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1.
Complete the Hoser's Schedule 1.
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SCHEDULE 1
(Form 1040)
Department of the Treasury Internal Revenue Service
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Additional Income and Adjustments to Income
▶ Attach to Form 1040, 1040-SR, or 1040-NR.
▶ Go to
www.irs.gov/Form1040
for instructions and the latest information.
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OMB No. 1545-0074
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2022
Attachment
Sequence No.
01
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Name(s) shown on Form 1040, 1040-SR, or 1040-NR
Donna and Chris Hoser
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Your social security number
465-74-3322
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1
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Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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1
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2a
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Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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2a
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b
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Date of original divorce or separation agreement (see instructions) ►
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3
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Business income or (loss). Attach Schedule C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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3
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4
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Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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4
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5
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Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . . . . . . . . . . . . .
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5
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6
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Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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6
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7
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Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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7
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8
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Other income:
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a
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Net operating loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8a
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()
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b
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Gambling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8b
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c
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Cancellation of debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8c
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d
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Foreign earned income exclusion from Form 2555 . . . . . . . . . . . . . . . . . . . . . . .
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8d
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()
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e
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Income from Form 8853 . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8e
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f
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Income from Form 8889 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8f
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g
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Alaska Permanent Fund dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8g
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h
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Jury duty pay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8h
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i
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Prizes and awards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8i
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fill in the blank c4f5eaf99005069_1
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j
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Activity not engaged in for profit income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8j
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k
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Stock options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8k
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l
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Income from the rental of personal property if you engaged in the rental for profit but were not in the business of renting such property . . . . . . . . . . . . . . . . . . . . .
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8l
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m
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Olympic and Paralympic medals and USOC prize money (see instructions) . . . . . .
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8m
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n
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Section 951(a) inclusion (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8n
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o
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Section 951A(a) inclusion (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8o
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p
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Section 461(l) excess business loss adjustment . . . . . . . . . . . . . . . . . . . . . . . . .
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8p
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q
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Taxable distributions from an ABLE account (see instructions) . . . . . . . . . . . . . . .
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8q
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r
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Scholarship and fellowship grants not reported on Form W-2 . . . . . . . . . . . . . . .
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8r
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s
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Nontaxable amount of Medicaid waiver payments included on Form 1040, line 1a or 1d . . . . . . . . . . . . . . . . . . .
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8s
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()
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t
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Pension or annuity from a nonqualifed deferred compensation plan or a nongovernmental section 457 plan . . . . . . . . . . . .
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8t
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u
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Wages earned while incarcerated . . . . . . . . . . . . .
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8u
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z
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Other income. List type and amount: ►
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8z
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9
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Total other income. Add lines 8a through 8z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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9
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fill in the blank c4f5eaf99005069_2
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10
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Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 . . . . . . . . . . .
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10
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fill in the blank c4f5eaf99005069_3
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For Paperwork Reduction Act Notice, see your tax return instructions.
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Cat. No. 71479F
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Schedule 1 (Form 1040) 2022
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Complete the Hoser's Form 1040.
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Form
1040
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Department of the Treasury—Internal Revenue Service (99)
U.S. Individual Income Tax Return
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2022
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OMB No. 1545-0074
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IRS Use Only
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Filing Status
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Your first name and middle initial
Donna
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Last name
Hoser
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Your social security number
465-74-3322
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If joint return, spouse's first name and middle initial
Chris
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Last name
Hoser
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Spouse's social security number
465-57-9935
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Home address (number and street). If you have a P.O. box, see instructions.
1313 W. Washington Street
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Apt. no.
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Presidential Election Campaign
Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund.
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City, town, or post office. If you have a foreign address, also complete spaces below.
Stephenville
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State
TX
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ZIP code
76401
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Foreign country name
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Foreign province/state/country
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Foreign postal code
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At any time during 2022, did you receive, sell, exchange, or otherwise dispose of any financial interest in any virtual currency?
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Standard Deduction
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Someone can claim:
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Age/Blindness
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You:
Spouse:
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Dependents
If more than four dependents, see instructions and check here ► ◻
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(see instructions):
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(2) Social security
number
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(3) Relationship
to you
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(4) ✓ if qualifies for (see instructions):
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(1) First name
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Last name
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Child tax credit
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Credit for other dependents
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◻
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◻
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◻
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◻
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◻
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◻
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◻
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◻
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Income
Attach Form(s)
W-2 here. Also
attach Forms
W-2G and
1099-R if tax
was withheld.
If you did not
get a Form
W-2, see
instructions.
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1a
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Total amount from Form(s) W-2, box 1 (see instructions) . . . . . . . . . . . . . . . . . . . . .
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1a
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fill in the blank f1a4f3fcd014fbb_7
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b
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Household employee wages not reported on Form(s) W-2 . . . . . . . . . . . . . . . . . . .
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1b
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c
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Tip income not reported on line 1a (see instructions) . . . . . . . . . . . . . . . . . . . . . . .
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1c
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d
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Medicaid waiver payments not reported on Form(s) W-2 (see instructions) . . . . . .
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1d
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e
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Taxable dependent care benefits from Form 2441, line 26 . . . . . . . . . . . . . . . .
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1e
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f
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Employer-provided adoption benefits from Form 8839, line 29 . . . . . . . . . . . . . . . . .
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1f
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g
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Wages from Form 8919, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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1g
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h
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Other earned income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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1h
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i
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Nontaxable combat pay election (see instructions) . . . .
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i
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z
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Add lines 1a through 1h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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1z
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fill in the blank f1a4f3fcd014fbb_8
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Attach
Sch. B if
required.
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2a
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Tax-exempt interest . .
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2a
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fill in the blank f1a4f3fcd014fbb_9
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b
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Taxable interest . . . . . . . . . .
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2b
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fill in the blank f1a4f3fcd014fbb_10
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3a
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Qualified dividends . .
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3a
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fill in the blank f1a4f3fcd014fbb_11
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b
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Ordinary dividends . . . . .
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3b
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fill in the blank f1a4f3fcd014fbb_12
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4a
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IRA distributions . .
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4a
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b
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Taxable amount . . . . . . . . . .
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4b
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5a
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Pensions and annuities
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5a
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b
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Taxable amount . . . . . . . . . .
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5b
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Standard Deduction for–
· Single or Married filing separately, $12,950
· Married filing jointly or Qualifying widow(er), $25,900
· Head of household, $19,400
· If you checked any box under
Standard Deduction, see instructions.
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6a
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Social security benefits
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6a
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b
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Taxable amount . . . . . . . . . .
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6b
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c
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If you elect to use the lump-sum election method, check here (see instructions) . ◻
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7
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Capital gain or (loss). Attach Schedule D if required. If not required, check here . ► ◻
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7
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8
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Other income from Schedule 1, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8
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fill in the blank f1a4f3fcd014fbb_13
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9
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Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your
total income . . . . . . . . . ►
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9
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fill in the blank f1a4f3fcd014fbb_14
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10
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Adjustments to income from Schedule 1, line 26 . . . . . . . . . . . . . . . . . . . . . . . . .
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10
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11
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Subtract line 10 from line 9. This is your
adjusted gross income . . . . . . . . . . . . . . ►
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11
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fill in the blank f1a4f3fcd014fbb_15
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12
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Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . . . . . . . . .
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12
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fill in the blank f1a4f3fcd014fbb_16
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13
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Qualified business income deduction from Form 8995 or Form 8995-A . . . . . . . . . . . . .
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13
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14
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Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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14
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fill in the blank f1a4f3fcd014fbb_17
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15
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Subtract line 14 from line 11. This is your
taxable income . . . . .
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15
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fill in the blank f1a4f3fcd014fbb_18
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For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.
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Cat. No. 11320B
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Form
1040 (2022)
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Tax and
Credits
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16
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Tax (see instructions). Check if any from Form(s):
1 ◻ 8814
2 ◻ 4972
3 ◻ . .
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16
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fill in the blank f1a4f3fcd014fbb_19
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17
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Amount from Schedule 2, line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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17
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18
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Add lines 16 and 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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18
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fill in the blank f1a4f3fcd014fbb_20
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19
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Child tax credit or credit for other dependents from Schedule 8812 . . . .
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19
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20
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Amount from Schedule 3, line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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20
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21
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Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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21
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22
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Subtract line 21 from line 18. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . .
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22
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fill in the blank f1a4f3fcd014fbb_21
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23
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Other taxes, including self-employment tax, from Schedule 2, line 21 . . . . . . . . . . . . . .
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23
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24
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Add lines 22 and 23. This is your
total tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ►
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24
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fill in the blank f1a4f3fcd014fbb_22
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Payments
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25
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Federal income tax withheld from: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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a
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Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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25a
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fill in the blank f1a4f3fcd014fbb_23
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b
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Form(s) 1099 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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25b
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c
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Other forms (see instructions) . . . . . . . . . . . . . . . . . . . . . .
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25c
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d
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Add lines 25a through 25c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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25d
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fill in the blank f1a4f3fcd014fbb_24
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If you have a qualifying child, attach Sch. EIC.
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26
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2022 estimated tax payments and amount applied from 2021 return . . . . . . . . . . . . . .
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26
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27
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Earned income credit (EIC) . . . . . . . . . . . . . . . . . . . . . . . . .
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27
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28
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Additional child tax credit from Schedule 8812 . . . . . . . . . . . . . . . . .
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28
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29
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American opportunity credit from Form 8863, line 8 . . . . . . . .
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29
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30
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Reserved for future use . . . . . . . . . . . . . . . .
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30
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31
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Amount from Schedule 3, line 15 . . . . . . . . . . . . . . . . . . . . .
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31
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32
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Add lines 27, 28, 29 and 31. These are your
total other payments and refundable credits . . ►
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32
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33
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Add lines 25d, 26, and 32. These are your
total payments . . . . . . . . . . . . . . . . . . . ►
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33
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fill in the blank f1a4f3fcd014fbb_25
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Refund
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34
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If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you
overpaid . . .
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34
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fill in the blank f1a4f3fcd014fbb_26
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35a
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Amount of line 34 you want
refunded to you. If Form 8888 is attached, check here ► ◻
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35a
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fill in the blank f1a4f3fcd014fbb_27
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Direct deposit?
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►
b
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Routing number
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►
c Type: ◻ Checking ◻ Savings
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See instructions.
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►
d
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36
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Amount of line 34 you want
applied to your 2023 estimated tax . . ►
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36
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Amount
You Owe
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37
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Subtract line 33 from line 24. This is the
amount you owe. For details on how to pay, go to
www.irs.gov/Payments
or see instructions . . . . . . . . . . . . . . . . . . . . . . . ►
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37
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38
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Estimated tax penalty (see instructions) . . . . . . . . . . . . . . ►
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38
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Third Party Designee
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Do you want to allow another person to discuss this return with the IRS? See instructions. ►
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▢
Yes. Complete below.
▢
No
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Designee's
name ►
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Phone
no. ►
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Personal identification
number (PIN) ►
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Sign
Here
Joint return? See instructions. Keep a copy for your records.
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Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
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►
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Your signature
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Date
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Your occupation
Nurse
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If the IRS sent you an Identity Protection PIN, enter it here
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(see inst.) ►
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Spouse's signature. If a joint return,
both must sign.
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Date
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Spouse's occupation
Student
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If the IRS sent your spouse an Identity Protection PIN, enter it here
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(see inst.) ►
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Phone no.
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Email address
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Paid Preparer Use Only
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Preparer's name
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Preparer's signature
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Date
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PTIN
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Check if:
◻ Self-employed
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Firm's name ►
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Phone no.
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Firm's address ►
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Firm's EIN ►
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