Form 1040 United States Individual Income Tax Return 2009

Summary: This is an example of Form 1040 (2009) with items included as described in the text. Additionally, these line items are completed:

Under Label here:
- Your first name and initial field contains James M.
- Last name field contains Adams
- Your social security number field contains 111-00-1111
- If a joint return, spouse's first name and initial field contains Judith E.
- Last name field contains Adams
- Spouse's social security number field contains 222-00-2222
- Home address (number and street). If you have a post office box, see page 21. field contains 21 Rue Reynaud
- City, town or post office, state, and ZIP code. If you have a foreign address, see page 21. field contains Paris, France
Under Presidential Election Campaign:
- Do you, or your spouse if filing a joint return, want $3 to go to this fund?
- You Yes checkbox checked
- Spouse Yes checkbox checked
Under Filing Status:
- 2. Married filing jointly (even if only one had income) checkbox checked
Under Exemptions:
- 6a. Yourself. If your parent (or someone else) can claim you as a dependent on his or her tax return, do not check box 6a checkbox checked
- 6b. Spouse checkbox checked
- 6c. Dependents:
- - (1) First name Last name field contains Chris T. Adams
  - (2) Dependent's social security number field contains 333-00-3333
  - (3) Dependent's relationship to you field contains Daughter
  - (4) If qualifying child for child tax credit (see page 22) checkbox checked
- 6c. Dependents:
- - (1) First name Last name field contains Stephen F. Adams
  - (2) Dependent's social security number field contains 444-00-4444
  - (3) Dependent's relationship to you field contains Son
  - (4) If qualifying child for child tax credit (see page 22) checkbox checked
- No. of boxes checked on 6a and 6b field contains 2
- No. of children on 6c who: lived with you field contains 2
- 6d. Total number of exemptions claimed. Add numbers on lines above field contains 4
Under Income:
- 22. Add the amounts in the far right column for lines 7 through 21. This is your total income field contains 7,500
Under Adjusted Gross Income:
- 37. Subtract line 36 from line 22 field contains7,500

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