Schedule 3 (Form 1040A): Credit for the Elderly or the Disabled for Form 1040A Filers 2005. Summary: This is an example of Schedule 3 (Form 1040A) 2005, Page 1 with items completed per example in the text:
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“Name(s) shown on Form 1040” field contains Jerry A. Ash
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“Your social security number” field contains 123-00-1234
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Under
“Part I: Check the box for your filing status and age”:
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In the section
“Single, Head of household, or Qualifying widow(er) with dependent child”, line item
“1. You were 65 or older” checkbox checked
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