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Form 1040 (2002)

Page

35,307

Amount from line 35 (adjusted gross income)

Tax and

37a

Check if:

You were 65 or older,

Blind;

Spouse was 65 or older,

Blind.

Credits

Add the number of boxes checked above and enter the total here

37a

Standard

If you are married filing separately and your spouse itemizes deductions, or

Deduction

for—

you were a dual-status alien, see page 34 and check here

37b

● People who

13,583

Itemized deductions (from Schedule A) or your standard deduction (see left margin)

checked any

21,724

box on line

Subtract line 38 from line 36

37a or 37b or

If line 36 is $103,000 or less, multiply $3,000 by the total number of exemptions claimed on

who can be

9,000

claimed as a

line 6d. If line 36 is over $103,000, see the worksheet on page 35

dependent,

12,724

Taxable income. Subtract line 40 from line 39. If line 40 is more than line 39, enter -0-

see page 34.

1,309

● All others:

Tax (see page 36). Check if any tax is from:

Form(s) 8814

Form 4972

Single,

Alternative minimum tax (see page 37). Attach Form 6251

$4,700

1,309

Add lines 42 and 43

Head of

Foreign tax credit. Attach Form 1116 if required

household,

$6,900

Credit for child and dependent care expenses. Attach Form 2441

Married filing

Credit for the elderly or the disabled. Attach Schedule R

jointly or

Qualifying

Education credits. Attach Form 8863

widow(er),

Retirement savings contributions credit. Attach Form 8880

$7,850

600

Child tax credit (see page 39)

Married

filing

Adoption credit. Attach Form 8839

separately,

Credits from:

Form 8396

Form 8859

$3,925

Other credits. Check applicable box(es):

Form 3800

Form 8801

Specify

600

Add lines 45 through 53. These are your total credits

709

Subtract line 54 from line 44. If line 54 is more than line 44, enter -0-

6,264

Self-employment tax. Attach Schedule SE

Other

Social security and Medicare tax on tip income not reported to employer. Attach Form 4137

Taxes

Tax on qualified plans, including IRAs, and other tax-favored accounts. Attach Form 5329 if required

Advance earned income credit payments from Form(s) W-2

Household employment taxes. Attach Schedule H

6,973

Add lines 55 through 60. This is your total tax

272

Payments

Federal income tax withheld from Forms W-2 and 1099

8,400

2002 estimated tax payments and amount applied from 2001 return

Earned income credit (EIC)

If you have a

qualifying

Excess social security and tier 1 RRTA tax withheld (see page 56)

child, attach

Additional child tax credit. Attach Form 8812

Schedule EIC.

Amount paid with request for extension to file (see page 56)

Other payments from:

Form 2439 b

Form 4136

Form 8885

8,672

Add lines 62 through 68. These are your total payments

1,699

Refund

If line 69 is more than line 61, subtract line 61 from line 69. This is the amount you overpaid

71a

Amount of line 70 you want refunded to you

Direct deposit?

See page 56

Routing number

Type:

Checking

Savings

and fill in 71b,

Account number

71c, and 71d.

1,699

Amount of line 70 you want applied to your 2003 estimated tax

Amount

Amount you owe. Subtract line 69 from line 61. For details on how to pay, see page 57

You Owe

Estimated tax penalty (see page 57)

Do you want to allow another person to discuss this return with the IRS (see page 58)?

Yes. Complete the following.

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, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Here

Your signature

Date

Your occupation

Daytime phone number

Joint return?

See page 21.

John E. Michaels

3/1/2003

Minister

(

)

Keep a copy

Spouse’s signature. If a joint return, both must sign.

Date

Spouse’s occupation

for your

Susan R. Michaels

3/1/2003

Homemaker

records.

Date

Preparer’s SSN or PTIN

Paid

Preparer’s

Check if

signature

self-employed

Preparer’s

Firm’s name (or

EIN

Use Only

yours if self-employed),

(

)

address, and ZIP code

Phone no.

1040

Form

(2002)

Page 16

Publication 517 - Social Security And Other Information For Members Of The Clergy And Religious Workers - 2002 Page 16

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