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‘pao vecmaamneorererrstwn — 2005 ),. — Sines-omenaenctne aaa ise iL seine aes Spouse's sec seewty number mnpagetey |B Ust name c wears Tiara onset Stora, | aan ae cE _gnange you! taxa teh, Prosidentiah Le Sb erie conoae Ghsch bare you, 7 oor epouee fing uly, want $320 go to he une (see page 16)_ pLelvou C)seosse eau ‘Singh “+L Hea of pousehols (wih qcitying poss). the qualyag Filing Status 75 ir tigi own Yn eet wae ovon ea aid ut ot yor dpenent ein his uecony 2 CD Mari ig epee pune So fae seatos ever oor : fF Eeranee eee, pendant, seep ts. eee Astrundon iid 4% of exams i Soe Wiens 7 Wages ssi ts eo Aah OEM go fa Taxable tees Arach Shesuie 8 irene aweerns) —S Taanemlt peice Bh ramnferes, x Ordinary ehidends,Atach Sched Bil eed. canal ‘6 Oualedaivigends ($88 page 28). un {DHA ay Gpablerevats, edt rast sean Aeon A, {1 Alimey recived « en gsusuane 1% Beulah Sento 682 wwe 33 Cait glnor (es) Ath GheaulOireques aH reges, ches here, seepage, 14 Omer gars (loses). Adach FOMM 4787 eee RA distributions tat — |b Taxable amount ¢s¢ 15>. ea a Persionsandarmiies Lis Tab aneur(0epa0e25) [168 | = payment A, ‘ontalree estate, royalties, parmershipe, $ compote, rusts lo, tach SchedeE lease use farm incr st). Ataoh Schedule F : Farr 1040-N, ‘Unsmoloyment compensalion tee tenets ates 0x Socla security benefits (aoa Tea ama (re page 27) 21 Dherncome, Late and ance (48 pa 5) deamon Zipisowrwialinagme > ee Gross 26 Peat sovngs account éecueton,aaach FORM GBB gcse owen (REL income 26 Moving expenses. Attach Form 2003 ee 2 27 Gnerhot et-arplyment tax Atach Seneca 8 ay | ae | 28 Se-qroload SEP, SIMPLE, ad qual acs | 2) Selpenployed brah nvurancedodvotn (en F208) 50 Penal 09 9 Aeron 2! 8403 nase de [ia S18 Almony ald» Recents $84 Pe epee! | 32 IRAdedvei00 688 DIDH 1) oon fee pa | 438 Stuinyionn intrest deduction (ee pag 39) = 34 Telnaes coguton (ee pa 34) a — 38 Comes pradetn axis eaducti.Atath Frm 8B tt 3 Add nes Za ttrough Sta and 32 trov9n 95 i - [ag [aaa a5 ae ‘37 Sublet np 96 om ine 22, This is vou sfluaas toes income pels [ae 592028. tom 10400308) HA For Diavioaure, Privaey Act, and Paperwork Redvetion Act Notice, see p=u6 78, argo 280) Tax and Credits ar Other Taxes 'S8-Armount am ing 37 (dusted GSE ROOM) coy nrmenn gnome cava Check [) You ware bore beforoJansary2, 941, C_] *) Total boxes tt S snocse was bor bere Janvary2, 1841, [] ind. J checked, Dr one 1b pw mouse sartenensubpeattenm arses wena da-ala dim aeopagastandencthee BP 396 40 teemiced degucins (tor Sched A) o your manent decueton (x 45, Subtme ne 40 ftom ine 38 . 42. tne 3 ia evr $108,475, or you pravides using toa preoncepaced by Huron Keine, ste page $7. Oherwse, ulipy 63,200 by tet numberof examptons ceed on ne 64 48. Taxable income, Subtact ine 42 rom ine 41 ln 421s more than Hine 4, eler-O- 46 ‘Tox. Check any tas trom: a] Form aed b] Farm 472... 45 Aterwative minimus tax, atch Form 6281 46 Addiines 444 45... t 47 Feregetoxeadt tach Frm fleeces. 48 Cra frchild and dependent care axpanses, Ata form 2444 44 Cre for te ery othe dsabied tach Sthedue itt agin) Posed 5b Eiivation cod, Abach Foren 8883 851. Retramen savings conbuons ere tach Foo 8880 ‘52 Child tux crait{see pape 41) Attach Form 6804 treculred {5 Aiopton ori atech Form 8838 4 Cretsteom eC) Ferm 6 SY iarm sss 85 Cinercrets. check applicable boxes): a Ce] Form 2800 > CJ romeaor ¢ CJ Form 58 Add es 47 trovgn 56, Those ea your tte eredie 7 _ Sutil lng 48, ge 56 igre thn te 4, ee ‘58 Selbempioyment tx. Arach Schedule SE F 59. Suck! secuntyand Masare taxon uy acme no rearedta employe, Ata Frm 4187 6 Additonal tacon RAs, other quailedaervniplans, ec, Ati Form 8428 requ 6 Aévanoa eae income ered paymants frm Forms) W2 52 Hovsahoid employment lxos, Atash Shade H £3. Adg ines $7 trough 62. This your tty tax Payments 64 Federalincome tx withheld fom Fors W.2 and 1098, 85 2005 estineted im payments and arunt apple trom 2004 curn | 88.1 2281 883,] Lean fol wn 7a Amount! ie 72ypu wat retunded you wm ony Pe me cing (1 sr a Party Do you wanttc slow another person to agcu he ran wi the AS 81 Eurned income credit (0), mepreumares |e | ana ass ‘Nerina contatseyeacion Be Lash | 7 Exetss soil security nc tar 1 ARTA ox withhld 48 page Sem 9. pj 64 Aacitonal cid weet. tach Form 8612 {6 Argun pid wit requet for extension ty fe te pugs 69) i e (32400 000,] 7H Payments icone a lrerm2ea9 »CTrommanse «frum anes [70 71 nad ings 7 shou: 7a Wine 74k mare man fine, svbvacl ine 63 rom ine 71. This isthe amaunt yoo overpaid, gare rama Te Br te So a z Beet oa aE net aN Hoe, oe mananne Bai Tact Se Preparers Use Only i ee T= cos, a. Sv YNTEREST HOP SNELIDED wate, + paimu nor snctipeD a, seve rome oor 2.480.597,

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