Publication 929 - Tax Rules For Children And Dependents - 2006 Page 17
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27Form
Department of the Treasury—Internal Revenue Service
1040A
2006
U.S. Individual Income Tax Return
(99)
IRS Use Only—Do not write or staple in this space.
Your first name and initial
Last name
OMB No. 1545-0074
Label
Your social security number
(See page 18.)
L
Sara
L
Brown
1 1 1
0 0
1 1 1 1
A
B
Spouse’s social security number
If a joint return, spouse’s first name and initial
Last name
E
Use the
L
IRS label.
H
Home address (number and street). If you have a P.O. box, see page 18.
Apt. no.
You must enter
E
Otherwise,
1040A MAIN STREET
your SSN(s) above.
R
please print
E
or type.
City, town or post office, state, and ZIP code. If you have a foreign address, see page 18.
Checking a box below will not
HOMETOWN
AZ
85240
change your tax or refund.
Presidential
Election Campaign
Check here if you, or your spouse if filing jointly, want $3 to go to this fund (see page 18)
Spouse
You
1
Single
4
Head of household (with qualifying person). (See page 19.)
Filing
If the qualifying person is a child but not your dependent,
2
Married filing jointly (even if only one had income)
status
enter this child’s name here.
3
Married filing separately. Enter spouse’s SSN above and
Check only
one box.
5
Qualifying widow(er) with dependent child (see page 20)
full name here.
6a
Yourself. If someone can claim you as a dependent, do not check
Boxes
Exemptions
checked on
box 6a.
6a and 6b
b
Spouse
No. of children
(4)
if qualifying
on 6c who:
c
Dependents:
(3) Dependent’s
(2) Dependent’s social
child for child
● lived with
relationship to
tax credit (see
you
security number
(1) First name
Last name
you
page 21)
If more than six
● did not live
dependents,
with you due
to divorce or
see page 21.
separation
(see page 22)
Dependents
on 6c not
entered above
Add numbers
on lines
0
d
Total number of exemptions claimed.
above
Income
7
Wages, salaries, tips, etc. Attach Form(s) W-2.
7
1,550
Attach
Form(s) W-2
8a
Taxable interest. Attach Schedule 1 if required.
8a
1,050
here. Also
b
Tax-exempt interest. Do not include on line 8a.
8b
attach
Form(s)
9a
Ordinary dividends. Attach Schedule 1 if required.
9a
1,050
1099-R if tax
b
Qualified dividends (see page 25).
9b
1,050
was withheld.
10
Capital gain distributions (see page 25).
10
700
11a
IRA
11b
Taxable amount
If you did not
get a W-2, see
distributions.
(see page 25).
11a
11b
page 24.
12a Pensions and
12b
Taxable amount
Enclose, but do
annuities.
(see page 26).
12a
12b
not attach, any
13
Unemployment compensation, Alaska Permanent Fund dividends, and
payment.
jury duty pay.
13
14a
Social security
14b
Taxable amount
benefits.
(see page 28).
14a
14b
15
Add lines 7 through 14b (far right column). This is your total income.
4,350
15
16
Penalty on early withdrawal of savings (see
Adjusted
page 28).
16
gross
17
IRA deduction (see page 28).
17
income
18
Student loan interest deduction (see page 31).
18
19
Jury duty pay you gave your employer (see
page 31).
19
20
Add lines 16 through 19. These are your total adjustments.
20
21
Subtract line 20 from line 15. This is your adjusted gross income.
21
4,350
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 58.
Form 1040A (2006)
Cat. No. 11327A
Publication 929 (2006)
Page 17
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial