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seepage, 14 Omer gars (loses). Adach FOMM 4787 eee
RA distributions tat — |b Taxable amount ¢s¢ 15>.
ea a Persionsandarmiies Lis Tab aneur(0epa0e25) [168 | =
payment A, ‘ontalree estate, royalties, parmershipe, $ compote, rusts lo, tach SchedeE
lease use farm incr st). Ataoh Schedule F :
Farr 1040-N, ‘Unsmoloyment compensalion tee tenets ates
0x Socla security benefits (aoa Tea ama (re page 27)
21 Dherncome, Late and ance (48 pa 5)
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Gross 26 Peat sovngs account éecueton,aaach FORM GBB gcse owen (REL
income 26 Moving expenses. Attach Form 2003 ee 2
27 Gnerhot et-arplyment tax Atach Seneca 8 ay | ae |
28 Se-qroload SEP, SIMPLE, ad qual acs |
2) Selpenployed brah nvurancedodvotn (en F208)
50 Penal 09 9 Aeron 2! 8403 nase de [ia
S18 Almony ald» Recents $84 Pe epee! |
32 IRAdedvei00 688 DIDH 1) oon fee pa |
438 Stuinyionn intrest deduction (ee pag 39) =
34 Telnaes coguton (ee pa 34) a —
38 Comes pradetn axis eaducti.Atath Frm 8B tt
3 Add nes Za ttrough Sta and 32 trov9n 95 i - [ag [aaa a5
ae ‘37 Sublet np 96 om ine 22, This is vou sfluaas toes income pels [ae 592028.
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45, Subtme ne 40 ftom ine 38 .
42. tne 3 ia evr $108,475, or you pravides using toa preoncepaced by Huron Keine,
ste page $7. Oherwse, ulipy 63,200 by tet numberof examptons ceed on ne 64
48. Taxable income, Subtact ine 42 rom ine 41 ln 421s more than Hine 4, eler-O-
46 ‘Tox. Check any tas trom: a] Form aed b] Farm 472...
45 Aterwative minimus tax, atch Form 6281
46 Addiines 444 45... t
47 Feregetoxeadt tach Frm fleeces.
48 Cra frchild and dependent care axpanses, Ata form 2444
44 Cre for te ery othe dsabied tach Sthedue
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5b Eiivation cod, Abach Foren 8883
851. Retramen savings conbuons ere tach Foo 8880
‘52 Child tux crait{see pape 41) Attach Form 6804 treculred
{5 Aiopton ori atech Form 8838
4 Cretsteom eC) Ferm 6 SY iarm sss
85 Cinercrets. check applicable boxes): a Ce] Form 2800
> CJ romeaor ¢ CJ Form
58 Add es 47 trovgn 56, Those ea your tte eredie
7 _ Sutil lng 48, ge 56 igre thn te 4, ee
‘58 Selbempioyment tx. Arach Schedule SE F
59. Suck! secuntyand Masare taxon uy acme no rearedta employe, Ata Frm 4187
6 Additonal tacon RAs, other quailedaervniplans, ec, Ati Form 8428 requ
6 Aévanoa eae income ered paymants frm Forms) W2
52 Hovsahoid employment lxos, Atash Shade H
£3. Adg ines $7 trough 62. This your tty tax
Payments 64 Federalincome tx withheld fom Fors W.2 and 1098,
85 2005 estineted im payments and arunt apple trom 2004 curn | 88.1 2281 883,]
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81 Eurned income credit (0),
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7 Exetss soil security nc tar 1 ARTA ox withhld 48 page Sem 9. pj
64 Aacitonal cid weet. tach Form 8612
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