//3ä1&l8c66p0e66f0L&k0G(0U(s1p14v0s3b4T&a4.2r360H1040A&a5.0r3150H1990(s1p12v0s3b4T&a4.0r1044HU.S. Individual&a5.0r1044HIncome Tax Return&a16.0r1044HPresidential Election Campaign Fund&a6.5r270HStep 1&a20.5r270HStep 2&a27.5r270HStep 3&a43.0r270HStep 4&a58.5r270HStep 5(s1p10v0s3b4T&a7.5r270HLabel&a12.0r4520HFor Privacy Act&a12.8r4520Hand Paperwork&a13.6r4520HReduction Act&a14.4r4520HNotice, see page 3.&a21.5r270HCheck your&a22.3r270Hfiling status&a28.5r270HFigure your&a29.3r270Hexemptions&a44.0r270HFigure your&a44.8r270Htotal income&a59.5r270HFigure your&a60.3r270Hadjusted&a61.1r270Hgross&a61.9r270Hincome&a20.0r990H1&a21.0r990H2&a22.0r990H3&a24.0r990H4&a26.0r990H5&a27.0r990H6a&a29.0r990H6b&a30.0r1035Hc&a39.2r1035Hd&a41.0r1035He&a42.2r990H7&a43.0r4680H7&a44.2r990H8a&a45.0r4680H8a&a46.0r1035Hb&a3680H8b&a47.0r990H9&a4680H9&a48.2r945H10a&a3640H10b&a49.0r2240H10a&a4640H10b&a50.2r945H11a&a3640H11b&a51.0r2240H11a&a4640H11b&a53.0r945H12&a53.0r4640H12&a54.2r945H13a&a3640H13b&a55.0r2240H13a&a4640H13b&a57.0r945H14&a57.0r4640H14&a58.0r945H15a&a3640H15a&a59.2r1035Hb&a60.0r3640H15b&a61.0r1035Hc&a4640H15c&a62.2r945H16&a63.0r4640H16(s1p8v0s3b4T&a16.4r4520HNote:&a27.0r1413HYourself&a29.0r1413HSpouse&a30.0r1152HDependents&a44.2r1152HTaxable&a46.0r1152HTax-exempt&a57.0r3135Htotal income.&a61.0r3150Htotal adjustments.&a62.2r3300Hadjusted gross income.(s1p8v0s0b4T&a3.0r360H Form&a9.0r270HUse IRS label.&a9.8r270HOtherwise,&a10.6r270Hplease print&a11.4r270Hor type.&a17.0r1044HDo you want $1 to go to this fund?&a17.0r3725HYes&a4220HNo&a18.0r1044HIf joint return, does your spouse want $1 to go to this fund?&a18.0r3725HYes&a4220HNo&a16.4r4780HChecking "Yes" will&a17.2r4520Hnot change your tax or&a18.0r4520Hreduce your refund.&a20.0r1413HSingle (See page 16 to find out if you can file as head of household.)&a21.0r1413HMarried filing joint return (even if only one had income)&a22.0r1413HMarried filing separate return. Enter spouse's social security number above&a23.0r1413Hand spouse's full name here.&a24.0r1413HHead of household (with qualifying person). (See page 16.) If the qualifying person is your child&a25.0r1413Hbut not your dependent, enter this child's name here.&a26.0r1413HQualifying widow(er) with dependent child (year spouse diedò 19ò ). (See page 17.)&a27.0r1780HIf your parent (or someone else) can claim you as a dependent on his or her&a27.8r1770Hreturn, do not check box 6a. But be sure to check the box on line 18b on page 2.&a39.2r1152HIf your child didn't live with you but is claimed as your dependent under a&a40.0r1152Hpre-1985 agreement, check here. . . . . . . . . . . . . . . . . . . . . . . . . .&a41.0r1152HTotal number of exemptions claimed.&a42.2r1152HWages, salaries, tips, etc. This should be shown in Box 10 of your W-2 form(s).&a43.0r1152H(Attach Form(s) W-2.)&a44.2r1465Hinterest income (see page 23). (If over $400, also complete and attach&a45.0r1152HSchedule 1, Part I.)&a46.0r1640Hinterest. (DO NOT include on line 8a.)&a47.0r1152HDividends. (If over $400, also complete and attach Schedule 1, Part II.)&a48.2r1152HTotal IRA&a48.2r3850HTaxable amount&a49.0r1152Hdistributions&a49.0r3850H(see page 24).&a50.2r1152HTotal pensions&a50.2r3850HTaxable amount&a51.0r1152Hand annuities.&a51.0r3850H(see page 25).&a53.0r1152HUnemployment compensation (insurance) from Form(s) 1099-G.&a54.2r1152HSocial security&a54.2r3850HTaxable amount&a55.0r1152Hbenefits.&a55.0r3850H(see page 28).&a57.0r1152HAdd lines 7 through 13b (far right column). This is your&a58.0r1152HYour IRA deduction, from applicable worksheet.&a59.2r1152HSpouse's IRA deduction, from applicable worksheet.&a60.0r1152HNOTE: Rules for IRAs begin on page 30.&a61.0r1152HAdd lines 15a and 15b. Enter the total. These are your&a62.2r1152HSubtract line 15c from line 14. Enter the result. This is your&a63.0r1152H(If less than $20,264, see "Earned income credit" on page 38.)(s1p6v0s0b4T&a6r5112HOMB No 1545-0085&a3.0r1044HDepartment of the Treasury - Internal Revenue Service&a7.0r4520HYour social security no.&a9.0r4520HSpouse's social security no.&a7.0r1044HYour first name and initial&a3000HLast name&a9.0r1044HSpouse's first name and initial&a3000HLast name&a11.0r1044HHome address (number and street).&a13.0r1044HCity, town or post offic, state and ZIP code&a27.0r4923HNo. of boxes&a27.5r4923Hchecked on 6a&a28.0r4923Hand 6b&a31.0r1035H1. Name (first, initial, and last name)&a30.0r2572H2. Check&a30.5r2580Hif under&a31.0r2612Hage 2&a30.0r3002H3. If age 2 or older,&a30.5r3080Hdependent's&a31.0r2952Hsocial security number&a30.5r3915H4. Relationship&a30.0r4516H5. 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See page 35 for the chart (or worksheet)&a15.0r1152Hthat applies to you. Be sure to enter your standard deduction here.&a21.0r1425Htaxable income.&a28.0r2600Htotal credits.&a32.0r2375Htotal tax.&a37.2r1152HEarned income credit.&a40.0r2800Htotal payments.&a42.0r2010Hoverpaid.&a44.0r2160Hrefunded to you.&a45.2r2160Happlied to your&a46.0r1152H1991 estimated tax.&a48.4r1560Hamount you owe.(s1p8v0s0b4T&a4r5330HPage&a6.0r1152HEnter the amount from line 16.&a8.0r1980Hwere 65 or older&a2880HBlind&a8.5r1152HCheck if:&a9.0r2120Hwas 65 or older&a2880HBlind&a10.2r1152HIf someone (such as your parent) can claim you as a dependent,&a11.0r1152Hcheck here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .&a12.2r1152HIf you are married filing separately and your spouse files Form&a13.0r1152H1040 and itemizes deductions, see page 34 and check here. . . . . . . . .&a17.0r1152HSubtract line 19 from line 17. (If line 19 is more than line 17, enter -0-.)&a19.0r1152HMultiply $2,050 by the total number of exemptions claimed on line 6e.&a20.2r1152HSubtract line 21 from line 20. (If line 21 is more than line 20, enter -0-.) This&a21.0r1152His your&a22.0r1152HFind the tax on the amount on line 22. Check if from:&a23.0r1300HTax Table (pages 49-54) or&a2600HForm 8615 (see page 36)&a24.2r1152HCredit for child and dependent care expenses.&a25.0r1152HComplete and attach Schedule 2.&a26.2r1152HCredit for the elderly or the disabled.&a27.0r1152HComplete and attach Schedule 3.&a28.0r1152HAdd lines 24a and 24b. These are your&a29.0r1152HSubtract line 24c from line 23. (If line 24c is more than line 23, enter -0-.)&a30.0r1152HAdvance earned income credit payments from Form W-2.&a32.0r1152HAdd lines 25 and 26. This is your&a33.0r1152HTotal Federal income tax withheld. (If any is from&a34.0r1152HForm(s) 1099, check hereò .)&a35.2r1152H1990 estimated tax payments and amount&a36.0r1152Happlied from 1989 return.&a37.2r2085HSee page 38 to find out if you&a38.0r1152Hcan take this credit.&a40.0r1152HAdd lines 28a, 28b, and 28c. These are your&a41.2r1152HIf line 28d is more than line 27, subtract line 27 from line 28d.&a42.0r1152HThis is the amount you&a44.0r1152HAmount of line 29 you want&a45.2r1152HAmount of line 29 you want&a47.6r1152HIf line 27 is more than line 28d, subtract line 28d from line 27. Enter the result.&a48.4r1152HThis is the&a2250HAttach check or money order for full amount&a49.2r1152Hpayable to "Internal Revenue Service." Write your name, social security number,&a50.0r1152Haddress, daytime phone number, and "1990 Form 1040A" on it.&a51.0r1152HEstimated tax penalty (see page 42).&a55.2r270H(Keep a copy&a56.0r270Hfor your&a56.8r270Hrecords.)(s1p8v0s0b4T&a58.2r3816HCheck if&a59.0r3816Hself-employed(s1p6v0s0b4T&a52.0r945HUnder penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and&a52.5r945Hbelief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information which preparer has any knowledge.&a53.5r1008HYour signature&a3168HDate&a3816HYour occupation&a56.0r1008HSpouse's signature (if joint return, BOTH must sign)&a3168HDate&a3816HSpouse's occupation&a58.0r864HPreparer's&a58.5r864Hsignature&a58.0r3166HDate&a4608HPreparer's SSN:&a60.0r864HFirm's name&a60.5r864H(or yours&a61.0r864Hif self-employed&a61.5r864Hand address)&a60.0r4176HE.I. 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