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15. Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW) If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying person is a child but not your dependent . 1040. Filing Status.
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Sequence No. 16. Name(s) shown on return. Your social security number. You may be able to take this credit and reduce your tax if by the end of 2021: • You were age 65 or older or • You were under age 65, you retired on permanent and total disability, and you received taxable disability income.
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Social security number of HSA beneficiary. If both spouses have HSAs, see instructions a Before you begin: Complete Form 8853, Archer MSAs and Long-Term Care Insurance Contracts, if required. Part I HSA Contributions and Deduction. See the instructions before completing this part. If you are ...
Attach Form 8815 ..... 3 4 Subtract line 3 from line 2. Enter the result here and on Form 1040 or 1040-SR, line 2b .....a 4 Note: If line 4 is over $1,500, you must complete Part III. Amount Part II Ordinary Dividends (See instructions and the Instructions for Form 1040, line 3b.) Note: If you received a Form
3. Include Form 8962 with your Form 1040, Form 1040-SR, or Form 1040-NR. (Don t include Form 1095-A.) Health Coverage Reporting. If you or someone in your family was an employee in 2021, the employer may be required to send you Form 1095-C. Part II of Form 1095-C shows whether your employer offered you health insurance coverage and, if
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Jul 15, 2024 · Form 1040 Schedule 1 PDF. Form 1040 Schedule 2 PDF. Form 1040 Schedule 3 PDF. Tax Table from Instructions for Form 1040 PDF. Schedules for Form 1040. Form 1040-SR PDF. Form W-4. Employee's Withholding Certificate. Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
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Form 1040 U.S. Individual Income Tax Return 2021 Department of the Treasury—Internal Revenue Service (99) OMB No. 1545-0074. IRS Use Only—Do not write or staple in this space. Filing Status . Check only one box. Single Married filing jointly. Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW)
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