//1±Σ1FORM 1040≥ U.S. INDIVIDUAL INCOME TAX RETURN≥ 1989 * 01▌≥-N▌LABEL |≥ 2| SSN:▀πYNAME*▀Eß▌≥ |≥ 2|▀πSNAME*▀Eß▌≥ |≥ 2|▀ß▌≥ |≥ 2|▀πCITY*▌≥-N▌$1 to Presidential Election Campaign Fund? [ ] YES [ ] NO▀.Γ ,Y▀8Γ ,N▌$1 from spouse to Election Campaign Fund? [ ] YES [ ] NO▀.Γ,Y▀8Γ,N▌≥=N▌FILING 1. [ ] Single▀Γ,1▌STATUS: 2. [ ] Married filing joint return▀Γ,2▌≥
3. [ ] Married filing separate:▀Γ,3▀-εß∩▌≥
4. [ ] Head of household:▀Γ,4▀-εß∩▌≥
5. [ ] Qualifying widow(er): (year spouse died: 19__)▀Γ,5▀?ß▌=EXEMPTIONS≥=C▌6a. [ ] Yourself≥ 6b. [ ] Spouse≥ No.checked [ ]▀ß▀ ß▀Lß▌ ≥-7▌≥ |Chk if| Dependent's|≥ |Mths| No. children▌6c. Dependent's Name |Undr 2| SSN |Relation. |Home| with you [ ]▀Lß<▌ ≥-|≥-|≥- |≥- |----|▌≥ | [ ] |≥ |≥ | | No. children not▀εß∩▀ εß∩▀"εß∩▀/εß∩▀;εß ∩▌≥ | [ ] |≥ |≥ | | with you [ ]▀εß ∩▀ εß ∩▀"εß ∩▀/εß!∩▀;εß"∩▀Lß=▌≥ | [ ] |≥ |≥ | |▀εß$∩▀ εß%∩▀"εß&∩▀/εß'∩▀;εß(∩▌≥ | [ ] |≥ |≥ | | No. other [ ]▀εß*∩▀ εß+∩▀"εß,∩▀/εß-∩▀;εß.∩▀Lß>▌≥ | [ ] |≥ |≥ | |▀εß0∩▀ εß1∩▀"εß2∩▀/εß3∩▀;εß4∩▌≥ | [ ] |≥ |≥ | |▀εß6∩▀ εß7∩▀"εß8∩▀/εß9∩▀;εß:∩▌ ≥-8▌6d. Check if claiming dependent under pre-1985 agreement . [ ]▀>ß?▌6e. Total number of exemptions≥.( [ ]▀Lß@▌=INCOME≥=G▌ 7. Wages, salaries, tips≥.( ) ( )≥. 7.|▀0ßH▀5ßI▀EßJ▌ 8a Taxable interest income≥.!8a.|▀EßK▌ 8b Tax-exempt interest≥.8b.|≥ |▀2ßL▌ 9. Dividend income≥.) 9.|▀EßM▌10. Taxable refunds of state and local taxes≥.10.|▀EßN▌11. Alimony received≥.(11.|▀EßO▌12. Business income or loss≥.!12.|▀EßP▌13. Capital gain or loss≥.$13.|▀EßQ▌14. Capital gain distribution not reported on line 13≥.14.|▀EßR▌15. Other gains or losses≥.#15.|▀EßS▌16a Total IRA distributions≥.16a.|≥ |Taxable.16b.|▀)ßT▀EßU▌17a Total pensions and annuities..17a.|≥ |Taxable.17b.|▀)ßV▀EßW▌18. Rents, royalties, partnerships≥.18.|▀EßZ▌19. Farm income or loss≥.%19.|▀Eß[▌20. Unemployment compensation≥. 20.|▀Eß\▌21a. Social security benefits≥.21a.|≥ |Taxable.21b.|▀)ß]▀Eß^▌22. Other income: (≥ )≥. 22.|▀πZ1*▀Eßb▌23. Total income≥.,23.|▀Eßc▌=ADJUSTMENTS≥=B▌24. Your IRA deduction≥.24.|≥ |▀6ßg▌25. Spouse's IRA deduction≥.25.|≥ |▀6ßh▌26. Self-employed health insurance deduction..26.|≥ |▀6ßj▌27. Keogh plans and SEP payments≥.27.|≥ |▀6ßm▌28. Penalty on early withdrawals of savings...28.|≥ |▀6ßn▌29. Alimony paid≥. 29.|≥ |▀6ßo▌ Recipient's name:≥ |≥ |▀ßp▌ Recipient's SSN:≥ |≥ |▀ßq▌30. TOTAL ADJUSTMENTS≥.'30.|▀ πVEHA*▀(πVEHB*▀Eßr▌31. ADJUSTED GROSS INCOME≥.#31.|▀Eßs▌≥=N≡Σ2FORM 1040 (1989)≥ 8Page 2▀πNAME*▀;ß▌≥=N▌TAXES:≥ :|▌32. Amount from line 31≥.%32.|▀Eßs▌33a. Check if: [ ] You're 65 [ ] Blind [ ] Spouse 65 [ ] Blind|▀ßt▀ ßu▀+ßv▀:ßw▌ Add the number of boxes checked≥.33a. [ ]|▀>ßx▌33b. If someone can claim you as a dependent, check here.....[ ] |▀?ßy▌33c. If married filing separate return and spouse itemizes...[ ] |▀?ßz▌34. Standard or itemized deduction≥.34.|▀Eß~▌≥ Check if deduction is from Schedule A [ ]≥
|▀5ß}▌35. Subtract line 34 from line 32≥..|▀Eß▌36. Multiply line 6e by $2000≥. 36.|▀EßÇ▌37. Taxable income. Subtract line 36 from line 35≥. 37.|▀Eßü▌38. Tax from a.[ ] Tables, b.[ ] Schedules, c.[ ] Form 8615..38.|▀ßå▀ ßç▀1ßê▀Eßà▌ Amount, if any, from Form(s) 8814.....d. (≥
)≥ |▀0ßä▌39. Additional taxes: [ ] Form 4970 or [ ] Form 4972≥.39.|▀ßï▀,ßî▀Eßè▌40. Add lines 38 and 39≥.%40.|▀Eßì▌=CREDITS≥=F▌41. Credit for child care≥.41.|≥ |▀6ßÄ▌42. Credit for elderly or disabled≥. 42.|≥ |▀6ßÅ▌43. Foreign tax credit≥.43.|≥ |▀6ßÉ▌44. General business credit≥.44.|≥ |▀6ßæ▌≥ [ ] Form 3800 or [ ] Form ____≥
|≥ |▀ ßÆ▀ ßö▀$ßô▌45. Credit for prior year minimum tax≥.45.|≥ |▀6ßò▌46. Add lines 41 through 45≥.!46.|▀Eßû▌47. Subtract line 46 from line 40≥..|▀Eßù▌=OTHER TAXES≥=B▌48. Self-employment tax≥. (≥ )≥.
48.|▀'ßÿ▀EßÖ▌49. Alternative minimum tax≥.!49.|▀EßÜ▌50. Tax from recapture of investment credit≥.50.|▀Eߢ▌≥ [ ] Form 4255 or [ ] Form 8611≥ |▀ ߣ▀ ߥ▌51. Social security tax on tips≥. 51.|▀Eß₧▌52. Tax on IRA qualified retirement plan≥.52.|▀E߃▌53. Add lines 47 through 52≥.(≥ )....53.|▀(ßá▀/ßí▀Eßó▌54. Supplemental Medicare premium≥..|▀Eßú▌55. Total tax. Add lines 53 and 54≥.55.|▀Eßñ▌=PAYMENTS≥=E▌56. Fed tax withheld (Chk if any 1099 [ ])....56.|≥ |▀)ߪ▀6ßÑ▀D▌57. 1989 est tax or amt applied from 1988.....57.|≥ |▀6ß¼▀D▌58. Earned income credit....(≥ ).58.|≥ |▀πEIC*▀ ß«▀6ß»▌59. Amount paid with Form 4868≥.59.|≥ |▀6ß░▌60. Excess social security and RRTA withheld..60.|≥ |▀6ß▒▌61. Credit for federal tax on special fuels...61.|≥ |▀6ß▓▌62. Regulated investment company credit≥.62.|≥ |▀6ß│▌63. Total payments≥.*63.|▀Eß┤▌≥=N▌REFUND OR AMOUNT DUE:≥ +|▌64. Amount OVERPAID≥.)64.|▀Eß╡▌65. Amount to be REFUNDED TO YOU≥. 65.|▀Eß╢▌66. Amount to be applied to 1990 taxes≥.66.|≥ |▀6ß╖▌67. AMOUNT YOU OWE≥.*67.|▀Eß╕▌68. Penalty for underpayment of est. tax≥.68.|≥ |≥# ▀6ß╣▌≥=N▌≥ Your occupation:▀/ß▌≥ Spouse's Occupation:▀/ß▌≥=N▌ 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±Σ1▌▌▀F1040▌▌▌▌▌▀πYNAME*▀Bß▌▀πSNAME*▌▀ß▀Bß▌▀πCITY*▌▌▀6Γ ,Y▀?Γ ,N▌▀6Γ,Y▀?Γ,N▌▀Γ,1▌▀Γ,2▌▀Γ,3▀>ß▌▌▀Γ,4▀,ß▌▀Γ,5▀7ß▌▀ß▌▀Nß▌▀ß▌▌▌▀ß▀%ß▀(ß▀4ß▀?ß ▀Nß<▌▀ß ▀%ß ▀(ß ▀4ß!▀?ß"▌▀ß$▀%ß%▀(ß&▀4ß'▀?ß(▀Nß=▌▀ß*▀%ß+▀(ß,▀4ß-▀?ß.▌▀ß0▀%ß1▀(ß2▀4ß3▀?ß4▀Nß>▌▀ß6▀%ß7▀(ß8▀4ß9▀?ß:▌▀Bß?▌▀Nß@▌▌▀)ßH▀-ßI▀EßJ▌▀EßK▌▀5ßL▌▀EßM▌▀EßN▌▀EßO▌▀EßP▌▀EßQ▌▀EßR▌▀EßS▌▀$ßT▀EßU▌▀$ßV▀EßW▌▀EßZ▌▀Eß[▌▀Eß\▌▀$ß]▀Eß^▌▌▀πZ1*▀4≤b▀Eßb▌▀Eßc▌▀5ßg▌▀5ßh▌▀5ßj▌▀5ßm▌▀5ßn▌▀ ßp▌▀ ßq▀5ßo▌▀πVEHA*▀5πVEHB*▌▀Eßr▌▀Eßs≡Σ2▌▌▀πNAME*▀?ß▌▀Eßs▌▀ßt▀#ßu▀)ßv▀7ßw▌▀>ßx▌▀>ßy▌▀>ßz▌▌▀Eß~▌▀5ß}▌▀Eß▌▀EßÇ▌▀Eßü▌▀?ßê▌▌▀ ßå▀'ßç▀5ßê▌▀-ßä▀Eßà▌▀)ßï▀5ßî▀Eßè▌▀Eßì▌▀5ßÄ▌▀5ßÅ▌▀5ßÉ▌▀$ßÆ▀)ßö▀,ßô▀5ßæ▌▀5ßò▌▀Eßû▌▀Eßù▌▀2ßÿ▀EßÖ▌▀EßÜ▌▀)ߣ▀5ߥ▀Eߢ▌▀Eß₧▌▀E߃▌▀ßá▀ßí▌▌▀1ßí▀Eßó▌▀Eßú▌▀Eßñ▌▀/ߪ▀5ßÑ▌▀5ß¼▌▀ ß«▀5ß»▌▀-πEIC*▀5ß░▌▀5ß▒▌▀5ß▓▌▀5ß│▌▌▀Eß┤▌▀Eß╡▌▀Eß╢▌▀5ß╖▌▌▀Eß╕▌▀5ß╣▌▌▌▌▀9ß▌▌▀9ß▌▌▀@πP1*▀DπP2*▌▀πP3*▀BπP7*▌▀πP4*▌▀πP5*▀8πP8*▀>πP6*▌▀πEF*≡
