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efta-efta01222539DOJ Data Set 9Other

DS9 Document EFTA01222539

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efta-efta01222539
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EFTA Disclosure
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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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