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- 1 3311TPERSONAL INFORMATION
- 1 5100TYour First Name & Init ... ==>
- 1 6100TSpouse First Name & Init . ==>
- 1 7100TLast Name [16]. ==>
- 1 8100TYour SSN [17]. ==>
- 1 9100TSpouse SSN [15]. ==>
- 110100TPresent Address [10]. ==>
- 111100TCity [21]. ==>
- 112100TState [20]. ==>
- 113100TZip [22]. ==>
- 114100TYour Occupation [10]. ==>
- 115100TSpouse Occupation [08]. ==>
- 117100T$1 for Pres Election Fund? (Y/N) ==>
- 118100T$1 from Spouse to Fund? (Y/N) .. ==>
- 1 5420AN15
- 1 6420AN15
- 1 7420AN20
- 1 8420AN11 P4
- 1 9420AN11 P4
- 110420AN35
- 111420AN25
- 112420AN 2
- 113420AN10 P4
- 114420AN20
- 115420AN20
- 117480YN 1
- 118480YN 1
- 2 3341TFILING STATUS
- 2 5 80TEnter your filing status [07]. ==>
- 2 7120T1=Single
- 2 8120T2=Married, Joint Return
- 2 9120T3=Married, Separate Return
- 210120T4=Head of Household
- 211120T5=Qualifying Widow(er)
- 213 80TSpouse's name (if status = 3) .. ==>
- 214 80TChild's name (if status = 4) ... ==>
- 215 80TYear spouse died (if status = 5) ==>
- 2 5460BN 1 F1
- 213460AN25
- 214460AN25
- 215460AN 4
- 303351TEXEMPTIONS
- 305 80T6a. Yourself? (Y/N) [12]. ==>
- 306 80T 65 or over? (Y/N) [10]. ==>
- 307 80T Blind? (Y/N) [15]. ==>
- 309 80T6b. Spouse? (Y/N) [14]. ==>
- 310 80T 65 or over? (Y/N) [10]. ==>
- 311 80T Blind? (Y/N) [15]. ==>
- 312 80T Number checked [13]. ==>C
- 314 80T6c. No. of children at home .... ==>
- 315 80T Their names ... ==>
- 317 80T6d. No. of children not at home. ==>
- 318 80T Their names ... ==>
- 320 80T6e. Other Dependents [11]. ==>*
- 321 80T6f. Total Exemptions [11]. ==>C
- 305470YY 1
- 306470YN 1
- 307470YN 1
- 309470YN 1
- 310470YN 1
- 311470YN 1
- 312470IY 2
- 314470IN 2
- 315340AN30146c
- 317470IN 2
- 318340AN30146d
- 320470IN 2166e
- 321470IY 2
- 4 3331TINCOME (PART I)
- 4 5 40T7a Your wages [37]. 7a ==>*
- 4 6 40T7b Spouse wages [35]. 7b ==>*
- 4 7 40T7c Excess reimbursements (from 2106) [14]. 7c ==>C
- 4 8 40T7. Total Wages [36]. 7 ==>C
- 4 9 40T8. Interest income (Sch B) [24]. 8 ==>*
- 410 40T9a Dividends received (Sch B) [21]. 9a ==>*
- 411 40T9b Dividend exclusions [28]. 9b ==>C
- 412 40T9c Taxable Dividends [30]. 9c ==>C
- 413 30T10. Refunds of state and local taxes [15]. 10 ==>
- 414 30T11. Alimony received [31]. 11 ==>
- 415 30T12. Business income or loss (Sch C) [16]. 12 ==>*
- 416 30T13. Capital gain or loss (Sch D) [19]. 13 ==>*
- 417 30T14. 40% of capital gains [27]. 14 ==>
- 418 30T15. Other gains or losses (4797) [19]. 15 ==>
- 419 30T16. Fully taxable pensions, IRAs [19]. 16 ==>
- 420 30T17a Other pensions, annuities [22]. 17a ==>
- 421 30T17b Taxable amount [33]. 17b ==>
- 4 5670$N10157a
- 4 6670$N10157b
- 4 7670$Y10
- 4 8670$Y10
- 4 9670$N10068
- 410670$N10069a
- 411670$N10149b
- 412670$Y10
- 413670$N101410
- 414670$N101411
- 415670$N100712
- 416670$N100813
- 417670$N101414
- 418670$N101415
- 419670$N101416
- 420670$N101417a
- 421670$N101417b
- 5 3331TINCOME (PART II)
- 5 5 30T18. Rents, royalties, etc (Sch E) [18]. 18 ==>*
- 5 6 30T19. Farm income (Sch F) [28]. 19 ==>
- 5 7 30T20a Unemployment compensation [22]. 20a ==>
- 5 8 30T20b Taxable amount of 20a [26]. 20b ==>C
- 5 9 30T21a Social Security benefits [23]. 21a ==>
- 510 30T21b Taxable amount of line 21a [21]. 21b ==>
- 511 30T22. Other income [35]. 22 ==>
- 512 30T23. Total Income [35]. 23 ==>C
- 514 80TYour earned income [29]. ==>C
- 515 80TSpouse's earned income [25]. ==>C
- 516 80TUnearned income [32]. ==>C
- 5 5670$N100918
- 5 6670$N10 19
- 5 7670$N101420a
- 5 8670$N101420b
- 5 9670$N101421a
- 510670$N101421b
- 511670$N101422
- 512670$Y10
- 514670$N10 se
- 515670$N10 ye
- 516670$Y10
- 6 3301TADJUSTMENTS TO INCOME
- 6 5 30T24. Moving expenses (3903) [25]. 24 ==>
- 6 6 30T25. Employee business expenses (2106) [14]. 25 ==>*
- 6 7 30T26a Your IRA payments [30]. 26a ==>C
- 6 8 30T26b Spouse IRA payments [28]. 26b ==>C
- 6 9 30T26c Total IRA payments [29]. 26c ==>C
- 610 30T27a Your Keough payments [27]. 27a ==>C
- 611 30T27b Spouse Keough payments [25]. 27b ==>C
- 612 30T27c Total Keough payments[27]. 27c ==>C
- 613 30T28. Penalty on early withdrawal of savings [09]. 28 ==>
- 614 30T29. Alimony paid [35]. 29 ==>
- 616 30T Recipient's social security number ==>
- 618 30T30. Marriage deduction (Sch W) [21]. 30 ==>*
- 619 30T31. Total Adjustments [30]. 31 ==>C
- 621 30T32. Adjusted Gross Income [26]. 32 ==>C
- 6 5670$N10 24
- 6 6670$N100125
- 6 7670$N101426a
- 6 8670$N101426b
- 6 9670$Y10
- 610670$N101427a
- 611670$N101427b
- 612670$Y10
- 613670$N101428
- 614670$N101429
- 616510AN11 P4
- 618670$N101330
- 619670$Y10
- 621670$Y10
- 7 3381TTAXES
- 7 5 30T34a Itemized deductions (Sch A) [20]. 34a ==>*
- 7 6 30T34b Cash contributions if not itemizing [12]. 34b ==>
- 7 7 30T34c Non-cash contributions if not itemizing [08]. 34c ==>
- 7 8 30T34d Add lines 34b and 34c [26]. 34d ==>C
- 7 9 30T34e Line 34d divided by 2 [26]. 34e ==>C
- 710 30T35. Subtract Line 34 from Line 33 [18]. 35 ==>C
- 711 30T36. Multiply $1040 by number of exemptions [09]. 36 ==>C
- 712 30T37. Taxable income [33]. 37 ==>C
- 713 30T38a Tax from Tax Tables [28]. 38a ==>C
- 714 30T38b Tax from Tax Rate Schedules [20]. 38b ==>C
- 715 30T38c Tax from Schedule G [28]. 38c ==>*
- 716 30T38d Tax [44]. 38d ==>C
- 717 30T39a Tax from Form 4970 [29]. 39a ==>
- 718 30T39b Tax from Form 4972 [29]. 39b ==>
- 719 30T39c Tax from Form 5544 [29]. 39c ==>
- 720 30T39d Total Additional Taxes [25]. 39d ==>C
- 721 30T40. Total Taxes [36]. 40 ==>C
- 7 5670$N100534a
- 7 6670$N101434b
- 7 7670$N101434c
- 7 8670$Y10
- 7 9670$Y10
- 710670$N101435
- 711670$Y10
- 712670$Y10
- 713670$Y10
- 714670$Y10
- 715670$N101038c
- 716670$Y10
- 717670$N10 39a
- 718670$N10 39b
- 719670$N10 39c
- 720670$Y10
- 721670$Y10
- 8 3371TCREDITS
- 8 5 30T41. Credit for child care (2441) [19]. 41 ==>*
- 8 6 30T42. Credit for elderly and disabled (Sch R) [08]. 42 ==>*
- 8 7 30T43. Residential energy credit (5695) [15]. 43 ==>*
- 8 8 30T44. Credit for political contributions [13]. 44 ==>
- 8 9 30T45. Add lines 41 through 44 [24]. 45 ==>C
- 810 30T46. Subtract line 45 from 40 [23]. 46 ==>C
- 811 30T47. Foreign tax credit (1116) [22]. 47 ==>
- 812 30T48a General business credit from Form 3800 [09]. 48a ==>
- 813 30T48b General business credit from Form 3468 [09]. 48b ==>
- 814 30T48c General business credit from Form 5884 [09]. 48c ==>
- 815 30T48d General business credit from Form 6478 [09]. 48d ==>
- 816 30T48e General business credit used [19]. 48e ==>C
- 817 30T49. Add lines 47 and 48 [28]. 49 ==>C
- 818 30T50. Subtract line 49 from 46 [23]. 50 ==>C
- 8 5670$N100241
- 8 6670$N101142
- 8 7670$N100443
- 8 8670$N101444
- 8 9670$Y10
- 810670$Y10
- 811670$N10 47
- 812670$N10 48a
- 813670$N10 48b
- 814670$N10 48c
- 815670$N10 48d
- 816670$Y10
- 817670$Y10
- 818670$Y10
- 9 3351TOTHER TAXES
- 9 5 30T51. Self-employment tax (Sch SE) [19]. 51 ==>*
- 9 6 30T52. Alternative minimum tax (Sch 6251) [13]. 52 ==>*
- 9 7 30T53. Tax from recapture of investment credit (4255) . 53 ==>
- 9 8 30T54. Social security tax on tips (4137) [13]. 54 ==>
- 9 9 30T55. Tax on IRA (5329) [30]. 55 ==>
- 910 30T56. Add lines 50 through 55 [24]. 56 ==>C
- 9 5670$N101251
- 9 6670$N102852
- 9 7670$N10 53
- 9 8670$N10 54
- 9 9670$N10 55
- 910670$Y10 56
- 10 3371TPAYMENTS
- 10 5 30T57. Federal income tax withheld [20]. 57 ==>C
- 10 6 30T58. Estimated tax payments [25]. 58 ==>
- 10 7 30T59. Earned income credit [27]. 59 ==>
- 10 8 30T60. Amount from Form 4868 [26]. 60 ==>
- 10 9 30T61. Excess social security and RRTA tax [12]. 61 ==>C
- 1010 30T62. Credit for federal tax on special fuels (4136) . 62 ==>
- 1011 30T63. Regulated investment company credit (2439) ..... 63 ==>
- 1012 30T64. Total Payments [33]. 64 ==>C
- 1014 30T65. Amount Overpaid [32]. 65 ==>C
- 1015 30T66. Amount of line 65 to be refunded [15]. 66 ==>C
- 1016 30T67. Amount of line 65 to be applied to 1985 taxes .. 67 ==>
- 1018 30T68a Balance due IRS [32]. 68a ==>C
- 1019 30T68b Penalty from Form 2210 [25]. 68b ==>
- 10 5670$N10 57
- 10 6670$N101458
- 10 7670$N10 59
- 10 8670$N10 60
- 10 9670$N10 61
- 1010670$N10 62
- 1011670$N10 63
- 1012670$Y10
- 1014670$Y10
- 1015670$Y10
- 1016670$N10 67
- 1018670$Y10
- 1019670$N10 68b