| Taxå.17b.|▀)εßu∩▀Eεßv∩▌≥ |18. Rûs, royaltiº, partnƒships≥.18.|▀Eεßy∩▌≥ |19. Farm ê í É≥.19.|▀Eεßz∩▌≥ |20. Unômû compÖsaï≥.20.|▀Eεß{∩▌≥ |21a. Social s«≥.21a.|≥
| Taxå.21b.|▀ εß}∩▀)εß|∩▀Eεß~∩▌≥ |22. Oér ê: (≥ )≥.22.|▀επZ1*∩▀EεßÇ∩▌≥ |23. Ä ê≥.! >> 23.|▀Eßü▌≥-O▌ADJUST|24a. Your IRA dÜucï≥.24a.|▀Eεßé∩▌ MENTS| b. SÆ's IRA dÜucï...........................24b.|▀Eεßâ∩▌≥ |25. DÜucï fí self-ômû â≥.25.|▀Eεßå∩▌≥ |26. Self-ôÜ health îsurance dÜucï≥. 26.|▀Eεßê∩▌≥ |27. Keogh plans ñ SEP paymûs≥.27.|▀Eεßï∩▌≥ |28. PÖalty á early »drawals ó savîgs≥.
28.|▀Eεßî∩▌≥ |29. Alimáy paid. Recipiû's SSN (≥
)≥.29.|▀-εßÄ∩▀Eεßì∩▌≥ |≥ 9|▀,εßÅ∩▀EεßÉ∩▌≥ |30. TOTAL ADJUSTMENTS≥. >> 30.|▀Eεßæ∩▌AGI |31. ADJUSTED GROSS INCOME≥. >> 31.|▀EεßÆ∩▌Fí Privacy Act ñ Papƒwík RÜucï Act Notice, see ès▌H838≡Σ2FORM 1040 (1992)≥ 8P¼ 2▀πNAME*▀;ß▌≥=N▌TAX |32. ò ü Ç 31≥.32.|▀EεßÆ∩▌COMPU-|33a. Cÿ if: [ ] You 65 í oldƒ [ ] Blîd≥ |▀ßò▀-ßû▌TATION|≥ [ ] Sps 65 í oldƒ [ ] Blîd >> 33a.[ ]|▀ßù▀-ßÿ▀>εßÖ∩▌≥ | b. If à can be claimÜ by anoér, cÿ >> 33b..[ ] |▀?εßÜ∩▌≥ | c. If filîg MFS ñ sÆ itemizº, cÿ >> 33c..[ ] |▀?εߢ∩▌≥ |34. Stñard í itemizÜ dÜucï≥.34.|▀Eε߃∩▌≥ |35. ì Ç 34 ü Ç 32≥.35.|▀Eεßá∩▌≥ |36. Ln 6e x $2300. If ln 32 ovƒ $78,950, see îstr...36.|▀Eεßí∩▌≥ |37. Taxå ê. ì Ç 36 ü Ç 35≥.37.|▀Eεßó∩▌≥ |38. Tax a.[ ] Tås, b.[ ] ùs, c.[ ] Sch D...38.|▀ߺ▀#ß¿▀4ß⌐▀Eεß½∩▌≥ |≥ d.[ ] ä 8615. ä(s) 8814 (≥ )≥ |▀߬▀2εߪ∩▌≥ |39. çiïal âº: [ ] ä 4970 [ ] ä 4972...39.|▀!ß¡▀0ß«▀Eεß¼∩▌≥ |40. ç Çs 38 ñ 39≥.>> 40.|▀Eεß»∩▌≥-O▌CRED- |41. Cæ fí ö c£≥.41.|▀:εß░∩▀Eεß▒∩▌ ITS |42. Cæ fí eldƒly í dúåd≥.42.|▀:εß▓∩▀Eεß│∩▌≥ |43. Fíeign â cæ≥.43.|▀Eεß┤∩▌≥ |44. Oér cæs. a.[ ] ä 3800≥.44.|▀ ß╢▀Eεß╡∩▌≥ |≥ b.[ ] ä 8396 c.[ ] ä 8801 d.[ ] ä≥ |▀ß╖▀ ß╕▀1ß║▀9εß╣∩▌≥ |45. ç Çs 41 ¿ 44...........................45.|▀Eεß╗∩▌≥ |46. ì Ç 45 ü Ç 40≥.>> 46.|▀Eεß╝∩▌≥-O▌OTHER |47. Self-ômû â (SchÜ SE)≥.47.|▀/εß╜∩▀Eεß╛∩▌TAXES |48. Altƒnative mîimum â (ä 6251)≥.48.|▀Eεß┐∩▌≥ |49. RecaptuÑ â. äs [ ] 4255 [ ] 8611 [ ] 8828.49.|▀#ß┴▀-ß┬▀7ß├▀Eεß└∩▌≥ |50. Social s« â á tips (ä 4137)≥.
50.|▀Eεß─∩▌≥ |51. Tax á IRA qualifiÜ ÑtiÑmû plan (5329)≥.51.|▀Eεß┼∩▌≥ |52. AdvancÜ earnÜ ê cæ paymûs ü W-2...52.|▀Eεß╞∩▌≥ |≥ 9|▀!επUTAX*∩▀+επEPP*∩▀4επSEC72*∩▀Gεß╩∩▌≥ |53. Ä â≥.%>> 53.|▀Eεß╦∩▌≥-O▌PAY- |54. F܃al â »held (Cÿ if ü 1099s [ ])≥.54.|▀8ß╨▀Eεß╧∩▌ MENTS|55. 1992 ºt â & ë appliÜ ü 1991≥.
55.|▀Eεß╓∩▌≥ |56. EarnÜ ê cæ (SchÜ EIC)≥.56.|▀9πEICNO*▀Eεß╪∩▌≥ |57. ò paid » ä 4868≥.57.|▀Eεß┘∩▌≥ |58. Excºs social s«, MÜic£, RRTA »held...58.|▀Eεß┌∩▌≥ |59. Oér paymûs. a [ ] ä 2439 b [ ] ä 4136..59.|▀ ß▄▀1ß▌▀Eεß█∩▌≥ |60. Ä paymûs. ç Çs 54 ¿ 59≥.>> 60.|▀Eεß▐∩▌≥-O▌REFUND|61. ò OVERPAID≥.>> 61.|▀Eεß▀∩▌OR≥ |62. ò ¡ be REFUNDED TO YOU≥.>> 62.|▀Eεßα∩▌AMOUNT|63. ò ¡ be appliÜ ¡ 1993 âº≥.63.|▀Eεßß∩▌DUE |64. AMOUNT YOU OWE≥.#64.|▀EεßΓ∩▌≥ |65. PÖalty fí undƒpaymû ó ºtimatÜ â≥.65.|▀<εßπ∩▀EεßΣ∩▌≥=O▌Undƒ pÖaltiº ó pƒjury, I decl£ that I have examîÜ thú Ñturn ñ▌accompanyîg schÜulº ñ st½mûs, ñ ¡ é bºt ó my knowlÜge ñ▌belief éy £ true, cíÑct, ñ complete. Declaraï ó pÑp£r (oér▌than âpayƒ) ú basÜ á ¥ îfímaï ó which pÑp£r has any knowlÜge.▌≥ | Your SignatuÑ≥ | D½≥ | Your occupaï▌SIGN | ≥_ | ≥_ |▀6εß∩▌HERE | SÆ's SignatuÑ≥ | D½≥ | SÆ's occupaï▌≥_| ≥_ | ≥_ |▀6εß∩▌PAID | PÑp£r's SignatuÑ≥