Form 1040 U.S. Individual Income Tax Return 2021 Form 1040 U.S. Individual Income Tax Return 2021 Summary: This is an example of a Form 1040 (2020) with items included as described in the text. Additionally, these line items are completed: "DECEASED" and"John R. Smith--April 9, 2020" are written across the top of the form. "Your first name and initial" field contains John R. "Last name" field contains Smith "Your social security number" field contains 234-00-7890 "If a joint return, spouse's first name and initial" field contains Mary L. "Last name" field contains Smith "Spouse's social security number" field contains 567-00-0123 "Home address (number and street). If you have a P.O. box, see instructions." field contains 6406 Mayflower Street "City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions)." field contains Juneville, Maine 00000 "2. Married filing jointly (even if only one had income)" checkbox checked "6a. Yourself. If your parent (or someone else) can claim you as a dependent, don't check box 6a" checkbox checked "6b. Spouse" checkbox checked "Boxes checked on 6a and 6b" field contains 2 "d. Total number of exemptions claimed. Add numbers on lines above" field contains 2 "7. Wages, salaries, tips, etc. Attach Form(s) W-2" field contains 11,000 "8a. Taxable interest. Attach Schedule B if required" field contains 3,140 "17. Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E" field contains 8,183 "22. Combine the amounts in the far right column for lines 7 through 21. This is your total income." field contains 22,323 "37. Subtract line 36 from line 22. This is your adjusted gross income" field contains 22,323
