8/14/2019 US Internal Revenue Service: f1040ez--1996

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Do you want $3 to go to this fund?

Taxable inter est income of $400 or less. If the total isover $400, you cannot use Form 1040EZ.

Department of the TreasuryInterna l Revenue Service

Form Income Tax Return for Single andJoint Filers With No Dependents1040EZ 1996 OMB No. 1545-0675

Spouses so c ial securi ty num ber

NoYesN o te : Checking Yes will n ot change your ta x or redu ce your refund.President ia l

Elect ionCampaign(See page 7.)

CentsDollarsTotal wages, salaries, and tips. Thisshould be shown in box 1 of yourW-2 form(s). Attach your W-2 form(s).

1

1 , .AttachCopy B ofForm(s)W-2 here.Enclose, butdo not at tach,any payment

with yourreturn.

22

Add lines 1, 2, and 3. This is your a d ju s t e d g r o s si n c o m e . If under $9,500, see page 9 to find out if you canclaim the earned income credit on line 8.

Can your pa rent s (or someone else) claim you on th eir retu rn?5Note: Youmust check

Yes or No.

Yes . No.

5, .

Subtract line 5 from line 4. If line 5 is larger thanline 4, enter 0. This is your taxable income.

66 , .

Paymentsand tax

Earned income credi t (see page 9). Enter type

and amount of nontaxable earned income below.

77 , .

Tax. Use the amount on l ine 6 to find your tax in th etax ta ble on pa ges 2024 of the booklet. Then, enter t hetax from the table on this line.

10

10 , .Refund If line 9 is larger than line 10, subtract line 10 from

line 9. This is your r e fu n d .11a

11 a .

If line 10 is larger than line 9, subtract line 9 from line10. This is the a m o u n t y o u o w e . See page 13 for det ailson how to pay and what to write on your payment.

.I have read this return. Under penalt ies of perjury, I declare that to the best of my know ledge and belief , thereturn is true, correct , and accurately lists all amounts an d sources of income I received during the tax year.

Signhere

ForOfficialUseOnly

Keep copy foryour records.

For Privacy Act and Paperw ork Reduct ion Act Notice, see page 5 . Form 1040EZ (1996)

Income

,

,

.

.,

Cat. No. 11329W

4

4

12

12

If a joint return, does your spouse want $3 to go to this fund?

Your social security number

Add lines 7 and 8 (do not include nontaxable earnedincome). These a re your total payments .

8

8 .9

9 , .

Enter your Federal income tax withheld from box 2 ofyour W-2 form(s).

Type $

Unemployment compensation (see page 9).3 3

, .

UsetheIRSlabel

here

Your first name and initial

Apt. no.Home address (number and street). If you have a P.O. box, see page 7.

City, town or post office, state, and ZIP code. If you have a foreign address, see page 7.

If a joint return, spouses first name and initial

Last name

Last name

Amountyou owe

b Routing number

Accountnumber

c TypeChecking Savings

Enter amountfrom worksheeton back.

Ifs ingle, enter 6,550.00.Ifmarried, enter 11,800.00.See back for explanation.

Your signature

Your occupationDate

Spouses signat ure if joint ret urn

Spouses occupationDate

Have it sentdirectly toyour bankaccount! See

page 13 andfill in 11b, c,and d.

d

Yes No

1 2 3 4 5

6 7 8 9 10

(98)

8/14/2019 US Internal Revenue Service: f1040ez--1996

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1996 Form 1040EZ page 2

You (and your spouse if married) were under 65 onJanuary 1, 1997, and not blind at the end of 1996.

Your filing status is single ormarried filing jointly.

Use thisform if

Your taxable income (line 6) is less than $50,000. You do not claim a ny dependen ts.

You had only wages, salaries, tips, t axable scholarship or fellowship gra nts, unem ploymentcompensation, or Alaska Permanent Fund dividends, and your taxable interest income was$400 or less. But if you earn ed tips, including a llocat ed tips, th at are not included in box 5and box 7 of your W-2, you may not be able to use Form 1040EZ. See page 8.

If you are not sure about your filing status, see page 7. If you have questions about dependents, useTele-Tax topic 354 (see page 18). If you cant use this form, use Tele-Tax topic 352 (see page 18).

Because this form is read by a machine, please print your numbers inside the boxes like this:Filling inyour return

If you received a scholarship or fellowship grant or tax-exempt interest income, such as onmunicipal bonds, see the booklet before filling in the form. Also, see the booklet if you received aForm 1099-INT showing income tax withheld or if tax was withheld from your AlaskaPerman ent Fu nd dividends.

R e m e m b e r , you m ust report a ll wages, salaries, and tips even if you do not get a W-2 form fromyour employer. You m ust also report all your ta xable interest income, including int erest from ban ks,

savings and loans, credit unions, etc., even if you do not get a Form 1099-INT.

Use this worksheet to figure the amount to enter on line 5 if someone can claim you (or yourspouse if married) as a dependent, even if that person chooses not to do so. To find out ifsomeone can claim you as a dependent, use Tele-Tax topic 354 (see page 18).

Worksheetfordependentswhochecked Yes online 5

A.A. Enter the amount from line 1 on the front.

650.00B.B. Minimum standard deduction.

C. Enter the LARGER of line A or line B here. C.

D.D. Maximum standard deduction. If single, enter

4,000.00; if married, enter 6,700.00.

E. En ter the SMALLER of line C or line D h ere. Thisis your standard deduction. E.

Mailingyourreturn

Mail your return by April 15, 1997. Use the envelope that came with your booklet. If you do nothave that envelope, see page 28 for the address to use.

You did not r eceive an y advan ce ear ned income credit paymen ts.

Do not t ype your num bers. Do not u se dollar signs.

F. Exemption amount.

G. Add lines E and F. Enter the total here and online 5 on t he front.

If you c heck ed No on l ine 5 because no one can claim you (or your spouse if married) as adependent, enter on line 5 the amount shown below that applies to you.

Single, enter 6,550.00. This is the total of your standard deduction (4,000.00) and personalexemption (2,550.00).

Married, enter 11,800.00. This is the total of your standard deduction (6,700.00), exemptionfor your self (2,550.00), a nd exempt ion for your spouse (2,550.00).

F.

G.

If single, enter 0.

If married and both you and your spouse can beclaimed as dependents, enter 0.

If married and only one of you can be claimed as adependent, en ter 2,550.00.

Date Preparers SSNPreparerssignature

Paidpreparersuse only Check if

self-employed

Firms name (or yoursif self-employed) andaddress

EIN

ZIP code

For tips on h owto a void comm onmistakes, seepage 3.

Under pena lties of perjury, I declare th at I have examined t his retur n, and to the best of my knowledge and belief, it is tr ue, correct, andaccurately lists all amounts and sources of income received during the tax year. This declaration is based on all information of which I haveany knowledge.

See page 14.