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Assignment:1040 EZ for Connor Busy 8 TLS, have you transmitted all R text files for this cycle update? I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTINGAction

Assignment:1040 EZ for Connor Busy

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8 TLS, have you transmitted all R text files for this cycle update? I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTINGAction INSTRUCTIONS TO PRINTERS FORM 1040EZ, PAGE 1 of 2 MARGINS: TOP 13 mm 1(2 "), CENTER SIDES. PRINTS: HEAD to HEAD PAPER: WHITE, WRITING, SUB. 20 INK: BLACK & PMS 338 FLAT SIZE: 203 mm (8") x 279 mm (11") OR EXACT MATCH PERFORATE: (NONE) SCREENS: SEE SAMPLE Date Signature O.K. to print Revised proofs requested DO NOT PRINT DO NOT PRINT DO NOT PRINT DO NOT PRINT Date Separation 1: Form 1040EZ Ink: black Separation 2: Form 1040EZ Recommended screen: 110 line, 20% value. Ink: PMS 338 Department of the TreasuryInternal Revenue Service Income Tax Return for Single and Joint Filers With No Dependents (99) Form 1040EZ Your first name and initial Label (See page 11.) Use the IRS label. Otherwise, please print or type. Presidential Election Campaign (page 12) L A B E L 2005 OMB No. 15450074 Your social security number Last name Spouse's social security number If a joint return, spouse's first name and initial Last name Home address (number and street). If you have a P.O. box, see page 11. H E R E Apt. no. City, town or post office, state, and ZIP code. If you have a foreign address, see page 11. Checking a box below will not change your tax or refund. Check here if you, or your spouse if a joint return, want $3 to go to this fund? Income Attach Form(s) W-2 here. Enclose, but do not attach, any payment. Payments and tax must enter You your SSN(s) above. 1 Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W2. Attach your Form(s) W2. 1 2 Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ. 2 3 Unemployment compensation and Alaska Permanent Fund dividends (see page 13). 3 4 Add lines 1, 2, and 3. This is your adjusted gross income. 4 5 If someone can claim you (or your spouse if a joint return) as a dependent, check the applicable box(es) below and enter the amount from the worksheet on back. You Spouse If someone cannot claim you (or your spouse if a joint return), enter $8,200 if single; $16,400 if married filing jointly. See back for explanation. 5 6 Subtract line 5 from line 4. If line 5 is larger than line 4, enter 0. This is your taxable income. 7 Federal income tax withheld from box 2 of your Form(s) W2. b Nontaxable combat pay election. 9 10 Spouse 6 7 8a Earned income credit (EIC). 8a 8b Add lines 7 and 8a. These are your total payments. Tax. Use the amount on line 6 above to find your tax in the tax table on pages 24-32 of the booklet. Then, enter the tax from the table on this line. 9 10 Refund 11a If line 9 is larger than line 10, subtract line 10 from line 9. This is your refund. Have it directly deposited! See c Type: page 18 and fill b Routing number Checking in 11b, 11c, and 11d. You 11a Savings d Account number Amount you owe 12 Third party designee Do you want to allow another person to discuss this return with the IRS (see page 19)? Yes. Complete the following. No Sign here Joint return? See page 11. Keep a copy for your records. If line 10 is larger than line 9, subtract line 9 from line 10. This is the amount you owe. For details on how to pay, see page 19. 12 Designee's Phone Personal identification () name no. number (PIN) Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge. Your occupation Daytime phone number Your signature Date () Spouse's signature. If a joint return, both must sign. Date Preparer's Paid signature preparer'sFirm's name (or if self-employed), use only yours address, and ZIP code For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 23. Spouse's occupation Date Check if self-employed Preparer's SSN or PTIN EIN Phone no. Cat. No. 11329W () Form 1040EZ(2005) 8 I.R.S. SPECIFICATIONS TO BE REMOVED BEFORE PRINTING INSTRUCTIONS TO PRINTERS FORM 1040EZ, PAGE 2 of 2 MARGINS: TOP 13 mm 1(2 "), CENTER SIDES. PRINTS: HEAD to HEAD PAPER: WHITE, WRITING, SUB. 20 INK: BLACK (70% SCREEN) FLAT SIZE: 203 mm (8") 279 mm (11") PERFORATE: (NONE) DO NOT PRINT DO NOT PRINT DO NOT PRINT DO NOT PRINT Page Form 1040EZ (2005) Use this form if Your filing status is single or married filing jointly. If you are not sure about your filing status, see page 11. You (and your spouse if married filing jointly) were under age 65 and not blind at the end of 2005. If you were born on January 1, 1941, you are considered to be age 65 at the end of 2005. You do not claim any dependents. For information on dependents, use TeleTax topic 354 (see page 6). Your taxable income (line 6) is less than $100,000. You do not claim any adjustments to income. For information on adjustments to income, use TeleTax topics 451458 (see page 6). The only tax credit you can claim is the earned income credit. For information on credits, use TeleTax topics 601608 and 610 (see page 6). You had only wages, salaries, tips, taxable scholarship or fellowship grants, unemployment compensation, or Alaska Permanent Fund dividends, and your taxable interest was not over $1,500. But if you earned tips, including allocated tips, that are not included in box 5 and box 7 of your Form W2, you may not be able to use Form 1040EZ (see page 12). If you are planning to use Form 1040EZ for a child who received Alaska Permanent Fund dividends, see page 13. You did not receive any advance earned income credit payments. If you cannot use this form, use TeleTax topic 352 (see page 6). Filling in your return If you received a scholarship or fellowship grant or taxexempt interest income, such as on municipal bonds, see the booklet before filling in the form. Also, see the booklet if you received a Form 1099INT showing federal income tax withheld or if federal income tax was withheld from your unemployment compensation or Alaska Permanent Fund dividends. For tips on how to avoid common mistakes, see page 20. Remember, you must report all wages, salaries, and tips even if you do not get a Form W2 from your employer. You must also report all your taxable interest, including interest from banks, savings and loans, credit unions, etc., even if you do not get a Form 1099INT. 2 Worksheet Use this worksheet to figure the amount to enter on line 5 if someone can claim you (or your spouse if married filing jointly) as a dependent, even if that person chooses not to do so. To find for out if someone can claim you as a dependent, use TeleTax topic 354 (see page 6). dependents A. A. Amount, if any, from line 1 on front who B. Is line A more than $550? checked Yes. Add $250 to line A. Enter the total. B. one or No. Enter $800. C. If single, enter $5,000; if married filing jointly, enter $10,000 C. both boxes D. Enter the smaller of line B or line C here. This is your standard on line 5 deduction (keep a copy for your records) D. E. Exemption amount. If single, enter 0. If married filing jointly and you checked E. both boxes on line 5, enter 0. only one box on line 5, enter $3,200. F. Add lines D and E. Enter the total here and on line 5 on the front F. If you did not check any boxes on line 5, enter on line 5 the amount shown below that applies to you. Single, enter $8,200. This is the total of your standard deduction ($5,000) and your exemption ($3,200). Married filing jointly, enter $16,400. This is the total of your standard deduction ($10,000), your exemption ($3,200), and your spouse's exemption ($3,200). Mailing return Mail your return by April 17, 2006. Use the envelope that came with your booklet. If you do not have that envelope or if you moved during the year, see the back cover for the address to use. Form 1040EZ(2005) \f

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