Form 1040 U.S. Individual Income Tax Return 2004. Summary: This is an example of Form 1040 (2004) with items included as described in the text. Additionally, these line items
are
completed:
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Under
“Label (See instructions on page 16.) Use the I.R.S. label. Otherwise, please print or type.”:
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“Your first name and initial” field contains Charles
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“Last name” field contains Woods
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“Your social security number” field contains 123-00-4567
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“If a joint return, spouse's first name and initial” field contains Lily
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“Last name” field contains Woods
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“Spouse's social security number” field contains 567-00-1234
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“Home address (number and street). If you have a P.O. box, see page 16.” field contains 6925 Country Road
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“City, town or post office, state, and ZIP code. If you have a foreign address, see page 16.” field contains Anytown, Virginia
22306
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“Presidential Election Campaign (See page 16): 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?”
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“You: Yes” checkbox checked
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“Spouse: Yes” checkbox checked
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Under
“Filing Status Check only one box.”:
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“2. Married filing jointly (even if only one had income)” checkbox checked
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Under
“Exemptions”:
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“6a. Yourself. If someone can claim you as a dependent, do not check box 6a” checkbox checked
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“6b. Spouse” checkbox checked
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“Boxes checked on 6a and 6b” field contains 2
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“6d. Total number of exemptions claimed” field contains 2
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Under
“Income”:
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“22. Add the amounts in the far right column for lines 7 through 21. This is your total income” field contains
132,982
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Under
“Adjusted Gross Income”:
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“36. Subtract line 35 from line 22. This is your adjusted gross income” field contains
132,982
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