Department of the Treasury—Internal Revenue Service Income Tax Return for Single and Joint Filers With No Dependents (99) Form 1040EZ Name, Address, and SSN See separate instructions. ▲ Presidential Election Campaign (see page 9) 2010 OMB No. 1545-0074 P R I N T Your first name and initial Last name Your social security number If a joint return, spouse’s first name and initial Last name Spouse’s social security number C L E A R L Y Home address (number and street). If you have a P.O. box, see instructions. Apt. no. City, town or post office, state, and ZIP code. If you have a foreign address, see instructions. 1 Income Attach Form(s) W-2 here. Enclose, but do not attach, any payment. You may be entitled to a larger deduction if you file Form 1040A or 1040. See Before You Begin on page 4. Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ. 2 3 Unemployment compensation and Alaska Permanent Fund dividends (see page 11). 3 4 5 Add lines 1, 2, and 3. This is your adjusted gross income. If someone can claim you (or your spouse if a joint return) as a dependent, check the applicable box(es) below and enter the amount from the worksheet on back. 4 You Spouse If no one can claim you (or your spouse if a joint return), enter $9,350 if single; $18,700 if married filing jointly. See back for explanation. Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-. This is your taxable income. Federal income tax withheld from Form(s) W-2 and 1099. Making work pay credit (see worksheet on back). Earned income credit (EIC) (see page 13). Nontaxable combat pay election. 9b Add lines 7, 8, and 9a. These are your total payments and credits. Tax. Use the amount on line 6 above to find your tax in the tax table on pages 27 through 35 of the instructions. Then, enter the tax from the table on this line. b Routing number ▶ d Account number ▶c Type: ▶ ▶ Spouse 6 7 8 9a 10 11 12a Checking If line 11 is larger than line 10, subtract line 10 from line 11. This is the amount you owe. For details on how to pay, see page 19. Savings ▶ 13 Yes. Complete the following. Third Party Designee Do you want to allow another person to discuss this return with the IRS (see page 20)? Sign Here Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge. Daytime phone number Your occupation Your signature Date Keep a copy for your records. Paid Preparer Use Only ▲ Joint return? See page 6. Designee’s ▶ name Phone no. Spouse’s signature. If a joint return, both must sign. Print/Type preparer’s name Firm’s name Date Preparer’s signature Personal identification number (PIN) ▶ No ▶ Spouse’s occupation Date ▶ Check if self-employed PTIN Firm's EIN ▶ Firm’s address ▶ For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 36. ▲ 5 If line 10 is larger than line 11, subtract line 11 from line 10. This is your refund. If Form 8888 is attached, check here ▶ ▶ 13 Amount You Owe You 2 12a Have it directly deposited! See page 18 and fill in 12b, 12c, and 12d or Form 8888. ▶ 1 7 8 9a b 10 11 Refund . Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2. Attach your Form(s) W-2. 6 Make sure the SSN(s) above are correct. Checking a box below will not change your tax or refund. Check here if you, or your spouse if a joint return, want $3 to go to this fund . Payments, Credits, and Tax ▲ Phone no. Cat. No. 11329W Form 1040EZ (2010) 2010 Tax Table – Continued If Form 1040EZ, line 6, is – At least But less than And you are – Single Married filing jointly If Form 1040EZ, line 6, is – At least But less than Your tax is – 9,000 9,000 9,050 9,100 9,150 9,200 9,250 9,300 9,350 9,400 9,450 9,500 9,550 9,600 9,650 9,700 9,750 9,800 9,850 9,900 9,950 9,050 9,100 9,150 9,200 9,250 9,300 9,350 9,400 9,450 9,500 9,550 9,600 9,650 9,700 9,750 9,800 9,850 9,900 9,950 10,000 935 943 950 958 965 973 980 988 995 1,003 1,010 1,018 1,025 1,033 1,040 1,048 1,055 1,063 1,070 1,078 903 908 913 918 923 928 933 938 943 948 953 958 963 968 973 978 983 988 993 998 Married filing jointly At least 10,050 10,100 10,150 10,200 10,250 10,300 10,350 10,400 10,450 10,500 10,550 10,600 10,650 10,700 10,750 10,800 10,850 10,900 10,950 11,000 11,050 11,100 11,150 11,200 11,250 11,300 11,350 11,400 11,450 11,500 11,550 11,600 11,650 11,700 11,750 11,800 11,850 11,900 11,950 12,000 But less than Your tax is – 12,000 12,050 12,100 12,150 12,200 12,250 12,300 12,350 12,400 12,450 12,500 12,550 12,600 12,650 12,700 12,750 12,800 12,850 12,900 12,950 12,050 12,100 12,150 12,200 12,250 12,300 12,350 12,400 12,450 12,500 12,550 12,600 12,650 12,700 12,750 12,800 12,850 12,900 12,950 13,000 1,085 1,093 1,100 1,108 1,115 1,123 1,130 1,138 1,145 1,153 1,160 1,168 1,175 1,183 1,190 1,198 1,205 1,213 1,220 1,228 1,003 1,008 1,013 1,018 1,023 1,028 1,033 1,038 1,043 1,048 1,053 1,058 1,063 1,068 1,073 1,078 1,083 1,088 1,093 1,098 13,000 13,050 13,100 13,150 13,200 13,250 13,300 13,350 13,400 13,450 13,500 13,550 13,600 13,650 13,700 13,750 13,800 13,850 13,900 13,950 1,235 1,243 1,250 1,258 1,265 1,273 1,280 1,288 1,295 1,303 1,310 1,318 1,325 1,333 1,340 1,348 1,355 1,363 1,370 1,378 1,103 1,108 1,113 1,118 1,123 1,128 1,133 1,138 1,143 1,148 1,153 1,158 1,163 1,168 1,173 1,178 1,183 1,188 1,193 1,198 14,000 14,050 14,100 14,150 14,200 14,250 14,300 14,350 14,400 14,450 14,500 14,550 14,600 14,650 14,700 14,750 14,800 14,850 14,900 14,950 13,050 13,100 13,150 13,200 13,250 13,300 13,350 13,400 13,450 13,500 13,550 13,600 13,650 13,700 13,750 13,800 13,850 13,900 13,950 14,000 Single Married filing jointly 15,000 1,385 1,393 1,400 1,408 1,415 1,423 1,430 1,438 1,445 1,453 1,460 1,468 1,475 1,483 1,490 1,498 1,505 1,513 1,520 1,528 1,203 1,208 1,213 1,218 1,223 1,228 1,233 1,238 1,243 1,248 1,253 1,258 1,263 1,268 1,273 1,278 1,283 1,288 1,293 1,298 15,000 15,050 15,100 15,150 15,200 15,250 15,300 15,350 15,400 15,450 15,500 15,550 15,600 15,650 15,700 15,750 15,800 15,850 15,900 15,950 If Form 1040EZ, line 6, is – At least But less than 15,050 15,100 15,150 15,200 15,250 15,300 15,350 15,400 15,450 15,500 15,550 15,600 15,650 15,700 15,750 15,800 15,850 15,900 15,950 16,000 1,535 1,543 1,550 1,558 1,565 1,573 1,580 1,588 1,595 1,603 1,610 1,618 1,625 1,633 1,640 1,648 1,655 1,663 1,670 1,678 1,303 1,308 1,313 1,318 1,323 1,328 1,333 1,338 1,343 1,348 1,353 1,358 1,363 1,368 1,373 1,378 1,383 1,388 1,393 1,398 16,000 16,050 16,100 16,150 16,200 16,250 16,300 16,350 16,400 16,450 16,500 16,550 16,600 16,650 16,700 16,750 16,800 16,850 16,900 16,950 1,685 1,693 1,700 1,708 1,715 1,723 1,730 1,738 1,745 1,753 1,760 1,768 1,775 1,783 1,790 1,798 1,805 1,813 1,820 1,828 1,403 1,408 1,413 1,418 1,423 1,428 1,433 1,438 1,443 1,448 1,453 1,458 1,463 1,468 1,473 1,478 1,483 1,488 1,493 1,498 17,000 17,050 17,100 17,150 17,200 17,250 17,300 17,350 17,400 17,450 17,500 17,550 17,600 17,650 17,700 17,750 17,800 17,850 17,900 17,950 16,050 16,100 16,150 16,200 16,250 16,300 16,350 16,400 16,450 16,500 16,550 16,600 16,650 16,700 16,750 16,800 16,850 16,900 16,950 17,000 1,835 1,843 1,850 1,858 1,865 1,873 1,880 1,888 1,895 1,903 1,910 1,918 1,925 1,933 1,940 1,948 1,955 1,963 1,970 1,978 1,503 1,508 1,513 1,518 1,523 1,528 1,533 1,538 1,543 1,548 1,553 1,558 1,563 1,568 1,573 1,578 1,583 1,588 1,593 1,598 Single Married filing jointly Your tax is – 18,000 18,050 18,100 18,150 18,200 18,250 18,300 18,350 18,400 18,450 18,500 18,550 18,600 18,650 18,700 18,750 18,800 18,850 18,900 18,950 18,050 18,100 18,150 18,200 18,250 18,300 18,350 18,400 18,450 18,500 18,550 18,600 18,650 18,700 18,750 18,800 18,850 18,900 18,950 19,000 2,285 2,293 2,300 2,308 2,315 2,323 2,330 2,338 2,345 2,353 2,360 2,368 2,375 2,383 2,390 2,398 2,405 2,413 2,420 2,428 1,866 1,874 1,881 1,889 1,896 1,904 1,911 1,919 1,926 1,934 1,941 1,949 1,956 1,964 1,971 1,979 1,986 1,994 2,001 2,009 2,435 2,443 2,450 2,458 2,465 2,473 2,480 2,488 2,495 2,503 2,510 2,518 2,525 2,533 2,540 2,548 2,555 2,563 2,570 2,578 2,016 2,024 2,031 2,039 2,046 2,054 2,061 2,069 2,076 2,084 2,091 2,099 2,106 2,114 2,121 2,129 2,136 2,144 2,151 2,159 2,585 2,593 2,600 2,608 2,615 2,623 2,630 2,638 2,645 2,653 2,660 2,668 2,675 2,683 2,690 2,698 2,705 2,713 2,720 2,728 2,166 2,174 2,181 2,189 2,196 2,204 2,211 2,219 2,226 2,234 2,241 2,249 2,256 2,264 2,271 2,279 2,286 2,294 2,301 2,309 19,000 1,985 1,993 2,000 2,008 2,015 2,023 2,030 2,038 2,045 2,053 2,060 2,068 2,075 2,083 2,090 2,098 2,105 2,113 2,120 2,128 1,603 1,608 1,613 1,618 1,623 1,628 1,633 1,638 1,643 1,648 1,653 1,658 1,663 1,668 1,673 1,679 1,686 1,694 1,701 1,709 19,000 19,050 19,100 19,150 19,200 19,250 19,300 19,350 19,400 19,450 19,500 19,550 19,600 19,650 19,700 19,750 19,800 19,850 19,900 19,950 2,135 2,143 2,150 2,158 2,165 2,173 2,180 2,188 2,195 2,203 2,210 2,218 2,225 2,233 2,240 2,248 2,255 2,263 2,270 2,278 1,716 1,724 1,731 1,739 1,746 1,754 1,761 1,769 1,776 1,784 1,791 1,799 1,806 1,814 1,821 1,829 1,836 1,844 1,851 1,859 20,000 20,050 20,100 20,150 20,200 20,250 20,300 20,350 20,400 20,450 20,500 20,550 20,600 20,650 20,700 20,750 20,800 20,850 20,900 20,950 17,000 17,050 17,100 17,150 17,200 17,250 17,300 17,350 17,400 17,450 17,500 17,550 17,600 17,650 17,700 17,750 17,800 17,850 17,900 17,950 18,000 And you are – 18,000 16,000 14,000 14,050 14,100 14,150 14,200 14,250 14,300 14,350 14,400 14,450 14,500 14,550 14,600 14,650 14,700 14,750 14,800 14,850 14,900 14,950 15,000 And you are – Your tax is – 13,000 11,000 11,000 11,050 11,100 11,150 11,200 11,250 11,300 11,350 11,400 11,450 11,500 11,550 11,600 11,650 11,700 11,750 11,800 11,850 11,900 11,950 Single 12,000 10,000 10,000 10,050 10,100 10,150 10,200 10,250 10,300 10,350 10,400 10,450 10,500 10,550 10,600 10,650 10,700 10,750 10,800 10,850 10,900 10,950 If Form 1040EZ, line 6, is – And you are – 19,050 19,100 19,150 19,200 19,250 19,300 19,350 19,400 19,450 19,500 19,550 19,600 19,650 19,700 19,750 19,800 19,850 19,900 19,950 20,000 20,000 20,050 20,100 20,150 20,200 20,250 20,300 20,350 20,400 20,450 20,500 20,550 20,600 20,650 20,700 20,750 20,800 20,850 20,900 20,950 21,000 (Continued on next page) Instructions for Form 1040EZ - 28 -
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