Your W-2 form shows that you made $40,000 in taxable wages and that $7,000 was deducted from your paycheck for federal income taxes. You are married, filing a joint return, and your spouse does not work. You donated $3,000 in cash to your church and paid $6,000 in interest on your home mortgage. Answer the following questions:

a. What is the amount of your adjusted gross income to be written on lines 37 and 38 of Form 1040?

b. How many exemptions will you be able to claim? How much will this reduce your taxable income?

c. If you itemize deductions, how much can you claim on line 40a of Form 1040? Note: Itemize--do not use the standard deduction. d. If you itemize deductions, what is the amount of your taxable income to be written on line 43 of Form 1040?

e. If your tax is exactly 20% of your taxable income on line 43 of Form 1040, how much of a tax refund (or how much additional tax) will you have to pay?

Form 1040 2011 (99) Department of the TreasuryInternal Revenue Service U.S. Individual Income Tax Return For the year Jan. 1-Dec. 31, 2011, or other tax year beginning OMB No. 1545-0074 , 2011, ending IRS Use OnlyDo not write or staple in this space. See separate instructions. , 20 Your first name and initial Last name Your social security number If a joint return, spouse's first name and initial Last name Spouse's social security number Apt. no. Home address (number and street). If you have a P.O. box, see instructions. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Foreign country name Filing Status Check only one box. Exemptions Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking Foreign postal code a box below will not change your tax or refund. You Spouse Foreign province/county 1 4 Single Married filing jointly (even if only one had income) 2 3 c Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child's name here. Married filing separately. Enter spouse's SSN above and full name here. 6a b 5 Qualifying widow(er) with dependent child Yourself. If someone can claim you as a dependent, do not check box 6a . Spouse . Dependents: (1) First name . . . . . . . . . . . (2) Dependent's social security number Last name . . . . . . . . . . . . . . . . } (4) if child under age 17 qualifying for child tax credit (see instructions) (3) Dependent's relationship to you Dependents on 6c not entered above d . . . . . . . 8b . . . . . . . . . . . . . . . . . . . . . . . 9a 10 11 Qualified dividends . . . . . . . . . . . 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 11 12 13 14 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . Capital gain or (loss). Attach Schedule D if required. If not required, check here Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . 12 13 14 15a 16a 17 IRA distributions . 15a b Taxable amount . . . Pensions and annuities 16a b Taxable amount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 15b 16b 17 18 19 20a Farm income or (loss). Attach Schedule F . Unemployment compensation . . . . Social security benefits 20a 18 19 20b 21 22 Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income 23 Educator expenses 24 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ 25 Health savings account deduction. Attach Form 8889 . 24 25 Moving expenses. Attach Form 3903 . . . . . . Deductible part of self-employment tax. Attach Schedule SE . Self-employed SEP, SIMPLE, and qualified plans . . 26 27 28 Self-employed health insurance deduction Penalty on early withdrawal of savings . . . . . . . . . . Alimony paid b Recipient's SSN IRA deduction . . . . . . . Student loan interest deduction . . Tuition and fees. Attach Form 8917 . 29 30 31a . . . . . . . . . . . . 32 33 34 Domestic production activities deduction. Attach Form 8903 35 Add lines 23 through 35 . . . . . . . . . . . . . Subtract line 36 from line 22. This is your adjusted gross income 7 8a b 9a b Total number of exemptions claimed . . . . Wages, salaries, tips, etc. Attach Form(s) W-2 . Taxable interest. Attach Schedule B if required . Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Taxable amount . . . . . . . . . . . . Add numbers on lines above 8a 35 36 37 Adjusted Gross Income . 32 33 34 Enclose, but do not attach, any payment. Also, please use Form 1040-V. . 29 30 31a If you did not get a W-2, see instructions. . 26 27 28 Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. Boxes checked on 6a and 6b No. of children on 6c who: lived with you did not live with you due to divorce or separation (see instructions) If more than four dependents, see instructions and check here Income Make sure the SSN(s) above and on line 6c are correct. 7 21 22 23 . . . For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. . . . . . . . . . 36 37 Cat. No. 11320B Form 1040 (2011) Page 2 Form 1040 (2011) Tax and Credits Standard Deduction for People who check any box on line 39a or 39b or who can be claimed as a dependent, see instructions. All others: Single or Married filing separately, $5,800 Married filing jointly or Qualifying widow(er), $11,600 Head of household, $8,500 Other Taxes 38 Amount from line 37 (adjusted gross income) 39a Check if: { . . . . . You were born before January 2, 1947, Spouse was born before January 2, 1947, If you have a qualifying child, attach Schedule EIC. . } . . . . . 38 . Total boxes checked 39a If your spouse itemizes on a separate return or you were a dual-status alien, check here 39b 40 41 Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . 42 43 Exemptions. Multiply $3,700 by the number on line 6d . . . . . . . . . . . . Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . Form 4972 c 962 election Tax (see instructions). Check if any from: a Form(s) 8814 b b 44 45 46 Alternative minimum tax (see instructions). Attach Form 6251 . Add lines 44 and 45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b . . . 8919 . . . . 47 48 Foreign tax credit. Attach Form 1116 if required . Credit for child and dependent care expenses. Attach Form 2441 49 50 51 Education credits from Form 8863, line 23 . . . . . Retirement savings contributions credit. Attach Form 8880 Child tax credit (see instructions) . . . . . . . . Residential energy credits. Attach Form 5695 . . . . 52 3800 b 8801 c Other credits from Form: a 53 Add lines 47 through 53. These are your total credits . . . . . Subtract line 54 from line 46. If line 54 is more than line 46, enter -0- 56 57 Self-employment tax. Attach Schedule SE . . . . Unreported social security and Medicare tax from Form: 58 59a b Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required Household employment taxes from Schedule H . . . . . . . a 4137 . . . . . . . . . First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . . . . . . . . . . . . 69 Credit for federal tax on fuels. Attach Form 4136 . . . . 70 Credits from Form: a 2439 b 8839 c 8801 d 8885 71 Add lines 62, 63, 64a, and 65 through 71. These are your total payments . . . . . . . . . Federal income tax withheld from Forms W-2 and 1099 . . 2011 estimated tax payments and amount applied from 2010 return 64a b Earned income credit (EIC) . . . . Nontaxable combat pay election 64b Additional child tax credit. Attach Form 8812 65 66 Add lines 55 through 60. This is your total tax . . . . . . . . . . . . . . . . . American opportunity credit from Form 8863, line 14 . First-time homebuyer credit from Form 5405, line 10 . Amount paid with request for extension to file . . . . . . . . . . 65 66 67 68 Excess social security and tier 1 RRTA tax withheld If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid 74a b d Sign Here Amount of line 73 you want refunded to you. If Form 8888 is attached, check here . c Type: Routing number Checking Savings Account number Amount of line 73 you want applied to your 2012 estimated tax 75 Amount you owe. Subtract line 72 from line 61. For details on how to pay, see instructions Paid Preparer Use Only 77 77 Estimated tax penalty (see instructions) . . . . . . . Do you want to allow another person to discuss this return with the IRS (see instructions)? Designee's name Phone no. 72 73 74a 76 Yes. Complete below. No Personal identification number (PIN) Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation Daytime phone number Spouse's signature. If a joint return, both must sign. Date Spouse's occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.) PTIN Check if self-employed Joint return? See instructions. Keep a copy for your records. 60 61 62 63 64a 73 75 76 55 56 57 58 59a 59b . . . 62 63 Third Party Designee 44 45 46 54 Other taxes. Enter code(s) from instructions Direct deposit? See instructions. Amount You Owe 43 49 50 51 52 53 54 55 40 41 42 47 48 67 68 69 70 71 72 Refund . Blind. Blind. 60 61 Payments . Print/Type preparer's name Firm's name Preparer's signature Date Firm's EIN Firm's address Phone no. Form 1040 (2011) Itemized Deductions SCHEDULE A (Form 1040) Department of the Treasury Internal Revenue Service (99) Attach to Form 1040. See OMB No. 1545-0074 2011 Instructions for Schedule A (Form 1040). Attachment Sequence No. 07 Your social security number Name(s) shown on Form 1040 Medical and Dental Expenses Taxes You Paid Interest You Paid Note. Your mortgage interest deduction may be limited (see instructions). Caution. Do not include expenses reimbursed or paid by others. Medical and dental expenses (see instructions) . . . . . 1 Enter amount from Form 1040, line 38 2 Multiply line 2 by 7.5% (.075) . . . . . . . . . . . 3 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . State and local (check only one box): a Income taxes, or . . . . . . . . . . . 5 b General sales taxes 6 Real estate taxes (see instructions) . . . . . . . . . 6 7 Personal property taxes . . . . . . . . . . . . . 7 8 Other taxes. List type and amount 8 9 Add lines 5 through 8 . . . . . . . . . . . . . . . . 10 Home mortgage interest and points reported to you on Form 1098 10 1 2 3 4 5 . . . . . 4 . . . . . . 9 . . . . . . 15 . . . . . . 19 . . . . . . 20 . . . . . 27 } 11 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person's name, identifying no., and address 11 12 Points not reported to you on Form 1098. See instructions for special rules . . . . . . . . . . . . . . . . . 12 13 Mortgage insurance premiums (see instructions) . . . . . 13 14 Investment interest. Attach Form 4952 if required. (See instructions.) 14 15 Add lines 10 through 14 . . . . . . . . . . . . . . . Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more, see instructions . . . . . . . . . . . . . . . . 16 Charity 17 Other than by cash or check. If any gift of $250 or more, see If you made a gift and got a instructions. You must attach Form 8283 if over $500 . . . 17 benefit for it, 18 Carryover from prior year . . . . . . . . . . . . 18 see instructions. 19 Add lines 16 through 18 . . . . . . . . . . . . . . . Casualty and Theft Losses . 20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) . . Job Expenses 21 Unreimbursed employee expensesjob travel, union dues, and Certain job education, etc. Attach Form 2106 or 2106-EZ if required. Miscellaneous 21 (See instructions.) Deductions 22 Tax preparation fees . . . . . . . . . . . . . 22 23 Other expensesinvestment, safe deposit box, etc. List type and amount Other Miscellaneous Deductions 24 25 26 27 28 23 Add lines 21 through 23 . . . . . . . . . . . . 24 Enter amount from Form 1040, line 38 25 Multiply line 25 by 2% (.02) . . . . . . . . . . . 26 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- . Otherfrom list in instructions. List type and amount 28 Total 29 Add the amounts in the far right column for lines 4 through 28. Also, enter this amount on Form 1040, line 40 . . . . . . . . . . . . . . . . . . . . . 29 Itemized Deductions 30 If you elect to itemize deductions even though they are less than your standard deduction, check here . . . . . . For Paperwork Reduction Act Notice, see Form 1040 instructions. . . . . . . . . . . Cat. No. 17145C . . . Schedule A (Form 1040) 2011