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2017 _ Form 1040 _ Tax Returns
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2017 _ Form 1040 _ Tax Returns
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1040 OMB No. 1545-0074 <br />, ending <br />Last name Your first name and initial Your social security number <br />Last name Spouse's social security numberIf a joint return, spouse's first name and initial <br />Home address (number and street). If you have a P.O. box, see instructions.Apt. no. <br />City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). <br />1 SingleFiling Status Married filing jointly (even if only one had income)2 <br />Check only one <br />box. <br />3 <br />Qualifying widow(er) (see instructions) <br />6a Yourself. If someone can claim you as a dependent, do not check box 6aExemptionsSpouseb <br />(4) X if child <br />qualifying for <br />Dependents: c (2) Dependent's <br />social security number <br />(3) Dependent's <br />(1) First name Last name If more than four <br />dependents, see <br />instructions and <br />d Total number of exemptions claimed <br />7 Wages, salaries, tips, etc. Attach Form(s) W-27 <br />8a8a Taxable interest. Attach Schedule B if required Income <br />8bb Tax-exempt interest. Do not include on line 8aAttach Form(s) <br />W-2 here. Also <br />attach Forms <br />W-2G and <br />1099-R if tax <br />was withheld. <br />9a9aOrdinary dividends. Attach Schedule B if required <br />1010Taxable refunds, credits, or offsets of state and local income taxes <br />1111Alimony received <br />1212Business income or (loss). Attach Schedule C or C-EZ <br />1313Capital gain or (loss). Attach Schedule D if required. If not required, check here <br />1414Other gains or (losses). Attach Form 4797 <br />15a 15b IRA distributions b Taxable amount15a <br />16b 16a Pensions and annuities b Taxable amount16a <br />1717Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E <br />1818Farm income or (loss). Attach Schedule F <br />1919Unemployment compensation <br />20b 20a b Taxable amount20a Social security benefits <br />2121 <br />22 Combine the amounts in the far right column for lines 7 through 21. This is your total income 22 <br />25Health savings account deduction. Attach Form 8889 <br />23 <br />2727 <br />29 <br />IRA deduction <br />28 <br />3030 <br />Student loan interest deduction <br />31a31a <br />3232 <br />Alimony paid <br /> <br />b Recipient's SSN <br />36Add lines 23 through 35 <br />33 <br />Subtract line 36 from line 22. This is your adjusted gross income <br />34 <br />Adjusted <br />Gross <br />Income <br />37 <br />If you did not <br />get a W-2, <br />see instructions.FormMarried filing separately. Enter spouse's SSN above <br />and full name here. <br />Form 1040 (2017) <br />IRS Use Only–Do not write or staple in this space. <br />Head of household (with qualifying person). (See instructions.) If <br />the qualifying person is a child but not your dependent, enter this <br />child's name here. <br />Other income. List type and amount <br />Penalty on early withdrawal of savings <br />25 <br />26 <br />For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. <br />Boxes checked <br />on 6a and 6b <br />No. of children <br />on 6c who: <br />Dependents on 6c <br />not entered above <br />Add numbers on <br />lines above <br />lived with you <br />did not live with <br />you due to divorce <br />or separation <br />(see instructions) <br />35 <br />34 <br />Deductible part of self-employment tax. Attach Schedule SE <br />33 <br />36 <br />Check here if you, or your spouse if filing <br />jointly, want $3 to go to this fund. Checking <br />Make sure the SSN(s) above <br />and on line 6c are correct. <br />SpouseYou <br />Self-employed SEP, SIMPLE, and qualified plans <br />37 <br />4 <br />5 <br />23Educator expenses <br />9bbQualified dividends <br />2017 <br />24 Certain business expenses of reservists, performing artists, and <br />fee-basis government officials. Attach Form 2106 or 2106-EZ 24 <br />29 Self-employed health insurance deduction <br />28 <br />}. . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . <br />. . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . <br />UYA <br />. . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Moving expenses. Attach Form 390326 <br />Domestic production activities deduction. Attach Form 8903 35 <br />. . <br />. <br />. . . . . <br />. . . . . . . . . . . . <br />. . <br />. . . . . . . <br />. . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . <br />. . <br />. . . . . . . . . . . <br />Department of the Treasury–Internal Revenue Service <br />For the year Jan. 1-Dec. 31, 2017, or other tax year beginning <br />check here <br />. . . . . . . <br />. . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . <br />. . . . . . . . . . <br />. . . . . . . . . . . . . . . <br />child tax credit <br />under age 17 <br /> (see instr.) <br />relationship to you <br />(99) <br />U.S. Individual Income Tax Return <br />Presidential Election Campaign <br />a box below will not change your tax or <br />refund. <br />Foreign country nameForeign country name Foreign province/state/county Foreign postal code <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />See separate instructions. <br />. . . . . . . . . . . . . . . . . . . . . <br />Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . <br />Wesley C Brown 595-42-0794 <br />Shanon M Larimer 302-86-8984 <br />2911 Upper Park Road <br />Orlando, FL 32814 <br />X <br />X <br />X 2 <br />Shawn Larimer-Brown 740-50-8372Son X <br />1 <br />0 <br />0 <br />3 <br />25,431. <br />296. <br />1,060. <br />766. <br />53,425. <br />-3,000. <br />4,649. <br />81,861. <br />3,784. <br />10,111. <br />13,895. <br />67,966.
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