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1040_US"individual income Tax Retun | 204 Blan. peel Forte year on. 1-D0e. 31,2016, romartax yor besing 6 oar JONATHAN M WOOD JENNIFER M WOOD 1709 SUNRISE DR VA BEACH, VA 23455 a 2 ony 000 wes sane nti ‘See separate instructions. Your anal rent mba [ Spouse's social sacurily number — Smee Pee era Fame rane orsansoencararcy Fompoircoas |e hing ener cha e aE rj ; 7 [sma 41 wexarnancnas ein qattyngpeen) Soetencton) Filing Status 2 3 arid fing ot (evenfonyone had income) the castyne penis cit unl yor dependent ene poscoayone 3 ent rg seatyennsnanssbinonttnnanen eiennetee ba Guatving vidoe with dependent ta] YoursatsWeonsone can dan yousvadparden done chectbor 6a . | See Exemptions “Sfz] svoue yous pe ale wegterern ¢ Dependents: Berm, | Sammie, Beet resent 7o0_2 ttmore——_(O)Festname serene | aoe RR ec thanfow SHYANNE HARVEY UGHTER ahs spendews, JONAH WOOD SON I Soe Gece Bae fee 7 Wages, salaries, tins te. Attach Fora) W-2. Income _. _ _ a _. _ LZ 52,985. ta Toabiohinr Aci SawiaeBtrequred Ty Ea ‘Attach Form(s) b Tax-exemptinterest Donotinclude on line Ga . 8b Yy W.2here Al8O gq Ordinary dividends. iach Schedule Bifreqiied LB ean © Glued vende. %» Yooo-Rittax 10 Texablerfinds, re, crofiscs ofeatoandocaincometnas 10 was withheld. 4 Alimony received. - fry 12 Business income or (Joss). "aitach Schedule C oF C-EZ | . 12 (985.) 18. Capital gain or ose} SO EE nary Pll D DD) leo Ge ifyouganot 14 Olher gains or Coste) Ath Form s797 De getaW2, 150 IRAdetbutons . [150 bToxabe ant 2. [ase seek None 46a Pensions and annuities . [16a bTaxable amt 7 6b 409. 17 Rental realestate, rate, parerships, Scorporatone, sto. tach Schedule 418 Farm income or (oss) Attach Schedule F, {2 Uramsoymetsarpanaten ‘208 Socal security bens. ‘bTxable amount 21. Other income. List ype and on 2 =e aes 1, This ee 52,405. ‘23 Educator expences - 23 Adjusted 24 Cerainbusiness expenses of reservists performing art, and Grose {ee-basis government officials. Attach Form 2108 or 2108-E2 (ncome 25 Heath savings account deduction. Attach Form 8889. 26 Moving expenses. Atach Form 2003. 27 Decetble part of st-emplyment ax. Attach Schedule SE. 104] 28 Selt-employed SEP, SIMPLE, and qualfed plane : 29. Solfomployed health insurance deduction fs fs 8s fos fs fos 30. Penalty on early withdrawal of savings . ‘31a Alimony pald_b RecbiontSSSN > 32 IRAdeduction, 33 Student loan interest deduction 664, ‘34 Tullon and fees. Aach Form 8917 la le [se 35 Domestic production activites deduction. Altach Form 8903 . 98 Add tines 25 through 38, '37_Subractine 36m ino22_ This your adjusted gross income, KBA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separatenatruclions. ISP FELD coop 1908-2016 nRe Tax rem ne WY 125

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