPTION NUMBER: 2
DEPENDENT 1 NAME CTRL: BROW
DEPENDENT 1 SSN: XXX-XX-8270
DEPENDENT 2 NAME CTRL:
DEPENDENT 2 SSN:
DEPENDENT 3 NAME CTRL:
DEPENDENT 3 SSN:
DEPENDENT 4 NAME CTRL:
DEPENDENT 4 SSN:
Additional Information
Transcript
SSN Provided: XXX-XX-8838
Tax Period Ending: Dec. 31, 2021
The following items reflect the amount as shown on the return (PR), and
the amount as adjusted (PC), if applicable. They do not show subsequent
activity on the account.
SSN: XXX-XX-8838
SPOUSE SSN:
NAME(S) SHOWN ON RETURN: CHRI BROW
ADDRESS: 126 WI
FILING STATUS: Head of Household
FORM NUMBER: 1040
CYCLE POSTED: 20220601
Languages
English
Full Professional
Timeline
Direct Support, Professional
Avila Residential Services
02.2023 - Current
Food and Beverage Server
Wake Forest University
02.2022 - 12.2022
CREDIT -
COMPUTER:...........................................$0.00
GROSS EDUCATION CREDIT PER COMPUTER:..................................... -
III - ALLOWABLE EDUCATION CREDITS
GROSS EDUCATION CR PER COMPUTER:.........................................$0.00 -