f1040 - Form 1040 Name, Address, and SSN See separate...

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Form 1040 Department of the Treasury—Internal Revenue Service (99) IRS Use Only—Do not write or staple in this space. U.S. Individual Income Tax Return 20 10 Name, Address, and SSN See separate instructions. P R I N T C L E A R L Y For the year Jan. 1–Dec. 31, 2010, or other tax year beginning , 2010, ending , 20 OMB No. 1545-0074 Your first name and initial Last name Your social security number If a joint return, spouse’s first name and initial Last name Spouse’s social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s) above and on line 6c are correct. City, town or post office, state, and ZIP code. If you have a foreign address, see instructions. Checking a box below will not change your tax or refund. Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund . . . . . You Spouse Filing Status Check only one box. 1 Single 2 Married filing jointly (even if only one had income) 3 Married filing separately. Enter spouse’s SSN above and full name here. 4 Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child’s name here. 5 Qualifying widow(er) with dependent child Exemptions If more than four dependents, see instructions and check here 6a Yourself. If someone can claim you as a dependent, do not check box 6a . . . . . b Spouse . . . . . . . . . . . . . . . . . . . . . . . . } Boxes checked on 6a and 6b c Dependents: (1) First name Last name (2) Dependent’s social security number (3) Dependent’s relationship to you (4) if child under age 17 qualifying for child tax credit (see page 15) No. of children on 6c who: lived with you did not live with you due to divorce or separation (see instructions) Dependents on 6c not entered above d Total number of exemptions claimed . . . . . . . . . . . . . . . . . Add numbers on
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This note was uploaded on 09/20/2011 for the course ECONOMICS 101 taught by Professor Youalreadyknow during the Spring '11 term at Punjab Engineering College.

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f1040 - Form 1040 Name, Address, and SSN See separate...

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