2006 Form 040-V Department of the Treasury Internal Revenue Service For Privacy Act and Paperwork Reduction Act tice, see separate instructions. DETACH HERE Form 040 (2006) Department of the Treasury Internal Revenue Service 2006 Form 040-V Payment Voucher Use this voucher when making a payment with Form 04 Do not staple this voucher or your payment to Form 04 Make your check or money order payable to the "United States Treasury." Dave Dave Sarah Sarah 0408 Terrace Glenview, IL 6000 Enter the amount of your payment 064 $ 3,48.00
Form Department of the Treasury - Internal Revenue Service 040 U.S. Individual Income Tax Return Label instructions) Use the IRS label. Otherwise, please print or type. L A B E L H E R E Presidential Election Campaign Filing Status Check only one box. Exemptions If more than four dependents, see instructions. For the year Jan. -Dec. 3, 2006, or other tax year beginning Your first name and initial Dave If a joint return, spouse's first name and initial Sarah Last name Last name Home address (number and street). If you have a P.O. box, see instructions. 0408 Terrace, 2006, ending, 20 City, town or post office, state, and ZIP code. If you have a foreign address, see instructions. Glenview, IL 6000 Apt. no. OMB. 545-0074 Your social security number Spouse's social security number Check here if you, or your spouse if filing jointly, want $3 to go to this fund (see instructions) You Spouse Single 4 Head of household (with qualifying person). instructions) If 2 Married filing jointly (even if only one had income) the qualifying person is a child but not your dependent, enter 3 Married filing separately. Enter spouse's SSN above this child's name here. 6a b c Dave Sarah 2006 IRS Use Only - Do not write or staple in this space. You must enter your SSN(s) above. Checking a box below will not change your tax or refund. and full name here. 5 Qualifying widow(er) with dependent child instructions) Yourself. If someone can claim you as a dependent, do not check box 6a........ Boxes checked on 6a and 6b Spouse........................................}. of children (4) if qualifying child Dependents: (3) Dependent's on 6c who: (2) Dependent's relationship to for child () First name Last name social security number you lived with you tax credit did not live with you due to divorce or separation (see instructions) q q --Son w w e e 222-22-2222Son 333-33-3333Son 666-66-6666 777-77-7777 Dependents on 6c not entered above 2 3 0 0 Income Attach Form(s) W-2 here. Also attach Forms W-2G and 099-R if tax was withheld. If you did not get a W-2, see instructions. Enclose, but do not attach, any payment. Also, please use Form 040-V. Adjusted Gross Income d Total number of exemptions claimed.............................. 7 Wages, salaries, tips, etc. Attach Form(s) W-2....................... 7 8a Taxable interest. Attach Schedule B if required...................... 8a b Tax-exempt interest. Do not include on line 8a....... 8b 9a Ordinary dividends. Attach Schedule B if required...................... 9a b Qualified dividends (see instructions)............ 9b 0 Taxable refunds, credits, or offsets of state and local income taxes (see instructions)..... 0 Alimony received..................................... 2 Business income or (loss). Attach Schedule C or C-EZ................... 2 3 Capital gain or (loss). Attach Schedule D if required. If not required, check here... 3 4 Other gains or (losses). Attach Form 4797......................... 4 5a IRA distributions..... 5a b Taxable amount (see instructions) 5b 6a Pensions and annuities.. 6a b Taxable amount (see instructions) 6b 7 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E... 7 8 Farm income or (loss). Attach Schedule F......................... 8 9 Unemployment compensation............................... 9 20a Social security benefits.. 20a b Taxable amount (see instructions) 20b 2 Other income. List type and amount (see instructions).................... 2 22 Add the amounts in the far right column for lines 7 through 2. This is your total income 22 23 Archer MSA deduction. Attach Form 8853.......... 23 24 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 206 or 206-EZ. 24 25 Health savings account deduction. Attach Form 8889..... 25 26 Moving expenses. Attach Form 3903............ 26 27 One-half of self-employment tax. Attach Schedule SE..... 27 28 Self-employed SEP, SIMPLE, and qualified plans....... 28 29 Self-employed health insurance deduction (see instructions).. 29 30 Penalty on early withdrawal of savings............ 30 3a 32 33 34 35 36 37 Alimony paid b Recipient's SSN 3a IRA deduction (see instructions)............... 32 Student loan interest deduction (see instructions)....... 33 Jury duty pay you gave to your employer........... 34 Domestic production activities deduction. Attach Form 8903.. 35 Add lines 23 through 3a and 32 through 35........................ Subtract line 36 from line 22. This is your adjusted gross income........... For Disclosure, Privacy Act, and Paperwork Reduction Act tice, see instructions. 7,86. 36 37 Add numbers on lines above 5 32,00 3,425. 50,85 86,275. 7,86. 78,44. Form 040 (2006)
Form 040 (2006) Tax and Credits Standard Deduction for - People who checked any box on line 39a or 39b or who can be claimed as a dependent, See instr. All others: Single or Married filing separately, $5,50 Married filing jointly or Qualifying widow(er), $0,300 Head of household, $7,550 Other Taxes Payments If you have a qualifying child, attach Schedule EIC. Refund Direct deposit? See instructions and fill in 74b, 74c, and 74d. or Form 8888. Amount You Owe Third Party Designee Sign Here Joint return? See instructions Keep a copy for your records. Paid Preparer's Use Only 38 Amount from line 37 (adjusted gross income)......................... 38 39a Check You were born before January 2, 942, Blind. Total boxes if: { Spouse was born before January 2, 942, Blind. } checked 39a 0 b If your spouse itemizes on a seperate return or you were a dual-status alien, see instructions and check here 39b 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin)..... 40 4 Subtract line 40 from line 38................................. 4 42 If line 38 is over $2,875, or you provided housing to a person displaced by Hurricane Katrina, see instructions. Otherwise, multiply $3,300 by the total number of exemptions claimed on line 6d. 42 43 Taxable income. Subtract line 42 from line 4. If line 42 is more than line 4, enter -0-..... 43 44 Tax (see instructions). Check if any tax is from: a Form(s) 884 b Form 4972....... 44 45 Alternative minimum tax (see instructions). Attach Form 625................ 45 46 Add lines 44 and 45................................... 46 47 Foreign tax credit. Attach Form 6 if required......... 47 48 Credit for child and dependent care expenses. Attach Form 244. 48 49 Credit for the elderly or the disabled. Attach Schedule R..... 49 50 Education credits. Attach Form 8863.............. 50 5 Retirement savings contributions credit. Attach Form 8880.... 5 52 Residential energy credits. Attach Form 5695.......... 52 53 Child tax credit (see instructions). Attach Form 890 if required.. 53 54 55 Other credits: a Form 3800 b Form 880 c Form 55 56 Add lines 47 through 55. These are your total credits.................... 56 57 Subtract line 56 from line 46. If line 56 is more than line 46, enter -0-............ 57 58 Self-employment tax. Attach Schedule SE........................... 58 59 Social security and Medicare tax on tip income not reported to employer. Attach Form 437.... 59 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required.... 60 6 Advance earned income credit payments from Form(s) W-2, box 9................ 6 62 Household employment taxes. Attach Schedule H....................... 62 63 Add lines 57 through 62. This is your total tax...................... 63 64 Federal income tax withheld from Forms W-2 and 099...... 64 9,60 65 2006 estimated tax payments and amount applied from 2005 return... 65 30,00 66a Earned income credit (EIC)................... 66a b ntaxable combat pay election 66b 67 Excess social security and tier RRTA tax withheld (see instr.).. 68 Additional child tax credit. Attach Form 882........... 69 Amount paid with request for extension to file (see instructions).. 70 Payments from: a Form 2439 b Form 436 c Form 8885.. 7 Credit for federal telephone excise tax paid. Attach Form 893 if required 7 72 Add lines 64, 65, 66a, and 67 through 7. These are your total payments.......... 73 Dave Dave and Sarah Sarah 666-66-6666 78,44. 74a b d Credits from: If line 72 is more than line 63, subtract line 63 from line 72. This is the amount you overpaid Amount of line 73 you want refunded to you. If Form 8888 is attached, check here Routing number Account number 75 Amount of line 73 you want applied to your 2007 estimated tax 75 76 Amount you owe. Subtract line 72 from line 63. For details on how to pay, see instructions 76 77 Estimated tax penalty (see instructions)............. 77 Designee's name Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Spouse's signature. If a joint return, both must sign. Preparer's signature Firm's name (or yours if self-employed), address, and ZIP code a Form 8396 b Form 8839 c Form 8859 Date Date Date 54 67 68 69 70 c Type: Checking Savings Do you want to allow another person to discuss this return with the IRS (see instructions)? Phone no. Your occupation Spouse's occupation Check if self-employed EIN Phone no. 6 72 73 74a. Complete the following. Personal identification number (PIN) Daytime phone number Preparer's SSN or PTIN Page 2 26,42. 52,272. 6,50 35,772. 27,42 27,42 27,42 5,72. 43,4. 39,66 3,48. dfdfdfdf 999-999-9999 Form 040 (2006)
SCHEDULES A&B (Form 040) Department of the Treasury Internal Revenue Service Attach to Form 04 Name(s) shown on Form 040 Medical and Dental Expenses (Schedule B is on page 2) Caution. Do not include expenses reimbursed or paid by others. Medical and dental expenses (see instructions).......... 2 Enter amount from Form 040, line 38 2 3 Multiply line 2 by 7.5% (.075)................... 3 4 Subtract line 3 from line. If line 3 is more than line, enter -0-................ 4 Taxes You 5 State and local income taxes................... 5,40 Paid 6 Real estate taxes (see instructions)................ 6 2,40 instructions.) 7 8 Personal property taxes..................... Other taxes. List type and amount 7 Interest You Paid instructions.) 8 9 Add lines 5 through 8.................................... 9 0 Schedule A - Itemized Deductions Home mortgage interest and points reported to you on Form 098 Home mortgage interest not reported to you on Form 098. If paid to the person from whom you bought the home, see instructions and show that person's name, identifying no., and address See Instructions for Schedules A&B (Form 040). 0 OMB. 545-0074 2006 Attachment Sequence. 07 Your social security number Dave Dave and Sarah Sarah 666-66-6666 8,90 3,80 te. Personal interest is not deductible. 2 Points not reported to you on Form 098. See instructions for special rules........................ 3 Investment interest. Attach Form 4952 if required. instructions.).......................... 3 4 Add lines 0 through 3................................... 4 Gifts to 5 Gifts by cash or check. If you made any gift of $250 or Charity more, see instructions...................... 5 If you made a gift and got a benefit for it, see instructions. 6 Other than by cash or check. If any gift of $250 or more, see instructions. You must attach Form 8283 if over $500..... 6 7 Carryover from prior year.................... 7 8 Add lines 5 through 7................................... 8 Casualty and Theft Losses 9 Casualty or theft loss(es). Attach Form 4684. instructions.)................ 9 instructions.) 20 Job Expenses and Certain Miscellaneous Deductions 2 Unreimbursed employee expenses - job travel, union dues, job education, etc. Attach Form 206 or 206-EZ if required. instructions.) Tax preparation fees 22 Other expenses - investment, safe deposit box, etc. List type and amount Investment Expenses 0 22 0 23 Add lines 20 through 22..................... 23 24 Enter amount from Form 040, line 38 24 25 Multiply line 24 by 2% (.02)................... 25 3,568. 26 Subtract line 25 from line 23. If line 25 is more than line 23, enter -0-.............. 26 Other 27 Other - from list in the instr. List type and amount Miscellaneous Deductions 27 Total 28 Is Form 040, line 38, over $50,500 (over $75,250 if married filing separately)? } Itemized. Your deduction is not limited. Add the amounts in the far right column Deductions for lines 4 through 27. Also, enter this amount on Form 040, line 4 28. Your deduction may be limited. See instructions for the amount to enter. For Paperwork Reduction Act tice, see instructions....................... 78,44. 29 If you elect to itemize deductions even though they are less than your standard deduction, check here 2 20 2 4,00 8 8 8,90 4,00 26,42. Schedule A (Form 040) 2006
Schedules A&B (Form 040) 2006 Name(s) shown on Form 04 Do not enter name and social security number if shown on page one. Part I Interest instructions and the instructions for Form 040, line 8a.) Schedule B - Interest and Ordinary Dividends List name of payer. If any interest is from a seller-financed mortgage and the buyer used the property as a personal residence, see instructions and list this interest first. Also, show that buyer's social security number and address OMB. 545-0074 Your social security number Dave Dave and Sarah Sarah 666-66-6666 Page 2 Attachment Sequence. 08 Amount CD 3,20 Bus acc 225. te. If you received a Form 099-INT, Form 099-OID, or substitute statement from a brokerage firm, list the firm's name as the payer and enter the total interest shown on that form. Part II Ordinary Dividends instructions and the instructions for Form 040, line 9a.) 2 Add the amounts on line................................. 2 3 Excludable interest on series EE and I U.S. savings bonds issued after 989. Attach Form 885..................................... 3 4 Subtract line 3 from line 2. Enter the result here and on Form 040, line 8a........ 4 te. If line 4 is over $,500, you must complete Part III. 5 List name of payer Amount 3,425. 3,425. te. If you received a Form 099-DIV or substitute statement from a brokerage firm, list the firm's name as the payer and enter the ordinary dividends shown on that form. 5 Part III Foreign Accounts and Trusts instructions.) 6 Add the amounts on line 5. Enter the total here and on Form 040, line 9a......... te. If line 6 is over $,500, you must complete Part III. You must complete this part if you (a) had over $,500 of taxable interest or ordinary dividends; or (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. 7a 8 b At any time during 2006, did you have an interest in or a signature or other authority over a financial account in a foreign country, such as a bank account, securities account, or other financial account? See instructions for exceptions and filing requirements for Form TD F 90-22................... During 2006, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? If "," you may have to file Form 352 See instructions..................... For Paperwork Reduction Act tice, see instructions. Schedule B (Form 040) 2006 If "," enter the name of the foreign country 07/2/2007 0:2:2PM 6
SCHEDULE C (Form 040) Department of the Treasury Internal Revenue Service Name of proprietor Profit or Loss From Business (Sole Proprietorship) Partnerships, joint ventures, etc., must file Form 065 or 065-B. Attach to Form 040, 040NR or 04. See Instructions for Schedule C (Form 040). OMB. 545-0074 2006 Attachment Sequence. 09 Social security number (SSN) Dave Dave 666-66-6666 A Principal business or profession, including product or service (see the instructions) B Enter code from instructions C Business name. If no separate business name, leave blank. D Employer ID number (EIN), if any E Business address (including suite or room no.) City, town or post office, state, and ZIP code F Accounting method: () Cash (2) Accrual (3) Other (specify) G Did you "materially participate" in the operation of this business during 2006? If "," see instructions for limit on losses..... H If you started or acquired this business during 2006, check here................................... Part I Income Gross receipts or sales. Caution. If this income was reported to you on Form W-2 and the "Statutory employee" box on that form was checked, see instructions and check here........... 2 Returns and allowances......................................... 2 3 Subtract line 2 from line........................................ 3 4 Cost of goods sold (from line 42 on page 2)................................ 4 300,00 300,00 5 6 Gross profit. Subtract line 4 from line 3................................. Other income, including Federal and state gasoline or fuel tax credit or refund (see instructions)....... 5 6 300,00 7 Gross income. Add lines 5 and 6................................... 7 Part II Expenses. Enter expenses for business use of your home only on line 3.......... 8......... 8 Advertising 8 Office expense 8 9 Car and truck expenses (see 9 Pension and profit-sharing plans 9 instructions)......... 9 20 Rent or lease (see instructions): 0 Commissions and fees.... 0 a Vehicles, machinery, and equipment 20a Contract labor (see instructions) b Other business property..... 20b 2 Depletion........... 2 2 Repairs and maintenance.... 2 3 Depreciation and section 79 22 Supplies (not included in Part III).. 22 expense deduction (not 23 Taxes and licenses....... 23 included in Part III) (see 24 Travel, meals, and entertainment: instructions).......... 3 4,50 a Travel............. 24a 4 Employee benefit programs b Deductible meals and (other than on line 9)..... 4 entertainment (see instructions) 24b 5 Insurance (other than health).. 5 37,50 25 Utilities............. 25 6 Interest: 26 Wages (less employment credits).. 26 a Mortgage (paid to banks, etc.). 6a 2,00 27 Other expenses (from line 48 on b Other............. 6b page 2)............. 27 7 Legal and professional services............ 7 0 28 Total expenses before expenses for business use of home. Add lines 8 through 27 in columns...... 28 300,00 24,00 5,00 4,50 5,00 55 49,5 29 30 3 32 Tentative profit (loss). Subtract line 28 from line 7............................. Expenses for business use of your home. Attach Form 8829........................ Net profit or (loss). Subtract line 30 from line 29. If a profit, enter on Form 040, line 2, and also on Schedule SE, line 2 or Form 040NR, line 3(statutory employees, see instructions). Estates and trusts, enter on Form 04, line 3. If a loss, you must go to line 32. If you have a loss, check the box that describes your investment in this activity (see instructions). If you checked 32a, enter the loss on Form 040, line 2, and also on Schedule SE, line 2 or Form 040NR, line 3(statutory employees, see instructions). Estates and trusts, enter on Form 04, line 3. If you checked 32b, you must attach Form 698. Your loss may be limited. For Paperwork Reduction Act tice, see instructions. } } 29 30 3 32a 32b 50,85 50,85 All investment is at risk. Some investment is not at risk. Schedule C (Form 040) 2006 07/2/2007 0:2:2PM
Schedule C (Form 040) 2006 Dave Dave 666-66-6666 Page 2 Part III Cost of Goods Sold (see instructions) 33 Method(s) used to value closing inventory: a Cost b Lower of cost or market c Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If "," attach explanation............................................. 35 Inventory at beginning of year. If different from last year's closing inventory, attach explanation....... 35 36 Purchases less cost of items withdrawn for personal use......................... 36 37 Cost of labor. Do not include any amounts paid to yourself........................ 37 38 39 Materials and supplies......................................... Other costs.............................................. 38 39 40 Add lines 35 through 39........................................ 40 4 Inventory at end of year........................................ 4 42 Part IV Cost of goods sold. Subtract line 4 from line 4 Enter the result here and on page, line 4....... Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 3 to find out if you must file Form 4562. 42 43 When did you place your vehicle in service for business purposes? (month, day, year) 44 Of the total number of miles you drove your vehicle during 2006, enter the number of miles you used your vehicle for: 0 0 0 a Business b Commuting (see instructions) c Other 45 Do you (or your spouse) have another vehicle available for personal use?....................... 46 Was your vehicle available for personal use during off-duty hours?.......................... 47a Do you have evidence to support your deduction?............................................................................ Other Expenses. List below business expenses not included on lines 8-26 or line 3 b If "," is the evidence written? Part V mag subscr 5 med subscr 35 safe deposit box 5 48 Total other expenses. Enter here and on page, line 27........................ 07/2/2007 0:2:2PM 48 55 Schedule C (Form 040) 2006
Schedule SE (Form 040) 2006 Attachment Sequence. 7 Page 2 Name of person with self-employment income (as shown on Form 040) Social security number of person with self-employment income Dave Dave 666-66-6666 Section B - Long Schedule SE Part I Self-Employment Tax te. If your only income subject to self-employment tax is church employee income, skip lines through 4b. Enter -0- on line 4c and go to line 5a. Income from services you performed as a minister or a member of a religious order is not church employee income. See instructions. A If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 436, but you had $400 or more of other net earnings from self-employment, check here and continue with Part I.................... Net farm profit or (loss) from Schedule F, line 36, and farm partnerships, Schedule K- (Form 065), box 4, code A. te. Skip this line if you use the farm optional method (see instructions)........ 2 Net profit or (loss) from Schedule C, line 3; Schedule C-EZ, line 3; Schedule K- (Form 065), box 4, code A (other than farming); and Schedule K- (Form 065-B), box 9, code J. Ministers and members of religious orders, see page SE- for amounts to report on this line. See page SE-3 for other income to report. te. Skip this line if you use the nonfarm optional method (see instructions)....... 2 3 Combine lines and 2............................................ 3 4a If line 3 is more than zero, multiply line 3 by 92.35% (.9235). Otherwise, enter amount from line 3......... 4a b If you elect one or both of the optional methods, enter the total of lines 5 and 7 here.............. 4b 7 c Combine lines 4a and 4b. If less than $400, stop; you do not owe self-employment tax. Exception. If less than $400 and you had church employee income, enter -0- and continue 5a Enter your church employee income from Form W-2. See instructions for definition of church employee income.................... 5a b Multiply line 5a by 92.35% (.9235). If less than $00, enter -0-......................... 6 Net earnings from self-employment. Add lines 4c and 5b......................... Maximum amount of combined wages and self-employment earnings subject to social security tax or the 6.2% portion of the 7.65% railroad retirement (tier ) tax for 2006................... 8a Total social security wages and tips (total of boxes 3 and 7 on Form(s) W-2) and railroad retirement (tier ) compensation. If $94,200 or more, skip lines 8b through 0, and go to line.................... 8a b Unreported tips subject to social security tax (from Form 437, line 9)....... 8b c Add lines 8a and 8b............................................. 8c 9 Subtract line 8c from line 7. If zero or less, enter -0- here and on line 0 and go to line........... 9 0 Multiply the smaller of line 6 or line 9 by 2.4% (.24)............................. 0 Multiply line 6 by 2.9% (.029)......................................... 2 Self-employment tax. Add lines 0 and. Enter here and on Form 040, line 58............... 2 3 Deduction for one-half of self-employment tax. Multiply line 2 by 50% (.5). Enter the result here and on Form 040, line 27............ 3 Part II Optional Methods To Figure Net Earnings (see instructions)....... 7,86. 4c 5b 6 7 50,85 50,85 39,3 39,3 39,3 94,2000 94,20,68. 4,04 5,72. Farm Optional Method. You may use this method only if (a) your gross farm income was not more than $2,400 or (b) your net farm profits 2 were less than $,733. 4 Maximum income for optional methods.................................... 5 Enter the smaller of: two-thirds (2/3) of gross farm income (not less than zero) or $,60 Also include this amount on line 4b above..................................... nfarm Optional Method. You may use this method only if (a) your net nonfarm profits 3 were less than $,733 and also less than 72.89% of your gross nonfarm income 4 and (b) you had net earnings from self-employment of at least $400 in 2 of the prior 3 years. Caution. You may use this method no more than five times. 6 Subtract line 5 from line 4......................................... 7 4 Enter the smaller of: two-thirds (2/3) of gross nonfarm income (not less than zero) or the amount on line 6. Also include this amount on line 4b above.............................. From Sch. F, line, and Sch. K- (Form 065), box 4, code B. 2 From Sch. F, line 36, and Sch. K- (Form 065), box 4, code A. 3 From Sch. C, line 3; Sch. C-EZ, line 3; Sch. K- (Form 065), box 4, code A; and Sch. K- (Form 065-B), box 9, code J. 4 From Sch. C, line 7; Sch. C-EZ, line ; Sch. K- (Form 065), box 4, code C; and Sch. K- (Form 065-B), box 9, code J2. 4 5 6 7,6000 Schedule SE (Form 040) 2006 07/2/2007 0:2:2PM
Details for Schedule A Dave Dave and Sarah Sarah 666-66-6666-777-77-7777 Date Description Amount 000 Total 000