Schedule 3 (Form 1040A): Credit for the Elderly or the Disabled for Form 1040A Filers 2004. Summary: This is an example of Schedule 3 (Form 1040A) 2004, Page 1 with items completed per example in the text:
|
“Name(s) shown on Form 1040” field contains Jerry A. Ash
|
|
“Your social security number” field contains 123-00-1234
|
|
Under
“Part I: Check the box for your filing status and age”:
|
|
In the section
“Single, Head of household, or Qualifying widow(er) with dependent child”, line item
“1. You were 65 or older” checkbox checked
|
|
