Schedule R (Form 1040 or 1040-SR), Credit for the Elderly or the Disabled 2019 Schedule R (Form 1040 or 1040-SR), Credit for the Elderly or the Disabled 2019 Summary: This is an example of Schedule R (Form 1040 or 1040-SR) 2019, Page 1 with items completed per example in the text: "Name(s) shown on Form 1040 or 1040-SR" field contains William M. White and Helen A. White "Your social security number" field contains 220-00-3333Under"Part I: Check the Box for Your Filing Status and Age": In the section"Married filing jointly", line item"5. Both spouses were under 65, and both retired on permanent and total disability" checkbox checkedUnder"Part II: Statement of Permanent and Total Disability": "2. Due to your continued disabled condition, you were unable to engage in any substantial gainful activity in 2019, check this box" checkbox checked and William is written above checkbox.
