page_1 OMB No 1545-0074

Form 1040EZ Income Tax Return for Single and Joint Filer with No Dependents 2005

Refund: Owe:
Label Income Payments and tax Refund or owe Third party designee Sign Paid Preparer

Label

For the year Jan 1-Dec 31, 2005 or other tax year beginning
, and ending
Your first name and intial Enter your first name and intial Last Name Enter your last name Social Security Number
First three digits of social security number Middle two digits of social security number last four digits of social security number
If a joint return, Spouse's first name and intial Enter first name and intial
Last Name Enter last name Social Security Number
Enter first three digits of social security number Enter middle two digits of social security number Enter last four digits of social security number
Home address (number and street). If you have a P.O. box, see page 11. Enter street address
Apt. No. Apartment number
City, town or post office, state, and ZIP code. If you have a foreign address, see page 11. Enter city, state, and zip code
Presidential Election Campaign (See page 12) Check here if you, or your spouse if a joint return, want $3 to go to this fund? You Check to contribute Spouse Check to contribute

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Income

Wages, salaries and tips. Enter your Forms(s) W-2 Box 1.
This should be shown in box 1 of your Forms(s) W-2. Add W2 Box 1 Delete W2 Box 1
1 Total for all wages, salaries, and tips. 1 This is your calculated total of all of your W2s.
2 Taxable interest. 2 If the total is over $1,500, you cannot use Form 1040EZ
3 Unemployment compensation and Alaska Permanent Funds Dividends (see page 13). 3 Unemployment compensation and Alaska Permanent Funds Dividends
4 Add lines 1, 2, and 3. This is your adjusted gross income. 4 This is your calculated total adjusted gross income.
5 If someone can claim you (or your spouse if a joint return) as a dependent, check the applicable box(es) below and enter the amount from the worksheet. You Check if you can be claimed as a dependent.
Spouse Check if you can be claimed as a dependent. Worksheet page_8
If someone cannot claim you (or your spouse if a joint return)
check the applicable box below.
Single filing ($8,200) Check if you are filing single. or, Married filing jointly ($16,400) Check if you are married filing jointly. 		5 This is your deduction.
6 This is your taxable income 6 This is your calculated taxable income.

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Payments and tax

Federal income tax withheld. Enter your Forms(s) W-2 Box 2. This should be shown in box 1 of your Forms(s) W-2.
Add W2 Box 2 Delete W2 Box 2
7 Total for all Federal income withheld. 7 This is your calculated total of all of your federal income tax withheld.
8a Earned income credit (EIC). 8a Earned income credit (EIC)
8b Nontaxable combat pay election. 8b Nontaxable combat pay election
9 These are your total payments. 9 Add lines 7 and 8a
10 Tax, Use this amount to find your tax in the tax table. 10 Find your tax in the tax table.

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Refund or Owe

11a This is your refund. 11a If line 9 is larger than line 10, then subtract line 10 from 9
11b Routing number 11b Direct deposit account routing number.
11c Account Type 11c Checking Check if direct deposit to checking account. or, Savings Check if direct deposit to savings account.
11d Account number 11d Direct deposit account number
12 This is the amount you owe. 12 If line 10 is larger than line 9, then subtract line 9 from 10. For details on how to pay, see page 19.

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Third party designee

Do you want to allow another person to discuss this return with the IRS? Check if you want to allow another person to discuss this return with the IRS (see page19).
Designee's name Designee's name.
Designee's phone number Enter designee's area code. Enter desingee's phone number. Enter desingee's phone number.
Personal identification number (PIN) Personal identification number (PIN).

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Sign

Your signature Your signature. Date Signature date. Your occupation Your occupation. Daytime phone number
Daytime area code. Daytime phone number. Daytime phone number.
Spouse signature Spouse signature, if a joint return both must sign. Date Signature date. Spouse occupation Spouse occupation.

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Paid preparer

Preparer's signature Preparer's signature. Date Preparer's signature date. Check if self-employed Check if self-employed. Preparer's SSN or PTIN Preparer's SSN or PTIN.
Preparer's firm name Preparer's firm name. EIN Preparer's EIN.
Preparer's address (number and street). If you have a P.O. box, see page 11. Enter street address Preparer's Phone number
Preparer's area code. Preparer's firm phone number. Preparer's firm phone number.
City, town or post office, state, and ZIP code. If you have a foreign address, see page 11. Enter city, state, and zip code

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Worksheet for dependents who checked one or both boxes on line 5

A. Amount, if any, from line 1 on front A. Amount, if any, from line 1 on front.
B. Is line A more than $550?
If yes, add $250 to line A. Enter the total
If no, Enter $800 		B. If line A is more than $550, then add $250, else enter $800.
C. Filing Status Single ($5,000) Check if filing single. or, married filing jointly ($10,000) Check if married filing jointly. C.
D. Enter the smaller of line B or line C here D. This is your standard deduction.
E. Exemption amount
If single, enter 0
If married filing jointly and you checked-
-both boxes on line 5, enter $0.
-only one box on line 5, enter $3,200 		E. This is your exemption.
F. Add lines D and E. Enter total here and on line 5 on the front.
If you did not check any boxes on line 5, enter on line 5 the amount shown below that applies to you.
- Single, enter $8200. This is the total of your standard deduction ($5,000) and your exemption ($3,200).
- Married filing jointly, enter $16,400. This is the total of your standard deduction ($10,000) and your exemption ($3,200), and your spouses exemption ($3,200).
-only one box on line 5, enter $3,200 		F. Add lines D and E. Enter total here and on line 5.

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For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 23. Cat No. 11329W Form 1040EZ (2005)
PDF Form 1040EZ
IRS Instructions for Form 1040EZ