Schedule Co Individual - Optional Computation Of Tax - 2010
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Schedule CO Individual
2010
Rev. 12.10
OPTIONAL COMPUTATION OF TAX
Taxable year beginning on __________________________________ , ________ and ending on ____________________________________ , ________
Social Security Number
Taxpayer's name
Use this schedule only if you choose the optional computation of tax for married individuals living together, filing a joint return and both working.
WAGES, COMMISSIONS, ALLOWANCES AND TIPS
19
A - INCOME TAX WITHHELD
B - TAXPAYER
C - SPOUSE
.
.
.
1.
Wages, Commissions, Allowances and Tips
0
0
0
0
0
0
,
,
,
ATTACH ALL YOUR WITHHOLDING STATEMENTS
.
.
.
(Forms 499R-2/W-2PR, 499R-2c/W-2cPR or W-2, as
0
0
0
0
0
0
,
,
,
applicable).
.
.
.
0
0
0
0
0
0
,
,
,
.
.
.
0
0
0
0
0
0
Total of withholding statements with this schedule ...
,
,
,
.
.
.
.
0
0
0
0
0
0
,
Total ....................................................................
,
,
(01)
(03)
(26)
.
.
0
0
.
0
0
,
0
0
2.
Federal Government Wages (See instructions) ............
,
,
(02)
(04)
(27)
.
.
0
0
0
0
3.
Income from Annuities and Pensions (Schedule H Individual, Part II, line 12) ...................
,
,
(05)
(28)
.
.
0
0
0
0
4.
Adjusted Gross Income (Add total of lines 1, 2 and 3 of Columns B and C, respectively) ........................
,
,
(06)
(29)
3 0 7 5
3 0 7 5
.
.
0
0
0
0
,
,
5.
STANDARD DEDUCTION AND PERSONAL EXEMPTION ...................................................
(07)
(30)
6.
ADDITIONAL DEDUCTIONS
A. Contributions to individual retirement accounts (Do not exceed from $5,000 each):
Employer Identification Number
Contribution
Financial institution
Account number
.
(08)
0
0
(11)
,
Employer Identification Number
Contribution
Financial institution
Account number
(09)
.
(12)
,
0
0
Employer Identification Number
Contribution
Financial institution
Account number
(10)
.
(13)
0
0
,
Total contributions to individual retirement accounts (Distribute the amount as it
.
.
0
0
0
0
corresponds to the taxpayer and his spouse) ...............................................................
,
,
(14)
(31)
B. Contributions to health savings accounts with a high annual deductible medical plan (See instructions):
Contribution
Employer Identification Number
Institution
Account number
(15)
(19)
.
0
0
,
___________________________________
___________________________________
Effective date
Annual deductible
Type of coverage:
1 Individual
2 Individual and age 55 or older
(23)
(20)
.
(16)
0
0
,
3 Family
4 Family and age 55 or older
Day
Month
Year
Employer Identification Number
Contribution
Institution
Account number
.
(17)
(21)
0
0
,
___________________________________
____________________________________
Effective date
Annual deductible
Type of coverage:
1 Individual
2 Individual and age 55 or older
(24)
(22)
.
0
0
(18)
,
3 Family
4 Family and age 55 or older
Day
Month
Year
Total contributions
(Add the smaller amount between the contribution and the annual deductible
.
.
0
0
0
0
,
,
(32)
of each account. Distribute the amount as it corresponds to the taxpayer and his spouse) ......
(25)
Retention Period: Ten (10) years
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