XML Bulk Content Image: 15021x05.gif
15021x05.gif
Channel
Description
XML Bulk Content image
Body
Rev. White’s Filled-in Form 1040, U.S. Individual Income Tax Return, page 1

Rev. White’s Filled-in Form 1040, U.S. Individual Income Tax Return, page 1

Summary: This is an example of 2017 Form 1040, page 1, with items included as described in the text. Additionally, these line items are completed:

Under"Label":
"Your first name and initial" field contains John E.
"Last name" field contains White
"Your social security number" field contains 011-00-2222
"If a joint return, spouse's first name and initial" field contains Susan R.
"Last name" field contains White
"Spouse's social security number" field contains 011-00-1111
"Home address (number and street). If you have a P.O. box, see page 12." field contains 1040 Main Street
"City, town or post office, state, and ZIP code. If you have a foreign address, see page 12." field contains Hometown, Texas 77099
"Presidential Election Campaign: Check here if you, or your spouse if filing jointly, want $3 to go to this fund"
"You: Yes" box checked
"Spouse: Yes" box checked
Under"Filing Status":
"2. Married filing jointly (even if only one had income)" box checked
Under"Exemptions":
"6a. Yourself. If someone can claim you as a dependent, do not check box 6a)" box checked
"6b. Spouse" box checked
"6c. Dependents:"
"(1) First name Last name" field contains Jennifer White
"(2) Dependent's social security number" field contains 111-00-1113
"(3) Dependent's relationship to you" field contains daughter
"(4) Check if child under age 17 qualifying for child tax credit (see instructions)" box checked
"Boxes checked on 6a and 6b" field contains 2
"Number of children on 6c who lived with you" field contains 1
"6d. Total number of exemptions claimed" field contains 3
Under"Income":
"7. Wages, salaries, tips, etc. Attach Form(s) W-2: " "Taxpayer entered Excess Allowance $240 on the dotted line" and field contains 34,640
"12. Business income or (loss). Attach Schedule C or C-EZ" field contains 3,731
"22. Combine the amounts in the far right column for lines 7 through 21. This is your total income" field contains 38,371
Under"Adjusted Gross Income":
"27. Deductible part of self-employment tax. Attach Schedule SE" field contains 3,090
"36. Add lines 23 through 35" field contains 3,090
"37. Subtract line 36 from line 22. This is your adjusted gross income" field contains 35,281