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Taxation in the United States and Attach Form

Satisfactory Essays

Form 1040 2012 (99) Department of the Treasury—Internal Revenue Service U.S. Individual Income Tax Return For the year Jan. 1–Dec. 31, 2012, or other tax year beginning OMB No. 1545-0074 , 2012, ending Your first name and initial Your social security number Chanelle Chambers See separate instructions. , 20 Last name Kelly IRS Use Only—Do not write or staple in this space. Chanelle 1 1 1 1 1 1 1 1 1 Spouse’s social security number Last name If a joint return, spouse’s first name and initial 2 2 2 2 2 2 2 2 2 Apt. no. Home address (number and street). If you have a P.O. box, see instructions. ▲ 584 Thoreau Drive City, town or post office, state, and ZIP code. …show more content…

29 30 31a 32 33 34 . . . . . . . . . . . . 32 33 34 35 36 37 Adjusted Gross Income Add numbers on lines above ▶ . 29 30 31a Enclose, but do not attach, any payment. Also, please use Form 1040-V. Boxes checked on 6a and 6b No. of children on 6c who: • lived with you • did not live with you due to divorce or separation (see instructions) daugther daugther 26 27 28 If you did not get a W-2, see instructions. b Head of household (with qualifying person). (See instructions.) If Yourself. If someone can claim you as a dependent, do not check box 6a . (1) First name If more than four dependents, see instructions and check here ▶ 00000 4 Married filing separately. Enter spouse’s SSN above and full name here. ▶ 6a b Make sure the SSN(s) above and on line 6c are correct. Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Taxable amount . . . . . . . . . . . ▶ 12 13 14 13650 21 22 23 . 964 . . For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. . . . . . . . . . ▶

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