Form

Department of the Treasury - Internal Revenue Service (99)

1040 U.S. Individual Income Tax Return 2016 OMB No. 1545-0074 IRS Use Only-Do not write or staple in this space.

For the year Jan. 1-Dec. 31, 2016, or other tax year beginning , 2016, ending , 20 See separate instructions.
Your first name and initial Last name Your social security number

FREDDY DESENA 129-84-6367

If a joint return, spouse's first name and initial Last name Spouse's social security number

Home address (number and street). Apt. no. Make sure the SSN(s) above
13 MACY LANE and on line 6c are correct.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign

Nantucket MA 02554 Check here if you, or your spouse if filing

jointly, want $3 to go to this fund. Checking
Foreign country name Foreign province/state/county Foreign postal code a box below will not change your tax or
refund.
You Spouse

Filing
1 X Single 4 Head of household (with qualifying person). (See instructions.) If
the qualifying person is a child but not your dependent, enter this
2 Married filing jointly (even if only one had income) child's name here.
Status
3 Married filing separately. Enter spouse's SSN above
Check only one
box. and full name here. 5 Qualifying widow(er) with dependent child
6a X Yourself. If someone can claim you as a dependent, do not check box 6a . . . . . . . . . .
} Boxes checked
Exemptions
b Spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
on 6a and 6b 1
No. of children
(4) Chk if child under on 6c who:
c Dependents: (2) Dependent's (3) Dependent's age 17 qualifying
social security number relationship to you for child tax credit lived with you
(1) First name Last name (see instructions) did not live with
you due to divorce
JUSTA SURIEL 770-94-3202 Parent or separation
If more than four (see instructions)
dependents, see
Dependents on 6c
instructions and not entered above 1
check here Add numbers
on lines
d Total number of exemptions claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . above 2
Income
7 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . 7 40,517
8a Taxable interest. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . . 8a
b Tax-exempt interest. Do not include on line 8a . . . . . . . 8b
Attach Form(s)
W-2 here. Also 9a Ordinary dividends. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . 9a
attach Forms b Qualified dividends . . . . . . . . . . . . . . . . . . . . . 9b
W-2G and 10 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . . 10 586
1099-R if tax 11 Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
was withheld.
12 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . . . . . . . . . . . 12
13 Capital gain or (loss). Attach Schedule D if required. If not required, check here 13
If you did not
get a W-2, 14 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . . . . . . 14
see instructions. 15a IRA distributions . . . . . 15a b Taxable amount . . . . . 15b
16a Pensions and annuities . . 16a b Taxable amount . . . . . 16b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . 17
18 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 11,848
20a Social security benefits . . 20a b Taxable amount . . . . . 20b
21 Other income 21
22 Combine the amounts in the far right column for lines 7 through 21. This is your total income . . . . 22 52,951
23 Educator expenses . . . . . . . . . . . . . . . . . . . . 23
Adjusted
24 Certain business expenses of reservists, performing artists, and
Gross
fee-basis government officials. Attach Form 2106 or 2106-EZ . . . . 24
Income
25 Health savings account deduction. Attach Form 8889 . . . . 25
26 Moving expenses. Attach Form 3903 . . . . . . . . . . . . 26
27 Deductible part of self-employment tax. Attach Schedule SE . 27
28 Self-employed SEP, SIMPLE, and qualified plans . . . . . . 28
29 Self-employed health insurance deduction . . . . . . . . . 29
30 Penalty on early withdrawal of savings . . . . . . . . . . . 30
31a Alimony paid b Recipient's SSN 31a
32 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . 32
33 Student loan interest deduction . . . . . . . . . . . . . . . 33
34 Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . 34
35 Domestic production activities deduction. Attach Form 8903 . 35
36 Add lines 23 through 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
37 Subtract line 36 from line 22. This is your adjusted gross income . . . . . . . . . . . . 37 52,951
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2016)
EEA
Form 1040 (2016) FREDDY DESENA 129-84-6367 Page 2
Tax and
38 Amount from line 37 (adjusted gross income) . . . . . . . . . . . . . . . . . . . . . . . . 38 52,951
39a Check You were born before January 2, 1952, Blind. Total boxes
Credits
if:
{
Spouse was born before January 2, 1952, Blind. checked 39a
}
b If your spouse itemizes on a separate return or you were a dual-status alien, check here . . . 39b
Standard
Deduction
40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . . . 40 30,627
for - 41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 22,324
People who 42 Exemptions. If line 38 is $155,650 or less, multiply $4,050 by the number on line 6d. Otherwise, see instructions . . 42 8,100
check any
box on line 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0-. . . . 43 14,224
39a or 39b or
who can be 44 Tax (see instructions). Check if any from: a Form(s) 8814 b Form 4972 c 44 1,670
claimed as a 45 Alternative minimum tax (see instructions). Attach Form 6251 . . . . . . . . . . . . . . . 45
dependent,
see 46 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . . . . . . . 46
instructions.
All others:
47 Add lines 44, 45, and 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 1,670
48 Foreign tax credit. Attach Form 1116 if required . . . . . . . . 48
Single or
Married filing 49 Credit for child and dependent care expenses. Attach Form 2441 . . . 49
separately,
$6,300
50 Education credits from Form 8863, line 19 . . . . . . . . . . . 50
Married filing 51 Retirement savings contributions credit. Attach Form 8880 . . . 51
jointly or 52 Child tax credit. Attach Schedule 8812, if required . . . . . . . 52
Qualifying
widow(er), 53 Residential energy credit. Attach Form 5695 . . . . . . . . . 53
$12,600
54 Other credits from Form: a 3800 b 8801 c 54
Head of
household, 55 Add lines 48 through 54. These are your total credits . . . . . . . . . . . . . . . . . . . . 55
$9,300
56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- . . . . . . . . . . . 56 1,670
57 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . . . . . . . . . 57
Other 58 Unreported social security and Medicare tax from Form: a 4137 b 8919 . . . . 58
Taxes 59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . . 59
60 a Household employment taxes from Schedule H . . . . . . . . . . . . . . . . . . . . . . . 60a
b First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . . . . . 60b
61 Health care: individual responsibility (see instructions) Full-year coverage X . . . . . . . 61
62 Taxes from: a Form 8959 b Form 8960 c Instructions; enter code(s) 62
63 Add lines 56 through 62. This is your total tax . . . . . . . . . . . . . . . . . . . . . 63 1,670
Payments 64 Federal income tax withheld from Forms W-2 and 1099 . . . . 64 5,029
65 2016 estimated tax payments and amount applied from 2015 return. . . 65
If you have a
qualifying
66a Earned income credit (EIC) . . . . . . . . . . . . . . . . . 66a
child, attach b Nontaxable combat pay election. . . 66b
Schedule EIC.
67 Additional child tax credit. Attach Schedule 8812 . . . . . . . 67
68 American opportunity credit from Form 8863, line 8 . . . . . . 68
69 Net premium tax credit. Attach Form 8962 . . . . . . . . . . . 69
70 Amount paid with request for extension to file . . . . . . . . . 70
71 Excess social security and tier 1 RRTA tax withheld . . . . . . 71
72 Credit for federal tax on fuels. Attach Form 4136 . . . . . . . 72
73 Credits from Form: a 2439 b Reserved c 8885 d 73
74 Add lines 64, 65, 66a, and 67 through 73. These are your total payments . . . . . . . 74 5,029
Refund 75 If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 75 3,359
76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here . 76a 3,359
Direct deposit? b Routing number 0 1 1 0 0 0 1 3 8 c Type: X Checking Savings
See
instructions.
d Account number 0 0 4 6 4 4 3 0 9 7 4 9
77 Amount of line 75 you want applied to your 2017 estimated tax . . . 77
Amount 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions 78
You Owe 79 Estimated tax penalty (see instructions) . . . . . . . . . . . 79
Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)?
Designee's Phone
Yes. Complete below. X No
Personal identification
Designee name no. number (PIN)
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
Sign accurately list all amount and sources of income I received during the tax year. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Your signature Date Your occupation Daytime phone number
Here
Joint return? See
46367 02-28-2017LANDSCAPING 813-298-4720
instructions. Spouse's signature. If a joint return, both must sign. Date Spouse's occupation Identity Protection PIN (see inst.)
Keep a copy for
your records.
Preparer's signature Date Check if PTIN

Paid
DIONISIA FERNANDEZ 02-28-2017 self-employed P01223209
Print/Type preparer's name DIONISIA FERNANDEZ
Preparer
Use Only
Firm's name SERVICIOS LATINO CORP Firm's EIN 01-0746163
Firm's address 4202 W WATERS AVENUE
Tampa, FL 33614 Phone no. 813-841-8444
EEA Form 1040 (2016)
SCHEDULE A Itemized Deductions OMB No. 1545-0074
(Form 1040) 2016
Information about Schedule A and its separate instructions is at www.irs.gov/schedulea. Attachment
Department of the Treasury
Internal Revenue Service (99) Attach to Form 1040. Sequence No. 07
Name(s) shown on Form 1040 Your social security number

FREDDY DESENA 129-84-6367

Caution: Do not include expenses reimbursed or paid by others.
Medical 1 Medical and dental expenses (see instructions) . . . . . . . . . . 1
and 2 Enter amount from Form 1040, line 38 2
Dental 3 Multiply line 2 by 10% (0.10). But if either you or your spouse was
Expenses born before January 2, 1952, multiply line 2 by 7.5% (0.075) instead 3
4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- ............... 4
Taxes You 5 State and local (check only one box):
Paid a X Income taxes, or ................. 5 1,760
b General sales taxes
6 Real estate taxes (see instructions) . . . . . . . . . . . . . . . . 6
7 Personal property taxes . . . . . . . . . . . . . . . . . . . . . 7
8 Other taxes. List type and amount
8
9 Add lines 5 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 1,760
Interest 10 Home mortgage interest and points reported to you on Form 1098 . 10
You Paid 11 Home mortgage interest not reported to you on Form 1098. If paid
to the person from whom you bought the home, see instructions
Note:
and show that person's name, identifying no., and address
Your mortgage
interest
deduction may
be limited (see 11
instructions).
12 Points not reported to you on Form 1098. See instructions for
special rules . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Mortgage insurance premiums (see instructions) . . . . . . . . . 13
14 Investment interest. Attach Form 4952 if required. (See instructions.) 14
15 Add lines 10 through 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more,
Charity see instructions . . . . . . . . . . . . . . . . . . . . . . . . . 16
If you made a 17 Other than by cash or check. If any gift of $250 or more, see
gift and got a instructions. You must attach Form 8283 if over $500 . . . . . . 17
benefit for it, 18 Carryover from prior year . . . . . . . . . . . . . . . . . . . . . 18
see instructions.
19 Add lines 16 through 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Casualty and
Theft Losses 20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) ............... 20
Job Expenses 21 Unreimbursed employee expenses - job travel, union dues, job
and Certain education, etc. Attach Form 2106 or 2106-EZ if required. (See instr.)
Miscellaneous Statement #1 21 19,905
Deductions 22 Tax preparation fees . . . . . . . . . . . . . . . . . . . . . . . 22 125
23 Other expenses - investment, safe deposit box, etc. List type
CAR PAYMNET
and amount WORK CLOTH MISC DED 9,896
23 9,896
24 Add lines 21 through 23 . . . . . . . . . . . . . . . . . . . . . 24 29,926
25 Enter amount from Form 1040, line 38 25 52,951
26 Multiply line 25 by 2% (0.02) . . . . . . . . . . . . . . . . . . . 26 1,059
27 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- ............. 27 28,867
Other 28 Other - from list in instructions. List type and amount
Miscellaneous
Deductions 28
Total 29 Is Form 1040, line 38, over $155,650?
Itemized X No. Your deduction is not limited. Add the amounts in the far right column
Deductions for lines 4 through 28. Also, enter this amount on Form 1040, line 40. ..... 29 30,627
Yes. Your deduction may be limited. See the Itemized Deductions
Worksheet in the instructions to figure the amount to enter.
30 If you elect to itemize deductions even though they are less than your standard
deduction, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Paperwork Reduction Act Notice, see Form 1040 instructions. Schedule A (Form 1040) 2016
EEA
 OMB No. 1545-0074

Form 2106 Employee Business Expenses

Department of the Treasury
Internal Revenue Service (99)
Your name
Attach to Form 1040 or Form 1040NR.
2016
Attachment
Information about Form 2106 and its separate instructions is available at www.irs.gov/form2106. Sequence No. 129
Occupation in which you incurred expenses Social security number

FREDDY DESENA LANDSCAPING 129-84-6367

Part I Employee Business Expenses and Reimbursements
Column A Column B
Step 1 Enter Your Expenses Other Than Meals Meals and
and Entertainment Entertainment

1 Vehicle expense from line 22 or line 29. (Rural mail carriers: See
instructions.) .............................. 1 6,906
2 Parking fees, tolls, and transportation, including train, bus, etc., that
didn't involve overnight travel or commuting to and from work ..... 2
3 Travel expense while away from home overnight, including lodging,
airplane, car rental, etc. Don't include meals and entertainment .... 3 9,824
4 Business expenses not included on lines 1 through 3. Don't include
meals and entertainment ........................ 4

5 Meals and entertainment expenses (see instructions) .......... 5 690

6 Total expenses. In Column A, add lines 1 through 4 and enter the
result. In Column B, enter the amount from line 5 ............ 6 16,730 690
Note: If you weren't reimbursed for any expenses in Step 1, skip line 7 and enter the amount from line 6 on line 8.

Step 2 Enter Reimbursements Received From Your Employer for Expenses Listed in Step 1

7 Enter reimbursements received from your employer that weren't

reported to you in box 1 of Form W-2. Include any reimbursements
reported under code "L" in box 12 of your Form W-2 (see
instructions) .............................. 7

Step 3 Figure Expenses To Deduct on Schedule A (Form 1040 or Form 1040NR)

8 Subtract line 7 from line 6. If zero or less, enter -0-. However, if line 7
is greater than line 6 in Column A, report the excess as income on
Form 1040, line 7 (or on Form 1040NR, line 8) . . . . . . . . . . . . . . 8 16,730 690
Note: If both columns of line 8 are zero, you can't deduct
employee business expenses. Stop here and attach Form 2106 to
your return.

9 In Column A, enter the amount from line 8. In Column B, multiply line

8 by 50% (0.50). (Employees subject to Department of Transportation
(DOT) hours of service limits: Multiply meal expenses incurred while
away from home on business by 80% (0.80) instead of 50%. For
details, see instructions.) ........................ 9 16,730 345
10 Add the amounts on line 9 of both columns and enter the total here. Also, enter the total on
Schedule A (Form 1040), line 21 (or on Schedule A (Form 1040NR), line 7). (Armed Forces
reservists, qualified performing artists, fee-basis state or local government officials, and
individuals with disabilities: See the instructions for special rules on where to enter the total.) ...... 10 17,075
For Paperwork Reduction Act Notice, see your tax return instructions. Form 2106 (2016)
EEA
Form 2106 (2016) FREDDY DESENA 129-84-6367 Page 2
Part II Vehicle Expenses
Section A - General Information (You must complete this section if you
(a) Vehicle 1 (b) Vehicle 2
are claiming vehicle expenses.)
11 Enter the date the vehicle was placed in service . . . . . . . . . . 11
12 Total miles the vehicle was driven during 2016 . . . . . . . . . . . 12 miles miles
13 Business miles included on line 12 . . . . . . . . . . . . . . . . 13 miles miles
14 Percent of business use. Divide line 13 by line 12 . . . . . . . . . 14 100.00 % %
15 Average daily roundtrip commuting distance . . . . . . . . . . . 15 miles miles
16 Commuting miles included on line 12 . . . . . . . . . . . . . . . 16 miles miles
17 Other miles. Add lines 13 and 16 and subtract the total from line 12 . 17 miles miles
18 Was your vehicle available for personal use during off-duty hours? ........................ Yes No
19 Do you (or your spouse) have another vehicle available for personal use? ..................... Yes No
20 Do you have evidence to support your deduction? ................................ Yes No
21 If "Yes," is the evidence written? ......................................... Yes No
Section B - Standard Mileage Rate (See the instructions for Part II to find out whether to complete this section or Section C.)
22 Multiply line 13 by .54 cents (0.54). Enter the result here and on line 1 ................. 22
Section C - Actual Expenses (a) Vehicle 1 (b) Vehicle 2
23 Gasoline, oil, repairs, vehicle
insurance, etc . . . . . . . . . . 23 6,906
24 a Vehicle rentals . . . . . . . . . . 24a
b Inclusion amount (see instructions) . 24b
c Subtract line 24b from line 24a . . 24c
25 Value of employer-provided
vehicle (applies only if 100% of
annual lease value was included
on Form W-2 - see instructions) . . . 25
26 Add lines 23, 24c, and 25 . . . . . 26 6,906
27 Multiply line 26 by the percentage
on line 14 . . . . . . . . . . . . . 27 6,906
28 Depreciation (see instructions) . . 28
29 Add lines 27 and 28. Enter total
here and on line 1 . . . . . . . . 29 6,906
Section D - Depreciation of Vehicles (Use this section only if you owned the vehicle and are completing Section C for the vehicle.)
(a) Vehicle 1 (b) Vehicle 2
30 Enter cost or other basis (see
instructions) . . . . . . . . . . . 30
31 Enter section 179 deduction and
special allowance (see instructions) 31
32 Multiply line 30 by line 14 (see
instructions if you claimed the
section 179 deduction or special
allowance) . . . . . . . . . . . . . 32
33 Enter depreciation method and
percentage (see instructions) . . . 33
34 Multiply line 32 by the percentage
on line 33 (see instructions) . . . . 34
35 Add lines 31 and 34 . . . . . . . . 35
36 Enter the applicable limit explained
in the line 36 instructions . . . . . 36
37 Multiply line 36 by the percentage
on line 14 . . . . . . . . . . . . . 37
38 Enter the smaller of line 35 or line
37. If you skipped lines 36 and 37,
enter the amount from line 35.
Also enter this amount on line 28
above . . . . . . . . . . . . . . 38
EEA Form 2106 (2016)
 MA-MSG MA ELECTRONIC FILING MESSAGES
MUST be corrected before electronic filing is allowed. PAGE 1
Name(s) as shown on return SSN/FEIN
FREDDY DESENA 129-84-6367

2134 Schedule HC has bad data entry and/or is causing an EF Reject.

This would cause a delay if not resolved and paper filed. The Drake
Software is no longer generating the Sch HC because of invalid 2D
barcode data. All Sch HC rejects must be fixed in order to
generate the Schedule HC and a valid 2D barcode. If extra data
entry was added but not needed then that extra data entry will need
to be removed.

MA-MSG.LD
 2016
MANOTES Notes about the return PAGE 1
Name(s) as shown on return SSN/FEIN
FREDDY DESENA 129-84-6367

1. On Schedule HC Line 3 was answered with a Y or F indicating having

insurance for the entire tax year so all data entry after line 5
was ignored.

MANOTES.LD
 MAINST Filing Instructions 2016
Name(s) as shown on return SSN or EIN

FREDDY DESENA 129-84-6367

Date to file by: 04-18-2017

Form to be filed: MA1 and supplemental forms and schedules

Sign and Date: Sign & date the return in the space provided. If a
joint tax return, spouse's signature is required.

Payment: $660.00

Address to file: Mass. Department of Revenue

P.O. Box 7002
Boston, MA 02204-7002

Transaction Method: Taxpayers may pay online at www.mass.gov/dor or

direct-debit by entering their account information
on the return. However direct-debit is for E-Filing
only. Checks must be payable to Commonwealth of
Massachusetts. Form PV must be included with your
remittance. Please write your SSN in the lower left
corner of the check.

MAINST.LD
 2016 Form 1
MA16001011024
Massachusetts Resident Income Tax Return
FOR FULL YEAR RESIDENTS ONLY

For the year January 1-December 31, 2016 or other taxable

Year beginning Ending

FREDDY DESENA 129-84-6367

13 MACY LANE NANTUCKET MA 02554

Fill in if: X Original return Amended return Amended return due to federal change Apt. no.
State Election Campaign Fund: $1 You $1 Spouse TOTAL
Fill in if veteran of U.S. armed forces who served in Operation Enduring Freedom, Iraqi Freedom or Noble Eagle You Spouse
Taxpayer deceased You Spouse
Fill in if under age 18 You Spouse
a. Total federal income 52951 Name/address changed since 2015
b. Federal adjusted gross income 52951 Fill in if noncustodial parent
1. Filing status (select one only): X Single Fill in if filing Schedule TDS
Married filing jointly
Married filing separate return
Head of household You are a custodial parent who has released claim to exemption for child(ren)
2. Exemptions
a. Personal exemptions 2a 4400
b. Number of dependents. (Do not include yourself or your spouse.) Enter number 1 X $1,000 = 2b 1000
c. Age 65 or over before 2017 You + Spouse = X $700 = 2c
d. Blindness You + Spouse = X $2,200 = 2d
e. 1. Medical/dental 2. Adoption 1+2= 2e
f. Total exemptions. Add lines 2a through 2e. Enter here and on line 18 2f 5400
3. Wages, salaries, tips 3 40517
4. Taxable pensions and annuities 4
5. Mass. bank interest: a. - b. exemption = 5
6. Business/profession or farm income or loss 6
7. Rental, royalty and REMIC, partnership, S corp., trust income/loss 7
8a. Unemployment 8a 11848
8b. Mass. lottery winnings 8b
9. Other income from Schedule X, line 5 9
SIGN HERE. Under penalties of perjury, I declare that to the best of my knowledge and belief this return and enclosures are true, correct and complete.
Your signature Date Spouse's signature Date

May the Department of Revenue discuss this return with the preparer shown here? Yes
I do not want preparer to file my return electronically (this may delay your refund)
Print paid preparer's name Date Check if self-employed Paid preparer's SSN
DIONISIA FERNANDEZ 02282017 P01223209
Paid preparer's signature Paid preparer's phone Paid preparer's EIN
813-841-8444 01-0746163
PRIVACY ACT NOTICE AVAILABLE UPON REQUEST

02-28-2017 19:02:37
 2016 Form 1, pg. 2
MA16001021024
Massachusetts Resident Income Tax Return
129-84-6367

10 TOTAL 5.1% INCOME 10 52365

11a. Amount paid to Soc. Sec. Medicare, R.R., U.S. or Mass. Retirement 11a 2000
11b. Amount your spouse paid to Soc. Sec., Medicare, R.R., U.S. or Mass. Retirement 11b
12. Child under age 13, or disabled dependent/spouse care expenses 12
13. Number of dependent member(s) of household under age 12, or dependents age 65 or over (not you or your spouse) as of
12/31/16, or disabled dependent(s)
Not more than two. a. 1 x $3,600 = 13 3600
14. Rental deduction. a. ÷2= 14
15. Other deductions from Schedule Y, line 18 15 16730
16. Total deductions. Add lines 11 through 15 16 22330
17. 5.1% INCOME AFTER DEDUCTIONS. Subtract line 16 from line 10. Not less than "0" 17 30035
18. Exemption amount 18 5400
19. 5.1% INCOME AFTER EXEMPTIONS. Subtract line 18 from line 17. Not less than "0" 19 24635
20. INTEREST AND DIVIDEND INCOME 20
21. TOTAL TAXABLE 5.1% INCOME. Add lines 19 and 20 21 24635
22. TAX ON 5.1% INCOME. Note: If choosing the optional 5.85% tax rate, fill in and multiply line 21 and the
amount in Schedule D, line 21 by .0585 22 1256
23. 12% INCOME. Not less than "0." a. x .12 = 23
24. TAX ON LONG-TERM CAPITAL GAINS. Not less than "0." Fill in if filing Schedule D-IS 24
Fill in if any excess exemptions were used in calculating lines 20, 23 or 24
25. Credit recapture amount (from Credit Recapture Schedule) 25
26. Additional tax on installment sale 26
27. If you qualify for No Tax Status, fill in and enter "0" on line 28
28. TOTAL INCOME TAX. Add lines 22 through 26 28 1256
29. Limited Income Credit 29
30. Income tax paid to another state or jurisdiction 30
31. Other credits from Credit Manager Schedule 31
32. INCOME TAX AFTER CREDITS. Subtract the total of lines 29 through 31 from line 28. Not less than "0" 32 1256
BE SURE TO INCLUDE THIS PAGE WITH FORM 1, PAGE 1

02-28-2017 19:02:37
 2016 Form 1, pg. 3
MA16001031024
Massachusetts Resident Income Tax Return
129-84-6367

33. Voluntary Contributions

a. Endangered Wildlife Conservation 33a
b. Organ Transplant Fund 33b
c. Massachusetts AIDS Fund 33c
d. Massachusetts U.S. Olympic Fund 33d
e. Massachusetts Military Family Relief Fund 33e
f. Homeless Animal Prevention and Care 33f
Total. Add lines 33a through 33f 33
34. Use tax due on Internet, mail order and other out-of-state purchases 34 0
35. Health care penalty a. You 1164 + b. Spouse - c. Fed. health care penalty 35 1164
36. INCOME TAX AFTER CREDITS PLUS CONTRIBUTIONS AND USE TAX. Add lines 32 through 35 36 2420
37. Massachusetts income tax withheld 37 1760
38. 2015 overpayment applied to your 2016 estimated tax 38
39. 2016 Massachusetts estimated tax payments 39
40. Payments made with extension 40
41. Earned Income Credit. a. Number of qualifying children 0 Amount from U.S. return 0 X .23 = 41 0
42. Senior Circuit Breaker Credit 42
43. Other Refundable Credits 43
44. TOTAL. Add lines 37 through 43 44 1760
45. Overpayment. Subtract line 36 from line 44 45
46. Amount of overpayment you want applied to your 2017 estimated tax 46
47. Refund. Subtract line 46 from line 45. Mail to: Massachusetts DOR, PO Box 7001, Boston, MA 02204 47

Direct deposit of refund. Type of account checking

savings
RTN # account #

48. Tax due. Pay online at www.mass.gov/dor/payonline. Mail to: Mass. DOR, PO Box 7002, Boston, MA 02204 48 660
Interest Penalty M-2210 amt. EX enclose
Form M-2210

BE SURE TO INCLUDE THIS PAGE WITH FORM 1, PAGE 1

02-28-2017 19:02:37
 2016 Schedule DI
MA16SDI011024

FREDDY DESENA 129-84-6367

Schedule DI. Dependent Information

JUSTA SURIEL 770-94-3202

PARENT Is dependent a qualifying child for earned income credit? 07201946

Is dependent a qualifying child for earned income credit?

Is dependent a qualifying child for earned income credit?

Is dependent a qualifying child for earned income credit?

Is dependent a qualifying child for earned income credit?

Is dependent a qualifying child for earned income credit?

Is dependent a qualifying child for earned income credit?

Is dependent a qualifying child for earned income credit?

Is dependent a qualifying child for earned income credit?

Is dependent a qualifying child for earned income credit?

02-28-2017 19:02:37
2016 Schedule INC
MA16INC011024

FREDDY DESENA 129-84-6367

Form W-2 and 1099 Information
A. FEDERAL ID NUMBER B. STATE TAX WITHHELD C. STATE WAGES/INCOME D. TAXPAYER SS WITHHELD E. SPOUSE SS WITHHELD F. SOURCE OF WITHHOLDING

04-6002284 11848 MA1099G

46-0994958 1760 40517 3099 W2

TOTALS 1760 52365 3099

02-28-2017 19:02:37
 2016 Schedule X & Y
MA16SXY011024

FREDDY DESENA 129-84-6367

Schedule X. Other Income
1. Alimony received 1
2. Taxable IRA/Keogh and Roth IRA conversion distributions 2
3. Other gambling winnings. Not less than "0." Certain gambling losses are deductible under Massachusetts law 3
4. Fees and other 5.1% income. Not less than "0" 4
5. Total other 5.1% income. Add lines 1 through 4. Not less than "0" 5 0
Schedule Y. Other Deductions
1. Allowable employee business expenses 1 16730
2. Penalty on early savings withdrawal 2
3. Alimony paid 3
4. Amounts excludible under MGL Ch. 41, sec. 111F or U.S. tax treaty incl. in Form 1, line 3 or Form 1-NR/PY, line 5 4
Income received by a firefighter or police officer incapacitated in the line of duty, per MGL Ch. 41, sec. 111F
Income exempt under U.S. tax treaty
5. Moving expenses 5
6. Medical savings account deduction 6
7. Self-employed health insurance deduction 7
8. Health care accounts deduction 8
9. Certain qualified deductions from U.S. Form 1040
Certain business expenses from U.S. Form 1040 9
10. Student loan interest 10
11. College Tuition Deduction 11
12. Undergraduate student loan interest deduction 12
13. Deductible amount of qualified contributory pension income from another state or political subdivision included
in Form 1, line 4 or Form 1-NR/PY, line 6 13
14. Claim of right deduction 14
15. Commuter deduction 15
16. Human organ donation deduction (full-year residents only) 16
17. Certain gambling losses 17
18. Total other deductions. Add lines 1 through 17 18 16730

02-28-2017 19:02:37
 2016 Form M-2210
MA16653011024
Underpayment of Massachusetts Estimated
Income Tax

FREDDY DESENA 129-84-6367

Type of return filed (fill in one only): X Form 1 Form 1-NR/PY

Part 1. Required annual payment

1. 2016 tax 1 1256
2. Total credits 2
3. Balance 3 1256
4. Enter 80% of line 3 or 66.667% of line 3 if you are a qualified farmer or fisherman 4 1005
5. Enter 2015 tax liability after credits 5 1238
6. Enter the smaller of line 4 or line 5 6 1005
Part 2. Figuring your underpayment Installment due dates
7. Divide the amount in line 6 by the number of installments required a. April 15, 2016 b. June 15, 2016 c. Sept. 15, 2016 d. January 15, 2017
for the year. Enter the result in the appropriate columns 7 251 251 251 252
8. Estimated taxes paid and taxes withheld for each installment 8 440 440 440 440
9. Overpayment of previous installment 9 189 378 567
10. Total 10 440 629 818 1007
11. Overpayment 11 189 378 567 755
12. Underpayment 12

Part 3. Figuring your underpayment penalty

13. Enter the date you paid the amount in line 12 or the 15th
day of the 4th month after the close of the taxable year,
whichever is earlier 13
14. Number of days from the due date of installment to the
date shown in line 13 14
15. Number of days in line 14 after 4/15/16 and before 7/1/16 15
16. Number of days in line 14 after 6/30/16 and before 10/1/16 16
17. Number of days in line 14 after 9/30/16 and before 1/1/17 17
18. Number of days in line 14 after 12/31/16 and before 4/15/17 18
19. Underpayment in line 12 x (number of days in line 15 ÷
365) x 4% 19
20. Underpayment in line 12 x (number of days in line 16 ÷
365) x 4% 20
21. Underpayment in line 12 x (number of days in line 17 ÷
365) x 4% 21
22. Underpayment in line 12 x (number of days in line 18 ÷
365) x rate to be determiined 22
23. Penalty. Add all amounts shown in lines 19 through 22. Enter this amount on Form 1, line 47; Form 1-NR/PY, line 52; or Form 3M 23

02-28-2017 19:02:37
 2016 Form M-2210, pg. 2
MA16653021024
Underpayment of Massachusetts Estimated
Income Tax

FREDDY DESENA 129-84-6367

Part 4. Annualized income installment method Installment due dates
1. Taxable 5.1% income each period (including long-term Jan. 1 - March 31 Jan. 1 - May 31 Jan. 1 - August 31 Jan. 1 - Dec. 31
capital gain income taxed at 5.1%) 1
2. Annualization amount 2 4 2.4 1.5 1
3. Multiply line 1 by line 2 3
4. Tax on amount in line 3. Multiply line 3 by .051 4
5. Taxable 12% income each period 5
6. Annualization amount 6 4 2.4 1.5 1
7. Multiply line 5 by line 6 7
8. Tax on amount in line 7. Multiply line 7 by .12 8
9. Total tax. Add lines 4 and 8 9
10. Total credits 10
11. Total tax after credits 11
12. Applicable percentage 12 20% 40% 60% 80%
13. Multiply line 11 by line 12 13
14. Enter the combined amounts of line 20 from all preceding periods 14
15. Subtract line 14 from line 13. Not less than “0” 15
16. Divide line 6 of Form M-2210 by 4 and enter result in each
column 16
17. Enter the amount from line 19 of this worksheet for the preceding column 17
18. Add lines 16 and 17 18
19. If line 18 is more than line 15, subtract line 15 from line 18.
Otherwise enter “0” 19
20. Enter the smaller of line 15 or line 18 here and on Form
M-2210, line 7 20

02-28-2017 19:02:37
 MAPV001011024

Form PV Massachusetts Income Tax Payment Voucher 2016

Payment for period end date (mm/dd/yyyy) Tax type Voucher type ID type Vendor code
12-31-2016 053 01 005 1024
Name of taxpayer Social Security number
FREDDY DESENA 129-84-6367
Name of taxpayer's spouse Social Security number of taxpayer's spouse
STAPLE CHECK HERE

Street address
13 MACY LANE
City/Town State Zip Amount enclosed
Nantucket MA 02554 $ 660
Phone E-mail Check if name/address changed since 2015
8132984720
Pay online at mass.gov/masstaxconnect. Or, return this voucher with check or money order payable to: Commonwealth of Massachusetts. Mail to: Massachusetts Department of
Revenue, PO Box 7003, Boston, MA 02204. Note: If your return was filed electronically. use PO Box 7062; if your return has a 2D barcode, use PO Box 7002.

001129846367 123116 0000000000 053 010051024 000000660001

 Massachusetts Schedule Y, Line 1 -
2016
Employee Business Expense Deduction Worksheet
Name(s) SSN

FREDDY DESENA 129-84-6367

1. Enter the amount from U.S. Form 2106, line 10, or 2106-EZ, line 6 . . . . . . . . . . . . . . . . . . . . . . . . 1 17075
2. If you are an employee other than an outside salesperson, enter the amount of unreimbursed expenses included
in U.S. Form 2106 or 2106-EZ, line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3. If you are an employee other than an outside salesperson, enter amount of unreimbursed meals and entertainment
expenses included in U.S. Form 2106, line 9, col. B or 2106-EZ, line 5, except for meals incurred while away
from home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 345
4. If you are an individual with a disability, enter the amount of impairment-related expenses included in line 1 and
claimed on line 28 of U.S. Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5. Add lines 2 through 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 345
6. Subtract line 5 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 16730
7. Enter the amount from U.S. Schedule A, line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 28867
8. Enter the smaller amount of line 6 or line 7 here and on Schedule Y, line 1 . . . . . . . . . . . . . . . . . . . . 8 16730

Do not file with Massachusetts. Keep for your records.

MAWK_ED.LD
 !! INVALID - 2D INFORMATION - INVALID !! 2016
HAS BEEN FOUND ON - MA SCHEDULE HC
Name(s) as shown on return Your social security number

FREDDY DESENA 129-84-6367

MASSACHUSETTS WILL NOT ACCEPT SCHEDULE HC WITH AN INVALID 2D BARCODE

Below is the information that would have generated on Schedule HC.

Use this to correct data entry on MA screen HC.

1a. Date of birth 09101971 1b. Spouse's date of birth 1c. Family size 2
2. Federal adjusted gross income 52951
3. 3a You: X Full-year MCC Part-year MCC No MCC/None

3b Spouse: Full-year MCC Part-year MCC No MCC/None

4. 4a. X You Spouse

4b. You Spouse

4c. You Spouse

4d. You Spouse

4e. You Spouse

4f. NEIGHBORHOOD HEALTH PLAN 700001794 41304MA0021007

4g.

6. Yes X No

7. You Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec.

Spouse Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec.

8a. You Yes No

Spouse Yes No

8b. You Yes No

Spouse Yes No

9. You Yes No

Spouse Yes No

10. You Yes No

Spouse Yes No

11. You Yes No

Spouse Yes No

12. You Yes No

Spouse Yes No

MAWK_HC.LD
 Schedule HC Worksheets and Tables 2016
(Keep for your records)
Name(s) as shown on return Your social security number

FREDDY DESENA 129-84-6367

Schedule HC Worksheet for Line 6: Federal Poverty Level
1. Enter your federal adjusted gross income from Schedule HC, line 2 ..... 1 52951 Table 1: Federal Poverty Level,
2. Enter the income amount that corresponds to your family size (as Annual Income Standards
entered on Schedule HC, line 1c) from the 150% FPL column from
Family size* 150% FPL
Table 1 .............................. 2 23895
If line 1 is less than or equal to line 2, your income in 2016 was at or below 150% of the Federal Poverty 1 $17,655
Level and the penalty does not apply to you in 2016. Fill in the Yes box in line 6 of Schedule HC, skip
the remainder of Schedule HC and continue completing your tax return. 2 $23,895
If line 1 is greater than line 2, your income in 2016 was above 150% of the Federal Poverty Level. Fill 3 $30,135
in the No box in line 6 of Schedule HC and go to line 7 of Schedule HC.
4 $36,375
5 $42,615
6 $48,855
7 $55,095
8 $61,335
additional + $ 6,240
*Include only yourself, your spouse (if living in
the same household at any point during the
year), and any dependents as claimed on Form
1, line 2b or Form 1-NR/PY, line 4b. If married
filing separately and living in the same house-
hold at any point during the year, include all
dependents claimed by you and your spouse.

MAWK_HCA.LD HC-6
 Schedule HC Tables 2016
(Keep for your records)
Name(s) as shown on return Your social security number

FREDDY DESENA 129-84-6367

Table 3: Affordability Table 4: Premiums
Individual or Married Filing Separately (no dependents) Region 1. Berkshire, Franklin and Hampshire Counties
b. Affordable premium Married couple
a. Federal adjusted gross income 1
as a percentage Age Individual (no dependents) Family 2
From To of income 0-30 $206 $411 $558
$ 0 $17,655 0.00% 31-34 $228 $455 $582
$17,656 $23,540 2.90% 35-39 $234 $467 $594
$23,541 $29,425 4.20% 40-44 $250 $500 $627
$29,426 $35,310 5.00% 45-49 $286 $571 $697
$35,311 $41,195 7.40% 50-54 $332 $663 $790
$41,196 $47,080 7.60% 55+ $342 $683 $809
$47,081 8.13%
Region 2. Bristol, Essex, Hampden, Middlesex, Norfolk, Suffolk
Married Filing Jointly with no dependents or Head of Household/ and Worcester Counties
Married Filing Separately with one dependent
Married couple
1
b. Affordable premium Age Individual (no dependents) Family 2
a. Federal adjusted gross income
as a percentage 0-30 $143 $286 $528
From To of income 31-34 $216 $431 $551
$ 0 $23,895 0.00% 35-39 $221 $442 $562
$23,896 $31,860 4.30% 40-44 $237 $473 $593
$31,861 $39,825 6.20% 45-49 $270 $540 $661
$39,826 $47,790 7.40% 50-54 $314 $628 $748
$47,791 $55,755 7.40% 55+ $323 $646 $766
$55,756 $63,720 7.60%
$63,721 8.13% Region 3. Barnstable, Dukes, Nantucket and Plymouth Counties

Married couple
Married Filing Jointly with one or more dependents or Head of Age Individual 1 (no dependents) Family 2
Household/Married Filing Separately with two or more dependents 0-30 $232 $464 $627
b. Affordable premium 31-34 $256 $512 $654
a. Federal adjusted gross income
as a percentage 35-39 $263 $525 $668
From To of income 40-44 $281 $562 $705
$ 0 $30,135 0.00% 45-49 $321 $642 $784
$30,136 $40,180 3.45% 50-54 $373 $746 $836
$40,181 $50,225 4.90% 55+ $384 $768 $910
$50,226 $60,270 5.90% 1. Includes married filing separately (no dependents).
$60,271 $70,315 7.40% 2. Head of household or married couple with dependent(s).
$70,316 $80,360 7.60%
$80,361 8.13%

MAWK_HCT.LD HC-10
 Schedule HC Worksheets 2016
(Keep for your records)
Name(s) as shown on return Your social security number

FREDDY DESENA 129-84-6367

Health Care Penalty Worksheet
Complete the following worksheet to calculate the penalty. If married filing a joint return and both you and your spouse are subject to a penalty, separate
worksheets must be filled out to calculate the separate penalty amounts for you and your spouse, using your married filing jointly income. Each separate
penalty amount must then be entered on Form 1, line 34a and line 34b or Form 1-NR/PY, line 39a and line 39b.
Note: If you answered Yes in line 6 of Schedule HC indicating that your income was at or below 150% of the Federal Poverty Level, the penalty does not
apply to you. Do not complete this worksheet. Skip the remainder of Schedule HC and continue completing your tax return.
1. Enter your federal adjusted gross income from Schedule HC, line 2 ....................... 1 52951
2. Look at Table 5, Annual Income Standards, and enter col. A, B, C or D, based on your family size (from line 1c of
Schedule HC) and income (from line 1 above) ................................. 2 D
3. Based on the column entered in line 2, go to Table 6, Penalties for 2016, to determine the monthly penalty Taxpayer Spouse
amount. Enter that amount here. If you entered col. D, enter the penalty amount that corresponds to
your age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 97 3
4. Enter the number of gap(s) in coverage of four or more consecutive months in which you were uninsured,
as shown in Schedule HC, line 7. (Turning 18, Part-Year Residents or a Taxpayer Was Deceased: When
completing line 4, do not include the number of unchecked boxes for months that the mandate did not apply, as
determined in Schedule HC, line 7.) If you were uninsured for all of 2016 or for the period that the mandate
applied, enter "0" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1 4
5. Enter the total number of months for the gap(s) in coverage in which you were uninsured from line 4. If you were
uninsured for all of 2016, enter "12" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 12 5
6. Multiply line 4 by the number "3" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 0 6
7. Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 12 7
8. Multiply line 3 by line 7. This is your penalty amount ........................ 8 1164 8
If you are subject to a penalty because you are deemed able to afford insurance in 2016 but did not obtain it, you may appeal the application of the penalty
to you. Instructions for filing an appeal can be found online at mass.gov/dor. If you are filing an appeal, do not enter a penalty amount on Form 1, line 34a or
line 34b or Form 1-NR/PY, line 39a or line 39b. If you are not appealing the penalty, enter the penalty amount from line 8 on Form 1, line 34a or line 34b or
Form 1-NR/PY, line 39a or line 39b.

Table 5: Annual Income Standards Table 6: Penalties for 2016

Family Col. A Col. B Col. C Col. D
Col. Monthly penalty amount
size From To From To From To Above
A $21.00
1 $17,656 - $23,540 $23,541 - $29,425 $29,426 - $35,310 $35,310
B $41.00
2 23,896 - 31,860 31,861 - 39,825 39,826 - 47,790 47,790
C $61.00
3 30,136 - 40,180 40,181 - 50,225 50,226 - 60,270 60,270
D-1 (age 18-30) * $71.00
4 36,376 - 48,500 48,501 - 60,625 60,626 - 72,750 72,750
D-2 (age 31+) ** $97.00
5 42,616 - 56,820 56,821 - 71,025 71,026 - 85,230 85,230
* If you turned 30 during 2016, use col. D-1
6 48,856 - 65,140 65,141 - 81,425 81,426 - 97,710 97,710 (age 18-30) amount in line 3 of the Health Care
Penalty Worksheet.
7 55,096 - 73,460 73,461 - 91,825 91,826 - 110,190 110,190 ** If you turned 31 during 2016, use col. D-2
amount in line 3 of the Health Care Penalty
8 61,336 - 81,780 81,781 - 102,225 102,226 - 122,670 122,670 Worksheet.

additional + $ 6,240 + $ 8,320 + $ 8,320 + $10,400 + $10,400 + $12,480 + $12,480

MAWK_HCP.LD HC-11
 Form M-8453 2016
Massachusetts
Individual Income Tax Declaration Department of
for Electronic Filing Revenue

Please print or type. Privacy Act Notice available upon request. For the year January 1 - December 31, 2016.
Your first name and initial Last name Your Social Security number

FREDDY DESENA 129-84-6367

If a joint return, spouse's first name and initial Last name Spouse's Social Security number

Present street address (and apartment number)

13 MACY LANE
City/Town/Post Office State Zip Filing status: X Single Married filing jointly

NANTUCKET MA 02554 Married filing separately Head of household

Part 1. Tax Return Information for Electronic Filing

1 Total 5.1% income (from Form 1, line 10, or Form 1-NR/PY, line 12) ......................... 1 52365
2 Income tax after credits (from Form 1, line 32, or Form 1-NR/PY, line 37) . . . . . . . . . . . . . . . . . . . . . . . 2 1256
3 Massachusetts use tax (from Form 1, line 34, or Form 1-NR/PY, line 39) . . . . . . . . . . . . . . . . . . . . . . . 3
4 Massachusetts income tax withheld (from Form 1, line 37, or Form 1-NR/PY, line 42) ................. 4 1760
5 Refund amount (from Form 1, line 47, or Form 1-NR/PY, line 52) . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Tax due (from Form 1, line 48, or Form 1-NR/PY, line 53) .............................. 6 660
Part 2. Declaration and Signature of Taxpayer
Under pains and penalties of perjury, I declare that I have reviewed the information on my return with the information I have provided to my Electronic
Return Originator and that the amounts above agree with the amounts shown on my 2016 Massachusetts return. To the best of my knowledge and belief
this information is true, correct and complete. I consent that my return, including this declaration and accompanying schedules, forms and statements be
sent to the Massachusetts Department of Revenue by my Electronic Return Originator. I authorize DOR to inform my Electronic Return Originator and/or
the transmitter when my electronic return has been accepted. In the event that it is rejected, I authorize DOR to identify the reasons for rejection so that
the return can be corrected and re-transmitted. If I have filed a balance due return, I understand that if DOR does not receive full and timely payment of
my tax liability, I will remain liable for the tax liability and all applicable penalties and interest.
Your signature Date Spouse's signature (if joint return, both must sign) Date

02-28-2017
Part 3. Declaration and Signature of Electronic Return Originator (ERO)
I declare that I have reviewed the above taxpayer's return and that the entries on this M-8453 are complete and correct to the best of my knowledge.
(Collectors are not responsible for reviewing the taxpayer's return; however, they must ensure that the M-8453 accurately reflects the data on the return.)
I have obtained the taxpayer's signature before submitting this return to the Massachusetts Department of Revenue. I have provided the taxpayer with
a copy of all forms and information filed with the Massachusetts Department of Revenue. If I am also the paid preparer, under pains and penalties of
perjury I declare that I have examined the above taxpayer's return and accompanying schedules and statements and to the best of my knowledge and
belief, they are true, correct and complete. I declare that I have verified the taxpayer's proof of account and it agrees with the name(s) shown on this form.
This declaration of paid preparer (other than taxpayer) is based on all information of which the preparer has any knowledge. Original Forms M-8453
should not be sent to DOR, but must instead be retained by the ERO on the ERO's business premises for a period of three years from the date the return
to which the M-8453 relates was filed.
ERO's signature and SSN or PTIN DIONISIA FERNANDEZ Date EIN Check if

P01223209 02-28-2017 01-0746163 self-employed

Firm name (or yours, if self-employed) and address City/Town State Zip X Check if also

SERVICIOS LATINO CORP paid preparer

4202 W WATERS AVENUE TAMPA FL 33614

Part 4. Declaration and Signature of Paid Preparer (if other than ERO)
Under pains and penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of
my knowledge and belief it is true, correct and complete. This declaration of paid preparer (other than taxpayer) is based on all information of which the
preparer has any knowledge.
Paid preparer's signature and SSN or PTIN Date EIN Check if
self-employed

Firm name (or yours, if self-employed) and address City/Town State Zip

02-28-2017 19:02:37
1024
 2016
Form M-9325 Massachusetts
Electronic Filing Department of
Revenue
Information Handout
Electronic Filing Program PO Box 7013, Boston, MA 02204

Thank you for participating in the Massachusetts Department of Revenue (MDOR) Electronic
Filing Program. Your state tax return for tax year 2016 is being filed electronically with MDOR
by SERVICIOS LATINO CORP . Your return was accepted by MDOR on
.
.

General Information
Important
Do not send the paper copies of your return, schedules and supporting documentation to
MDOR, this information is for your records.

If you need to amend your return

If you need to amend or correct the return you filed electronically, go to www.mass.gov/dor/
amend. Please contact your paid preparer to inquire about filing this form electronically or
the MDOR Customer Service Bureau at (617) 887-MDOR.

If you are receiving a refund

Your refund check will be mailed to you as soon as we have completed processing your
return. If you have not received your check within 21 days from the date you filed, please
contact the MDOR Customer Service Bureau at (617) 887-MDOR.

If you owe a balance

If your electronically filed return showed a balance due, you must pay the amount you owe
on or before April 18, 2017. If your payment is not received by April 18, 2017, you will be
sent a Notice of Assessment (NOA). This notice will show your tax due, plus any interest
and penalty assessments for late payment.

We appreciate your taking advantage of MDOR Electronic Filing. We are continuing to look
for new methods and technologies to make filing your tax returns simple and easy.

FREDDY DESENA
13 MACY LANE
NANTUCKET MA 02554

02-28-2017 19:02:37
 IRS e-file Signature Authorization
Form 8879 OMB No. 1545-0074

Don't send to the IRS. This isn't a tax return.

Department of the Treasury
Internal Revenue Service
Keep this form for your records.
Information about Form 8879 and its instructions is at www.irs.gov/form8879.
2016
Submission Identification Number (SID)
Taxpayer's name Social security number

FREDDY DESENA 129-84-6367

Spouse's name Spouse's social security number

Part I Tax Return Information - Tax Year Ending December 31, 2016 (Whole dollars only)
1 Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4; Form 1040NR,
line 37) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 52,951
2 Total tax (Form 1040, line 63; Form 1040A, line 39; Form 1040EZ, line 12; Form 1040NR, line 61) ....... 2 1,670
3 Federal income tax withheld from Forms W-2 and 1099 (Form 1040, line 64; Form 1040A, line 40;
Form 1040EZ, line 7; Form 1040NR, line 62a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 5,029
4 Refund (Form 1040, line 76a; Form 1040A, line 48a; Form 1040EZ, line 13a; Form 1040-SS, Part I, line 13a;
Form 1040NR, line 73a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3,359
5 Amount you owe (Form 1040, line 78; Form 1040A, line 50; Form 1040EZ, line 14; Form 1040NR, line 75) ... 5
Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)
Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements
for the tax year ending December 31, 2016, and to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income
I received during the tax year. I further declare that the amounts in Part I above are the amounts from my electronic income tax return. I consent to allow my
intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement
of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I
authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution
account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial
institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the
authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be
received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic
payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the
personal identification number (PIN) below is my signature for my electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer's PIN: check one box only RTN=011000138 Acct=004644309749

X I authorize SERVICIOS LATINO CORP 46367
to enter or generate my PIN
ERO firm name Enter five digits, but
as my signature on my tax year 2016 electronically filed income tax return. don't enter all zeros

I will enter my PIN as my signature on my tax year 2016 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Your signature Date

Spouse's PIN: check one box only

I authorize to enter or generate my PIN
ERO firm name Enter five digits, but
as my signature on my tax year 2016 electronically filed income tax return. don't enter all zeros

I will enter my PIN as my signature on my tax year 2016 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Spouse's signature Date

Practitioner PIN Method Returns Only - continue below

Part III Certification and Authentication - Practitioner PIN Method Only

ERO's EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN. 591175-12345
Don't enter all zeros

I certify that the above numeric entry is my PIN, which is my signature for the tax year 2016 electronically filed income tax return for
the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN
method and Pub.1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.

ERO's signature DIONISIA FERNANDEZ Date 02-28-2017

ERO Must Retain This Form - See Instructions
Don't Submit This Form to the IRS Unless Requested To Do So
For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2016)
EEA
 Department of the Treasury - Internal Revenue Service
Form 9325
(January 2017)
Acknowledgement and General Information for
Taxpayers Who File Returns Electronically
Thank you for participating in IRS e-file.

Taxpayer name
FREDDY DESENA
Taxpayer address (optional)
13 MACY LANE
Nantucket, MA 02554
.

1. X Your federal income tax return for 2016 was filed electronically with the IRS Submission
Processing Center. The electronic filing services were provided by SERVICIOS LATINO CORP .

2. Your return was accepted on using a Personal Identification Number (PIN) as your electronic
signature. You entered a PIN or authorized the Electronic Return Originator (ERO) to enter or generate a PIN
for you. The Submission ID assigned to your return is .

3. Your return was accepted on . Allow 4 to 6 weeks for the processing of your return.
The Earned Income Credit or a dependent's exemption on your return may be reduced or disallowed due to a
child's name and social security number mismatch.

4. Your electronic funds withdrawal payment request was accepted for processing.

5. Your electronic funds withdrawal payment request was not accepted for processing. Refer to the "If You Owe Tax" section.

6. Your Form 4868, Application for Automatic Extension of Time to File U.S. Individual Income Tax Return, was
accepted on . The Submission ID assigned to your extension
is .

DO NOT SEND A PAPER COPY OF YOUR RETURN TO THE IRS.

IF YOU DO, IT WILL DELAY THE PROCESSING OF THE RETURN.

If You Need to Make a Change to Your Return

If you need to make a change or correct the return you filed electronically, you should send a Form 1040X, Amended U.S.
Individual Income Tax Return, to the IRS Submission Processing Center that processes paper returns for your area. The
address is available at www.irs.gov, or you can call the IRS toll-free at 1-800-829-1040.

If You Need to Ask About Your Refund

The IRS notifies your Electronic Return Originator (ERO) when your return is accepted, usually within 48 hours. If your
return was not accepted, the IRS notifies your ERO of the reasons for rejection. If it has been more than three weeks
since the IRS accepted your return and you have not received your refund, go to www.irs.gov and click on "Where's My
Refund?" to view your refund status. Exception: If box 3 above is checked, allow 4 to 6 weeks for processing of your
return. A notice will be sent to you advising of changes to your return.

Also, you can call the TeleTax line at 1-800-829-4477, for automated refund information. You should have available the
first social security number shown on your return, your filing status, and the exact amount of the refund you expect.
TeleTax gives you the date for mailing or depositing your refund. You should receive your refund check within 30 days of
the date given by TeleTax, or within one week of that date, if you chose direct deposit. If you do not receive it by then, or if
TeleTax does not give your refund information, call the Refund Hotline at 1-800-829-1954.

EEA www.irs.gov Form 9325 (Rev. 1-2017)

The IRS uses refunds to cover overdue taxes and notifies you when this occurs. The Fiscal Service offsets refunds
through the Treasury Offset Program to cover past due child support, federal agency non-tax debts such as student loans
and state income tax obligations. Fiscal Service sends you an offset notice if it applies your refund or part of your refund
to non-tax debts. If you have questions about the offset, contact the agency identified in the notice. You may also call the
Treasury Offset Program Call Center at 1-800-304-3107, if you have additional questions.

If You Owe Tax

If your return has a balance due, you must pay the amount you owe by the prescribed due date. If you paid by electronic
funds withdrawal (direct debit) or by credit card, no voucher is needed. The credit card service providers will charge a
convenience fee based on the amount of taxes you are paying. The fees and the type of credit or debit cards accepted
may vary between providers. You will be told the amount of the fee during the transaction and you will be given the option
to either continue or end the transaction. For information on paying your taxes electronically, including by credit or debit
card, go to www.irs.gov/e-pay.

If you are not paying electronically you may use Form 1040-V, Payment Voucher, which you can obtain from your
Electronic Return Originator. If the IRS does not receive your payment by the prescribed due date, you will receive a
notice that requests full payment of the tax due, plus penalties and interest. If you can not pay the amount in full, complete
Form 9465, Installment Agreement Request, which you may file electronically. To apply for an installment agreement
online, go to www.irs.gov. You may also order Form 9465 by calling 1-800-TAX-FORM (1-800-829-3676). If approved, the
IRS charges a user fee to set up an installment agreement.

If You Need to Inquire About Your Electronic Funds Withdrawal Payment

You may call 1-888-353-4537 to inquire about the status of your electronic funds withdrawal payment. If there is a change
to the bank account information included on your return, you should call this number to cancel a scheduled payment. You
should have available the social security number of the first person listed on the tax return, the payment amount, and the
bank account number. Cancellation requests must be received no later than 11:59 p.m. E.T. two business days prior to
the scheduled payment date.

Tax Refund Related Financial Products

Financial institutions offer a variety of financial products to taxpayers based on their refunds. Contracts for financial
products are between you and the financial institution. The IRS is not associated with the contract. If you have questions
about tax refund related products, contact your Electronic Return Originator or the lender.

Instructions for Electronic Return Originators

Line 2 - PIN Presence Indicator - Check box 2 if the taxpayer entered a PIN or authorized the ERO to enter or generate
the PIN for the taxpayer, and the Acknowledgement File PIN Presence Indicator is a "Practitioner PIN," "Self-Select PIN"
or "Online Filer PIN." Form 8879, IRS e-file Signature Authorization, is required if the ERO enters or generates the PIN or
if the Practitioner PIN method is used. Use Form 8453, U.S. Individual Income Tax Transmittal for an IRS e-file
Return, to send required paper forms or supporting documentation listed next to the form check boxes (do not
send Forms W-2, W-2G, or 1099R).

Line 3 - Exception Processing - Check box 3 if the Acknowledgement File Acceptance Code equals "Exception." The
acceptance code indicates that this return has been previously rejected and this subsequent submission still has invalid
data.

Line 4 - Payment Acknowledgement Literal - Check box 4 if the taxpayer requested to use electronic funds withdrawal to
pay the balance due, and the Acknowledgement File Payment Acknowledgement Literal field equals "Payment Request
Received."

Line 5 - Payment Acknowledgement Literal - Check box 5 if the taxpayer requested to use electronic funds withdrawal to
pay the balance due, and the Acknowledgement File Payment Acknowledgement Literal field does not equal "Payment
Request Received." If box 5 is checked, inform the taxpayer that he/she must pay by check, money order, debit card, or
credit card.

Note: EROs can use the Acknowledgement File information, translated by the transmitter, to complete Form 9325.

FREDDY DESENA
EEA www.irs.gov Form 9325 (Rev. 1-2017)
 Federal Supporting Statements 2016 PG01
Name(s) as shown on return Your Social Security Number

FREDDY DESENA 129-84-6367

Schedule A - Line 21 - Employee Expenses Statement #1

Description Amount
Taxpayer 2106 17,075
EQUIPMENT TOOLS FOR WORK ___________
2,830

Total ___________
19,905
___________

STATMENT.LD
 1040 Overflow Statement 2016
Page 1
Name(s) as shown on return Your Social Security Number

FREDDY DESENA 129-84-6367

Schedule A, Line 21 - Unreimbursed Employee Expenses

_________________________________________________________
Description ______________
Amount
_________________________________________________________
TOOLS EQUIPMNET ______________
$ 2,830
Total: ______________
$ 2,830
______________

Schedule A, Line 22 - Tax preparation fees

_________________________________________________________
Description ______________
Amount
_________________________________________________________
TA PREPARATION FEES ______________
$ 125
Total: ______________
$ 125
______________

Schedule A, Line 23 - Other expenses

_________________________________________________________
Description ______________
Amount
_________________________________________________________
CAR PYAMENT ______________
$ 4,500
_________________________________________________________
MISC. DEDUCTION ______________
4,860
_________________________________________________________
WORKCLOTH ______________
536
Total: ______________
$ 9,896
______________

OVERFLOW.LD