Kelly (age 41, DOB: 02/14/1981, SSN: 766-00-5436) and Ryan (age 43, DOB: 03/20/1979, SSN: 677-00-5436) Wilson, 1355 North Ave., Your City, Your State -Your Zip, have two children, Cathy (age 11, DOB: 01/17/2011, SSN: 676-00-5436) and Roger (age 17, DOB: 01/02/2005, SSN: 677- 00-5435). Neither wishes to designate $3 of their taxes for the presidential election campaign. The family was covered by a health insurance policy for the entire year