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Enter additional dependents Form 1040 Department of the Treasury—Internal Revenue Service OMB No. 1545-0074 (99) IRS Use Only—Do not write or staple in this space. U.S. Individual Income Tax Return 20 13 For the year Jan. 1–Dec. 31, 2013, or other tax year beginning , 2013, ending , 20 See separate instructions. 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 c Make sure the SSN(s) above and on line 6c are correct. Home address (number and street). If you have a P.O. box, see instructions. Apt. no. City, town or post office. If you have a foreign address, also complete spaces below (see instructions). Foreign country name Foreign province/state/county Foreign postal code Presidential Election Campaign Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund. You Spouse Filing Status Check only one box. 1 Single 2 Married filing jointly (even if only one had income) 3 Married filing separately. Enter spouse’s SSN above and full name here. a 4 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. a 5 Qualifying widow(er) with dependent child Exemptions 6a Yourself. If someone can claim you as a dependent, do not check box 6a ..... b Spouse } c Dependents: (1) First name Last name (2) Dependent’s social security number (3) Dependent’s relationship to you (4) if child under age 17 qualifying for child tax credit (see instructions) If more than four dependents, see instructions and check here a d Total number of exemptions claimed ................. 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) Dependents on 6c not entered above Add numbers on lines above a Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. If you did not get a W-2, see instructions. 7 Wages, salaries, tips, etc. Attach Form(s) W-2 ............ 7 8a Taxable interest. Attach Schedule B if required ............ 8a interest. Do not include on line 8a . . . 8b Ordinary dividends. Attach Schedule B if required ........... 9a b Qualified dividends ........... 9b 10 Taxable refunds, credits, or offsets of state and local income taxes ...... 10 11 Alimony received ..................... 11 12 Business income or (loss). Attach Schedule C or C-EZ .......... 12 13 Capital gain or (loss). Attach Sch D. If not required, check here a 13 14 Other gains or (losses). Attach Form 4797 .............. 14 IRA distributions . 15a b Taxable amount . . . 15b Pensions and annuities 16a b Taxable amount . . . 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17 18 Farm income or (loss). Attach Schedule F .............. 18 19 Unemployment compensation ................. 19 Social security benefits 20a b Taxable amount . . . 20b 21 Other income. List type and amount 21 22 Combine the amounts in the far right column for lines 7 through 21. This is your total income a 22 Adjusted Gross Income 23 Educator expenses .......... 23 24 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ 24 25 Health savings account deduction. Attach Form 8889 . 25 26 Moving expenses. Attach Form 3903 ...... 26 27 Deductible part of self-employment tax. Attach Schedule SE . 27 28 Self-employed SEP, SIMPLE, and qualified plans . . 28 29 Self-employed health insurance deduction .... 29 30 Penalty on early withdrawal of savings ...... 30 Alimony paid b Recipient’s SSN a 31a 32 IRA deduction ............. 32 33 Student loan interest deduction (see instructions) 33 34 Tuition and fees. Attach Form 8917 ....... 34 35 Domestic production activities deduction. Attach Form 8903 35 36 Add lines 23 through 35 ................... 36 37 Subtract line 36 from line 22. This is your adjusted gross income ..... a 37 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2013) 9a 15a 16a 20a 31a and SSN First Last First Last b Tax-exempt . . ZIP code State ----------------Page (0) Break---------------- Form 1040 (2013) Page 2 Tax and Credits 38 Amount from line 37 (adjusted gross income) .............. 38 39a Check if: { You were born before January 2, 1949, Blind. Spouse was born before January 2, 1949, Blind. } Total boxes checked a 39a b If your spouse itemizes on a separate return or you were a dual-status alien, check here a 39b 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, $6,100 Married filing jointly or Qualifying widow(er), $12,200 Head of household, $8,950 (from Schedule A) or your standard deduction (see left margin) . . 40 41 Subtract line 40 from line 38 ................... 41 If line 38 is $150,000 or less, multiply $3,900 by the number on line 6d. Otherwise, see instructions 42 Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . 43 44 Tax Check if any from: a Form(s) 8814 b c 44 45 Alternative minimum tax (see instructions). Attach Form 6251 45 46 Add lines 44 and 45 ..................... a 46 47 Foreign tax credit. Attach Form 1116 if required .... 47 48 Credit for child and dependent care expenses. Attach Form 2441 48 49 Education credits from Form 8863, line 19 ..... 49 50 Retirement savings contributions credit. Attach Form 8880 50 51 Child tax credit. Attach Schedule 8812, if required ... 51 52 Residential energy credits. Attach Form 5695 .... 52 53 Other credits from Form: a 3800 b 8801 c 53 54 Add lines 47 through 53. These are your total credits ............ 54 55 Subtract line 54 from line 46. If line 54 is more than line 46, enter -0- ...... a 55 Other Taxes 56 Self-employment tax. Attach Schedule SE 56 57 Unreported social security and Medicare tax from Form: a 4137 b 8919 . . 57 58 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . 58 59a 59a b 59b Household employment taxes from Schedule H First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . 60 Taxes from: a Form 8959 b Form 8960 c Instructions; enter code(s) 60 61 Add lines 55 through 60. This is your total tax ............. a 61 Payments 62 Federal income tax withheld from Forms W-2 and 1099 . . 62 63 2013 estimated tax payments and amount applied from 2012 return 63 If you have a qualifying child, attach Schedule EIC. 64a Earned income credit (EIC) .......... 64a b Nontaxable combat pay election 64b 65 Additional child tax credit. Attach Schedule 8812 . . . . . 65 66 American opportunity credit from Form 8863, line 8 .... 66 67 Reserved . . . . . . . . . . . . . . . . 67 68 Amount paid with request for extension to file ..... 68 69 Excess social security and tier 1 RRTA tax withheld .... 69 70 Credit for federal tax on fuels. Attach Form 4136 . . . . 70 71 Credits from Form: a 2439 b Reserved c 8885 d 71 72 Add lines 62, 63, 64a, and 65 through 71. These are your total payments ..... a 72 Refund Direct deposit? See instructions. 73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid 73 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here a 74a a a b Routing number a c Type: Checking Savings d Account number 75 Amount of line 73 you want applied to your 2014 estimated tax a 75 Amount You Owe 76 Amount you owe. Subtract line 72 from line 61. For details on how to pay, see instructions a 76 77 Estimated tax penalty (see instructions) ....... 77 Third Party Designee Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete below. No Designee’s name a Phone no. a Personal identification number (PIN) a Sign Here Joint return? See instructions. Keep a copy for your records. Your signature Date Your occupation Daytime phone number Spouse’s signature. If a joint return, both must sign. F Date Spouse’s occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.) Paid Preparer Use Only Print/Type preparer’s name Preparer’s signature Date Check if self-employed PTIN Firm’s name a Firm’s address a Firm's EIN a Phone no. Form 1040 (2013) Click "Do the math" (see instructions). Taxpayer 8885 Spouse 8885 Taxpayer Sch H Spouse Sch H Taxpayer Copy 5329 Spouse Copy 5329 Taxpayer 4137 Spouse 4137 Taxpayer 8919 Spouse 8919 Taxpayer Spouse Spouse before calculating tax. Amount Form 2439 40 Itemized deductions 42 Exemptions. 43 Taxable income. Form 4972 Taxpayer 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. ----------------Page (1) Break----------------