Form
1040EZ
Department of the Treasury --
Internal Revenue Service
Income Tax Return for Single and Joint Filers With No Dependents 1995
See instructions on back and in Form 1040EZ booklet.
Calculate tax based on:
Presidential Election Campaign
Notes Checking "yes" will not change your tax
or reduce your refund.
Do you want $3 to go to this fund?
If a joint return, does you spouse want $3 to go to this
fund?
Income
Attach Copy B of Form(s) W-2 here.
Enclose, but do not attach, any payments with your return
Total wages, salaries, and tips. This should be shown in box 1 of your
W-2 form(s). Attach your W-2 forms(s).
Taxable interest income of $400 or less. If the total is over $400,
you cannot use Form 1040EZ.
Unemployment compensation (see page 14).
Add lines 1, 2, and 3. This is your adjusted gross income . If
less than $9,230. see page 15 to find out if you can claim the earned income
credit on line 8.
Note: You must check Yes or No.
Can your parents (or someone else) claim you on their return?
Yes.
Do worksheet on back; enter amount from line G here.
No
If single, enter 6,400.00
If married, enter 11,550.00.
Subtract line 5 from line 4. If line 5 is largeter than line 4, enter
0. This is your taxable income.
Payments and tax
Enter your Federal income tax withheld from box 2 of your W-2 form(s).
Earned income credit (see page 15). Enter type and amount of
nontaxable earned income below.
Add lines 7 and 8 (don't include nontaxable earned income). These are
your total payments
Tax Use the amount on line 6 to find you tax in the tax
table on pages 29-33 of the booklet. Then, enter the tax from the table
on this line.
Refund or amount you owe
If line 9 is larger than line 10, subtract line 10 from line 9. This
is your refund.
If line 10 is larger than line 9, subtract line 9 from line 10. This
is the amount you owe. See page 22 for details on how to pay and
what to write on your payment