Title:  US Federal 1040 Tax Form - 2012 - EXAMPLE

Status     Married/Joint {Single, Married/Joint, Head_of_House, Married/Sep, Widow(er)}

Under65?      Yes       { Age at end of 2012. (Yes/No) If Married/Joint, Y=both-under, N=both-over, 1=One-over }

Dependents     2         {Number of Dependents, self=1, spouse, etc.}

{Income}
L7      20267.70        {Wages, salaries, tips (W-2's Box-1). }
        28188.53         {Spouse's}
                ;
L8a                     {Interest 1099-INT.  Place these numbers on Schedule-B, Part I. }
          37.71           {Bank Savings}
          12.65           {Credit Union}
          16.85           {Savings Bank}
                ;
L9                      {Ordinary Dividends 1099-DIV}
         70.90            {USX Dividends}
         44.36            {Fidelity Mutual Funds}
         64.13            {  Growth Fund}
         74.52            {Company Stock Div}
                ;
L9b                     {Qualified Dividends 1099-DIV}
         70.90            {USX Dividends}
         14.36            {Fidelity Mutual Funds}
          0.0             {  Growth Fund}
         61.25            {Company Stock Div}
                ;
L10     625.83  ;       { Taxable refunds. }
L11             ;       { Alimony received. }
L12             ;       { Business income/loss. (Sched C) }
Cap-Gains-A	        { Capital Gains/Losses, 1099-B.  For which Basis Reported to IRS (Form 8949 check-A) }
			{  Enter for each:  BuyAmnt Date, SellAmnt Date }
	 -800.99	6-20-11		{ 40 Shares WMT }
	  950.99	10-12-11

        -3658.22        12-15-99        { 100 Shares XOM }
         4209.95        1-25-10

        -4949.98        3-26-11         { 500 Shares NAB }
         6009.01        12-27-11
                ;
Cap-Gains-B	        { Capital Gains/Losses, 1099-B.  For which Basis NOT Reported to IRS (Form 8949 check-B) }
			{  Enter for each:  BuyAmnt Date, SellAmnt Date }
                ;
Cap-Gains-C	        { Capital Gains/Losses, 1099-B.  For which Form 8949 (A)+(B) can NOT be checked. (check-C) }
			{  Enter for each:  BuyAmnt Date, SellAmnt Date }
                ;
			{ }
D4		;	{ Short-term gain from 6252, gain or loss from Forms 4684, 6781, 8824. }
D5		;	{ Short-term gain/loss from partnerships, S corps, estates, trusts, K-1. }
D6              ;       { Short-term 2011 loss carryover. Or, LastYear's return output File-name. }
D11		;       { Gain from Form 4797. }
D12		;       { Partnership net long-term gains or losses. }
D13		;       { Cap Gains Distributions - 1099-DIV column 2a. }
D14             ;       { Long-term 2011 loss carryover. Leave blank if file-name used in line D6. } 
L14             ;       { Other gains or losses. (form 4797) }
L15b            ;       { Taxable IRA distributions (pg 23) }
L16b            ;       { Taxable Pensions/annuities (pg 24) }
L17             ;       { Rent realestate/royalties/partnerships/S corp. Sched E }
L18             ;       { Farm income/loss. (Sched F) }
L19             ;       { Unemployment compensation }
L20b            ;       { Taxable Social security benefits }
L21             ;       { Other income. (pg 28) }

{Adjusted Gross Income}
L24             ;       { Bus. exp.: reservists, artists, ... Attach Form 2106 }
L25             ;       { Health savings account deduction. Attach Form 8889 }
L26             ;       { Moving expenses. Attach Form 3903 }
L27             ;       { Deductable part of self-employment tax. Attach Schedule SE}
L28             ;       { Self-employed SEP, SIMPLE, and qualified plans }
L29             ;       { Self-employed health insurance deduction }
L30             ;       { Penalty on early withdrawal of savings }
L31a            ;       { Alimony paid }
L32             ;       { IRA deduction }
L33             ;       { Student loan interest deduction }
L35             ;       { Domestic production activities deduction, Form 8903}
L39             ;       { Number of boxes checked (0-4), line-39:  You, Spouse : >65, blind.}

Collectibles	;	{ Gains or Losses from "Collectibles" only.  (Usually zero.) }

{Tax and Credits}
 {Itemized deductions from Schedule A}
 A1             ;       { Unreimbursed medical expenses. }
 A5                     { State and local income taxes. (W-2's box 19.) }
        1771.05          {Prop-tax}
          39.88          { Sate-UI (Unemployment Insurance) }
        1479.21          { State-tax withheld/owed }
        1928.35          { Spouse's local tax (paid) }
		  ;
 A6             0 ;     { Real estate taxes.}
 A7             ;       { Personal property taxes. }
 A8             ;       { Other taxes.}
 A10            ;       { Home mortgage interest and points}
 A11            ;       { Home mortgage interest not reported to you on Form 1098.}
 A12            ;       { Points not reported to you on Form 1098.}
 A14            ;       { Investment interest. Attach Form 4952}
 A16        124.0 ;     { Charity contributions.}
 A17            ;       { Contributions other than cash or check.}
 A18            ;       { Carryover from prior year}
 A20            ;       { Casualty or theft loss(es).}
 A21            ;       { Unreimbursed employee expenses}
 A22            ;       { Tax preparation fees}
 A23            ;       { Other expenses}
 A28            ;       { Other deductions, listed on Sched-A page A-6.}

L47             ;       { Foreign tax credit, form 1116 }
L48             ;       { Child/dependent care expense credits. Form 2441. }
L49             ;       { Education credits. Form 8863, line 19. }
L50             ;       { Retirement savings contributions credit. Form 8880. }
L51             ;       { Child tax credit (Sched 8812). }
L52             ;       { Residential energy credits. Form 5695. }
L53             ;       { Other credits. Forms 3800, 8801, etc. }

{Other Taxes}
L56             ;       { Self-employment tax. Sched SE }
L57             ;       { Unreported social security and Medicare tax from Form 4137, 8919 }
L58             ;       { Additional tax on IRAs, other qualified retirement plans, Form 5329 }
L59a            ;       { Household employment taxes. Sched H }
L59b            ;       { First-time homebuyer credit repayment. Form 5405. }
L60             ;       { Other taxes. }

{Payments}
L62      1165.50        {Federal income tax witheld, from W-2, box-2 }
         2988.09         { Spouse's}
                ;
L63             ;       { 2012 estimated payments + amnt applied from 2011 }
L64a            ;       { Earned income credit (EIC) }
L65             ;       { Additional child tax credit. Attach Form 8812 }
L66		;	{ American opportunity credit. Form 8863, line 8. }
L68             ;       { Amnt paid in filing extension req. }
L69             ;       { Excess soc. sec. + tier1 RRTA tax withheld}
L70             ;       { Credits for federal tax on fuels. Attach form 4136}
L71             ;       { Credits from Form 2439, 4136, 6801, 8885 }
