Form 1040 U.S. Individual Income Tax Return, 2021, Page 1 Form 1040 U.S. Individual Income Tax Return, 2021, Page 1 Summary: This is an example of Form 1040 (2021) as pertains to the estate described in the text. Across the top of the form states: Attachment to Form 1041--do not detach. The completed line items are:Under"Filing Status, Check only one box": "Married filing separate (MFS)." " Checkbox checked." "Your first name and middle initial" field contains Thomas "Last name" field contains Smith Bankruptcy Estate "Your social security number" field contains 220-00-0000 "If joint return, spouse's first name and initial" field contains Joan "Last name" field contains Black, Trustee "Home address (number and street). If you have a P.O. box, see instructions." field contains 111 State Street "City, town or post office. If you have a foreign address, also complete spaces below." field contains Anywhere, Anystate, 00000 "2b. Taxable interest. Attach Sch. B if required" field contains 5,500 "7. Capital gain or (loss). Attach Schedule D if required. If not required, check here" field contains (1,500) "8a. Other income from Schedule 1, line 10" field contains 41,522. "9. Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income" field contains 45,522 "10. adjustments to income from Schedule 1, line 26" field contains 10,000 "11. Subtract line 10 from line 9. This is your adjusted gross income" field contains 35,522 "12a. Standard deduction or itemized deductions (from Schedule A)" field contains 15,000 "12c. Add lines 12a and 12b" field contains 15,000 "14. Add lines 12c and 13" field contains 15,000 "15. Taxable Income. Subtract line 14 from line 11. If zero or less, enter -0-" field contains 20,522
