Form 1040 - U.s. Individual Income Tax Return - 2010 Page 2
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Form 1040 (2010)
Page
38
Amount from line 37 (adjusted gross income)
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38
Tax and
{
}
39a
You were born before January 2, 1946,
Blind.
Check
Total boxes
Credits
Spouse was born before January 2, 1946,
checked
39a
if:
Blind.
▶
If your spouse itemizes on a separate return or you were a dual-status alien, check here
b
39b
▶
40
Itemized deductions (from Schedule A) or your standard deduction (see instructions) .
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40
41
Subtract line 40 from line 38
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41
42
Exemptions. Multiply $3,650 by the number on line 6d .
42
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43
Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- .
43
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44
Tax (see instructions). Check if any tax is from: a
Form(s) 8814
b
Form 4972 .
44
45
Alternative minimum tax (see instructions). Attach Form 6251 .
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45
46
Add lines 44 and 45 .
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46
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47
47
Foreign tax credit. Attach Form 1116 if required .
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48
48
Credit for child and dependent care expenses. Attach Form 2441
49
Education credits from Form 8863, line 23
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49
50
Retirement savings contributions credit. Attach Form 8880
50
51
51
Child tax credit (see instructions) .
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52
Residential energy credits. Attach Form 5695
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52
53
Other credits from Form: a
3800 b
8801
c
53
54
Add lines 47 through 53. These are your total credits .
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54
55
Subtract line 54 from line 46. If line 54 is more than line 46, enter -0-
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55
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Other
56
Self-employment tax. Attach Schedule SE
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56
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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59
a
b
c
59
Form(s) W-2, box 9
Schedule H
Form 5405, line 16
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60
Add lines 55 through 59. This is your total tax
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60
▶
Payments
61
Federal income tax withheld from Forms W-2 and 1099
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61
62
2010 estimated tax payments and amount applied from 2009 return
62
63
63
Making work pay credit. Attach Schedule M .
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If you have a
64a
Earned income credit (EIC)
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64a
qualifying
b
Nontaxable combat pay election
64b
child, attach
Schedule EIC.
65
65
Additional child tax credit. Attach Form 8812
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66
66
American opportunity credit from Form 8863, line 14
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67
First-time homebuyer credit from Form 5405, line 10 .
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67
68
Amount paid with request for extension to file
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68
69
69
Excess social security and tier 1 RRTA tax withheld
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70
70
Credit for federal tax on fuels. Attach Form 4136
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71
Credits from Form: a
2439 b
8839 c
8801 d
8885
71
72
Add lines 61, 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 60, subtract line 60 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
Routing number
c Type:
Checking
Savings
▶
▶
Direct deposit?
See
d
Account number
▶
instructions.
75
Amount of line 73 you want applied to your 2011 estimated tax
75
▶
▶
Amount
76
Amount you owe. Subtract line 72 from line 60. For details on how to pay, see instructions
76
▶
You Owe
77
Estimated tax penalty (see instructions)
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77
Do you want to allow another person to discuss this return with the IRS (see instructions)?
Yes. Complete below.
No
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 page 12.
Keep a copy
Spouse’s signature. If a joint return, both must sign.
Date
Spouse’s occupation
for your
records.
Print/Type preparer’s name
PTIN
Preparer’s signature
Date
Paid
Check
if
self-employed
Preparer
Firm's EIN ▶
Firm’s name
▶
Use Only
Phone no.
Firm’s address ▶
1040
Form
(2010)
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