Larry (age 65, DOB: 2/19/1955, SSN: 231-00-7856) and Agnes Miller (age 58, DOB: 7/9/1962,
SSN: 224-00-6767) live at 4553 Bowman’s Lane, Your City, Your State – Your Zip. The Millers
were covered by a health insurance policy for the entire year. The Millers do not wish to designate
$3 of their taxes for the Presidential Campaign Fund.
The Miller’s provided all of the support for their grandson, Chuck Robinson (age 4, DOB: 8/4/2016,
SSN: 343-00-7852), ever since he came to live with them on January 15, 2020.
Larry is retired but works as a part-time security guard and Agnes is a manager.
Larry sold land on June 10, 2020, which he inherited from his mother on December 8, 2002. The
land was purchased by Larry’s father on May 28, 1963. The purchase price of the land was $4,000.
The fair market value of the land was $21,500 on the date of death. Larry sold the land for $25,000.
He spent $450 for advertising.