William Penn Life, 1984 (19. évfolyam, 1-4. szám)
1984-01-01 / 1. szám
1040 Department of the Treasury — Internal Revenue Service U.S. Individual Income Tax Return83 (0) For the year January i-DecemOer 31. 1983. or other tax year Beginning 1983. ending 19 0MB No 1545-0074 Your first name ana initial (if joint return, also give spouse s name ana initial) Last name Your social security number Spouse's social security number Please attach Copy B of your Forms W-2. W-2G and W-2P here. If you do not have a W-2. see page 5 of Instructions. Please attach check or money order here. Adjustments to Income (See Instructions on page 11) 11 12 13 14 15 16 Fully taxable pensions. IRA di: 17a Other pensions and annuitn b Taxable amount, if any. fro| Rents, royalties, partnershi Farm income or (loss) (a. 20a Unemployment compensatiofl^^^^^^H^Hreef b Taxable amount, if any. from works^^ron pagPl 1 of In Other income (state nature ana source—see page 11 of Instructions) 18 19 21 fledufe hs not reported on line 13 ( 5r (losses) (aJJ^^g^j^4797) l-kshi 7 8 9c 10 11 12 13 14 15 22 Total income. Add amounts in column for lines 7 througn 21 23 Moving expense (attach Form 3903 or 3903F) 24 Employee business expenses (attach Form 2106) . 25a IRA deduction, from the worksheet on page 12.......................... b Enter here IRA payments you made in-1984 that are included in line 25a above ^ 1________________!_____: 26 Payments to a Keogh (H R 10) retirement plan 27 Penalty on early withdrawal of savings 28 Alimony paid 29 Deduction for a married couple when both work (attach Scneauie W) 30 DisaOility income exclusion (attach Form 2440) 31 Total adjustments. Add lines 23 through 30 27 28 29 30 31 Adjusted Gross Income 32 Adjusted gross income. Suotract line 31 from line 22. if this line is less than Si 0.000. see Earnea Income Creait " (line 59) on page 16 of Instructions If you want IRS to figure vour tax. see page 3 or Instructions 32
