----· # [ ]# No. children not {{ {"{/{;· # [ ]# with you [ ] { { {" {/ {; {L;· # [ ] {"{ #{"${/%{;&· # [ ]# No. other [ ] {({ ){"*{/+{;,{L<· # [ ] {.{ /{"0{/1{;2· # [ ] {4{ 5{"6{/7{;8· # · 6d. Check if claiming dependent under pre-1985 agreement . [ ] {>=· 6e. Total number of exemptions #.( [ ] {L>· =INCOME#=H· 7. Wages, salaries, tips #.# 7. {ED· 8a Taxable interest income #.! 8a. {EE· 8b Tax-exempt interest #. 8b. {6F· 9. Dividend income #.) 9. {EG· 10. Taxable refunds of state and local taxes #.10. {EH· 11. Alimony received #.(11. {EI· 12. Business income or loss #.!12. {EJ· 13. Capital gain or loss #.$13. {EK· 14. Capital gain distribution not reported on line 13 #.14. {EL· 15. Other gains or losses #.#15. {EM· 16a Total IRA distributions #.16a.# Taxable..16b. {+N{EO· 17a Total pensions and annuities .17a.# Taxable..17b. {+P{EQ· 18. Rents, royalties, partnerships #.18. {ET· 19. Farm income or loss #.%19. {EU· 20. Unemployment compensation #. 20. {EV· 21a. Social security benefits #.21a.# Taxable..21b. {+W{EX· 22. Other income #.,22. {EY· 23. Total income #.,23. {EZ· =ADJUSTMENTS#=C· 24. Reimbursed employee business expenses ....24. {6^· 25a Your IRA deduction #.25a. {6_· 25b Spouse's IRA deduction #.25b. {6`· 26. Self-employed health insurance deduction..26. {6b· 27. Keogh plans and SEP payments #.27. {6e· 28. Penalty on early withdrawals of savings...28. {6f· 29. Alimony paid #. 29. {6g· # Recipient's name: {h· # Recipient's SSN: {i· 30. TOTAL ADJUSTMENTS #.'30. {Ej· 31. ADJUSTED GROSS INCOME #.#31. {Ek· #=O· ² ⁿ2 FORM 1040 (pg 2)# U.S. INDIVIDUAL INCOME TAX RETURN# 1988 * 01· # ?SSN: {■NAME{E· #=O· TAXES:· 32. Amount from line 31 #.%32. {Ek· 33a. Check if: [ ] You're 65 [ ] Blind [ ] Spouse 65 [ ] Blind {l{ m{+n{:o· # Add the number of boxes checked #.33a. [ ] {Ap· 33b. If someone can claim you as a dependent, check here #.[ ] {Aq· 33c. If married filing separate return and spouse itemizes ....[ ] {Ar· 34. Standard or itemized deduction #.34. {Ev· # Check if deduction is from Schedule A [ ] {5u· 35. Subtract line 34 from line 32 #.. {Ew· 36. Multiply line 6e by $1950 #. 36. {Ex· 37. Taxable income. Subtract line 36 from line 35 #. 37. {Ey· 38. Tax. From [ ] Tables, [ ] Schedules, [ ] Form 8615#.38. {}{ ~{,{E|· 39. Additional taxes: [ ] Form 4970 or [ ] Form 4972#.39. {ü{,é{EÇ· 40. Add lines 38 and 39#.&40. {Eâ· =CREDITS#=G· 41. Credit for child care #.41. {6ä· 42. Credit for elderly or disabled #. 42. {6à· 43. Foreign tax credit #.43. {6å· 44. General business credit #.44. {6ç· # [ ] Form 3800 or [ ] Form ____ { ê{ è{$ë· 45. Credit for prior year minimum tax #.45. {6ï· 46. Add lines 41 through 45 #.46. {6î· 47. Subtract line 46 from line 40 #.. {Eì· =OTHER TAXES#=C· 48. Self-employment tax #.%48. {EÄ· 49. Alternative minimum tax #.!49. {EÅ· 50. Tax from recapture of investment credit#.50. {EÉ· # [ ] Form 4255 or [ ] Form 8611 { æ{ Æ· 51. Social security tax on tips #. 51. {Eô· 52. Tax on IRA qualified retirement plan #.52. {Eö· 53. Total tax (add lines 47 thru 52) #.53. {Eò· =PAYMENTS#=F· 54. Fed tax withheld (Chk if any 1099 [ ])....54. {)ù{6û· 55. 1988 est tax or amt applied from 1987 ....55. {6¥· 56. Earned income credit #.56. {6₧· 57. Amount paid with Form 4868 #.57. {6ƒ· 58. Excess social security and RRTA withheld..58. {6á· 59. Credit for federal tax on special fuels...59. {6í· 60. Regulated investment company credit #.60. {6ó· 61. Total payments #.*61. {Eú· #=O· REFUND OR AMOUNT DUE:· 62. Amount OVERPAID #.)62. {Eñ· 63. Amount to be REFUNDED TO YOU #. 63. {EÑ· 64. Amount to be applied to 1989 taxes #.64. {6ª· 65. AMOUNT YOU OWE #.*65. {E⌐· #
[ ] Form 2210(F) is attached. Penalty: { º{6¿· #=O· # Your occupation: {/· # Spouse's Occupation: {/· #=O· This cannot be filed with your tax return. You must transfer these figures· to an official 1040 provided by the IRS or use one of the other AM-Tax· printing options (dot-matrix 1040, overlays, pre-printed forms, laser 1040)· to produce an IRS-acceptable 1040.· ²
