Tax Accounting 1

1040

Form

Department of the Treasury—Internal Revenue Service

U.S. Individual Income Tax Return

Last name

(99)

2012

, 2012, ending

OMB No. 1545-0074 , 20

IRS Use Only—Do not write or staple in this space.

For the year Jan. 1–Dec. 31, 2012, or other tax year beginning Your first name and initial

See separate instructions.

Your social security number

George T.

If a joint return, spouse’s first name and initial

Jones

Last name Apt. no.

4 0 0 0 0 1 0 3 1

Spouse’s social security number

Tammy B.

Home address (number and street). If you have a P.O. box, see instructions. City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Foreign country name Foreign province/state/county

Jones

2 3 4 1 1 5 6 7 8

1525 Canal Street

▲

Make sure the SSN(s) above and on line 6c are correct.

Presidential Election Campaign

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking Foreign postal code a box below will not change your tax or refund. You Spouse

New Orleans, LA 70118

Filing Status

Check only one box.

1 2 3 6a b c

Single Married filing jointly (even if only one had income) Married filing separately. Enter spouse’s SSN above and full name here. ▶ Spouse . Dependents: . . . . . . . . . . . .

4

Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child’s name here. ▶

5 . . .

Qualifying widow(er) with dependent child

Exemptions

Yourself. If someone can claim you as a dependent, do not check box 6a . . . . .

(2) Dependent’s social security number (3) Dependent’s relationship to you

. .

. .

. .

. .

}

(1) First name

Last name

(4) ✓ if child under age 17 qualifying for child tax credit (see instructions)

Boxes checked on 6a and 6b No. of children on 6c who: • lived with you

•...