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f1040.p94
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1995-03-13
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//1Σ1» 1040≥ U.S. INDIVIDUAL » TAX RETURN≥ 1994 |▌≥=<| OMB No. 1545-0074▌LABEL≥ |≥ 2| Your SSN:▀πYNAME*▌≥ |≥ 2|▀πSNAME*▀Bεß∩▌≥ |≥ 2| Spo¢'s SSN:▀ß▌≥ |≥ 2|▀πCITY*▀Bεß∩▌≥-O▌PRESIDENTIAL≥ Do YOU want $3 Ç go Ç Äâ fund?≥. [ ] Yë [ ] No▀BπYFUNDY*▀KπYFUNDN*▌ELECTION CAMPAIGN è joint, doë SPOUSE want $3 Ç go Ç fund? [ ] Yë [ ] No▀BπSFUNDY*▀KπSFUNDN*▌≥-O▌FILING≥ 1. [ ] Sòle▀Γ,1▌STATUS≥ 2. [ ] Marriå »# joint »"▀Γ,2▌≥
3. [ ] Marriå »# separÜ. Spo¢:▀Γ,3▀4εß∩▌≥
4. [ ] Head Hshold. Name&SSN:▀Γ,4▀-εß∩▌≥
5. [ ] Qualïyò widow(ç): (ª » diå: 19 )▀Γ,5▀?εß∩▌≥-O▌6a. [ ] Yourself. è ƒ can be claimå ä », do≥ No.cíå▀ß▌ b. [ ] Spo¢≥ NOT cí box 6a; do cí box 33b.≥ é 6a/6b...[ ]▀ß▀Mß▌≥ |Chk ï|Depàd£'s|≥
|MÄs|▌ c. Depàd£'s Name≥ |Undr 1| SSN≥ | Relaá. |Home| No. »ên▌≥ ≥-+≥-+≥-
+≥-
+≥-| wiÄ ƒ...[ ]▀LßP▌≥ | [ ] |≥
|≥
|≥ |▀εß!∩▀εß$∩▀"εß%∩▀.εß&∩▀;εß'∩▌≥ | [ ] |≥
|≥
|≥ | No. »ên ù▀εß)∩▀εß,∩▀"εß-∩▀.εß.∩▀;εß/∩▌≥ | [ ] |≥
|≥
|≥ | wiÄ ƒ...[ ]▀εß1∩▀εß4∩▀"εß5∩▀.εß6∩▀;εß7∩▀LεßQ∩▌≥ | [ ] |≥
|≥
|≥ |▀εß9∩▀εß<∩▀"εß=∩▀.εß>∩▀;εß?∩▌≥ | [ ] |≥
|≥
|≥ | No. oôr..[ ]▀εßA∩▀εßD∩▀"εßE∩▀.εßF∩▀;εßG∩▀LεßR∩▌≥ | [ ] |≥
|≥
|≥ |▀εßI∩▀εßL∩▀"εßM∩▀.εßN∩▀;εßO∩▌≥ ≥-8▌ d. Cí ï claimò » undç pê-1985 agêem£...[ ]▀>ßS▌ e. » numbç exempás≥.*[ ]▀LεßT∩▌≥-O▌» 7. Wagë, salarië, tips≥. 7.|▀4εßh∩▀:εßi∩▀Eεßj∩▌≥ 8a. ₧ñ » «...........................8a.|▀Eεßk∩▌≥ b. ₧-exempt »≥.8b.|≥ |▀2εßn∩▌≥ 9. Dividàd «≥." 9.|▀Eεßo∩▌≥ 10. ₧ñ êfunds stÜ ö local ¥ë≥. 10.|▀Eεßp∩▌≥ 11. Aliméy »$d≥.!11.|▀Eεßq∩▌≥ 12. Businës « ü Ñ...........................12.|▀Eεßt∩▌≥ 13. Capital gain ü Ñ≥.13.|▀8ßu▀Eεßv∩▌≥ 14. Oôr gains ü Ñë≥.14.|▀7εßw∩▀Eεßx∩▌≥ 15a. Tot. IRAs≥.15a.|≥
| ₧ñ.15b.|▀)εßy∩▀Eεπ15B*∩▌≥ 16a. Tot. pàsié/annuitië.16a.|≥
| ₧ñ.16b.|▀)εß}∩▀Eεπ16B*∩▌≥ 17. R£s, royaltië, partnçships≥.17.|▀Eεßü∩▌≥ 18. Farm « ü Ñ≥.18.|▀Eεßé∩▌≥ 19. Unemploym£ compàsaá≥.19.|▀Eεßâ∩▌≥ 20a. Social »≥.20a.|≥
| ₧ñ.20b.|▀ εßà∩▀)επ20A*∩▀Eεßå∩▌≥ 21. Oôr «: (≥ )≥.21.|▀επZ1*∩▀Eεßê∩▌≥ 22. » «≥.! >> 22.|▀Eßë▌≥-O▌ADJUST 23a. Your IRA »≥.23a.|▀Eεßè∩▌ MENTS b. Spo¢'s IRA »...........................23b.|▀Eεßï∩▌≥ 24. Movò »s. Attach ó 3903≥.24.|▀Eεßî∩▌See≥ 25. Dåucá û self-employm£ ¥≥.25.|▀EεßÅ∩▌inst.> 26. Self-e»d healÄ »* »≥. 26.|▀Eεßæ∩▌≥ 27. Keogh plans ö SEP »s≥.27.|▀Eεßö∩▌≥ 28. Pàalty é early wiÄdrawals savòs≥.
28.|▀Eεßò∩▌≥ 29. Aliméy ¡. Recipi£'s SSN (≥
)≥.29.|▀-εßù∩▀Eεßû∩▌≥ @|▀,εßÿ∩▀EεßÖ∩▌≥ 30. TOTAL ADJUSTMENTS≥. >> 30.|▀EεßÜ∩▌AGI≥ 31. ADJUSTED GROSS »≥. >> 31.|▀Eεߢ∩▌Fü Privacy Act ö »»s▌»-≡Σ2» 1040 (1994)≥ 8Page 2▀πNAME*▀;ß▌≥=N▌TAX≥ 32. »
ú Æ 31≥.32.|▀Eεߢ∩▌COMPU- 33a. Cí ï: [ ] You 65 ü oldç [ ] Blind≥ |▀ß₧▀-߃▌TATION≥ [ ] Sps 65 ü oldç [ ] Blind >> 33a.[ ]|▀ßá▀-ßí▀>εßó∩▌≥ b. è ƒ can be claimå î aùhç, cí >> 33b..[ ] |▀?εßú∩▌≥ c. è »# MFS ö » itemizë, cí >> 33c..[ ] |▀?εßñ∩▌≥ 34. Stöard ü itemizå »≥. ≥.34.|▀9πIE*▀Eεß¿∩▌≥ 35. » Æ 34 ú Æ 32≥.35.|▀Eεß⌐∩▌≥ 36. Ln 6e x $2450. è ì 32 ovç $83,850, see instr...36.|▀Eε߬∩▌≥ 37. ₧ñ «. » Æ 36 ú Æ 35≥.37.|▀Eεß½∩▌≥ 38. ₧ a.[ ] Tñs, b.[ ] »s, c.[ ] CapGnTx.38.|▀ß░▀#ß▒▀4ß▓▀Eεß┤∩▌≥ d.[ ] ó 8615. ó(s) 8814 (≥ )≥ |▀ß│▀2εß»∩▌≥ 39. Addiáal ¥ë: [ ] ó 4970 [ ] ó 4972...39.|▀!ß╡▀0ß╖▀Eεß╣∩▌≥ 40. Add Æs 38 ö 39≥.>> 40.|▀Eεß║∩▌≥-O▌CRED- 41. Cêdit û » ö » cÿ≥.41.|▀:εß╗∩▀Eεß╝∩▌ ITS 42. Cêdit û eldçly ü »≥.42.|▀:εß╜∩▀Eεß╛∩▌≥ 43. Foêign ¥ »≥.43.|▀Eεß┐∩▌≥ 44. Oôr »s. a.[ ] ó 3800≥.44.|▀ ß└▀Eεß╩∩▌≥ b.[ ] ó 8396 c.[ ] ó 8801 d.[ ] ó≥ |▀ß┬▀ ß─▀1ß╟▀9εß╚∩▌≥ 45. Add Æs 41 » 44...........................45.|▀Eεß╦∩▌≥ 46. » Æ 45 ú Æ 40≥.>> 46.|▀Eεß╠∩▌≥-O▌OTHER 47. Self-employm£ ¥ (Schå SE)≥.47.|▀6εß═∩▀Eεß╬∩▌TAXES 48. Altçnative minimum ¥ (ó 6251)≥.48.|▀Eεß╧∩▌≥ 49. Recaptuê ¥. ós [ ] 4255 [ ] 8611 [ ] 8828.49.|▀#ß╨▀-ß╥▀7ß╘▀Eεß╓∩▌≥ 50. Social » ¥ é tips (ó 4137)≥.
50.|▀Eεß╫∩▌≥ 51. ₧ é qualïiå êtiêm£ plans (5329)≥. 51.|▀Eεß╪∩▌≥ 52. Advancå earnå « » »s ú W-2...52.|▀Eεß┘∩▌≥ @|▀!επUTAX*∩▀-επEPP*∩▀4επSEC72*∩▀Gεß▌∩▌≥ 53. » ¥≥.%>> 53.|▀Eεß▐∩▌≥-O▌PAY- 54. Fåçal ¥ » (Cí ï ú 1099s [ ])≥.54.|▀8ßΣ▀Eεßπ∩▌ MENTS 55. 1994 ët ¥ & ½ appliå ú 1993≥.
55.|▀EεßΩ∩▌≥ 56. Earnå Income Cêdit. è êq'd, attach Sch EIC.≥ |▀>εßδ∩▌≥ Né¥ earnå inc ½ >> [≥ ]≥ |▀+εßφ∩▌≥ Né¥ earnå inc type >> [≥ ] 56.|▀(εßε∩▀Eεß∞∩▌≥ 57. »
¡ wiÄ ó 4868≥.57.|▀Eεß∩∩▌≥ 58. Excës social » ö RRTA ¥ »≥.58.|▀Eεß≡∩▌≥ 59. Oôr »s. a [ ] ó 2439 b [ ] ó 4136..59.|▀ ß≥▀1ß≤▀Eεß±∩▌≥ 60. » »s. Add Æs 54 » 59≥.>> 60.|▀Eεß⌠∩▌≥-O▌REFUND 61. »
OVERPAID≥.>> 61.|▀Eεß⌡∩▌OR≥ 62. »
Ç be REFUNDED TO YOU≥.>> 62.|▀Eεß÷∩▌AMOUNT 63. »
Ç be appliå Ç 1995 ¥ë≥.63.|▀Eεß≈∩▌DUE≥ 64. AMOUNT YOU OWE≥.#64.|▀Eεß°∩▌≥ 65. Pàalty û undç» ëtimÜd ¥≥.65.|▀<εß∙∩▀Eεßⁿ∩▌≥=O▌Undç pàaltië pçjury, I declÿ Äat I have examinå Äâ »" ö▌accompanyò schåulë ö stÜm£s, ö Ç ô bët my knowlåge ö▌belief ôy ÿ true, cürect, ö complete. Declaraá pêpÿr (oôr▌Äan ¥payç) â bäå é Ö inûmaá which pêpÿr hä any knowlåge.▌≥ | Your Signatuê≥ | DÜ≥ | Your occupaá▌SIGN | ≥_ |≥ |▀)επTPDATE*∩▀6εß∩▌HERE | Spo¢'s Signatuê≥ | DÜ≥ | Spo¢'s occupaá▌≥_| ≥_ |≥ |▀)επTSDATE*∩▀6εß∩▌PAID | Pêpÿr's Signatuê≥
| DÜ≥ | Self-≥ | Pêpÿr SSN:▌PREP-| ≥_ |≥ | Empl? [ ] |πPAIDPREP*▀)επPREPDATE*∩▀=ß▀Bεß∩▌ ARER| Firm's name≥ ,| Pêpÿr EI No:▀εß∩▌ONLY | ö addrës≥ ,|▀εß∩▀Bεß∩▌≥ |≥ 8| Zip:▀εß∩▀:εß∩▀Gεß∩▌≥-OπF1040*≡//2Σ1⌠N9410401*▀X Form 1040, pg 1 ▀#X▌▌▌▌▌▌▀°EFYN*▀%°EFYMI*▀'÷▌▀°EFSN*▀%°EFSMI*▀'÷
▀∙YNAME*▀Bß▌▀÷▀∙SNAME*▌▀≈▀Bß▌▀÷▀2÷▀5÷▀∙CITY*▌▌▀AπYFUNDY*▀DπYFUNDN*▌▀AπSFUNDY*▀DπSFUNDN*▌▀Γ,1▌▀Γ,2▌▀Γ,3▀:ß▌▌▀Γ,4▀%≈▀%°HOHNAM*▀H°HOHSSN*▌▀Γ,5▀7ß▌▀ß▌▀Oß▌▀ß▌▌▌▀ß!▀%ß$▀(ß%▀4ß&▀@ß'▀NßP▌▀ß)▀%ß,▀(ß-▀4ß.▀@ß/▌▀ß1▀%ß4▀(ß5▀4ß6▀@ß7▀NßQ▌▀ß9▀%ß<▀(ß=▀4ß>▀@ß?▌▀ßA▀%ßD▀(ßE▀4ßF▀@ßG▀NßR▌▀ßI▀%ßL▀(ßM▀4ßN▀@ßO▌▀BßS▌▀NßT▌▀2ßh▀6ßi▌▀Eßj▌▀Eßk▌▀5ßn▌▀Eßo▌▀Eßp▌▀Eßq▌▀Eßt▌▀<ßu▀Eßv▌▀:ßw▀Eßx▌▀$ßy▀Eπ15B*▌▀$ß}▀Eπ16B*▌▀Eßü▌▀Eßé▌▀Eßâ▌▀$π20A*▀@ßà▀Eßå▌▌▀πZ1*▀4≤ê▀Eßê▌▀Eßë▌▀5ßè▌▀5ßï▌▀5ßî▌▀5ßÅ▌▀5ßæ▌▀5ßö▌▀5ßò▌▀%ßù▀5ßû▌▀ßÿ▀5ßÖ▌▀1÷Ö▀EßÜ▌▀Eߢ≡//2Σ2⌠N9410402*▀X Form 1040, pg 2 ▀#XπDEPOSIT*▌▌▀÷▀÷▌▀·,S▀·,C ▀·,C▀·,O ▀ ·,Y▀#·,S▀&·,JπF1040*▀∙NAME*▀>≈▌▀Eߢ▌▀ß₧▀#߃▀)ßá▀7ßí▌▀>ßó▌▀>ßú▌▀>ßñ▌▌▌▌▀?πIE*▀Eß¿▌▌▀Eß⌐▌▌▀E߬▌▀Eß½▌▀ß░▀&ß▒▀3ß▓▌▀ß│▀4ß»▀Eß┤▌▀$ß╡▀-ß╖▀Eß╣▌▀Eß║▌▀
ß╗▀5ß╝▌▀-ß╜▀5ß╛▌▀5ß┐▌▀)ß└▌▀ß┬▀ß─▀$ß╟▀)ß╚▀5ß╩▌▀Eß╦▌▀Eß╠▌▀;ß═▀Eß╬▌▀Eß╧▌▀#ß╨▀,ß╥▀5ß╘▀Eß╓▌▀Eß╫▌▀Eß╪▌▀Eß┘▌▀πEPP*▀πSEC72*▀!πUTAX*▀8ß▌▌▀Eß▐▌▀/ßΣ▀5ßπ▌▀5ßΩ▌▌▀ßδ▀$ßφ▌▀ßε▀5ß∞▌▀5ß∩▌▀5ß≡▌▀"ß≥▀*ß≤▀5ß±▌▀Eß⌠▌▀Eß⌡▌▀Eß÷▌▀5ß≈▌▌▀Eß°▌▀0ß∙▀5ßⁿ▌▌▌▌▀.πTPDATE*▀8ß▌▌▀.πTSDATE*▀8ßπPAIDPREP*▌▀÷▌▀≈▀.πPREPDATE*▀@ß▀Dß▌▀ß▀Bß▌▀ß▌▀÷▀ß▀8ß▀>ßπF1040*≡//5Σ1[RET 1040 0 PG01]▌[010]ß▌[030]ß▌[060]πNAME*▌[080]ß▌[083]ß▌[087]ß▌[095]ß▌[097]πAPO*▌[110]πYFUNDY*▌[115]πYFUNDN*▌[120]πSFUNDY*▌[125]πSFUNDN*▌[130]ß▌[140]ß▌[150]πHOHNAM*▌[153]πHOHSSN*▌[155]ß▌[160]ß▌[163]ß▌[167]ß▌[171]ß!▌[173]ß$▌[175]ß%▌[177]ß&▌[179]ß'▌[181]ß)▌[183]ß,▌[185]ß-▌[187]ß.▌[189]ß/▌[191]ß1▌[193]ß4▌[195]ß5▌[197]ß6▌[199]ß7▌[201]ß9▌[203]ß<▌[205]ß=▌[207]ß>▌[209]ß?▌[211]ßA▌[213]ßD▌[215]ßE▌[217]ßF▌[219]ßG▌[221]ßI▌[223]ßL▌[225]ßM▌[227]ßN▌[229]ßO▌[240]ßP▌[247]ßQ▌[350]ßR▌[355]ßS▌[360]ßT▌[370]ßh▌[371]ßi▌[375]ßj▌[380]ßk▌[385]ßn▌[395]ßo▌[420]ßp▌[430]ßq▌[440]ßt▌[445]ßu▌[450]ßv▌[460]ßw▌[470]ßx▌[475]ßy▌[480]ß|▌[485]ß}▌[495]ß~▌[510]ßü▌[520]ßé▌[552]ßâ▌[553]π20A*▌[555]ßà▌[557]ßå▌[560]πZ1*▌[570]≤ê▌[590]ßê▌[600]ßë▌[625]ßè▌[635]ßï▌[637]ßî▌[640]ßÅ▌[645]ßæ▌[660]ßö▌[680]ßò▌[693]ßù▌[697]ßû▌[720]ßÿ▌[735]ßÖ▌[740]ßÜ▌[750]ߢ▌≡//5Σ2[RET 1040 0 PG02]▌[770]ߢ▌[772]ß₧▌[774]߃▌[776]ßá▌[778]ßí▌[783]ßó▌[784]ßú▌[786]ßñ▌[788]πIE*▌[789]ß¿▌[800]ß⌐▌[810]߬▌[820]ß½▌[830]ß░▌[840]ß▒▌[850]ß▓▌[855]ß│▌[857]ß»▌[860]ß┤▌[870]ß╡▌[880]ß╖▌[910]ß╣▌[920]ß║▌[922]ß╗▌[925]ß╝▌[927]ß╜▌[930]ß╛▌[990]ß┐▌[1003]ß└▌[1004]ß┬▌[1005]ß─▌[1006]ß╟▌[1010]ß╚▌[1015]ß╩▌[1020]ß╦▌[1030]ß╠▌[1035]ß═▌[1040]ß╬▌[1050]ß╧▌[1055]ß╨▌[1057]ß╥▌[1058]ß╘▌[1060]ß╓▌[1080]ß╫▌[1100]ß╪▌[1105]ß┘▌[1110]πEPP*πSEC72*πUTAX*▌[1125]ß▌▌[1130]ß▐▌[1140]ßΣ▌[1160]ßπ▌[1170]ßΩ▌[1175]ßε▌[1176]ßφ▌[1180]ß∞▌[1183]ßδ▌[1190]ß∩▌[1200]ß≡▌[1202]ß≥▌[1205]ß≤▌[1210]ß±▌[1250]ß⌠▌[1260]ß⌡▌[1270]ß÷▌[1280]ß≈▌[1290]ß°▌[1310]ßⁿ▌[1323]ß▌[1327]ß▌πPAIDPREP*[1330]ß▌[1340]ß▌[1350]ß▌[1360]ß▌[1370]ß▌[1380]ß▌[1390]ß▌[1400]ß▌[1410]ß▌πF1040*≡