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 |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Your first name and initial   |  |  | Last name   |  |  |  |  |  |  |  |  |  | Your social security number   |  |  |  |  |  |\n| If a joint return,spouse's first name and initial   |  |  | Last name   |  |  |  |  |  |  |  |  |  | Spouse's social security number   |  |  |  |  |  |\n| Home address (number and street).If you have a P.O.box,see instructions.   |  |  |  |  |  |  |  |  |  | Apt.no.   |  |  | Make sure the SSN(s)  \u003Cbr>above are correct.   |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| City,town or post office,state,and ZIP code.f you have a foreign address,also complete spaces below(see instructions).   |  |  |  |  |  |  |  |  |  |  |  |  | Presidential Election Campaign  \u003Cbr>Check here ifyou,or your spouseif filing  \u003Cbr>jointly,want S3 to go to this fund.Checking  \u003Cbr>abox below will not change your tax or  \u003Cbr>refund.  \u003Cbr>You  \u003Cbr>Spouse   |  |  |  |  |  |\n| Foreign country name   |  |  |  | Foreign province/state/county   |  |  |  |  | Foreign postal code   |  |  |  |  |  |  |  |  |  |\n| Income  \u003Cbr>Attach  \u003Cbr>Form(s)W-2  \u003Cbr>here.  \u003Cbr>Enclose,but do  \u003Cbr>not attach,any  \u003Cbr>payment.   | 1 Wages,salaries,and tips.This should be shown in box 1 of your Form(s)W-2.  \u003Cbr>1  \u003Cbr>Attach your Form(s)W-2.   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 2  \u003Cbr>2 Taxable interest.If the total is over$1,500,you cannot use Form 1040EZ.   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 3 Unemployment compensation and Alaska Permanent Fund dividends (see instructions).  \u003Cbr>3   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 4  \u003Cbr>4 Add lines 1,2,and 3.This is your adjusted gross income.   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 5 If someone can claim you(or your spouse if ajoint return)as a dependent,check  \u003Cbr>the applicable box(es)below and enter the amount from the worksheet on back.  \u003Cbr>□You  \u003Cbr>□Spouse  \u003Cbr>If no one can claim you(or your spouse if a joint return),enter $10,350 if single;  \u003Cbr>5  \u003Cbr>$20,700 if married filing jointly.See back for explanation.   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 6 Subtract line 5 from line 4.If line 5 is larger than line 4,enter -0-.  \u003Cbr>This is your taxable income.  \u003Cbr>▶    6   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Payments,  \u003Cbr>Credits,  \u003Cbr>and Tax   | 7  \u003Cbr>7 Federal income tax withheld from Form(s)W-2 and 1099.   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 8a Earned income credit(EIC)(see instructions)  \u003Cbr>8a   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | b Nontaxable combat pay election.  \u003Cbr>8b   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 9  \u003Cbr>9  \u003Cbr>Add lines 7 and 8a.These are your total payments and credits.   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | Tax.Use the amount on line 6above to find your tax in the tax table in the  \u003Cbr>10  \u003Cbr>10  \u003Cbr>instructions.Then,enter the tax from the table on this line.   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 11  \u003Cbr>Health care:individual responsibility(see instructions)  \u003Cbr>11  \u003Cbr>Full-year coverage   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | 12  \u003Cbr>12  \u003Cbr>Add lines 10 and 11.This is your total tax.   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Refund  \u003Cbr>Have it directly  \u003Cbr>deposited!See  \u003Cbr>instructions and  \u003Cbr>fill in 13b,13c,  \u003Cbr>and 13d,or  \u003Cbr>Form 8888.   | 13a If line 9 is larger than line 12,subtract line 12 from line 9.This is your refund.  \u003Cbr>13a  \u003Cbr>If Form 8888 is attached,check herel   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ","cbCaifpffJyDwPHF","https://ap.wps.com/l/cbCaifpffJyDwPHF","pdf",113498,"English","# Income and Filing Details\n## Name, Address, and SSN Information\n## Income, Deductions, and Calculations\n## Payments, Credits, and Health Care\n## Refund or Amount You Owe\n## Direct Deposit and Third-Party Designee\n## Signatures and Preparer Information","[{\"question\":\"How are refund or amount owed determined?\",\"answer\":\"Adjusted figures are used to compute total tax, then compare total payments and credits to total tax to determine whether the result is a refund or the amount you owe.\"}]","Income Tax Return for Single and Joint Filers With No Dependents (99) - 2016 Form 1040EZ | PDF"]