This figure represents half of Form 1040-SS (page 1):The name is Xavier Arroyata.The TIN is 000-00-5396.The address is URB Garzas (underlined in red) 5506 Av. Maricao in Trujillo Alto, PR 00976.The filing status is single and a 1 is edited to the left of the filing status area.The taxpayer claimed 3 dependents (Esperanza Arroyata, TIN: 000-00-6633, relationship: daughter; Candelaria Arroyata, TIN: 000-00-6634, relationship: daughter; Nestor Limones, TIN: 000-00-5866, relationship: uncle).Since the taxpayer claimed 1 non-qualifying dependent (an uncle), the non-qualifying dependent is disallowed. An X is edited to the left of the uncle’s name.There is a red checkmark edited to the right of each qualifying dependent relationship, who also has a name control and complete TIN, in the 2(c) area. Both daughters got checkmarks.Line 10 is claiming an additional child tax credit of 3000.Line 12 has an entry of 3000 for total payments and credits.