'.
label
(Seeinstructionsonpage19.)
UsetheI.RS
label.
otherwise,please
print
or
type.
FilingStatus
Checkonly
box.
Exemptions
.It
morethanfivedependents,seepage21-
Income
7
Sa
Attach
b
FormsW-2alldW-2Ghere:9aAlsoattachbFormes)
101099-R
if
tax
waswithheld.
11
Ityoudidnot12geta
W-l,
13aseepage22.
b
14
Enclose,butdo15a
not
attach,anypaymentAlso,16apleaseuse
17
Form
1040·V,
18.19
20a
21
AdjustedGross
24
Income
2526
27
28
29
30
3132a
33
3
6a
b~~~~~==~====~====T=========~==~====~==========mrr7
e
Dependents:
_2_
No.",children
on6cwho~
•Ilvecl
wi1h
yOu
_1_
•didnotlivewllhyouduetodivorce
orseparation(seepag9
21)Dependentson.60netenteredabove__
Wages,salaries,tips,etc.AttachForm(s)W-2TaxableinterestAttachSGheduleBifrequiredTax-exemptinterestDonotincludeonlineSa..........................•......Ordinarydividends.AttachScheduleB
if
required:.Qualifieddividends(seepage23)_.Taxablerefunds,credits,oroffsetsofstateandlocalincometaxes.Alimonyreceil(ed,.Businessincomeor(loss).AttachScheduleCorC·EZ,.Capitalgainor(loss).Attach~cheduleD
if
required.Ifnotrequired;checkhere..
0
If
box.on13aIschecked,enterpost-May5capitalgaindistributions.OIhergainsor(losses).AttachForm4797
e••••••••••••••••••••
IRAdistributions.115a
I.,
bTaxableamount(seepagePensionsantiarmuities
163
bTaxableamount(seepageRental.realestate,royalties,partnerships,Scorporations,trusts,etc.AttachScheduleE.......•...Farmincomeor(loss).AttachScheduleF........•..............:_.Unemploymentcompensation_...................................•................•..•........•...Socialsecuritybenefits....__
I
20a
II
bTaxableamount(seepageEducatorexpenses(seepage29)•...................:.IRAdeduction(seepage29)_.Studentloaninlerestdeduction(seepage31).Tuitionandfeesdeduction(seepage32)..Movingexpenses.AttachForm3903.Dne·halfofself-employment
tax.
AttachScheduleSE__.Self-employedhealthinsurancededuction(seepage33)............•........Self-employedSEP,SIMPLE,andqualifiedplans............................••Penaltyonearlywithdrawalofsavings_:_._.Alimonypaid'bRecipienfsSSN_..:,_.......:..
L.!::=-'---------f-I
Addlines23through328_____:.SubtractUne33fromline2.2..Thisisssincome
LHAForDisclosure,Privacy
Act,
andpaperworkReduction
Act
Notice,seepage77.
Fcnn
1040
(2.003)
 
Fo""lUAU(20~3)
Taxand
Credits
SIan_d-
Dl!ldlH:liQn[or•
•p,Elople.W.hD
eI1oc!<_Bd
"'IV
bel"
enline
36a
oraeb
OTwho
can
b.
claimedasadop~,,-den
40
•Allolhers:
41
Singlejor
42
....i.oIfiling
""'p..-..tely.
43
S4,7SO
M""iodfir,ng
44
jolnUy",
45
Quaillylng
46
idow(er),
SQ,50(l
47
Head
01·
48
housohold,$7,000
49
50
51
52
53-
Other
55
Taxes
56
575859
.BIDBN
35Amountfromline34(adjustedgrossincome)
r==='-+l-~--+--__
..;:;..;=-=...L...:::....:...=...:...
36a
Ci1eck
{D._
YO.II
were
horn
belOre_JanU3
iY
2,1939,
D
Blind.}.Total_boxesit
0
pouse
was
barnbeforeJanuary
2,
1939,DBlind.checked.....
36a
'--==-·H
b
If
you
rue
married
finn
g
separat..ly·and
yo,,;spouse
11.",1-.:""ceductlcns,...
yo.u
w.....
a
dual·S\aNS
"U.n.....
36b
37
Itemizeddeductions
(from
ScheduleA)oryour
standard
deduction(seeleftmargin).
38
Subtracl.line37fromline35__..
39If
line
35
i5"$104,625or
less,
multiply$3,050by.thetotal
numberof
exemptionsclaimedonline6d.
If
line35.
IS
aver$1.04,625,seetheworksheetonpage35__.Taxableincome.Subtraclline39fromline3S.nlinc39ismorethanline
3B,
enter·Q-.Tar.Check
if
anytaxisfrom:a
D
orm(s)8814
bD
Form4972:::::::::::::::::::::::::::::::::Alternativeminimumlax..AttachForm6251_.-_..Addlines41and42-~ForeigntaxcreditAUachForm1116ilrequired..Creditlorchildanddepelldentcareexpenses.AttachForm2441.Cred
tt
lor
til
eelderlyorthedisabled.AttachSclledilleR.Educationcredits.AttachForm8863Ret1rementsavin9scontricunonseretiitAttachForm86BO.Child
tax
credit(seepage40).Adoptioncredlt,AttachForm8839.Creditsfrom:aDForm
8396
b
0
orm
8559:.
Othercredits.Checkapplicab!ebox{es):
·3
D
orm3800bDForm8801e
D
pecify
-----------------
AddHnes44through52.Theseareyour"IOlalcredits-:.line53fromline43.ItII'~Sal
f
-ernployrnent
tax.
Atta.chSchc.dulsSE•......._._",_"~,SocialsecurityandMedicare
tax
ontipincomenotreportedtoemployer.AttachForm4137.••..
f-!~+-------------
Taxonqualifiedplans,includingIHAs,andothertax·favoredanoounts,AttachForm5329
if
required:.AdvanceearnedincomecreditpaymentsfromForm{s}
W-2:.
Householdemploymenttaxes.At!achScheduleH::••AddIinas5459.Thisis
tax
.Payments
61Federalincome
tax
withheldfromFormsW-2and1099_..
II
you
have
a
cu"rolying
Child,
attach
SeIl.dulaEIC.
Refund
Sign
Here
Joinlretum?
S
ee
paI<'l20.
Keopaccpyroryour
records.
622003esfimatsd-taxpaymentsandamountappliedfrom2002refurn~.63Earnedincomecredit(EIG)_:..64Excesssocialsecurityandtier1RRTA
tax
withheld{seepage56)S'l'.M';I'.,.•
2.
65Additionalchild
tax
credit,AttachForm8812.66Amountpaidwithrequestforextenslentofile(seepage56):..67Otherpaymentsfrom:aDForm2439bDForm4135cDForm
8885
arents
~Speus.'
S
sign"t""'·.
If"
loinl/alum,
bolil
must
sign.
Oal..
Paid
_.
.
...
'
Pruparer'a~
Preparer'sslll'1
aturu~
________________________________________________~~~~~4-~~~~~::....:..~_
Use
Only
Firm'sh;)ln${oryoursirsetf-ern-
plcyod).eerdress,
andZIPcod.
 
SCHEDULESA&B(Form1040)
ScheduleA-ItemizedDeductions
(ScheduleBison
page.2)
AttachtoForm1040.SeeInstructionsforSchedulesAandB
.MedicalandDentalExpenses
2
3
4
Caution.00
notincludeexpensesreimbursedorpaid
by
others.
Medica.!anddentalaxp~nses(seepageA·2)..EnteramountfromForm1040,line35,:.Multiplyline2by7.5%(.075)..line1.Ifline3ismorethanline1enter-O-
TaxesYouPaid
(SeepageA·2.)
5
Stateandlocalincometaxes_..
6
Realestatetaxes(seepageA·2)_.7Personalpropertytaxes.
8
Othertaxes.Usttypeandamount
,.......:-
--
-
-..:.
--
--
-~.
-
----
-
--
-
--
-
--
--
-
-
---
-
--
9
Addlines5
8
Interest
You
Paid
(SeepageA·3.)Note:Personalinterestisnotdeductible.
10
HomemortgageinterestandpointsreportedtoyouonForm1098.11HomemortgageinterestnotreportedtoyouonForm1098.Ifpaidtothepersonfromwhomyouboughtthehome;seepageA·3andshowthatperson'sname,identifying
no.,
andaddress
,...----~-----------------~---------7-~--
12
PointsnotreportedtoyouonForm1098.(SeepageA·3.)..
13
Investmentinterest.Attac;hForm4952
if
required.(SeepageA-4.)..
14
Addlines10
13
'Giftsto
Charity
If
you
madea
gift
and
got
a
benefit
loriI,
seepage
A·4.
Casualty
and
.TheftLosses
15Giftsbycashorcheck.Ifyoumadeanygiftof$250ormore,seepageA-4,..:
r..
16Otherthan
by
cashorcheck:Ifanygiftof$250ormore,seepageA4..You
must
attach.Form8283'ifover$500:..
17
Carryoverfromprioryear
18
Add19ortheft
JobEXpenses
andMostOilier
MiscellaneousDeductions
(See.pageA·5.)
20
Unreim~ursedemployeeexpenses-jobtravel,uniondues,jobeducation,etc.AttachForm2106or
21
06·EZifrequired.(Seepage
A-S,)
~-----------~-------------------------
21
Tax
preparationfees.
22
Otherexpenses-investment,safedepositbox,etc.
Ust
typeandamount
~
.
..
------~------------------~--~--------
23
Addlines20through
22..
24EnteramountfromForm1040,line
35..
25MultiplyUne24by2%(.02)~.26Subtractline25fromline23.If
Une
25ismore
than
lineenter-O·
OIher
Miscellaneous
Deductions
27Other-fromllstonpageA-6.Usttypeandamount
~-------------------------------------------
----------------------~--------------------
Total
2BIsForm1040,line35,over$139,500(over$69,750
if
marriedfilingseparately)?
Itemized
D
o.Yourdeductionisnotlimited.Addtheamountsiii'thefarrightcolumn
Deductions
for.nfles4through27-.Also,enterttl!s~mo{)ntonForm1040,line37.
~J~f~13
LHAForPaperworkReductionActNotice,seeForm1040instructions.
.3
ScheduleA(Form1040)2003
Search
Search History:
Searching...
Result 00 of 00
00 results for result for
  • p.
    • Notes
    Load more