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Page 1 of 2DescriptionPROFILE Help Code1040 Line #1040A Line # 1040ez Line #Not Required To FileTotal Number of ExemptionsSI-1006d6dSee instructions for line 5-Adjusted Gross Income (AGI)SI-10537214-Income Tax PaidSI-110563910-EducationCredits(Americ anOpportunity,HopeandLifetimeLearning)SI -1155033--Itemized Deductions SI-120Schedule A, Line 29---Student Income From WorkSI-1257 + 12 + 18+ Schedule K-1( form 1065), box 14If 12 & 18 are negative, treat them as (s) W-2 (boxes 1 and 8), pay stubs. Include wages received as household employee for which you did not receive a form W-2Spouse Income From WorkSI-1307 + 12 + 18+ Schedule K-1 ( form 1065), box 14If 12 & 18 are negative, treat them as (s) W-2 (boxes 1 and 8), pay stubs. Include wages received as household employee for which you did not receive a form W-2Interest & Dividend IncomeSI-1358a + 9a8a + 9a2Form 1099-INT, form 1099-DIV and Bank StatementsUntaxedSocialSecuritybenefitsr eceivedforindependent studentandotherfamilymembers( ,son,daughter,spouse& other dependents)SI-140(20a - 20b) + form SSA-1099 (Box 5)for all dependent children(14a -14b) + form SSA-1099 (Box 5) for all dependent childrenAdd all Forms SSA-1099 (Box 5)Add all Forms SSA-1099 (Box 5)Earned Income CreditSI-15566a42a8a-Other Untaxed IncomeSI-160Paid Medical & Dental Expenses (not c)

1040EZ Line # Not Required To File Total Number of Exemptions PI-100 6d 6d See instructions for line 5-Wages, Salaries & Tips PI-105 7 7 1 Form(s) W-2 (boxes 1 and 8), pay stubs. Interest Income PI-110 8a 8a 2 Form 1099-INT and Bank Statements Dividend Income PI-115 9a 9a - Form 1099-DIV and Bank Statements

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