Form 1040 (2009) Page 2

• Under Tax and Credits:
• • 38. Amount from line 37 (adjusted gross income) field contains 35,286
  • 40a. Itemized deductions (from Schedule A) or your standard deduction (see left margin) field contains 13,434
  • 41. Subtract line 40a from line 38 field contains 21,852
  • 42. If line 38 is $125,000 or less and you did not provided housing to a Midwestern displaced individual, multiply $3,650 by the number of exemptions claimed on line 6d. field contains 10,950
  • 43. Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- field contains 10,902
  • 44. Tax (see page 37). field contains 1,093
  • 46. Add lines 44 and 45 field contains 1,093
  • 51. Child tax credit (see page 42). field contains 1,000
  • 54. Add lines 47 through 53. These are your total credits field contains 1,000
  • 55. Subtract line 54 from line 46. If line 54 is more than line 46, enter -0- field contains 93
• Under Other Taxes:
• • 56. Self-employment tax. Attach Schedule SE field contains 6,196
  • 60. Add lines 55 through 59. This is your total tax field contains 6,289
• Under Payments:
• • 61. Federal income tax withheld from Forms W-2 and 1099 field contains 272
  • 62. 2009 estimated tax payments and amount applied from 2008 return field contains 7,000
  • 71. Add lines 61, 62, 63, 64a, and 65 through 70. These are your total payments field contains 8,072
• Under Refund:
• • 72. If line 71 is more than line 60, subtract line 60 from line 71. This is the amount you overpaid field contains 1,783
  • 74. Amount of line 72 you want applied to your 2010 estimated tax field contains 1,783
• Under Third Party Designee:
• Do you want to allow another person to discuss this return with the IRS? No checkbox is checked.
• Under Sign Here:
• • Your signature field contains John E. White
  • Date field contains 3/1/2010
  • Your occupation field contains Minister
  • Spouse's signature. If a joint return, both must sign. field contains Susan R. White
  • Date field contains 3/1/2010
  • Spouse's occupation field contains Homemaker

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