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efta-efta01222539DOJ Data Set 9OtherDS9 Document EFTA01222539
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DOJ Data Set 9
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efta-efta01222539
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1
040
Department el the Treasury— Interns Revenue Service
U.S. Individual Income TaxReturn
(99)
2018
u.
OMB Na. 154S-0074
IRS Use 0nty—Do not wife or staple in this space.
Filing status:
O Single
O Married filing piny O Married fang separately
O Head of household
O Oualifyrig widow(s)
Your first name and initial
Last name
Your sods security number
Your standard deduction:
O Someone can claim you as a dependent
O You were born before January 2. 1954
O You are blind
If joint return. spouse's first name and initial
last name
Spouse's social security number
Spouse standard deduction: O Someone can claim your spouse as a dependent
O Spouse was born before January 2. 1054
O Spouse is blind
O
Spouse itemizes on a separate relish or you were dual-status alien
O Full-year health care coverage
or exempt (see inst.)
Home address (number and street). If you have a P.O. box. see instructions.
Apt. no.
Presidential Section
Isle inst.)
Campaign
•
You parolee
City, town or post office. state. and 2IP code. If you have a foreign address. attach Schedule 6.
If more than four dependents.
see nst. and / here .
O
Dependents (see Instructions):
(1) Fret name
Last name
(2) Social scanty number
(3) Relationship to you
(4) / if quailies fa (see inst.y
CMd tax credit
Credit for otter dependents
O
O
O
O
O
O
O
O
Sign
Here
Join return?
See instructions
Keep a copy for
yOur retards.
Under penalties of perjury. I declare that I have exarnned this return
cared. and complete. Decimator, or prepare' (other than taxpayer) is
Your signature
and accompanying
based on s1 informaban
Date
schedules and statements. arid to the best of my
of whch preparer has any knowledge.
Vow occupation
knowledge and betted.
It the IRS sent
PIN. enter it
here
inst
they are true.
you an Identity Pro ecion
Spouse's signature. If a joist return. both must sign.
Date
Spouse's occupation
It the IRS sent
PIN. enter it
here
inst
you an Identity Protection
Paid
Preparer
Use Only
Preparers name
Preparer's signature
PTIN
Firm's EIN
Check if:
D 3rd Pasty Designee
K Self-employed
Fern's name ►
Phone no.
Firm's address ►
For Disclosure. Privacy Act, and Paperwork Reduction Act Notice. see separate instructions.
Form 1040 (2018)
Fam 1040 (2018)
Page 2
Attach Fermis)
Also attach
Fermis) 'V.26 and
10994:t if tax w
witted.
Standard
Deduction for —
• Single or married
fang separate'.
$12.000
• Married filing
Jcinty or 0uele,In2
wdow(er).
$24.000
• Head of
househdcl.
$18.000
• If you checked
any box under
Standard
de:Acton.
see instructions.
Refund
Direct deposit?
See instructions.
1
2a
3a
4a
5a
6
7
a
9
10
11
12
13
14
15
16
17
Wages. salaries. tips. etc. Attach Form(s) W-2
Tax-exempt interest .
.
.
2a
Cluakeed dividends .
.
IRAs. pensions. and annuities
Social security benefits
.
Taal income. Add lines 1 through S. Add wry anoint firm Schedule 1. lire 22
Adjusted gross income. If you have no adjustments to income. ante the amount from line 6; otherwise.
subtract Schedule 1, line 36. from Ire 6
.
.
.
.
.
.
.
.
. . . . . . . .
Standard deduction or Itemized deductions (from Schedule A)
Qualified business income deduction (see estructions)
Taxable ncome. Subtract lines 8 and 9 from line 7. If zero or less, enter -0-
a Tax (see inst.)
(check if any from: 1 O Fords) 8814
2 O Form 4972
3 O
b Add any amount from Schedule 2 and check here
a Cled tax credt/credit for
dependents
Subtract ere 12 torn line 11. If zero or less. enter -0-
Other taxes. Attach Schedule 4
Total tax. Add lines 13 and 14
Federal income tax withheld from Forms W-2 and 1099
Se
4a
se
b Taxable interest .
b Ordinary dividends
b Taxable amount
b Taxable amount
► O
b Add any amount from Schedule 3 end deck here. O
Reandable credits: a BC (see inst.)
b Sch. 8812
Add any amount from Schedule 5
18
Add lines 16 and 17. These are your total payments
19
If line 18 is more than line 15. subtract line 15 from line 18. This is the amount you overpaid
20a
Amount of line 19 you want refunded to you. If Form 8888 S attached. check here
.
.
E
E
. c Type:
O Checking
__I
. b
Flouting number
I
I
. d
Account number
I
I
I
I
I
I
I
!
I
I
21
Amount of line 19 you want applied to your 2019 estimated tax .
. .
c Form 8863
21
Amara You Owe 22
Amount you owe. Subtract line 18 from line 15. For details on how to pay. see instructions
23
Estimated tax penalty (see instructions)
fr
23 I
.
. ►D
O Saengs
1
2b
9b
4b
se
6
7
8
10
11
12
13
14
15
16
17
18
19
204
22
Go to www.irs.gov/Fonn1040 for instructions and the latest information.
Form 1040 (201B)
EFTA01222539
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