Return RI PO The New pls Rad The Wig Hea Rine we w - Chad tas IC 18000 2200 than four Heather Dino Daughter dependents Intruction and check are 1 Wages, ares, tips, etc. Attach Forms W2 Altach 2a Tax-exempt interest 2a 1500 Scho b Taxable interest sa Qualified dividends Ja required b Ordinary dividends 4s IPA stributions 4a Table amount 5a Pensions and arvuti Sa Taxable amount Standard sa Social security benefits b Taxable amount Deduction for 7 Capital gain or fo Attach Schedule Dif required. It not required. Check here .ge Mameding 8 Other income from Schedule 1, mine 111AC Add line 1.2.10, 40, 56, 6, 7 and 8. This is your total income 10 Adiustments to income Guang a From Schedule 1, line 22 100 14.00 b Chable contributions if you take the standard deduction Ses instruction 10 Hof Ads lines 10 and 106. These we your total adjustments to income hold 11 Subtractine 10 from. This is your adjusted gross income SO you chech 12 Standard deduction or temired deductions on Schedule ory Sant 13 Qualified business income deduction Attach 1995 or Form 1095-A Dede 14 Addis 12 and 13 Taxable income. Subtract ne 14 om 11 or less enter - For Disco Praty Act, and Paperwork Reduction Act Notice pentruction GEN 1 2b 38 4b 5b 6b 7 8 9 90 35100 5100 100 11 12 13 10 15 $100 05 W1040 SCHEDULE 1 OUR N 16-04 Adilltional Income and Adjustments to Income form 10401 2020 wa Tan Altach to Form 104, 1040-101-MR. Arad RS Go to www.in.goul Form 1000 forintructioned the latest Information LCN 01 NA shown on Form 1040, 1040-BIR OF 1040-NIR Your sociacurily number 1000 2016 a lalaw Part 1 Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes. 2a Alimony recelved 2a b Date of original divorce or separation agreement (see instructions) 3 Business income or oss). Attach Schedule 3 4 Other gains or posses). Attach Form 4797 4 5 Rental real estate, royalties, partnerships, corporations, trusts, etc. Attach Schedule E 6 Farm Income or loss). Attach Schedule F 6 7 Unemployment compensation. 7 8 Other Income. List type and amount 8 9 Combine lines 1 through 8. Enter here and on Form 1040, 1040 SR, or 1040-NR. line 8 9 Part II Adjustments to Income 10 Educator expenses 10 11 Certain business expenses of reservists, performing artists, and fee-bass government officials. Attach Form 2106 11 12 Health savings account deduction. Attach Form 1889 12 13 Moving expenses for members of the Armed Forces. Attach Form 3903 13 14 Deductible part of self-employment tax. Attach Schedule SE 14 15 Self-employed SEP, SIMPLE, and qualified plans 16 Self-employed health insurance deduction 17 Penalty on early withdrawal of savings 17 18a Alimony paid 18a b Recipient's SSN c Date of original dvorce or separation agreement see instructions) 19 IBA deduction 19 20 Student loan interest deduction 20 21 Tuition and foes deduction. Attach Fom 8917 21 22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 1040 SR 1040 NR. Iine 10 For Paperwork Reduction Act Notice your tax rebam intruction 15 16 22 12 3 4 6 SCHEDULES Form 1040 Additional Credits and Payments A to, 100 BR 1545 20 stowwe he 03 Na honom 100, 1040-51040-NR Your city Part I Nonrefundable Credits 1 Foreign tax credit. Attach Form 1116 required 1 2 Credit for child and dependent care expenses. Attach Form 2441 2 3 Education Credits from Form 863, line 19 4 Retirement savings contributions credit. Attach Form 8880 5 Residential energy credits Artach Form 5696 5 6 Other credits from Foma 3800 6801 7 Add lines through. Enter here and on Form 1040 1040-SA or 1040 NA, Ine 20 7 Part II Other Payments and Refundable Credits 8 Net premam tax credit. Attach Form 8962 8 9 Amount paid with request for extension to fierstructions 9 10 Excesso security and tier 1 FRTA tox withhold 11 Credit for federal tax on us. Attach Form 4130 12 Other payments or refundable credit a Form 2439 12a b Qualified sick and family save it from Sched and Foi 7302 12 c Health coverage tax credit trom Form8885 120 d Other 120 . Deferral or certain schedule Horsens 12 Add lines 12 through 120 121 13 Add lines 121 Enterre and on form 1040 1000 OR 1040-1 13 TO 11 or Return RI PO The New pls Rad The Wig Hea Rine we w - Chad tas IC 18000 2200 than four Heather Dino Daughter dependents Intruction and check are 1 Wages, ares, tips, etc. Attach Forms W2 Altach 2a Tax-exempt interest 2a 1500 Scho b Taxable interest sa Qualified dividends Ja required b Ordinary dividends 4s IPA stributions 4a Table amount 5a Pensions and arvuti Sa Taxable amount Standard sa Social security benefits b Taxable amount Deduction for 7 Capital gain or fo Attach Schedule Dif required. It not required. Check here .ge Mameding 8 Other income from Schedule 1, mine 111AC Add line 1.2.10, 40, 56, 6, 7 and 8. This is your total income 10 Adiustments to income Guang a From Schedule 1, line 22 100 14.00 b Chable contributions if you take the standard deduction Ses instruction 10 Hof Ads lines 10 and 106. These we your total adjustments to income hold 11 Subtractine 10 from. This is your adjusted gross income SO you chech 12 Standard deduction or temired deductions on Schedule ory Sant 13 Qualified business income deduction Attach 1995 or Form 1095-A Dede 14 Addis 12 and 13 Taxable income. Subtract ne 14 om 11 or less enter - For Disco Praty Act, and Paperwork Reduction Act Notice pentruction GEN 1 2b 38 4b 5b 6b 7 8 9 90 35100 5100 100 11 12 13 10 15 $100 05 W1040 SCHEDULE 1 OUR N 16-04 Adilltional Income and Adjustments to Income form 10401 2020 wa Tan Altach to Form 104, 1040-101-MR. Arad RS Go to www.in.goul Form 1000 forintructioned the latest Information LCN 01 NA shown on Form 1040, 1040-BIR OF 1040-NIR Your sociacurily number 1000 2016 a lalaw Part 1 Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes. 2a Alimony recelved 2a b Date of original divorce or separation agreement (see instructions) 3 Business income or oss). Attach Schedule 3 4 Other gains or posses). Attach Form 4797 4 5 Rental real estate, royalties, partnerships, corporations, trusts, etc. Attach Schedule E 6 Farm Income or loss). Attach Schedule F 6 7 Unemployment compensation. 7 8 Other Income. List type and amount 8 9 Combine lines 1 through 8. Enter here and on Form 1040, 1040 SR, or 1040-NR. line 8 9 Part II Adjustments to Income 10 Educator expenses 10 11 Certain business expenses of reservists, performing artists, and fee-bass government officials. Attach Form 2106 11 12 Health savings account deduction. Attach Form 1889 12 13 Moving expenses for members of the Armed Forces. Attach Form 3903 13 14 Deductible part of self-employment tax. Attach Schedule SE 14 15 Self-employed SEP, SIMPLE, and qualified plans 16 Self-employed health insurance deduction 17 Penalty on early withdrawal of savings 17 18a Alimony paid 18a b Recipient's SSN c Date of original dvorce or separation agreement see instructions) 19 IBA deduction 19 20 Student loan interest deduction 20 21 Tuition and foes deduction. Attach Fom 8917 21 22 Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 1040 SR 1040 NR. Iine 10 For Paperwork Reduction Act Notice your tax rebam intruction 15 16 22 12 3 4 6 SCHEDULES Form 1040 Additional Credits and Payments A to, 100 BR 1545 20 stowwe he 03 Na honom 100, 1040-51040-NR Your city Part I Nonrefundable Credits 1 Foreign tax credit. Attach Form 1116 required 1 2 Credit for child and dependent care expenses. Attach Form 2441 2 3 Education Credits from Form 863, line 19 4 Retirement savings contributions credit. Attach Form 8880 5 Residential energy credits Artach Form 5696 5 6 Other credits from Foma 3800 6801 7 Add lines through. Enter here and on Form 1040 1040-SA or 1040 NA, Ine 20 7 Part II Other Payments and Refundable Credits 8 Net premam tax credit. Attach Form 8962 8 9 Amount paid with request for extension to fierstructions 9 10 Excesso security and tier 1 FRTA tox withhold 11 Credit for federal tax on us. Attach Form 4130 12 Other payments or refundable credit a Form 2439 12a b Qualified sick and family save it from Sched and Foi 7302 12 c Health coverage tax credit trom Form8885 120 d Other 120 . Deferral or certain schedule Horsens 12 Add lines 12 through 120 121 13 Add lines 121 Enterre and on form 1040 1000 OR 1040-1 13 TO 11 or