<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<taxForm1040EZ xsi:noNamespaceSchemaLocation="Form_2005_1040EZ.xsd" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<label>
<formBeginDate>2005-01-01</formBeginDate>
<formEndDate>2005-12-31</formEndDate>
<taxPayer>
<firstNameAndInitial>Homer J.</firstNameAndInitial>
<lastName>Simpson</lastName>
<socialSecurityNumber1>123</socialSecurityNumber1>
<socialSecurityNumber2>45</socialSecurityNumber2>
<socialSecurityNumber3>6789</socialSecurityNumber3>
</taxPayer>
<taxSpouse>
<firstNameAndInitial>Marge B.</firstNameAndInitial>
<lastName>Simpson</lastName>
<socialSecurityNumber1>987</socialSecurityNumber1>
<socialSecurityNumber2>65</socialSecurityNumber2>
<socialSecurityNumber3>4321</socialSecurityNumber3>
</taxSpouse>
<taxAddress>
<homeAddressLine1>123 Evergreen Terrace</homeAddressLine1>
<homeAptNumber></homeAptNumber>
<homeCityStateZip>Springfield, KY 76543</homeCityStateZip>
</taxAddress>
<PECFundPayer>false</PECFundPayer>
<PECFundSpouse>false</PECFundSpouse>
</label>
<income>
<wagesSalariesTips>1000</wagesSalariesTips>
<wagesSalariesTips>533</wagesSalariesTips>
<wagesSalariesTips>750</wagesSalariesTips>
<wagesSalariesTipsTotal>30500</wagesSalariesTipsTotal>
<taxableInterest>1350</taxableInterest>
<unemploymentCompensation>1800</unemploymentCompensation>
<adjustedGrossIncome>32579</adjustedGrossIncome>
<claimedDependentPayer>false</claimedDependentPayer>
<claimedDependentSpouse>true</claimedDependentSpouse>
<notClaimedSingle>false</notClaimedSingle>
<notClaimedJoint>false</notClaimedJoint>
<deduction>13200</deduction>
<taxableIncome>19379</taxableIncome>
</income>
<payments>
<fedIncomeTaxWH>100</fedIncomeTaxWH>
<fedIncomeTaxWH>2500</fedIncomeTaxWH>
<fedIncomeTaxWH>580</fedIncomeTaxWH>
<fedIncomeTaxWHTotal>3180</fedIncomeTaxWHTotal>
<eic>500</eic>
<combatPay>450</combatPay>
<totalPayments>3680</totalPayments>
<tax>3500</tax>
</payments>
<refundOwe>
<refund>180</refund>
<routingNumber>123456789</routingNumber>
<accountChecking>true</accountChecking>
<accountSavings>false</accountSavings>
<accountNumber>123456789012345</accountNumber>
<owed>0</owed>
</refundOwe>
<thirdParty>
<otherDiscuss>true</otherDiscuss>
<designeesName>Barney Gumble</designeesName>
<designeesPhone>
<areaCode>202</areaCode>
<phonePrefix>555</phonePrefix>
<phoneSuffix>1212</phoneSuffix>
</designeesPhone>
<designeesPIN>8765432</designeesPIN>
</thirdParty>
<sign>
<taxSignature>Homer Jay Simpson</taxSignature>
<taxSignDate>2005-04-15</taxSignDate>
<taxOccupation>Nuclear Safety Inspector</taxOccupation>
<taxPhone>
<areaCode>919</areaCode>
<phonePrefix>254</phonePrefix>
<phoneSuffix>2134</phoneSuffix>
</taxPhone>
<spouseSignature>Marge Bouveau Simpson</spouseSignature>
<spouseSignDate>2005-04-15</spouseSignDate>
<spouseOccupation>Domestic Manager</spouseOccupation>
<spousePhone>
<areaCode>000</areaCode>
<phonePrefix>000</phonePrefix>
<phoneSuffix>0000</phoneSuffix>
</spousePhone>
</sign>
<paidPreparer>
<preparersSignature>Moe Syzlack</preparersSignature>
<preparersSignDate>2005-04-15</preparersSignDate>
<selfEmployed>true</selfEmployed>
<preparersSSNPTIN>3456789012</preparersSSNPTIN>
<firmName>Moe's Pub and Tax Services</firmName>
<firmAddress>
<homeAddressLine1>123 Main Street</homeAddressLine1>
<homeAptNumber>#4</homeAptNumber>
<homeCityStateZip>Raleigh, NC 27000</homeCityStateZip>
</firmAddress>
<firmEIN>123456</firmEIN>
<firmPhone>
<areaCode>919</areaCode>
<phonePrefix>876</phonePrefix>
<phoneSuffix>5432</phoneSuffix>
</firmPhone>
</paidPreparer>
<worksheet>
<worksheetA>30500</worksheetA>
<worksheetB>30750</worksheetB>
<single>false</single>
<marriedJointly>true</marriedJointly>
<worksheetC>10000</worksheetC>
<worksheetD>10000</worksheetD>
<worksheetE>3200</worksheetE>
<worksheetF>13200</worksheetF>
</worksheet>
</taxForm1040EZ>
