Form 8958 - Allocation Of Tax Amounts Between Certain Individuals In Community Property States

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8958
Allocation of Tax Amounts Between
OMB No. 1545-0074
Form
Certain Individuals in Community Property States
(Rev. November 2014)
Attach to Form 1040.
Attachment
▶
Department of the Treasury
63
Sequence No.
Information about Form 8958 and its instructions is at
Internal Revenue Service (99)
▶
Your social security number
Your first name and initial
Your last name
Spouse's or partner's social
Spouse's or partner's first name and initial
Spouse's or partner's last name
security number
A
B
C
Total Amount
Allocated to Spouse
Allocated to Spouse
or RDP
or RDP
SSN
-
-
SSN
-
-
1 Wages (each employer)
2 Interest Income (each payer)
3 Dividends (each payer)
4 State Income Tax Refund
5 Self-Employment Income (See instructions)
6 Capital Gains and Losses
7 Pension Income
8 Rents, Royalties, Partnerships, Estates, Trusts
8958
For Paperwork Reduction Act Notice, see your tax return instructions.
Cat. No. 37779G
Form
(Rev. 11-2014)

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