Form 1040-Ss - U.s. Self-Employment Tax Return (Including The Additional Child Tax Credit For Bona Fide Residents Of Puerto Rico) - 2012 Page 2

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2
Form 1040-SS (2012)
Page
Part II
Bona Fide Residents of Puerto Rico Claiming Additional Child Tax Credit—See instructions.
Caution. You must have three or more qualifying children to claim the additional child tax credit.
1
Income derived from sources within Puerto Rico .
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1
2
Withheld social security and Medicare taxes from Puerto Rico Forms 499R-2/W-2PR (attach copy of
2
form(s)) .
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3
Additional child tax credit. Use the worksheet in the instructions to figure the amount to enter
3
here and in Part I, line 8 .
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Part III
Profit or Loss From Farming—See the Instructions for Schedule F (Form 1040).
Social security number
Name of proprietor
Note. If you are filing a joint return and both you and your spouse had a profit or loss from a farming business, see Joint returns and
Husband-Wife Business in the instructions for more information.
Section A—Farm Income—Cash Method
Complete Sections A and B. (Accrual method taxpayers, complete Sections B and C, and Section A, line 11.)
Do not include sales of livestock held for draft, breeding, sport, or dairy purposes (see instructions).
1
Sales of livestock and other items you bought for resale
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1
2
2
Cost or other basis of livestock and other items reported on line 1 .
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3
Subtract line 2 from line 1.
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3
4
Sales of livestock, produce, grains, and other products you raised .
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5 a Total cooperative distributions (Form(s)
1099-PATR) .
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5a
5b Taxable amount
5b
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Agricultural program payments received .
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7
Commodity Credit Corporation (CCC) loans reported under election (or forfeited) .
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8
Crop insurance proceeds .
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8
9
Custom hire (machine work) income .
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9
10
Other income.
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10
11
Gross farm income. Add amounts in the right column for lines 3 through 10. If accrual method
11
taxpayer, enter the amount from Section C, line 50 .
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Section B—Farm Expenses—Cash and Accrual Method
Do not include personal or living expenses (such as taxes, insurance, or repairs on your home) that did not produce farm income.
Reduce the amount of your farm expenses by any reimbursements before entering the expenses below.
12
25
Car and truck expenses
Pension and profit-sharing
12
25
(see instructions)
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plans
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13
Chemicals .
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13
26
Rent or lease:
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Conservation expenses .
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14
a Vehicles, machinery, and
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Custom hire (machine work)
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equipment .
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26a
b Other (land, animals, etc.) .
26b
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Depreciation and section 179
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Repairs and maintenance .
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expense deduction not
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Seeds and plants purchased
28
claimed elsewhere (attach
Form 4562 if required).
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29
29
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Storage and warehousing
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30
Supplies purchased .
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30
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Employee benefit programs
other than on line 25 .
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17
31
Taxes
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31
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18
32
32
Feed purchased .
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Utilities .
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19
Fertilizers and lime .
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19
33
Veterinary, breeding, and
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Freight and trucking
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20
medicine .
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33
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34
Gasoline, fuel, and oil .
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Other expenses (specify):
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22
a
34a
Insurance (other than health)
23
Interest:
b
34b
a Mortgage (paid to banks, etc.)
23a
c
34c
b Other .
23b
d
34d
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24
Labor hired .
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24
e
34e
35
Total expenses. Add lines 12 through 34e .
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35
36
Net farm profit or (loss). Subtract line 35 from line 11. Enter the result here and in Part V, line 1a
36
1040-SS
Form
(2012)

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