-------------
u.s.
Individual
Income
Tax Return
IRS
Use Only
-
Do
not
write or
staple
In
this space
~
'1040
2006
(991
Label
(See
instructions
on
page
16.)
Use
the
IRS
label.
L
~
E
L
H
MB
No.
1545-0074
.20
2006,
ending
or
the
year Jan 1-Dec.
3',
2006,
or other
tax year
beginning
Your socIal
security number
ast
name
our
first
name and
Inllial
M.
ANITA
PERRY
Home
address
(number
and
street),
If
you
have
a
P.O.
box,
see
page 16.
f - - - " ' " ' J ~ A M = E = S ~ R ~ .
- - - - - 1 ~ P ~ E = R = R = Y - - - - - - - - - - _ _ + - - - - - - -
If
a
jOint
return,spouse's first
name and
initial
Last
name
Otherwise,
E
10
1
a
COLORADO
please
print
R
CIty,
town
or
post
office, state,
and
ZIP code.
11
you have a
foreign
address, see
page
16.
or
type.
E
Checking
a
box below
willnot
Presidential
AUSTIN
TX
787
a
1
change
your tax
orrerund
Election Campaign
~
Check here if
you,
or your spouse
if
filing jointly, want
$3
to go to this fund
(see
page
16)
~
D
You
D
Spouse1
D
Single
4
D
Filing
Status
2
[X]
Married
filing
jointly
(even
if
only
one had
income)
3
D
Married
filing
separately. Enter
spouse's
SSN
above
Checkonly
one
box.
and
full
name here.
~
5
D
Exemptions
If
more
than
fourdependents
see
page
19_
Income
Attach Form(s)W-2 here.
Also
attach
FormsW-2G
and1D99-R
if
tax
was
withheld.
If
you did
not
get
a
W-2,
see
page
23_
Enclose, but donot attach,
any
payment.
Also,
please
use
Form
1040-V.
Adjusted
Gross
Income
6a
[X]
Yourself.
If someone
can
claim
you
as
a
dependent,
do
not
check box
6a
b
[X]
Spouse
C
Dependents:
(2)
Dependent's
social
(1) FIrst name
Last
name
security number
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - , ' - - : : - ~ =
you
due to
divorce
or
separation
(see
page
20)
YDNEY
PERRY
AUGHTER
Dependents
on6cnot
entered
above
Add numbers
I;l
Total number
of exemotions
claimed
~ ~ ~ ~ e e s ~
7
Wages,salaries,
tips,
etc.
Attach Form(s) W-2
7
103
709.
8a
Taxable interest.
Mach
Schedule
B
f required
8a
198.
b
Tax-exempt
interest.
Do
not include
on
line
8a
9a
Ordinary
dividends.
Attach Schedule
B
frequired
9a
13
285.
b
Qualified
dividends
(see
page
23)
7
835.
10
11
...
12
~
D
13
<3
000.
>
14
15b
..
5
900.
16b
17
36
664.
1819
b
Taxable
amount
(see
page
27) 20b
21
63
667.
22
220
423.
.
~
586.
772.
--
.-
36
16
358.
37
204,065.
~
T
8b
..,
9b
10
Taxable
refunds, credits,
or
offsets of
stateand
localincome
taxes
11
Alimony
received
12
Business incomeor
(loss).
Attach
Schedule
C
or
C-EZ13
Capital
gain or
(loss).
Attach Schedule
D
if required.
If not
required,
check
here
14
Other
gains
or
(losses). Attach
Form4797
15aIRA
distributions
b
Taxable
amount
16a
Pensions
and
annuities
16a
I
b
Taxable
amount
17
Rentalreal
estate,
royalties,
partnerships,
S
corporations, trusts,
etc.
Attacll
Schedule
E
t:J
18
Farm
income
or
(loss).
Attach
Schedule
F
19
Unemployment compensation
20aSocial
securitybenefits
20a
1
21
Other
income. List
typeand
amount
(seepage
29)
SEE
STATEMENT
1
22Addthe
amounts
in
the
far
riaht
column far
lines
7
throuqh
21.
This
is
your
total
income
..
23
Archer
MSA
deduction.Attach
Form 8853
23
CertaIn bUSiness
expensesofreservists, performing
artists:
and
'fe'e-bas(s ·go:,.;ernme'nt
24
officials.
Attach
Form
2106 or 2106-EZ
25
Health
savingsaccount
deduction.
Attach Form 8889
26
Moving
expenses. Attach Form 3903
27
One-half
of
self-employment
tax.
Attach Schedule
SE
28
Self-employed
SEP,
SIMPLE,
and
qualified
plans
29
Self-employed
health
insurance deduction
(see
page
29)
.
30
Penalty
on
early
withdrawal of
savings
31a
Alimony
paid
b
Recipient's
SSN
~
32IRA
deduction
(see page
31)
33
Student
loan
interest
deduction
(see page
33)
34
Jury
duty
pay you
ga'Je
to
your8mployer
S'r'M'r'.
.;1
33
-.li
35
Domestic
production activities deduction.
Attach
form
8903
...1L
36
Adl1
lines
23
tllrough
31a and
32
tllrough
3537
Subtract
line
36
from
line
22.This
is
your
adjusted
gross
income
LH.iJ,
For Disclosure, Privacy Act, and Paperwork Reduction
Act
Notice, see page
80.
Head
of
household
(with
qualifying
person).
If
the
qualifying
person
is
a
child but not
your
dependent, enter
this
child's
name here.
~
Qualifying
widow(er)
with dependent child
(see
page
17\
~ ~ ~ ~ s a ~ ~ e ~ ~ e d
_2_
No. or
children
on
6c who:
(3)
Dependent's
•
lived
with
you
relationship
to
you •
did not
live
with
I·'
1
24252627
4
28
11
293031a32
Form
1040
(2006)
6"10001
1
02-05-07
':'I.
- - - - - - - - - - - - - - - - - - - - - - - - - - - _ ! _ ~ ~ ~ ~ ~ ~ _ ! _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
OMS
No.
1545-0074
Application for Automatic Extension of Time
Form
4868
To File U.S. Individual Income Tax Return
2006
epanment of the TreasuryInternal Revenue ServiceFor calendar
year
2006, or other tax year beginning
I
Part
II
.
Identification
"
1
Your name(s)
JAMES
R.
PERRY
&
M.
ANITA
PERRY
Address
1010
COLORADO
City, town or post office, state,
and
ZIP
code
AUSTIN
TX
78701
2
Your social security number
Spouse's
social security number
)3
451
96
5106
, 2006, ending
Part
II
I·
Individual
Income
Tax
4
Estimate of
total
tax
liability for
2006...
$
46,430.
5
Tolal2006payments.
......
46,430.
6
Balance due.
Subtractline
5
from
line
4
O.
7
Amount
YOU
are
paying.
~
O.
8
Check
here
if
you
are
'out
of
the
country"
and
a
U.S.
citizen
orresident
.......
. . . .
....
.............
......
~
D
9
Check
here
if
you
file
Form 1040NR or 1040NR-EZ
and
did
not
receive
wages
as an
employee
subject
to U.S.
income
tax
withholding
~
0
Form
4868
(2006)
Hi\
For Privacy
Act
and
Paperwork ReductionAct
Notice,
see
instructions.
Lj,/cp'u'7
Y-1Y.(
{C/-Ir-!if'dr/)(I/j
tV
10-30·06
7u,
1(2.S/Ij-tJ.s1in,lX
- - r 5 : ; O i - { , j { } O ~ J
:t(
71/q
S
Li
:5
L/
Q5U';;:/{,Jtl{,lO
'5371;;,
618711
---
Form
1040
(2006)
Page
2
JAMES
R.
&
M.
AN.!.
TA
PERRY
Tax and
Credits
Standard
Deduction
for
~
•
People
who
checked
any
box
on
lIne
39a
or
3gb
or
who
can
be claimedas
a
dependent
• All
othersSingle
or
MarrIed filing
separately,
$5.150
MaJTled
filIng
JOintly
or
Qualltylngwldow(er),
$10,300
Head
01
household,
$7.550
Other
Taxes
Payments
64
Federal
income
tax
withheld
from
Forms
W-2
and
1099
65
2006 estimated
tax
payments
and
amount
applied from
2005
return
If
you have
66a Earned
income
credit
(EIC)
.
a
qualifying
child.attach
b
Nontaxable
combat
pay
election
' ~ I
66b
1
Schedule
EIC.
67
Excess
social security
and
tier
1
RRTA tax
withheld
(see page
60)s'l'11'l'
7
68
Additional
child
tax
credit.
Attach Form 8812
..
69
Amount
paid
with request
for
ex1ension to file (see page
60)
.
70
Payments from:
a
DForm
2439
b
DForm
4136
c
DForm
8885
71
Credit for
federaltelephone
excisetax
paid.
Attach
Form8913 if
required
72
Add
lines
64
65
66a and
67
throuoh
71. These
are
your
total
pavments
38
204
065.
14
847.
189
218.
40
D
41
42
9
900.
43
179
318.
44
38
594.
~
6.
~
~
45
38
594.
6 .
38
588.
9
170.
590
.
48
348.
STATEMENT8
46
5657585960
61
6263
469.24.
50.
~
72
46,430.
73
D
~
74a
2
063.
6
145.
38
Amount from
line
37
(adjusted
gross income)
39a
Check
if:
{ DD
You were
born before
January
2,
1942,Spouse
was
born before
January
2,
1942,
DD
Blind.}
Blind.Totalboxeschecked
".
~
39a
I
b
If your
spouse
Itemizes on a separate return or you were a dual-status allen, see page
34
and check here
~
39b
40
Itemizeddeductions (from
Schedule
A)
or your standard
deduction
(see
left
margin)
41
Subtract
line
40
from
line
38
42
If line
38
IS
over
$112,875,
or
you
provided housing
to
a
person displaced
by
HurricaneKatrina,
see
page 36.
Otherwise,
multiply
$3,300
by
the
total number ofexemptions
claimed on line
6d43
Taxable
income.
Subtract
line42
from
line 41.
If
line
42 is
more
thanline 41,enter
-0
44
Tax.
Checkifany
tax
is
from:
aD
Form(s)
8814
bD
Form 4972
.
45
Alternative
minimum
tax.
AttachForm6251
46
Add
lines
44
and
45
.
47
Foreign
tax
credit.
Attach
Form
1116
if
required.
48
Credit
for child
and
dependent
care
expenses. Attach Form2441
.
49
Credit
tor
the
elderly
or
the
disabled.Attach Schedule
R .
50
Educationcredits.
Attach
Form
8863
51
Retirement savings
contributions
credit.
Attach Form 8880
52
Residential energy credits.
Attach Form
5695
53
Child tax
credit
(see
page42).
Attach Form 8901
if
required
54
Credits
from:
a D
Form 8396
b D
Form
8839
c D
Form
8859
55
Other
credits:a
D
Form
3800
b D
Form
8801
cD
Form
47484950
51
5253
54
5556
Add
lines
47
through
55.
These are
your
total
credits
57
Subtract
line
56
from
line
46.
If
line 56
is
more
than line46,
enter -0-
.
58
Self-employment
tax.
Attach Schedule
SE
.
59
Social
security
and
Medicare
tax
on
tip
Income not reported
to
employer.
Attach
Form
4137
...........
....
NO.
0
Additional
tax on IRAs,
other
qualified retirement
plans,
etc.
Attach
Form5329 if required
61
Advance earned incomecredit
payments from Form(s)
W-2,
box
9
62
Household employment
taxes.
Attach Schedule
H
63
Add
lines
57
through
62. This
is
your
total
tax
64
65
66a67
68
6970
71
13,887.
32
Refund
73
Ifline72
is
more
than line63,
subtract
line 63
from
line
72.
This
is
the
amount
you
overpaid
..
Direct
deposil?
74a
Amount
of
line
73
you want
refunded
to
you.
If Form 8888
is
attached,
check
here.
~
See
page
61
and
Min
74b,
Rouhno
I I
D D
Account
I
~
b
number
~
C
Type
Checkino
SavJnOs
~
d
number
74c,
and
74d,
or
Form
8888
75
Amount
of
line
73
yOU
want
apPlied
to
your
2007
estimated tax
.........
~
75
Amount
76
Amount
you
owe. Subtract
line
72
from
line 63.
For
details
on
how
to
pay,
see
page62
...
You Owe
77
Eslimated
tax
Denaltv
(see
Daoe
62)
..
............ ...... ............ .
...........
1
77
I
Third
Party
Do
you
want
to
allowanother
person
to
diSCUSS
thiS
return
With
the
IRS (see page
63)?
[X]
Yes.
Complete
the
following.
D
No
Designee
Deslonee's
llo..-
PRE
PARER
Phone
llo..-
Personal
identIficatIon
llo..
name
,....-
no
......
number
(PIN)
,....
Sign
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
pre
parer has any
knowledge.
Here
Your
signature Date Your occupation
Dayllmephone
numberJoint
return?
GOVERNOR
ee
page
17.
Spouse's
occupationate
eep a
copy
~
Spouse's
signature.
If
a
loint
return,
both
must sign
for
yourrecords.
"ONSULTANT
Paid
Preparer's
I
Date
Check
if
self-
Ipreparer's
SSN
or
PTIN
Preparer'ssi9nature
employed
Dip
00
16418
4
___________________________
---L -'---
__
- - - , - ' = = " ~ L _ _ _ _ _ " ' _ " _ _ = _ = = _ . " , : _ _ = _ = _ = " _ =
I
_
UseOnly
Firm's
name (or
MEADOR
&
JONES LLP
I
ErN
74 .2984
51
6
yours if
self-em
~ 2 4 1 4
EXPOSITION
BLVD
SUITE
BC-230
I
Phone
nos
12
-
472 -0795
610002
ployed),
address,
11-07-06
and
ZIP
code
AUSTIN,
TX
78703
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