//1ä1FORM 1040Aò U.S. INDIVIDUAL INCOME TAX RETURNò 1990Ýò-NÝSTEP 1 |ò 2|Soc. Sec No.:Ýò |ò 2|ß ãYNAME*ßBáïÝLABEL |ò 2|ß ãSNAME*ßBáïÝò |ò 2|ß áÝò |ò 2|ß ãCITY*Ýò ò-CÝò $1 to Presidential Election Campaign Fund? [ ] YES [ ] NOß9â ,YßCâ ,NÝò $1 from spouse to Election Campaign Fund? [ ] YES [ ] NOß9â ,YßCâ ,NÝò=NÝSTEP 2 1. [ ] Singleßâ,1Ýò 2. [ ] Married filing joint returnßâ,2ÝFILING 3. [ ] Married filing separate:ßâ,3ß-áïÝSTATUS: 4. [ ] Head of household:ßâ,4ß-áïÝò 5. [ ] Qualifying widow(er): (year spouse died: 19__)ßâ,5ß?áÝò=NÝSTEP 3 6a. [ ] Yourselfò $No. ofßáÝEXEMP-ò 8boxesÝTIONSò b. [ ] Spouseò &checked [ ]ßáßLáÝ ò-7Ýò |Chk if|Dependent's|ò |Mths| No. childrenÝ c. Dependent's Name |Undr 2| SSN | Relation. |Home| with you [ ]ßLá<Ý ò-|ò-|ò- |ò- |----|Ýò | [ ] |ò |ò | | No. children notßîáïßîáïß"îáïß.îáïß;îáïÝò | [ ] |ò |ò | | with you [ ]ßîáïßîáïß"îá ïß.îá!ïß;îá"ïßLá=Ýò | [ ] |ò |ò | |ßîá$ïßîá%ïß"îá&ïß.îá'ïß;îá(ïÝò | [ ] |ò |ò | | No. other [ ]ßîá*ïßîá+ïß"îá,ïß.îá-ïß;îá.ïßLá>Ýò | [ ] |ò |ò | |ßîá0ïßîá1ïß"îá2ïß.îá3ïß;îá4ïÝò | [ ] |ò |ò | |ßîá6ïßîá7ïß"îá8ïß.îá9ïß;îá:ïÝ ò-8Ýò d Check if claiming dependent under pre-1985 agreement [ ]ßFá?Ýò e Total number of exemptions claimedò. [ ]ßLá@Ýò=NÝSTEP 4 7 Wages, salaries, tips, etc. From box 10 of your |Ýò W-2(s). (Attach W-2(s).)ò. ( ).( )..7.|ß7áDß<áEßEáFÝò ò-8|ÝINCOME 8a Taxable interest incomeò.8a|ßEáGÝò b Tax-exempt interestò.8b|ò |ß7áHÝò ò-8|Ýò 9 Dividend incomeò.#9.|ßEáIÝò ò-8|Ýò 10a Tot IRA distributions...10a|ò | Taxable.10b|ß,áJßEáKÝò ò-8|Ýò 11a Tot pensions & annuity. 11a|ò | Taxable 11b|ß,áLßEáMÝò ò-8|Ýò 12 Unemployment compensation (insurance)ò. 12.|ßEáNÝò ò-8|Ýò 13a Soc. Sec. benefits ( )..13a|ò | Taxable 13b|ß#áOß,áPßEáQÝò ò-8|Ýò 14 Total income (add lines 7 through 13b)ò. 14.|ßEáRÝò=NÝSTEP 5 15a Your IRA deduction from worksheet...15a|ò |ß7îáVïÝò b Spouse's IRA deductionsò. 15b|ò |ß7îáWïÝFIGURE c Add lines 15a and 15b. Enter the total.ò |ÝADJ.ò These are your total adjustmentsò.15c|ßEáXÝò ò-8|ÝGROSS 16 Subtract line 15c from line 14. This is yourò |ÝINCOMEò adjusted gross income. (If less than $20,264,ò |Ýò see "Earned Income Credit" instructionsò. 16.|ßEîáYïÝò=NÝðä2FORM 1040A (1990)ò 4Page 2Ýò=NÝSTEP 6 17 Enter the amount from line 16.ò 17.|ßEáYÝò ò-@ÝSTANDARD 18a Check if: [ ] You were 65 or older [ ] Blind 18a. BoxesßáZß5á[ÝDEDUCTIONò [ ] Spouse 65 or older [ ] Blindò checked [ ]ßá\ß5á]ßLá^Ýò b If someone (such as your parent) can claim youÝò as a dependent, check hereò.18b [ ]ßGá_Ýò c If married filing separate return and spouseÝò files Form 1040 and itemizes, check hereò. 18c [ ]ßGá`Ýò ò-@Ýò 19 Standard deduction. See instructions.ò 19|ßEîáaïÝò 20 Subtract line 19 from line 17. Enter theò |ÝEXEMPTION result. If less than zero, enter zero.ò 20|ßEîábïÝAMOUNT, 21 Multiply $2,050 by total exemptions on line 6e. 21|ßEîácïÝTAXABLE 22 Subtract line 21 from line 20. If less than zero |ÝINCOMEò enter zero. This is your taxable income.ò 22|ßEádÝò=NÝSTEP 7 23 Enter the tax on amount on line 22.ò |ÝTAXò Check if from [ ] Tables or [ ] Form 8615ò 23|ßáhß/áißEágÝò ò-4|ò- Ýò 24a Credit for child and dependent careò |Ýò expenses. Attach Schedule 2ò.24a|ò |ß7îájïÝò b Credit for elderly or disabled.ò |ÝCREDITS,ò Complete and attach Schedule 3ò.24b|ò |ß7îákïÝò c Total credits. Add lines 24a and 24bò. 24c|ßEîálïÝò 25 Subtract line 24c from line 23ò.25|ßEîámïÝò 26 Advanced earned income credit payments on W-2ò.26|ßEîánïÝò 27 Total tax. Add lines 25 and 26ò.27|ßEáoÝò ò-4|ò- Ýò 28a Total Federal income tax withheld. |ò |Ýò Check if any Form(s) 1099 [ ]ò 28a|ò |ß*áqß7îápïÝANDò b 1990 estimated tax payments andò |ò |ÝPAYMENTSò amount applied from 1989 refund.....28b|ò |ß7îáwïÝò c Earned Income Credit...ò 28c|ò |ß$ãEIC*ß7îázïÝò 4|ò |ßîáyïÝò d Total payments. Add lines 28a, 28b, and 28cò.28d|ßEá{Ýò=NÝSTEP 8 29 If line 28d is more than line 27, amount OVERPAID. 29|ßEîá|ïÝò 30 Amount of line 29 to be REFUNDED to you.ò 30|ßEá}ÝFIGUREò ò-4|ò- Ýò 31 Amount of line 29 to apply to your |ò |ÝREFUNDò 1991 estimated tax.ò 31|ò |ß7á~Ýò ò-4|ò- ÝORò 32 If line 27 is more than line 28d, subtract line 28d |Ýò from line 27. This is the AMOUNT YOU OWE. Attach |ÝAMOUNTò a check or money order payable to "Internal Revenue |Ýò Service". Write your name, SSN, address, daytime |ÝYOU OWE.ò phone number, and "1990 Form 1040A" on it.ò 32|ßEáÝò ò-4|ò- Ýò 33 Estimated tax penalty (ò ).....33|ò |ß(á�ß7á€Ýò=NÝò Your occupation:ß/áÝò Spouse's Occupation:ß/áÝò=NÝ This cannot be filed with your tax return. You must transfer these figuresÝ to an official 1040A provided by the IRS or use one of the other AM-TaxÝ printing options (dot-matrix 1040A, overlays, pre-printed forms, laser 1040A).Ýð//2ä1ôN90A1*ß" XÝÝÝÝÝßF1040AÝÝÝßãYNAME*ßBáÝÝßãSNAME*ßBáÝÝßáÝÝßãCITY*ÝÝß6â ,Yß=â ,NÝß6â ,Yß=â ,NÝßâ,1ßâ,1Ýßâ,2ßâ,2Ýßâ,3ßâ,3Ýß*áÝßâ,4ßâ,4Ýß9áÝßâ,5ßâ,5ß>áÝÝßáßáÝßNáÝßáßáÝÝÝßáß'áß*áß6áßBáßNá<Ýßáß'áß*á ß6á!ßBá"Ýßá$ß'á%ß*á&ß6á'ßBá(Ýßá*ß'á+ß*á,ß6á-ßBá.Ýßá0ß'á1ß*á2ß6á3ßBá4ßNá=Ýßá6ß'á7ß*á8ß6á9ßBá:ÝßNá>ÝÝß=á?ÝßNá@ÝÝß3áDß7áEßEáFÝÝßEáGÝß7áHÝßEáIÝÝß&ã16A*ßEáKÝÝß&ã17A*ßEáMÝÝßEáNÝÝß áOß&áPßEáQÝÝßEáRÝß7áVÝÝß7áWÝßEáXÝÝßEáYðä2ôN90A2*ß" XÝÝß ãNAME*ß>ãSSN*ÝÝßEáYÝÝßáZß*á[Ýßá\ß*á]ß?á^ÝÝß?á_ÝÝß?á`ÝÝßEáaÝÝßEábÝÝßEácÝÝßEádÝÝÝßáhß(áißEágÝÝß7ájÝÝß7ákÝßEálÝÝßEámÝÝßEánÝÝßEáoÝÝß)áqß7ápÝÝß7áwÝÝßãNEI*ß!ãEICHLD*ß1ãEIC*ß7ázÝßEá{ÝÝßEá|ÝÝßEá}ÝÝß7á~ÝÝÝÝßEáÝß,á�ß7á€ÝÝÝÝß7áÝÝß7áÝÝß?â…,YßCá�Ýßá†ßBá‡Ýßá‰ÝßãPREP*ßáŠß7á‹ß?áŒðÿÿÿ