. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
<br />Itemized deductions (from Schedule A) or your standard deduction (see left margin)
<br />Add lines 64, 65, 66a, and 67 through 73. These are your total payments
<br />Page 2 Form 1040 (2017)
<br />Amount from line 37 (adjusted gross income) 38 38
<br />Check
<br />if:
<br />39a
<br />Tax and
<br />Credits
<br />39a
<br />b
<br />40
<br />41Subtract line 40 from line 3841
<br />4242
<br />43Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- 43
<br />44 44
<br />49
<br />55
<br />48
<br />53
<br />52
<br />58
<br />Add lines 48 through 54. These are your total credits
<br />52
<br />Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-
<br />Self-employment tax. Attach Schedule SE
<br />58Other
<br />Taxes 59
<br />76a
<br />Unreported social security and Medicare tax from Form:
<br />62
<br />Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required
<br />Add lines 56 through 62. This is your total tax 63
<br />64Federal income tax withheld from Forms W-2 and 1099
<br />66a
<br />65
<br />66a
<br />2017 estimated tax payments and amount applied from 2016 return
<br />Payments
<br />68
<br />70Amount paid with request for extension to file70
<br />68
<br />71
<br />74
<br />72
<br />b
<br />78
<br />77
<br />If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid
<br />79
<br />78
<br />Amount of line 75 you want refunded to you.
<br />Refund
<br />79Estimated tax penalty (see instructions)
<br />You were born before January 2, 1953, Blind.
<br />Spouse was born before January 2, 1953, Blind.
<br />a 2439 b
<br />62
<br />71
<br />Amount
<br />You Owe
<br />Sign
<br />Here DateYour signature
<br />Keep a copy for yourrecords.
<br />DateSpouse's signature. If a joint return, both must sign.
<br />PTINDateCheck
<br />self-employed Paid
<br />Preparer
<br />Use Only Firm's name
<br />Firm's address
<br />Firm's EIN
<br />Phone no.
<br />Your occupation
<br />(see instructions). Check if any from:
<br />Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions
<br />b
<br />Direct deposit?
<br />See
<br />Routing number
<br />Account number
<br />c Checking Savings
<br />a Form(s) 8814 Form 4972
<br />d
<br />77
<br />74
<br />51
<br />48
<br />Child tax credit. Attach Schedule 8812, if required
<br />59
<br />60a
<br />76a
<br />Residential energy credits. Attach Form 5695
<br />51
<br />55
<br />53
<br />Additional child tax credit. Attach Schedule 8812
<br />69 69
<br />Joint return? See instr.
<br />Daytime phone number
<br />Earned income credit (EIC)
<br />Credit for child and dependent care expenses. Attach Form 2441
<br />45
<br />47
<br />49
<br />Alternative minimum tax (see instructions). Attach Form 6251
<br />Add lines 44, 45, and 46
<br />Education credits from Form 8863, line 19
<br />If you have a
<br />qualifying
<br />child, attach
<br />Schedule EIC.
<br />45
<br />47
<br />Spouse's occupation
<br />Form 1040 (2017)
<br />Designee'sname
<br />Do you want to allow another person to discuss this return with the IRS (see instructions)?Third Party
<br />Designee Phone no.
<br />Yes.Complete below.No
<br />Personal identification number (PIN)
<br />57
<br />56
<br />5454
<br />64
<br />Type:
<br />c
<br />Total boxes
<br />checked }{
<br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
<br />. . . . . .
<br />. . . . . . . . . . . . . . . . .
<br />. . . . . . . . . . . . .
<br />. . . . . . . . . . . . . . . . . . . . .
<br />. . . . . . . . . . . . . . . . . . . . . . . . . . . .
<br />. . . . .
<br />. . . . . . . . . . . . . . . . . . . . . . .
<br />. . . . . .
<br />. . . . . . . . . . . . . . . . . . .
<br />. . . . . . . . . .
<br />. . . . . . . . . . . . . . . . . . . . . . . . . .
<br />. . . . . . . . . .
<br />. . . . . . . . . .
<br />Retirement savings contributions credit. Attach Form 8880
<br />Foreign tax credit. Attach Form 1116 if required
<br />Nontaxable combat pay election 66b
<br />40 . . . . . .
<br />. .
<br />. . . . . . . . . . . . . .
<br />Amount of line 75 you want applied to your 2018 estimated tax
<br />3800 8801
<br />73
<br />Net premium tax credit. Attach Form 8962
<br />72
<br />If Form 8888 is attached, check here
<br />.
<br />a b4137 8919 . . . . . .
<br />. . . . . . . . . . . . .
<br />73
<br /> b . .
<br />If your spouse itemizes on a separate return or you were a dual-status alien, check here
<br />Household employment taxes from Schedule H
<br />67 67
<br />Excess social security and tier 1 RRTA tax withheld
<br />c
<br />. . . . .
<br />Exemptions.
<br />50
<br />56
<br />57
<br />65
<br />American opportunity credit from Form 8863, line 8 . . . . . . . .
<br />. . . .
<br />. . . .
<br />50
<br />63
<br />First-time homebuyer credit repayment. Attach Form 5405 if required
<br />Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . .
<br />75 75
<br />Preparer's signature ifPrint/Type preparer's name
<br />. . . . . . . .
<br />instructions.
<br />. . . . . . . . . . .
<br />. . . . . . . . . . .
<br />c
<br />60a
<br />b
<br />Taxes from:
<br />60b
<br />. . . . . . . . . . . . . . . . . . . . . . . . .
<br />. . . . . . . . . . . . . . .
<br />Deduction
<br />for-
<br />People who
<br />Standard
<br />check any
<br />box on line
<br />39a or 39b or
<br />who can be
<br />claimed as a
<br />dependent,
<br />see
<br />instructions.
<br />All others:
<br />Single or
<br />Married filing
<br />separately,
<br />$6,350
<br />Married filingjointly orQualifying widow(er),$12,700
<br />Head of
<br />household,
<br />$9,350
<br />If the IRS sent you an Identity Protection
<br />PIN, enter it
<br />here (see inst.)
<br />. . . . . . . . .
<br />. . . . . . . . . . . . .
<br />d
<br />Form 8959 Form 8960 Instructions; enter code(s)a b c
<br />61 Health care: individual responsibility (see instructions) Full-year coverage 61. . . . . . . . . . .
<br />46 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . . . . . . . . . 46
<br />Go to
<br />UYA
<br />www.irs.gov/Form1040 for instructions and the latest information.
<br />Wesley C Brown and Shanon M Larimer 595-42-0794
<br />67,966.
<br />0
<br />16,993.
<br />50,973.
<br />12,150.
<br />38,823.
<br />4,779.
<br />2,550.
<br />7,329.
<br />26.
<br />1,000.
<br />1,026.
<br />6,303.
<br />7,567.
<br />X
<br />13,870.
<br />4,450.
<br />17,900.
<br />NO
<br />22,350.
<br />8,480.
<br />8,480.
<br />263181368 X
<br />62578003
<br />0.
<br />3d animator (407)484-8751
<br />Marketing Executive
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