| 1: Total wages, salaries, and tips. |
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| 2: Taxable interest income of $1500 or
less. |
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| 3: Unemployment compensation. |
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| 4: This is your adjusted gross income. |
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| 5: If single, enter $8750. If married,
enter $17500. |
|
| 6: This is your taxable income. |
|
| 7: Enter your federal income tax
withheld. |
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| 8a: Earned income credit. |
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| 8b: Nontaxable combat pay election. |
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| 9: Total payments. |
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| 10: This is your tax. |
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| 11: This is your refund. |
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| 12: This is the amount you owe. |
|