Dividends ( qualified) on Big Bank stock $900, Dividends (qualified) on Big Gas Company Stock $490, Dividends ( nonqualified) from Mango Mutual Fund $145, interest on Washington State Municipal Bonds $700, Interest on Big Electric Company Bonds $675. Ivan went to a casino and won $5900 playing Keno, He had no other gambling loss or income for the year. In February Irene received $50000 in life insurance proceeds from the death of her friend Sharon. In July Ivan's uncle died and left a real estate worth $72000. Five years ago Ivan and Irene were divorced and Ivan married Mary Molar but a year later They divorced. Ivan pays Mary $12600 per year alimony and all payments were on time. Mary's SS 667-34-9224. Three years ago Ivan and Irene remarried. Bitewing Dental Clinic, Inc pays Ivan's dental licence fees and membership dues to dental organizations. During 2015, Bitewing paid $1240 for such dues and fees for Ivan. Irene was laid off from her job on january 2,2015 and She received $ 3850 in unemployment benefits. Ivan and his family are covered by an employer sponsored health insurance plan at work. Bitewing pays $700 per month for Ivan and his family. During 2015, Irene had a surgery and got her appendix removed. Surgery cost $5100 of which the health insurance plan fully reimbursed Ivan the full amount of $5100. Fill out form 1040, schedule B. It is important to emhasis which line from Schedule B goes to form 1040. Disregard the information about the home address and SS numbers for Ivan and Irene.