taxpayer information

F o

rm 1040 Department of the Treasury—Internal Revenue Service (99)U.S. Individual Income Tax Return 2019 OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space. Filing Status Check only one box.

Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW)

If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying person is

a child but not your dependent. ▶

Your first name and middle initial Last name Your social security number

If joint return, spouse’s first name and middle initial Last name Spouse’s social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no.

City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Foreign country name Foreign province/state/county Foreign postal code

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. You Spouse

Standard Deduction

Someone can claim: You as a dependent Your spouse as a dependent

Spouse itemizes on a separate return or you were a dual-status alien

Age/Blindness You: Were born before January 2, 1955 Are blind Spouse: Was born before January 2, 1955 Is blind

If more than four dependents, see instructions and ✓ here ▶

Dependents (see instructions): (2) Social security number (3) Relationship to you (4) ✓ if qualifies for (see instructions): (1) First name Last name Child tax credit Credit for other dependents

1 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . . . 1

2a Tax-exempt interest . . . . 2a b Taxable interest. Attach Sch. B if required 2b

3a Qualified dividends . . . . 3a b Ordinary dividends. Attach Sch. B if required 3b

4a IRA distributions . . . . . 4a b Taxable amount . . . . . . 4b

c Pensions and annuities . . . 4c d Taxable amount . . . . . . 4d

5a Social security benefits . . . 5a b Taxable amount . . . . . . 5b

6 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . . . ▶ 6

7a Other income from Schedule 1, line 9 . . . . . . . . . . . . . . . . . . . . 7a

b Add lines 1, 2b, 3b, 4b, 4d, 5b, 6, and 7a. This is your total income . . . . . . . . . . . ▶ 7b

8 a Adjustments to income from Schedule 1, line 22 . . . . . . . . . . . . . . . . . 8a

b Subtract line 8a from line 7b. This is your adjusted gross income . . . . . . . . . . . ▶ 8b

9 Standard deduction or itemized deductions (from Schedule A) . . . . .

Standard Deduction for— • Single or Married

filing separately, $12,200

• Married filing jointly or Qualifying widow(er), $24,400

• Head of household, $18,350

• If you checked any box under Standard Deduction, see instructions.

9

10 Qualified business income deduction. Attach Form 8995 or Form 8995-A . . . 10

11a Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . 11a

b Taxable income. Subtract line 11a from line 8b. If zero or less, enter -0- . . . . . . . . . . . 11b

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2019)

Form 1040 (2019) Page 2 12a Tax (see inst.) Check if any from Form(s): 1 8814 2 4972 3 12a

b Add Schedule 2, line 3, and line 12a and enter the total . . . . . . . . . . . . . . ▶ 12b

13a Child tax credit or credit for other dependents . . . . . . . . . . 13a

b Add Schedule 3, line 7, and line 13a and enter the total . . . . . . . . . . . . . . ▶ 13b

14 Subtract line 13b from line 12b. If zero or less, enter -0- . . . . . . . . . . . . . . . 14

15 Other taxes, including self-employment tax, from Schedule 2, line 10 . . . . . . . . . . . . 15

16 Add lines 14 and 15. This is your total tax . . . . . . . . . . . . . . . . . . ▶ 16

17 Federal income tax withheld from Forms W-2 and 1099 . . . . . . . . . . . . . . . 17

18 Other payments and refundable credits:

a Earned income credit (EIC) . . . . . . . . . . . . . . . • If you have a

qualifying child, attach Sch. EIC.

• If you have nontaxable combat pay, see instructions.

18a

b Additional child tax credit. Attach Schedule 8812 . . . . . . . . . 18b

c American opportunity credit from Form 8863, line 8 . . . . . . . . 18c

d Schedule 3, line 14 . . . . . . . . . . . . . . . . . 18d

e Add lines 18a through 18d. These are your total other payments and refundable credits . . . . . ▶ 18e

19 Add lines 17 and 18e. These are your total payments . . . . . . . . . . . . . . . ▶ 19

Refund 20 If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid . . . . . . 20 21a Amount of line 20 you want refunded to you. If Form 8888 is attached, check here . . . . . . ▶ 21a

Direct deposit? See instructions.

▶ b Routing number ▶ c Type: Checking Savings ▶ d Account number

22 Amount of line 20 you want applied to your 2020 estimated tax . . . . ▶ 22

Amount You Owe

23 Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions . . . . . ▶ 23

24 Estimated tax penalty (see instructions) . . . . . . . . . . . ▶ 24

Third Party Designee (Other than paid preparer)

Do you want to allow another person (other than your paid preparer) to discuss this return with the IRS? See instructions. Yes. Complete below.

No Designee’s name ▶

Phone no. ▶

Personal identification number (PIN) ▶

Sign Here

Joint return? See instructions. Keep a copy for your records.

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.

Your signature Date Your occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.)

Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an Identity Protection PIN, enter it here (see inst.)

Phone no. Email address

▲

Paid Preparer Use Only

Preparer’s name Preparer’s signature Date PTIN Check if:

3rd Party Designee

Self-employedFirm’s name ▶ Phone no.

Firm’s address ▶ Firm’s EIN ▶

Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2019)

Version J, Cycle 9

INTERNAL USE ONLY

DRAFT AS OF

August 16, 2019

Version J, Cycle 9

INTERNAL USE ONLY

DRAFT AS OF

August 16, 2019

2019 Form 1040

SE:W:CAR:MP

U.S. Individual Income Tax Return

Form

1040

Department of the Treasury—Internal Revenue Service

(99)

U.S. Individual Income Tax Return

2019

2019. Cat. No. 11320B.

OMB No. 1545-0074

O M B No. 1545-0074. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

IRS Use Only—Do not write or staple in this space.

Filing Status 

Check onlyone box.

Single

Married filing jointly

Married filing separately (MFS)

Head of household (HOH)

Qualifying widow(er) (QW)

If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying person is a child but not your dependent.  ▶

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. 

Standard Deduction

Someone can claim:

You as a dependent

Your spouse as a dependent

Spouse itemizes on a separate return or you were a dual-status alien

Age/Blindness

You:

Were born before January 2, 1955

Are blind

Spouse:

Was born before January 2, 1955

Is blind

If more than four dependents, see instructions and ✓ here  ▶

Dependents (see instructions):

(2)  Social security number 

(3) Relationship to you 

(4)  ✓ if qualifies for (see instructions):

(1)  First name                                                    Last name 

(1) First name. Last name.

(2) Social security number.

(3) Relationship to you.

Child tax credit

(4) ✓ if qualifies for (see instructions): Child tax credit.

Credit for other dependents

(4) ✓ if qualifies for (see instructions): Credit for other dependents.

1

Wages, salaries, tips, etc. Attach Form(s) W-2          

1

2

a

Tax-exempt interest          

2a

b  Taxable interest. Attach Sch. B if required

2b

3

a

Qualified dividends          

3a

b  Ordinary dividends. Attach Sch. B if required

3b

4

a

IRA distributions         

4a

b  Taxable amount          

4b

c

Pensions and annuities         

4c

d  Taxable amount          

4d

5

a

Social security benefits          

5a

b  Taxable amount          

5b

6

Capital gain or (loss). Attach Schedule D if required. If not required, check here           ▶

6

7

a

Other income from Schedule 1, line 9          

7a

b

Add lines 1, 2b, 3b, 4b, 4d, 5b, 6, and 7a. This is your total income           ▶

7b

8

a

Adjustments to income from Schedule 1, line 22           

8a

b

Subtract line 8a from line 7b. This is your adjusted gross income            ▶

8b

9

Standard deduction or itemized deductions (from Schedule A)           

8. Enter the standard deduction; otherwise, attach Schedule A. Dollars.

Standard  Deduction for—

• Single or Married filing separately,  $12,200

• Married filing  jointly or Qualifying widow(er), $24,400

• Head of household,  $18,350

• If you checked any box under Standard Deduction,see instructions.

9

10

Qualified business income deduction. Attach Form 8995 or Form 8995-A          

10

11

a

Add lines 9 and 10          

11a

b

Taxable income. Subtract line 11a from line 8b. If zero or less, enter -0-          

11b

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

Cat. No. 11320B

Form 1040 (2019)

Form 1040 (2019)

Page 2

12

a

Tax (see inst.) 

Check if any from Form(s): 

1

2

3

12a

b

Add Schedule 2, line 3, and line 12a and enter the total           ▶

12b

13

a

Child tax credit or credit for other dependents          

13a

b

Add Schedule 3, line 7, and line 13a and enter the total           ▶

13b

14

Subtract line 13b from line 12b. If zero or less, enter -0-         

14

15

Other taxes, including self-employment tax, from Schedule 2, line 10          

15

16

Add lines 14 and 15. This is your total tax           ▶

16

17

Federal income tax withheld from Forms W-2 and 1099          

17

18

Other payments and refundable credits: 

a

Earned income credit (EIC)          

• If you have a qualifying child, attach Sch. EIC.

• If you have nontaxable combat pay, see instructions.

18a

b

Additional child tax credit. Attach Schedule 8812          

18b

c

American opportunity credit from Form 8863, line 8          

18c

d

Schedule 3, line 14          

18d

e

Add lines 18a through 18d. These are your total other payments and refundable credits           ▶          

18e

19

Add lines 17 and 18e. These are your total payments           ▶

19

Refund

20

If line 19 is more than line 16, subtract line 16 from line 19. This is the amount you overpaid          

20

21

a

Amount of line 20 you want refunded to you. If Form 8888 is attached, check here           ▶

21a

Direct deposit? See instructions.

▶

b

Routing number

▶ c Type: 

▶

d

Account number

22

Amount of line 20 you want applied to your 2020 estimated tax           ▶

22

Amount You Owe

23

Amount you owe. Subtract line 19 from line 16. For details on how to pay, see instructions          ▶

23

24

Estimated tax penalty (see instructions)           ▶

24

Third Party Designee

(Other than paid preparer)

Do you want to allow another person (other than your paid preparer) to discuss this return with the IRS? See instructions.

Designee’sname  ▶

Phoneno.  ▶

Personal identificationnumber (PIN)            ▶

Sign Here

Joint return? See instructions. Keep a copy for your records.

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.

Your signature

Date

If the IRS sent you an Identity Protection PIN, enter it here (see inst.)

Spouse’s signature. If a joint return, both must sign. 

Date

If the IRS sent your spouse an Identity Protection PIN, enter it here (see inst.)

▲

Paid Preparer Use Only

Preparer’s signature

Date

Check if:

Go to www.irs.gov/Form1040 for instructions and the latest information.

Form 1040 (2019)