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1 1040 PG 1 1040 PG 2 Schedule 1 Schedule B Schedule 8812 Schedule 1 (Form 1040). Use provided information and follow instructions on

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1 1040 PG 1 1040 PG 2 Schedule 1 Schedule B Schedule 8812 Schedule 1 (Form 1040). Use provided information and follow instructions on form. 20 SCHEDULE 1 points (Form 1040) Department of the Treasury Internal Revenue Service Name(s) shown on Form 1040, 1040-SR, or 1040-NR Additional Income and Adjustments to Income Attach to Form 1040, 1040-SR, or 1040-NR. Go to www.irs.gov/Form 1040 for Instructions and the latest information. Carl Williams Elizabeth Williams Part I Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 2a Alimony received b Date of original divorce or separation agreement (see instructions) 3 Business income or (loss). Attach Schedule C 4 Other gains or (losses). Attach Form 4797 5 6 7 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E Farm income or (loss). Attach Schedule F Unemployment compensation 8 Other income: a Net operating loss. 8a Return to question OMB No. 1545-0074 2021 Attachment Sequence No. 01 Your social security number 412-34-5670 1 2a 3 4 5 6 7

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