Tax History Report Keep for your records 2014 Name(s) Shown on Return Filing status Total income Adjustments to income Adjusted gross income Tax expense Interest expense . . Contributions Miscellaneous deductions Other Itemized Deductions Total itemized/ standard deduction . . Exemption amount . . Taxable income. • • • Tax Alternative min tax . Total credits Other taxes Payments Form 2210 penalty . Amount owed Applied to next years estimated tax Refund Effective tax rate %. "Tax bracket %. • • Preparation fee . . . Five Year Tax History: 2010 2011 2012 2013 2014 "Tax b acket % is based on Taxable income. EFTA01220913