Form 1040 - Guam Individual Income Tax Return - 2014
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Clear Form
1040
2014
Department of Revenue and Taxation
Guam Individual Income Tax Return
DRT Use Only—Do not write or staple in this space.
See separate instructions.
For the year Jan. 1–Dec. 31, 2014, or other tax year beginning
, 2014, ending
, 20
Your rst name and initial
Last name
Your social security number
If a joint return, spouse’s rst name and initial
Last name
Spouse’s social security number
Mailing Address (If you have a foreign address see instructions.)
Apt. no.
Make sure the SSN(s) above
and on line 6c are correct.
City, town or post of ce, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).
IMPORTANT:
Please Provide Current
Foreign country name
Foreign province/state/county
Foreign postal code
Mailing Address
1
Single
4
Head of household (with qualifying person). (See instructions.) If
Filing Status
2
Married ling jointly (even if only one had income)
the qualifying person is a child but not your dependent, enter this
Check only one
child’s name here.
3
Married ling separately. Enter spouse’s SSN above
box.
5
and full name here.
Qualifying widow(er) with dependent child
}
Boxes checked
6a
Yourself. If someone can claim you as a dependent, do not check box 6a .
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Exemptions
on 6a and 6b
b
Spouse
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No. of children
(4)
if child under age 17
on 6c who:
c
Dependents:
(2) Dependent’s
(3) Dependent’s
qualifying for child tax credit
• lived with you
social security number
relationship to you
(1) First name
Last name
(see instructions)
• did not live with
you due to divorce
or separation
If more than four
(see instructions)
dependents, see
Dependents on 6c
instructions and
not entered above
check here
Add numbers on
d
Total number of exemptions claimed
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lines above
7
Wages, salaries, tips, etc. Attach Form(s) W-2
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7
Income
8a
Taxable interest. Attach Schedule B if required .
8a
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b
Tax-exempt interest. Do not include on line 8a .
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8b
Attach Form(s)
9 a
Ordinary dividends. Attach Schedule B if required
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9a
W-2 here. Also
b
Quali ed dividends
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9b
attach Forms
W-2G and
10
Taxable refunds, credits, or offsets of state and local income taxes
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10
1099-R.
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11
Alimony received .
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12
Business income or (loss). Attach Schedule C or C-EZ .
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12
13
Capital gain or (loss). Attach Schedule D if required. If not required, check here
13
14
14
Other gains or (losses). Attach Form 4797 .
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(COPY B)
15 a
IRA distributions .
15a
b Taxable amount
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15b
16 a
Pensions and annuities
16a
b Taxable amount
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16b
17
Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E
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18
Farm income or (loss). Attach Schedule F .
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19
Unemployment compensation .
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If you did not
20 a
Social security bene ts
20a
b Taxable amount
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20b
get a W-2,
21
Other income. List type and amount
21
see instructions.
22
Combine the amounts in the far right column for lines 7 through 21. This is your total income
22
23
Educator expenses
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23
Adjusted
24
Certain business expenses of reservists, performing artists, and
Gross
fee-basis government of cials. Attach Form 2106 or 2106-EZ
24
Income
25
Health savings account deduction. Attach Form 8889
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25
26
26
Moving expenses. Attach Form 3903 .
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27
Deductible part of self-employment tax. Attach Schedule SE .
27
28
Self-employed SEP, SIMPLE, and quali ed plans
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28
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29
Self-employed health insurance deduction
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30
Penalty on early withdrawal of savings .
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31 a
Alimony paid
b Recipient’s SSN
31a
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32
IRA deduction .
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33
Student loan interest deduction .
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33
34
34
Tuition and fees. Attach Form 8917 .
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35
Domestic production activities deduction. Attach Form 8903
35
36
Add lines 23 through 35 .
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36
37
Subtract line 36 from line 22. This is your adjusted gross income
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37
1040
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.
Form
(2014)
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