a 2439 b Amount You Owe Sign Here Date Your signature Keep a copy

A 2439 b amount you owe sign here date your signature

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a 2439 b 8839 60 69 Amount You Owe Sign Here Date Your signature Keep a copy for your records. Date Spouse's signature. If a joint return, both must sign. PTIN Date Check self-employed Paid Preparer Use Only Firm's name Firm's address Firm's EIN Phone no. Your occupation Tax (see instructions). Check if any tax is from: Amount you owe. Subtract line 72 from line 60. For details on how to pay, see instructions b Direct deposit? See Routing number Account number c Checking Savings a Form(s) 8814 Form 4972 d 75 72 50 47 Child tax credit (see instructions) 58 59 74a Residential energy credits. Attach Form 5695 50 54 52 Additional child tax credit. Attach Form 8812 67 67 Joint return? See instr. Daytime phone number Earned income credit (EIC) Credit for child and dependent care expenses. Attach Form 2441 45 46 48 Alternative minimum tax (see instructions). Attach Form 6251 Add lines 44 and 45 Education credits from Form 8863, line 23 If you have a qualifying child, attach Schedule EIC. 45 46 Spouse's occupation Form 1040 (2010) Designee's name Do you want to allow another person to discuss this return with the IRS (see instructions)? Third Party Designee Phone no. Yes. Complete below. No Personal identification number (PIN) 56 55 53 53 62 Type: c 8801 Total boxes checked } { . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UYA . . . . . . . . . . Retirement savings contributions credit. Attach Form 8880 Foreign tax credit. Attach Form 1116 if required Nontaxable combat pay election 64b 40 . . . . . . . . . . . . . . . . . . . . Amount of line 73 you want applied to your 2011 estimated tax a 3800 b 8801 71 First-time homebuyer creditfrom Form 5405, line 10 70 If Form 8888 is attached, check here . . . . . . . . . . . . . . . . . . . . . a b 4137 8919 . . . . . . . . . . . . . . . . . . . 71 b . . . . . . . . . . If your spouse itemizes on a separate return or you were a dual-status alien, see instr. and check here a b Form W-2, box 9 Schedule H 65 65 d 8885 . . . . . . . . Excess social security and tier 1 RRTA tax withheld c . . . . . Exemptions. 49 55 56 63 Making work pay credit. Attach Schedule M American opportunity credit from Form 8863, line 14 . . . . . . . . . . . . . . . . 49 61 . . . . . . . . . . . . . . . . . c Form 5405, line 16 . . . . . . . . . . . . Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . 73 73 Preparer's signature if Print/Type preparer's name . . . . . . . . instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . James and Esther Johnson 412-34-5670 18,928. X 1 20,585. -1,657. 7,300. 0. 0. 0. 0. 0. 1,535. 800. 2,335. 2,335. 2,335. 0. X
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