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John R. Lane (SSN 111-44-6666) lives at 1010 Ipsen Street, Yorba Linda, Ca ornia 90102. John, a single taxpayer, age 66, provided 60% of his cousin's support. The cousin lives in Arizona. He wants to take advantage of the presidential election campaign check- off. John was employed as an accountant before he retired during the year. Other relevant information includes Salary $50,000 Pension (all taxable) 41,000 Taxable interest income 240 Deductible contribution to IRA 6,000 Withholdings 12,100 John's itemized deductions total $11,000. Complete Form 1040-SR and Schedule 1 for 2019. Assume any estimated tax penalty is zero. SCHEDULE 1 (Form 1040 or 1040-SR Additional Income and Adjustments to Income Department of the Treasury Attach to Form 1040 or 1040-SR. Internal Revenue Service Go to www.irs.gov/Form 1040 for instructions and the latest information Names shown on Form 1040 or 1046-SR OMB No 1545-0074 2019 Attachment Sequence No. 01 Your social security number 4 3 4 5 6 8 9 10 At any time during 2019, did you receive, sel, send, exchange, or otherwise acquire any financial interest in any virtual currency? Yes No Partl Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes. 1 2a Alimony received 2a Date of original divorce or separation agreement (see instructions) 3 Business income or loss). Attach Schedule C. Other gains or losses). Attach Form 4797 5 Rental real estate, royalties, partnerships. S corporations, trusts, etc. Attach Schedule E. Farm income or (oss). Attach Schedule F 6 7 Unemployment compensation. 7 8 Other income. List type and amount Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 7a Part II Adjustments to Income 10 Educator expenses 11 Certain business expenses of reservists, performing artists, and foe-basis government officials. Attach Form 2106 12 Health savings account deduction. Attach Form 8880 12 13 Moving expenses for members of the Armed Forces. Attach Form 3903 Deductible part of self-employment tax. Attach Schedule SE 15 Self-employed SEP, SIMPLE, and qualified plans 16 Self-employed health insurance deduction 16 Penalty on early withdrawal of savings 18a Alimony paid 18a b Recipient's SSN c Date of original divorce or separation agreement (soe instructions) 19 IRA deduction 19 20 Student loan interest deduction 20 21 Tuition and foes. Attach Form 8917 21 22 Add ines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 8a 22 For Paperwork Reduction Act Notice, see your tax return instructions. Cat No. 71473 Schedule 1 Form 1040 or 1040-SR, 2019 11 14 13 14 15 17 17