79 Third Party Designee Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No Designee’s name a Phone no. a Personal identification number (PIN) a Sign Here Joint return? See instructions. Keep a copy for your records. 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. Your signature Date Your occupation Daytime phone number Spouse’s signature. If a joint return, both must sign. Date F Spouse’s occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.) Paid Preparer Use Only Print/Type preparer’s name Preparer’s signature Date Check if self-employed PTIN Firm’s name a Firm’s address a Firm's EIN a Phone no. Form 1040 (2014) 70,000 15,000 55,000 7,900 47,100 5,968 5,968 600 1,000 1,600 4,368 4,368 7,000 7,000 2,632 2,632
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- Winter '15
- Taxation in the United States