Form 1040 U.S. Individual Income Tax Return 2004. Summary: This is an example of Form 1040, page 1 with items included as described in the text. Additionally, these line items
were filled
out:
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“Presidential Election Campaign (See page 19.) Note. Checking Yes will not change your tax or reduce your refund. Do you, or
your spouse if
filing a joint return, want $3 to go to this fund?” field has the You
“Yes” checkbox checked and the Spouse
“Yes” checkbox checked
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“Filing Status--Check only one box” section has
“Married filing jointly (even if only one had income)” checkbox checked
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“Exemptions” section has:
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“6a Yourself. If your parent (or someone else) can claim you as a dependent on his or her tax return, do not check box 6a” checkbox
checked
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“b Spouse” checkbox checked
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“No. of boxes checked on 6a and 6b” field contains 2
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“No. of children on 6c who: lived with you” field contains 3
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“Add numbers on lines above” field contains 5
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