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OMB SCHEDULE 1 Additional Income and Adjustments to Income (Form 1040) 2 Department of the Treasury Attach to Form 1040, 1040-SR, or 1040-NR. Internal Revenue

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OMB SCHEDULE 1 Additional Income and Adjustments to Income (Form 1040) 2 Department of the Treasury Attach to Form 1040, 1040-SR, or 1040-NR. Internal Revenue Service Go to www.irs.gov/Form 1040 for instructions and the latest information. Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social sec Attac Sequ 1 2a Part 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 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 6 Farm income or (loss). Attach Schedule F 7 Unemployment compensation.. 8 Other income. List type and amount 3 4 5 5 6 7 8 9 10 9 Combine lines 1 through 8. Enter here and on Form 1040, 1040-SR, or 1040-NR. line 8. Part II Adjustments to Income 10 Educator expenses 11 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 ... 12 Health savings account deduction. Attach Form 8889 13 Movina expenses for members of the Armed Forces. Attach Form 3903 11 12 13 OMB SCHEDULE 1 Additional Income and Adjustments to Income (Form 1040) 2 Department of the Treasury Attach to Form 1040, 1040-SR, or 1040-NR. Internal Revenue Service Go to www.irs.gov/Form 1040 for instructions and the latest information. Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social sec Attac Sequ 1 2a Part 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 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 6 Farm income or (loss). Attach Schedule F 7 Unemployment compensation.. 8 Other income. List type and amount 3 4 5 5 6 7 8 9 10 9 Combine lines 1 through 8. Enter here and on Form 1040, 1040-SR, or 1040-NR. line 8. Part II Adjustments to Income 10 Educator expenses 11 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 ... 12 Health savings account deduction. Attach Form 8889 13 Movina expenses for members of the Armed Forces. Attach Form 3903 11 12 13

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