Form 1040 - U.s. Individual Income Tax Return - 2013 Page 3

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2
Form 1040 (2013)
Page
38
Amount from line 37 (adjusted gross income)
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38
Tax and
{
}
39a
You were born before January 2, 1949,
Blind.
Total boxes
Check
Credits
if:
Spouse was born before January 2, 1949,
Blind.
checked
39a
If your spouse itemizes on a separate return or you were a dual-status alien, check here
b
39b
Standard
Deduction
40
Itemized deductions (from Schedule A) or your standard deduction (see left margin)
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.
40
for—
41
Subtract line 40 from line 38
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41
• People who
check any
42
Exemptions.
42
If line 38 is $150,000 or less, multiply $3,900 by the number on line 6d. Otherwise, see instructions
box on line
39a or 39b or
43
Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- .
.
43
who can be
44
Tax (see instructions). Check if any from: a
Form(s) 8814 b
Form 4972 c
44
claimed as a
dependent,
45
Alternative minimum tax (see instructions). Attach Form 6251 .
45
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see
instructions.
46
Add lines 44 and 45 .
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46
• All others:
47
Foreign tax credit. Attach Form 1116 if required .
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47
Single or
Married filing
48
48
Credit for child and dependent care expenses. Attach Form 2441
separately,
49
Education credits from Form 8863, line 19
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49
$6,100
50
50
Married filing
Retirement savings contributions credit. Attach Form 8880
jointly or
51
Child tax credit. Attach Schedule 8812, if required .
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51
Qualifying
widow(er),
52
Residential energy credits. Attach Form 5695
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52
$12,200
3800 b
8801 c
53
Other credits from Form: a
53
Head of
household,
54
Add lines 47 through 53. These are your total credits .
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54
$8,950
55
Subtract line 54 from line 46. If line 54 is more than line 46, enter -0-
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55
56
56
Other
Self-employment tax. Attach Schedule SE
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57
Unreported social security and Medicare tax from Form:
a
4137
b
8919
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57
Taxes
58
58
Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required
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59a
59a
Household employment taxes from Schedule H
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b
First-time homebuyer credit repayment. Attach Form 5405 if required .
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59b
60
Taxes from: a
Form 8959 b
Form 8960 c
Instructions; enter code(s)
60
61
Add lines 55 through 60. This is your total tax
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61
Payments
62
Federal income tax withheld from Forms W-2 and 1099
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62
63
2013 estimated tax payments and amount applied from 2012 return
63
If you have a
64a
Earned income credit (EIC)
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64a
qualifying
b
64b
Nontaxable combat pay election
child, attach
65
65
Schedule EIC.
Additional child tax credit. Attach Schedule 8812 .
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66
American opportunity credit from Form 8863, line 8 .
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66
67
Reserved .
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67
68
Amount paid with request for extension to file
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68
69
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69
Excess social security and tier 1 RRTA tax withheld
70
70
Credit for federal tax on fuels. Attach Form 4136
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71
Credits from Form: a
2439 b
Reserved c
8885 d
71
72
Add lines 62, 63, 64a, and 65 through 71. These are your total payments .
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72
Refund
73
If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid
73
74a
Amount of line 73 you want refunded to you. If Form 8888 is attached, check here
.
74a
b
c Type:
Routing number
Checking
Savings
Direct deposit?
See
d
Account number
instructions.
75
75
Amount of line 73 you want applied to your 2014 estimated tax
Amount
76
Amount you owe. Subtract line 72 from line 61. For details on how to pay, see instructions
76
You Owe
77
Estimated tax penalty (see instructions)
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77
Yes. Complete below.
No
Do you want to allow another person to discuss this return with the IRS (see instructions)?
Third Party
Designee
Designee’s
Phone
Personal identification
name
no.
number (PIN)
Sign
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
Here
they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Your signature
Date
Your occupation
Daytime phone number
Joint return? See
instructions.
Keep a copy for
Spouse’s signature. If a joint return, both must sign.
Date
Spouse’s occupation
If the IRS sent you an Identity Protection
your records.
PIN, enter it
here (see inst.)
Print/Type preparer’s name
PTIN
Preparer’s signature
Date
Paid
Check
if
self-employed
Preparer
Firm’s name
Firm's EIN
Use Only
Firm’s address
Phone no.
1040
Form
(2013)

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