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Form 2210 (2005) Page 4. Summary: This is an example of Form 2210 (2005), page 4, for Figure 4-C, Annualized Income Installment Method—Illustrated (Betty Beige). The completed line items are:

Under “Part I: Annualized Income Installments”:
1. Enter your adjusted gross income for each period (see instructions). (Estates and trusts, enter your taxable income without your exemption for each period.)
(a) 1/1/05-3/31/05” field contains 5,250
(b) 1/1/05-5/31/05” field contains 13,025
(c) 1/1/05-8/31/05” field contains 21,993
(d) 1/1/05-12/31/05” field contains 36,427
3. Annualized income. Multiply line 1 by line 2
(a) 1/1/05-3/31/05” field contains 21,000
(b) 1/1/05-5/31/05” field contains 31,260
(c) 1/1/05-8/31/05” field contains 32,990
(d) 1/1/05-12/31/05” field contains 36,427
4. Enter your itemized deductions for the period shown in each column. If you do not itemize, enter 0 and skip to line 7. (Estates and trusts, enter 0, skip to line 9, and enter the amount from line 3 on line 9.)
(a) 1/1/05-3/31/05” field contains 1,500
(b) 1/1/05-5/31/05” field contains 2,500
(c) 1/1/05-8/31/05” field contains 4,000
(d) 1/1/05-12/31/05” field contains 6,000
6. Multiply line 4 by line 5 (see instructions if line 3 is more than $72,975)
(a) 1/1/05-3/31/05” field contains 6,000
(b) 1/1/05-5/31/05” field contains 6,000
(c) 1/1/05-8/31/05” field contains 6,000
(d) 1/1/05-12/31/05” field contains 6,000
7. In each column, enter the full amount of your standard deduction from Form 1040, line 40, or Form 1040A, line 24, (Form 1040N.R. or 1040N.R.-E.Z. filers, enter 0. Exception: Indian students and business apprentices, enter standard deduction from Form 1040N.R., line 37, or Form 1040N.R.-E.Z., line 11.)
(a) 1/1/05-3/31/05” field contains 5,000
(b) 1/1/05-5/31/05” field contains 5,000
(c) 1/1/05-8/31/05” field contains 5,000
(d) 1/1/05-12/31/05” field contains 5,000
8. Enter the larger of line 6 or line 7
(a) 1/1/05-3/31/05” field contains 6,000
(b) 1/1/05-5/31/05” field contains 6,000
(c) 1/1/05-8/31/05” field contains 6,000
(d) 1/1/05-12/31/05” field contains 6,000
9. Subtract line 8 from line 3
(a) 1/1/05-3/31/05” field contains 15,000
(b) 1/1/05-5/31/05” field contains 25,260
(c) 1/1/05-8/31/05” field contains 26,990
(d) 1/1/05-12/31/05” field contains 30,427
10. In each column, multiply $3,200 by the total number of exemptions claimed (see instructions if line 3 is more than $109,475). (Estates and trusts and Form 1040N.R. or 1040N.R.-E.Z. filers, enter the exemption amount shown on your tax return.)
(a) 1/1/05-3/31/05” field contains 3,200
(b) 1/1/05-5/31/05” field contains 3,200
(c) 1/1/05-8/31/05” field contains 3,200
(d) 1/1/05-12/31/05” field contains 3,200
11. Subtract line 10 from line 9
(a) 1/1/05-3/31/05” field contains 11,800
(b) 1/1/05-5/31/05” field contains 22,060
(c) 1/1/05-8/31/05” field contains 23,790
(d) 1/1/05-12/31/05” field contains 27,227
12. Figure your tax on the amount on line 11 (see instructions)
(a) 1/1/05-3/31/05” field contains 1,409
(b) 1/1/05-5/31/05” field contains 2,946
(c) 1/1/05-8/31/05” field contains 3,201
(d) 1/1/05-12/31/05” field contains 3,719
13. Self-employment tax from line 34 below (complete Part II)
(b) 1/1/05-5/31/05” field contains 1,560
(c) 1/1/05-8/31/05” field contains 1,822
(d) 1/1/05-12/31/05” field contains 2,346
15. Total tax. Add lines 12, 13, and 14
(a) 1/1/05-3/31/05” field contains 1,409
(b) 1/1/05-5/31/05” field contains 4,506
(c) 1/1/05-8/31/05” field contains 5,023
(d) 1/1/05-12/31/05” field contains 6,065
17. Subtract line 16 from line 15. If zero or less, enter 0
(a) 1/1/05-3/31/05” field contains 1,409
(b) 1/1/05-5/31/05” field contains 4,506
(c) 1/1/05-8/31/05” field contains 5,023
(d) 1/1/05-12/31/05” field contains 6,065
19. Multiply line 17 by line 18
(a) 1/1/05-3/31/05” field contains 317
(b) 1/1/05-5/31/05” field contains 2,028
(c) 1/1/05-8/31/05” field contains 3,391
(d) 1/1/05-12/31/05” field contains 5,459
20. Add the amounts in all previous columns of line 25
(b) 1/1/05-5/31/05” field contains 317
(c) 1/1/05-8/31/05” field contains 2,028
(d) 1/1/05-12/31/05” field contains 3,391
21. Subtract line 20 from line 19. If zero or less, enter 0
(a) 1/1/05-3/31/05” field contains 317
(b) 1/1/05-5/31/05” field contains 1,711
(c) 1/1/05-8/31/05” field contains 1,363
(d) 1/1/05-12/31/05” field contains 2,068
22. Enter 25% (.25) of line 9 on page 1 of Form 2210 in each column
(a) 1/1/05-3/31/05” field contains 1,370
(b) 1/1/05-5/31/05” field contains 1,370
(c) 1/1/05-8/31/05” field contains 1,370
(d) 1/1/05-12/31/05” field contains 1,370
23. Subtract line 25 of the previous column from line 24 of that column
(b) 1/1/05-5/31/05” field contains 1,053
(c) 1/1/05-8/31/05” field contains 712
(d) 1/1/05-12/31/05” field contains 719
24. Add lines 22 and 23
(a) 1/1/05-3/31/05” field contains 1,370
(b) 1/1/05-5/31/05” field contains 2,423
(c) 1/1/05-8/31/05” field contains 2,082
(d) 1/1/05-12/31/05” field contains 2,089
25. Enter the smaller of line 21 or line 24 here and on Form 2210, line 18
(a) 1/1/05-3/31/05” field contains 317
(b) 1/1/05-5/31/05” field contains 1,711
(c) 1/1/05-8/31/05” field contains 1,363
(d) 1/1/05-12/31/05” field contains 2,068
Under “Part II: Annualized Self-Employment Tax”:
26. Net earnings from self-employment for the period (see instructions)
(b) 1/1/05-5/31/05” field contains 4,248
(c) 1/1/05-8/31/05” field contains 7,942
(d) 1/1/05-12/31/05” field contains 15,330
28. Enter actual wages for the period subject to social security tax or the 6.2% portion of the 7.65% railroad retirement (tier 1) tax
(b) 1/1/05-5/31/05” field contains 8,750
(c) 1/1/05-8/31/05” field contains 14,000
(d) 1/1/05-12/31/05” field contains 21,000
29. Subtract line 28 from line 27. If zero or less, enter 0
(b) 1/1/05-5/31/05” field contains 28,750
(c) 1/1/05-8/31/05” field contains 46,000
(d) 1/1/05-12/31/05” field contains 69,000
31. Multiply line 30 by the smaller of line 26 or line 29
(b) 1/1/05-5/31/05” field contains 1,264
(c) 1/1/05-8/31/05” field contains 1,477
(d) 1/1/05-12/31/05” field contains 1,901
33. Multiply line 26 by line 32
(b) 1/1/05-5/31/05” field contains 296
(c) 1/1/05-8/31/05” field contains 345
(d) 1/1/05-12/31/05” field contains 445
34. Add lines 31 and 33. Enter the result here and on line 13 above
(b) 1/1/05-5/31/05” field contains 1,560
(c) 1/1/05-8/31/05” field contains 1,822
(d) 1/1/05-12/31/05” field contains 2,346