Rev. White’s Filled-in Form 1040, page 2 Rev. White’s Filled-in Form 1040, page 2 Summary: This is an example of 2017 Form 1040, page 2, with items included as described in the text. Additionally, these line items are completed: Under"Tax and Credits": "38. Amount from line 37 (adjusted gross income)" field contains 35,281 "40. Itemized deductions (from Schedule A) or your standard deduction (see left margin)" field contains 13,712 "41. Subtract line 40 from line 38" field contains 21,569 "42. Exemptions. If line 38 is $156,900 or less, multiply $4,050, multiply $4,050 by the number on line 6d. Otherwise, see instructions" field contains 12,150 "43. Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0-" field contains 9,419 "44. Tax (see instructions)." field contains 943 "47. Add lines 44, 45 and 46" field contains 943 "52. Child tax credit. Attach Schedule 8812, if required" field contains 943 "55. Add lines 48 through 54. These are your total credits" field contains 943 "56. Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-" field contains -0- Under"Other Taxes": "57. Self-employment tax. Attach Schedule SE" field contains 6,180 "61. Health care: Individual responsibility (see instructions) Full-year coverage checkbox" Checkbox contains a checkmark indicating full-year coverage "63. Add lines 56 through 62. This is your total tax" field contains 6,180 Under"Payments": "64. Federal income tax withheld from Forms W-2 and 1099" field contains 272 "65. 2017 estimated tax payments and amount applied from 2016 return" field contains 7,000 "66a. Earned income credit (EIC)" written on the dotted line "Clergy" field contains 189 "67. Additional child tax credit. Attach Schedule 8812" field contains 57 "74. Add lines 64, 65, 66a, and 67 through 73. These are your total payments" field contains 7,518 Under"Refund": "75. If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid" field contains 1,338 "77. Amount of line 75 you want applied to your 2018 estimated tax" field contains 1,338 Under"Third Party Designee": "Do you want to allow another person to discuss this return with the IRS?" The "No" checkbox is checked. Under"Sign Here": "Your signature" field contains John E. White "Date" field contains 3/1/2018 "Your occupation" field contains Minister "Spouse's signature. If a joint return, both must sign." field contains Susan R. White "Date" field contains 3/1/2018 "Spouse's occupation" field contains Homemaker
