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    6 views1 page

    Billing Format

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    jessegibbs10
    This is new and legit

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    © All Rights Reserved
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    of 1

    Wikipedia

    $1040 U.S.IndividualIncomeTaxReturn
    (99)
    DepartmentoftheTreasury-InternalRevenueService
    2021 OMBNo.15

    FilingStatus •Single •Marriedfilingjointly Head


    Marriedfilingseparately(MFS)
    Checkonly
    IfyoucheckedtheMFSbox,enterthenameofyourspouse.IfyoucheckedtheHOH
    onebox.
    personisachildbutnotyourdependent
    Yourfirstnameandmiddleinitial Lastname

    Ifjointreturn,spouse'sfirstnameandmiddieinitial Lastname

    Homeaddress(numberandstreet).IfyouhaveaP.O.box,seeinstructions.

    City,town,orpostoffice.Ifyouhaveaforeignaddress,alsocompletespacesbelow. State

    Foreigncountryname Foreignprovince/state/county

    Atanytimeduring2021,didyoureceive,sell,exchange,orotherwisedisposeofanyfinancialintere
    Standard Someonecanclaim: Youasadependent Yourspouseasadepende
    Deduction Spouseitemizesonaseparateretumoryouwereadual-statusalien
    Age/BlindnessYou: WerebornbeforeJanuary2,1957 Areblind Spouse: Wasb
    Dependents(seeinstructions): (2)Socialsecurity (3)Relation
    Ifmore (1)Firstname Lastname number toyou
    thanfour
    dependents,
    seeinstructions
    andcheck
    here-

    Wages,salaries,tips,etc.AttachForm(s)W-2
    Attach 2aTax-exemptinterest 2a bTaxableinter
    Sch.Bif
    За Qualifieddividends ・ За bOrdinarydivi
    required.
    4а IRAdistributions 4а bTaxableamo
    5a Pensionsandannuities 5a bTaxableamo
    Standard ба Socialsecuritybenefits ба bTaxableamo
    Deductionfor-
    •Singleor
    7 Capitalgainor(loss).AttachScheduleDifrequired.Ifnotrequired,checkhere
    Marriedfiling 8 OtherincomefromSchedule1,line10
    separately,
    $12,550
    9 Addlines1,2b,3b,4b,5b,6b,7,and8.Thisisyourtotalincome
    •Marriedfiling 10 AdjustmentstoincomefromSchedule1,line26
    Form 1040 - Wikipedia
    jointlyor
    11
    Qualifying Visit
    Subtractline10fromline9.Thisisyouradjustedgrossincome
    widow(er), 12a Standarddeductionoritemizeddeductions(fromScheduleA)
    $25,100
    •Headof Charitablecontributionsifyoutakethestandarddeduction(seeinstructions)
    Images
    household,
    $18,800
    maycAddlines12aand12b
    be subject to copyright. -..•
    Learn More
    •Ifyouchecked 13 QualifiedbusinessincomedeductionfromFor8995orFom8995-A..
    anyboxunder
    14 Addlines12cand13
    Standard ..• -...
    Deduction,
    seeinstructions.
    115
    Share Save
    Taxableincome.Subtractline14fromline11.Ifzeroorless,enter-0-..

    ForDisclosure,PrivacyAct,andPaperworkReductionActNotice,seeseparateinstructions.

    CPA Practice Advisor


    Printable IRS Form 104…

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