Form 1040 U.S. 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 (See instructions on page 16.) Use the I.R.S. label. Otherwise, please print or type.”:

“Your first name and initial” field contains Charles

“Last name” field contains Woods

“Your social security number” field contains 123-00-4567

“If a joint return, spouse's first name and initial” field contains Lily

“Last name” field contains Woods

“Spouse's social security number” field contains 567-00-1234

“Home address (number and street). If you have a P.O. box, see page 16.” field contains 6925 Country Road

“City, town or post office, state, and ZIP code. If you have a foreign address, see page 16.” field contains Anytown, Virginia 22306

“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?”

“You: Yes” checkbox checked

“Spouse: Yes” checkbox checked

Under “Filing Status Check only one box.”:

“2. Married filing jointly (even if only one had income)” checkbox checked

Under “Exemptions”:

“6a. Yourself. If someone can claim you as a dependent, do not check box 6a” checkbox checked

“6b. Spouse” checkbox checked

“Boxes checked on 6a and 6b” field contains 2

“6d. Total number of exemptions claimed” field contains 2

Under “Income”:

“22. Add the amounts in the far right column for lines 7 through 21. This is your total income” field contains 132,982

Under “Adjusted Gross Income”:

“36. Subtract line 35 from line 22. This is your adjusted gross income” field contains 132,982