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8885 b Reserved
71 73 If line 72 is larger than line 61, amt overpaid . . . . . . . . . . . . . . .
74a Amount of line 73 you want refunded to you. 0 0 0
72 473 73 312 Check if Form 8888 is attached:
XXXXXXXXX c Type:
b Routing number
d Account number XXXXXXXXXXXXXXXXX
75 Amt to apply to 2013 estimated tax . . . . . . . 75
76 Amount you owe (including Form 2210 penalty) . . . . . . . . . . . . . 76
Note: For details on how to pay, see IRS instr.
Payment Voucher, see IRS instructions. You Owe 77 Amount of penalty on Form 2210 . . . . . . . . . . 77
Desi- Allow another to discuss return with IRS?
Yes. Complete following
gnee Designee's name:
Note: If you are signing for your child, sign his or her name, and
write "By" and then your name, and then, "parent for minor child."
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than
taxpayer) is based on all information of which preparer has any knowledge.
here Spouse's sig (req'd if jt.) 312 No Day tel.
IP PIN Not
Filing Keep a
records. Preparer name Preparer signature Firm's name
END OF FORM Date SelfPTIN
Filing SCHEDULE A
Janice ITEMIZED DEDUCTIONS SSN: 123-45-6789 Morgan Note: If you and your spouse paid expenses jointly and are filing separate
returns for 2012, see IRS Publication 504 to figure the portion of joint
expenses that you can claim as itemized deductions.
CAUTION: Don't include medical expenses reimbursed or paid by others.
If you are a retired public safety officer, do not include premiums
you paid to the extent they were paid for with a tax-free distribution
from your retirement plan.
MINI-WORKSHEET FOR LINE 1,
(MILEAGE AND TRA...
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This document was uploaded on 02/09/2014.
- Spring '14