Account Transcript — Rubio, U.S. Internal Revenue Service, Form 1040 (2002)

Internal Revenue Service United States Department of the Treasury This Product Contains Sensitive Taxpayer Data Request Date: 05-03-2010 Response Date: 05-03-2010 Tracking Number: 100067142498 Account Transcript FORM NUMBER: 1040 TAX PERIOD: Dec. 31, 2003 TAXPAYER IDENTIFICATION NUMBER: [illegible] SPOUSE TAXPAYER IDENTIFICATION NUMBER: [illegible] M RUBIO & J DOUSDEBES J DOUSDEBES 002744 [illegible] --- ANY MINUS SIGN SHOWN BELOW SIGNIFIES A CREDIT AMOUNT --- ACCOUNT BALANCE: 0.00 ACCRUED INTEREST: 0.00 ACCRUED PENALTY: 0.00 AS OF: Oct. 10, 2005 AS OF: Oct. 10, 2005 ACCOUNT BALANCE PLUS ACCRUALS (this is not a payoff amount): 0.00 ** INFORMATION FROM THE RETURN OR AS ADJUSTED ** EXEMPTIONS: 04 FILING STATUS: Married Filing Joint ADJUSTED GROSS INCOME: 122,718.00 TAXABLE INCOME: 97,379.00 TAX PER RETURN: 17,414.00 SE TAXABLE INCOME TAXPAYER: 0.00 SE TAXABLE INCOME SPOUSE: 0.00 TOTAL SELF EMPLOYMENT TAX: 0.00 RETURN DUE DATE OR RETURN RECEIVED DATE (WHICHEVER IS LATER) Apr. 15, 2004 PROCESSING DATE Mar. 15, 2004 TRANSACTIONS CODE EXPLANATION OF TRANSACTION CYCLE DATE AMOUNT 150 Tax return filed 20040908 03-15-2004 $17,414.00 70221-056-11900-4 806 W-2 or 1099 withholding 04-15-2004 -$18,496.00 971 Injured spouse claim received 02-11-2004 $0.00 846 Refund issued 03-15-2004 $1,082.00 898 Refund applied to non-IRS debt: 03-15-2004 $0.00 $1,082.00 766 Reversal of refund applied to 04-15-2004 -$1,082.00 non-IRS debt 290 Additional tax assessed 20041308 04-12-2004 $0.00 07254-482-06579-4

Tracking Number: 100067142498 846 Refund issued 04-12-2004 $1,082.00 This Product Contains Sensitive Taxpayer Data