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efta-efta01222451DOJ Data Set 9Other2016 Federal Form 1040 Information Smart Worksheet
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DOJ Data Set 9
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efta-efta01222451
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2016 Federal Form 1040 Information Smart Worksheet
Use this worksheet to compute taxable refund amount?
►
Yes
No
If no. skip this Smart Worksheet. Total refunds from Line 1 column (b) will be reported as income.
A Did you itemize deductions in 2016?
►
Yes
No
If no. none of your refund from 2016 is reportable as income. Do not complete the
remainder of this worksheet.
B Enter the amount from your 2016 Schedule A, line 5, State and local tax
If none, enter zero. and do not complete the remainder of this worksheet.
C Which type of taxes were deducted on your 2016 Schedule A. line 5?
1 Income taxes (2016 Schedule A, box 5a. was checked)
2 General sales taxes (2016 Schedule A, box 5b, was checked)
3 Not applicable
If general sales taxes were deducted. none of the refund from 2016 is reportable
as income. Do not complete the remainder of this worksheet.
D Enter the deduction for general sales taxes that could have been taken in 2016
if you know that amount
E What was your filing status for 2016?
Single
Married filing jointly
Married filing separately
Married filing separately and your spouse itemized deductions
Head of household
j
Qualifying widow(er)
F Could be claimed as a dependent by someone else in 2016? . . . . ►
Yes
No
G If yes. enter your earned income for 2016
Enter the following amounts from your 2016 Form 1040:
H Line 38. Adjusted gross income
I Line 39a, Total number of boxes checked
J Line 40. Itemized deductions or standard deduction
K Line 41. Adjusted gross income less itemized or standard deduction
L Line 42. Deduction for exemptions
M Line 43. Taxable income. Line K less line L (if less than zero, enter as negative)
N Line 44. Tax
O Line 45. Alternative minimum tax
P Line 46. Excess advance premium tax credit repayment
O Line 47. Total tax before credits
R Line 56. Total tax after credits
If your adjusted gross income was greater than $313.800 if filing status was married
filing joint or qualifying widow(er). $287.650 if filing status was head of household.
$261.500 if filing status was single. or $156.900 if filing status was married filing
separately. then also complete the below.
Enter the following amounts from your 2016 Schedule A, Itemized Deductions:
S Line 4. Medical and dental expenses
• Line 9. Taxes
U Line 14. Investment interest expense
Line 15. Interest
W Line 19. Charity
X Line 20. Casualty and theft losses
Y Line 27. Job expenses and other deductions
2 Line 28. Other miscellaneous deductions
1 Any gambling losses included in line 28
2 Any casualty or theft losses included in line 28
EFTA01222451
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