Internal Revenue Service – 1040EZ

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Form 1040EZ
Department of the Treasury—Internal Revenue Service
Income Tax Return for Single and Joint Filers With No Dependents

[When to Use this Form!]

Your first name and initial
Last name
Your Social Security number

If a joint return, spouse’s first name and initial Last name Spouse’s social security number
▲ Make sure the SSN(s) above are correct.

Home address (number and street). If you have a P.O. box, see instructions. Apt. no. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Foreign country name Foreign province/state/county Foreign postal code

Presidential Election Campaign
Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund.
You Spouse


Income
Attach Form(s) W-2 here. Enclose, but do not attach, any payment.

1 Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2. Attach your Form(s) W-2.

2 Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ.

3 Unemployment compensation and Alaska Permanent Fund dividends (see instructions).

4 Add lines 1, 2, and 3. This is your adjusted gross income.

5 If someone can claim you (or your spouse if a joint return) as a dependent, check the applicable box(es) below and enter the amount from the worksheet on back.
You Spouse


If no one can claim you (or your spouse if a joint return), enter $9,750 if single; $19,500 if married filing jointly. See back for explanation.

6 Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-. This is your taxable income.

Payments, Credits, and Tax

7 Federal income tax withheld from Form(s) W-2 and 1099.

8a Earned income credit (EIC) (see instructions).
b Nontaxable combat pay election.

9 Add lines 7 and 8a. These are your total payments and credits.

10 Tax. Use the amount on line 6 above to find your tax in the tax table in the instructions. Then, enter the tax from the table on this line.

Refund
Have it directly deposited! See instructions and fill in 11b, 11c, and 11d or Form 8888.

11a If line 9 is larger than line 10, subtract line 10 from line 9. This is your refund.

If Form 8888 is attached, check here
▶ b Routing number
▶ c Type: Checking Savings
▶ d Account number

Amount You Owe

12 If line 10 is larger than line 9, subtract line 9 from line 10. This is the amount you owe. For details on how to pay, see instructions.

Third Party Designee
Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below.
No

Designee’s name ▶

Phone no. ▶

Personal identification number (PIN)


Sign Here

Joint return? See instructions. Keep a copy for your records.

Under penalties of perjury, I declare that I have examined this return and, to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge.

Your signature
Date
Your occupation
Daytime phone number

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

If the IRS sent you an Identity Protection PIN, enter it here (see inst.)

Paid Preparer Use Only

Print/Type preparer’s name
Preparer’s signature
Date
Check if self-employed
PTIN
Firm’s name ▶
Firm’s address ▶
Firm's EIN ▶
Phone no.


...

Worksheet for Line 5 — Dependents Who Checked One or Both Boxes

Keep a copy for your records

Use this worksheet to figure the amount to enter on line 5 if someone can claim you (or your spouse if married filing jointly) as a dependent, even if that person chooses not to do so. To find out if someone can claim you as a dependent, see Pub. 501.

A. Amount, if any, from line 1 on front + 300.00
Enter total ▶


B. Minimum standard deduction. B. 950.00

C. Enter the larger of line A or line B here.

D. Maximum standard deduction. If single, enter $5,950; if married filing jointly, enter $11,900.

E. Enter the smaller of line C or line D here. This is your standard deduction.

F. Exemption amount.
• If single, enter -0-.
• If married filing jointly and —
—both you and your spouse can be claimed as dependents, enter -0-.
—only one of you can be claimed as a dependent, enter $3,800
.

G. Add lines E and F. Enter the total here and on line 5 on the front.

If you did not check any boxes on line 5, enter on line 5 the amount shown below that applies to you.
• Single, enter $9,750. This is the total of your standard deduction ($5,950) and your exemption ($3,800)
.
Married filing jointly, enter $19,500. This is the total of your standard deduction ($11,900), your exemption ($3,800), and your spouse's exemption ($3,800).

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