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Form 1040 United States Individual Income Tax Return 2005. Summary: This is an example of Form 1040 (2005) with items included as described in the text. Additionally, these line items are completed:

Under “Label here”:
Your first name and initial” field contains James M.
Last name” field contains Adams
Your social security number” field contains 111-00-1111
If a joint return, spouse's first name and initial” field contains Judith E.
Last name” field contains Adams
Spouse's social security number” field contains 222-00-2222
Home address (number and street). If you have a post office box, see page 21.” field contains 21 Rue Reynaud
City, town or post office, state, and ZIP code. If you have a foreign address, see page 21.” field contains Paris, France
Under “Presidential Election Campaign”:
Do you, or your spouse if filing a joint return, want $3 to go to this fund?
You Yes” checkbox checked
Spouse Yes” checkbox checked
Under “Filing Status”:
2. Married filing jointly (even if only one had income)” checkbox checked
Under “Exemptions”:
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
6b. Spouse” checkbox checked
6c. Dependents:
(1) First name Last name” field contains Chris T. Adams
(2) Dependent's social security number” field contains 333-00-3333
(3) Dependent's relationship to you” field contains Daughter
(4) If qualifying child for child tax credit (see page 22)” checkbox checked
6c. Dependents:
(1) First name Last name” field contains Stephen F. Adams
(2) Dependent's social security number” field contains 444-00-4444
(3) Dependent's relationship to you” field contains Son
(4) If qualifying child for child tax credit (see page 22)” checkbox checked
No. of boxes checked on 6a and 6b” field contains 2
No. of children on 6c who: lived with you” field contains 2
6d. Total number of exemptions claimed. Add numbers on lines above” field contains 4
Under “Income”:
22. Add the amounts in the far right column for lines 7 through 21. This is your total income” field contains 7,500
Under “Adjusted Gross Income”:
34. Add lines 23 through 33a” field contains 0