E
40
u.s.
Individual
Income
Tax
Return
I
(9ll)IRSu••Only-Donotwrite
Of..
~pIGIn!hI••paca
..
Label
For
II",
year
J....
1-0"",31,2DD1,
orolMrw<y_
b~nnlng
t
2001.I!ndlng
2D
OMB
No.
1545-0074
L
YourfirstnameandinitialLast
nama
Your
,SOi:laJ
~~urUynu'mber
(S98
InstructlollS
A
JOSEPH
R.
IBIDEN,
JR.
011
page
19.)
B
If
aJointreturn,spouse'sflrstnameandInitialLastname
Spou:s.·soeellll
""""rliy
(tumbor
E
Usalha
IRS
L
JILL
T.
IsIDEN
label.
H
Home
address(numberandstrael)."
YOllhavaa
P.O.
box,
seepage
19.
I
Apt.no.
...
Important!
...
otlIarwlse,
E
Youm"slenlsfpleaseprint
R
city,
tcwn
atpoal
cffico,stale,
""dZIPccde.lryouhaVoa",...Ignaddres"seepogo
1a.yourSSN(s)above.ortyllB.
E
Presidential
10
election
Campaign....
(Seapage19.),.
2001
Note.
Checklng·Yes·wlll
notchWlgeyourtaxorreduceyour
refund.
YouSpouseDoyou.oryours
use!filling
a
Joint
return,
want
$3togotothis
fund?...........
00
Yes
0
No
[X]
Yes
D
No
FilingStatus~
S
4
'Check
01111'
onebox.
Exemptions
5
No.olbo.os
:~:::DnGa
2
No.olyelll'
""ildranonBe
:~~od
illi
you
1
•didnot
JI\18
wllI1
youdue10diva",",
<>r,op8la~Dn
(see
pO,~20)
SingleMarriedtilingJointreturn(aven
If
only
one
had
Income)Marriedtilingseparatereturn.Enterspouse's
social
securItyno.
aboveand
full
namohere...._Haad01hOllsellotd(wilhqualifyingperson).(Seepage19.)IfthequalifyIngparsonIsachildbutnolyourdependent,linterthiscll!ld'snama
hore.
110-
~~~--~--~------~~~----~------~----~----------------
Qualifyingwidowarwithdependent&hlldyearsousadIad...6a
X
Yoursell.
Ir
yourpanm!
(orsomaone)can
claim
youd_nd.nlon
hi.
orh~r
!ax
",tum.110
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s""'~1ynumb.r
ASHLEYBIDEN
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more
mansix
dep
andsnts,
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pagu
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'ooP.'';ilii';iia
on·s;,"·..·•..
not
.,leredMoVe
Tolal
nllmberof
Income
1
Att.ach
aa
~imSW.2and
b·26hera.
g
Alsoaltacl1
10Form(s)
11
10RB-RIIlax
was
wllhhsld.12
If
youdidnot13
oelaW-2,
14
seepage21.
15a16a
Enclo!!e,
butdo
17
notatiach,anypaymentAlso,
18
please
lise
19
Form1040-V.
20a
21
2223
Adjusted
24
Gross
25
Income
26
27
26
29
3D
S1a
32
33
LHA
Wages,sala.ries,Ups,elo.Attach
Form(s)
W-2
I-'--t--......:=-'-'c..:..~:-'-
TaxablsInlerest.AttachSchedule8Hrequlrad:..Tslt-e.l9mpllnterost.DonnllncludeenUne8a.OrdinarydMdends.AttaohSohedule
B
if
required..Trucablerefunds,credits,or
ollsalsof
staleand
local
Incometaxes.AlimonyI'ecalvad:.BusinessIncomeor(loss).AttachScheduleGorG-EZ.Capitaloain
Dr
(loss).AttachSchedu!oD
If
required.Ifnotrequired,checkhere
D
other
oalns
or
(losses).
Attach
Fonn
4797.ToteilRAd.lsttlbulions
1
15a
II
b
Taxableamount
(sell
page23)TotalpensionsandannuHles16abTaxableamount
(seB
page23)Rentalrealestale,!"Qyallills,partnerships,
Scorporatlons.tltlsls,
etc.
AttachSchedule
E.
FSmllncome
or
(loss).
AttachScheduleF_.Unemploymentcompensation,.Socialsecurftybenefits.....
on....
I
2Da
II
bTaxable
amount
(see
paOli
25)OIlierIncome.
Ust
typeand
ampunt
{S08
page
IRA
deducUon
(S88
page
27).SiudentloanInterest
deductlon(see
page28)_..ArchurMSAdeduclion.Attach
Form
8853..Movingexpenses.Attach
Fonn
3903.One-halfofself·umploymantlax.AttachScheduleSE.S.elf-emp!oyad~eaUhInsurancededuction(seepaue3,0).
Self-employed
SEP,SIMPLE,andqualified
plans..
Penalty
onearlywlthdl3walofsavlngs.
Alimony
paId
b
Re&lplent'sSSN-'--_'---_
Add
lines
231hrough31a:.suntraot!lne32
flam
IInB
22.
This
Is
Ferm
1040
(2001)