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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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