Personal Information
*1	First Name	Joe
*2	Last Name	User
*3	Address	123, Main Street
*4	City	Pittsburgh, PA
*5	Social Security Number	999-99-9999

Income
7	Wages, salaries, tips, etc. Attach Form(s) W-2	65000
8a	Taxable interest. Attach Schedule B if required	123
8b	Tax-exempt interest. Do not include on line 8a
9a	Ordinary dividends. Attach Schedule B if required
9b	Qualified dividends
10	Taxable refunds, credits, or offsets of state and local income taxes
11	Alimony received
12	Business income or (loss). Attach Schedule C or C-EZ
13	Capital gain or (loss). Attach Schedule D if required
14	Other gains or (losses). Attach Form 4797
15a	IRA distributions
15b	Taxable amount
16a	Pensions and annuities
16b	Taxable amount
17	Rental real estate, royalties, etc. Attach Schedule E.
18	Farm income or (loss). Attach Schedule F
19	Unemployment compensation
20a	Social security benefits
20b	Taxable amount
21	Other income	1200
22	Combine the amounts for lines 7 through 21. This is your total income.	{{7:21}}

Adjusted Gross Income
23	Educator expenses
24	Business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ
25	Health savings account deduction. Attach Form 8889	450
26	Moving expenses. Attach Form 3903
27	Deductible part of self-employment tax. Attach Schedule SE
28	Self-employed SEP, SIMPLE, and qualified plans
29	Self-employed health insurance deduction
30	Penalty on early withdrawal of savings
31a	Alimony paid
32	IRA deduction
33	Student loan interest deduction
34	Tuition and fees. Attach Form 8917
35	Domestic production activities deduction. Attach Form 8903
36	Add lines 23 through 35	{{23:35}}
37	Subtract line 36 from line 22. This is your adjusted gross income	{{22-36}}

Tax And Credits
38	Amount from line 37 (adjusted gross income)	{{37}}
40	Itemized deductions (from Schedule A) or your standard deduction
43	Taxable income. Subtract line 40 from line 38	{{38-40}}
45	Alternative minimum tax (see instructions). Attach Form 6251
47	Foreign tax credit. Attach Form 1116 if required
48	Credit for child and dependent care expenses. Attach Form 2441
49	Education credits from Form 8863, line 19
50	Retirement savings contributions credit. Attach Form 8880
51	Child tax credit. Attach Schedule 8812, if required
52	Residential energy credits. Attach Form 5695
53	Other credits
54	Add lines 47 through 53. These are your total credits	{{47:53}}
55	Subtract line 54 from line 43. If line 54 is more than line 43, enter -0-	{{43-54}}

Other Taxes
56	Self-employment tax. Attach Schedule SE
57	Unreported social security and Medicare tax from Form
58	Additional tax on IRAs, other qualified retirement plans, etc.
59a	Household employment taxes from Schedule H
59b	First-time homebuyer credit repayment. Attach Form 5405 if required
60	Other taxes. Enter code(s) from instructions
61	Add lines 55 through 60. This is your total tax	{{55:60}}

Payments
62	Federal income tax withheld from Forms W-2 and 1099
63	Estimated tax payments & amount applied from previous year
64	Earned income credit (EIC)
65	Additional child tax credit. Attach form 8812.
66	American opportunity credit from Form 8863, line 8
68	Amount paid with request for extension to file
69	Excess social security and tier 1 RRTA tax withheld
70	Credit for federal tax on fuels. Attach Form 4136
72	Add lines 62 through 70. These are your total payments:	{{62:70}}

Refund
73	If line 72 is more than line 61, subtract line 61 from line 72	{{72-61}}
74	Amount of line 73 you want refunded to you
75	Amount of line 73 you want applied to next year's taxes

Amount you owe
76	Amount you owe. Subtract line 72 from line 61	{{61-72}}
