21 - 1040 (Forecast)

-- DISCLAIMER --
These spreadsheets are provided "as is",

with no warranty of any kind, expressed or implied, and
in no event will Glenn Reeves be liable for
direct, indirect, incidental, or consequential damages
resulting from the use of any of these spreadsheets.
Glenn Reeves specifically disclaims the role of tax adviser.

These spreadsheets attempt to perform the mechanics of tax preparation
in accordance with IRS forms and instructions.
The user must assume responsibility as to the correctness and

appropriateness of any and all amounts entered and results produced.
No password is needed.
If you find a data entry cell to be protected, it is because it is a calculated value using
input from another location in the spreadsheet. Read the instructions for that line to determine where
the values are derived. However, for most calculated cells, a manual override cell is provided if you
need to override the calculated value. After a while, you will figure out that the spreadsheet is completely functional
without needing to unprotect it.
Errors
If you find an error, first check the revision date/time above against the
revision number of the latest spreadsheet to be published at:
https://sites.google.com/view/incometaxspreadsheet/home/changes
If you find you're using an earlier version, review the changes made since your version
to determine if the problem you've encountered has has already been fixed.
If so, please download the latest version and begin again. (There is no simple way to migrate...)
If you cannot determine (or you're not sure) as to whether or not the problem(s) you've found
has been corrected, please do your fellow taxpayers a favor by reporting the problem to:
incometaxspreadsheet@gmail.com
SUMMARY
Adjusted Gross Income $0 Form 1040, Line 11
Total Deductions 0 Form 1040, Line 14
Taxable Income 0 Form 1040, Line 15
Total Tax 0 Form 1040, Line 24
Total Payments/Credits 0 Form 1040, Line 33
Amount You Owe 0 Form 1040, Line 37
Tax Bracket ---
This spreadsheet is free.

However, if you would like to show your appreciation,
you may make a contribution by clicking one of the following links and
sending money as indicated.
PayPal Zelle (App)

https://paypal.me/incometaxspreadsheet https://www.zellepay.com/
(Send to: IncomeTaxSpreadsheet@gmail.com ) (Send to: IncomeTaxSpreadsheet@gmail.com )
Google Pay Popmoney

https://pay.google.com/payments/ https://www.popmoney.com/
(Send to: Income Tax Spreadsheet@gmail.com ) (Send to: Income Tax Spreadsheet@gmail.com )
US Mail:
Glenn Reeves
(Tax Calculator)
1 Burlingwood Ct.
Burlington, KS 66839-2418
Thank you for using my spreadsheet and for any money you decide to send!
Federal Income Tax Spreadsheet
Sheet Name
Table of Contents
(with hyperlink) © Glenn Reeves, 2021
Title / Description
Disclaimer Possible tax return coversheet which includes a disclaimer, important notes, and a summary.
Table of Contents Table of contents with links to the sheets included in this spreadsheet.
Instructions Important notes, general notes, and instructions to help you get started.
W-2s Form W-2, Wage and Tax Statement
1099-INT Form 1099-INT, Interest Income
1099-DIV Form 1099-DIV, Dividend Income
1099-G Form 1099-G, Certain Government Payments
1099-MISC Form 1099-MISC, Miscellaneous Income (Way too complicated -- included for information)
1099-R Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.
SSA-1099 Form SSA-1099, Social Security Benefit Statement and IRS Notice 703, To See If Your Social Security Benefits May Be Taxable
1040 Form 1040, U.S. Individual Income Tax Return
Sch. 1 Schedule 1, Additional Income and Adjustments to Income
Sch. 2 Schedule 2, Additional Taxes
Sch. 3 Schedule 3, Nonrefundable Credits
Earned Inc WS Earned Income Worksheet — Used as input to Line 9 (SD Depnts), Line 13a (CTC), & Form 8812.
Lines 5ab (Simplified Meth WS) Simplified Method Worksheet—Lines 5a and 5b -- to determine taxable amount of retirement pension or annuity.
Line 6ab (SS Bene) Social Security Benefits Worksheet – Lines 6a and 6b -- to determine taxable amount of Social Security benefits.
Line 12 (SD Depnts) Standard Deduction Worksheet for Dependents — Line 12
Sch. 1, Line 1 (SALT) State and Local Income Tax Refund Worksheet — Line 1
Line 16 (QDCG Tax) Qualified Dividends and Capital Gain Tax Worksheet—Line 12a
Line 19 (CTC) Child Tax Credit and Credit for Other Dependents Worksheet -- Line 19 (From Publication 972)
Line 27 (EIC) Line 27 — Earned Income Credit Worksheet — Spreadsheet provides assistance in completing this.
Line 30 (Rebate Credit) Recovery Rebate Credit Worksheet—Line 30 (Do not use for 2021 Tax Year.)
Sch. 1 Line 19 (IRA) IRA Deduction Worksheet — Schedule 1, Line 19
Line 20 (Stu Loan) Student Loan Interest Deduction Worksheet — Schedule 1, Line 20
Sch. A Schedule A, Itemized Deductions
Sch. B Schedule B, Interest and Ordinary Dividends
Sch. C Schedule C, Profit or Loss from Business (Two Schedule C's are included)
Sch. D Schedule D, Capital Gains and Losses
Schedule D Worksheets
Sch. D WS - Capital Loss Carryover Worksheet—Schedule D, Lines 6 and 14
- 28% Rate Gain Worksheet—Schedule D, Line 18
- Schedule D Tax Worksheet
Sch. E Schedule E, Supplemental Income and Loss
Sch. F Schedule F, Profit or Loss from Farming
Sch. R Schedule R, Credit for the Elderly or the Disabled
Sch. SE Schedule SE, Self-Employement Tax (Two Schedule SE's are included)
1116 Form 1116, Foreign Tax Credit
2210 Form 2210, Underpayment of Estimated Tax by Individuals, Estates, and Trusts
2441 Form 2441, Child and Dependent Care Expenses
2555 Form 2555, Foreign Earned Income
4562 Form 4562, Depreciation and Amortization
6251 Form 6251, Alternative Minimum Tax—Individuals
8283 Form 8283, Noncash Charitable Contributions
8606 Form 8606, Nondeductible IRAs
8812 Schedule 8812, Additional Child Tax Credit
8863 Form 8863, Education Credits (American Opportunity and Lifetime Learning Credits)
8889 Form 8889, Health Savings Accounts
8949A Form 8949, Sales and Other Dispositions of Capital Assets
8949B Form 8949, Sales and Other Dispositions of Capital Assets
8949C Form 8949, Sales and Other Dispositions of Capital Assets
8949D Form 8949, Sales and Other Dispositions of Capital Assets
8959 Form 8959, Additional Medicare Tax
8960 Form 8960, Net Investment Income Tax—Individuals, Estates, and Trusts
8962 Form 8962, Premium Tax Credit
8995 Form 8995, Qualified Business Income Deduction Simplified Computation
EIC Table Earned Income Credit (EIC) Table (From Form 1040, General Instructions)
Tax Table Tax Table (From Form 1040, General Instructions)
Changes Changes made to this spreadsheet since it's first publication this tax year
Excel1040 -- Income Tax Spreadsheet
Instructions for Use
IMPORTANT NOTES:
1. The purpose of this spreadsheet is to help U.S. taxpayers calculate their own federal income tax returns.
The spreadsheet attempts to perform the mechanics of tax preparation (i.e. 'do the math') in accordance
with IRS forms and instructions.
2. This spreadsheet is designed for taxpayers who are capable of preparing their own federal income tax returns.
Users of this spreadsheet must know what information needs to be entered and where to enter it.
Users of this spreadsheet must also be sufficiently familiar with the IRS forms and instructions that apply to
their tax return in order to detect and correct any and all user and spreadsheet errors that might occur.
Although some error checking is included, this spreadsheet will not prevent you from making mistakes.
3. The user must assume full responsibility as to the correctness and appropriateness of any and all amounts
entered and results produced. Be sure to use current copies of actual IRS forms and instructions when
validating the spreadsheet's results. IRS forms and instructions: https://www.irs.gov/downloads/irs-pdf
4. It is vitally important that all spreadsheet users promptly report any error(s) they find so that the spreadsheet
can be corrected. Report errors to: incometaxspreadsheet@gmail.com
GENERAL NOTES:
1. Unprotected data entry cells have a light blue fill color.
Cells containing calculated amounts are usually protected and have a darker blue fill color.
Form and worksheet areas are protected. However, users are able to adjust printing properties.
2. "Manual override" cells are available for many calculated cells. The use of override cells is discouraged
because manual overrides can defeat the spreadsheet's automatic updating feature. If you are having
to use a manual override because of a spreadsheet error, be sure to report the error as soon as possible.
NOTE: To clear data from an override cell, highlight it and then press the <Delete> key.
Do not press the <space> bar because, although it is invisible, the <space> character is treated the
same as any visible character.
3. To check a checkbox, simply type an 'X' (any character will work) in the box and press <Enter>.
NOTE: To clear an 'X' from an checkbox, highlight it and then press the <Delete> key.
Do not press the <space> bar because, although it is invisible, the <space> character is treated the
same as any visible character.
4. Prior to printing, to remove colors from all forms and worksheets, place an 'X' in Cell AK2 on the '1040' sheet.
Likewise, to remove social security numbers from all forms and worksheets, place an "X" in Cell AK3 on the '1040' sheet.
5. If using copy/paste to copy information from another source, be sure to paste using 'Paste-Values'.
Otherwise, cell properties could be inadvertently changed. (e.g. A normally unprotected cell could become
protected.)
INSTRUCTIONS:
1. Click on the tab labeled '1040' and enter all of the information required for Form 1040, Page 1.
2. Enter your birthdate and, if filing Married - Filing Jointly, enter your spouse's birthdate to the right of the Form 1040.
3. Click on the tab labeled 'W-2s' and enter any employment income reported to you on Form W-2.
Be sure to enter your information in Rows 2 through 24 and your spouse's information into Rows 31 through 53.
4. Click on the tab labeled '1099-INT' and enter any interest income reported to you on Form 1099-INT.
(Interest income information will automatically appear on Schedule B, Line 1.)
5. Click on the tab labeled '1099-DIV' and enter any dividend income reported on Form 1099-DIV.
(Dividend income information will automatically appear on Schedule B, Line 5.)
6. Click on the tab labeled '1099-R' and enter any IRA/pension/annuity income reported to you on Form 1099-R.
7. Click on the tab labeled 'SSA-1099' and enter any Social Security income reported to you on Form SSA-1099.
8. Begin a careful, line-by-line, review of the sheet labeled '1040'. If additional information is needed for a
particular line, then look for a sheet associated with that line (e.g. "Line 9 (QBID)") to determine if additional
information needs to be entered.
HINT: Recommend regularly checking and saving your spreadsheet.
9. Review every tab to determine it's applicability to your tax return and make sure each sheet is completed.
NOTE: At any time, you may change the tab color by right-mouse clicking on the tab. Also, at any time,
you may click and drag sheet tabs to be arranged in any order you desire. Doing so will not affect
the function of the spreadsheet.
10. Recommend printing your return and reviewing the printed copy against actual IRS forms and instructions.
11. Transfer results to an electronic filing service or hard copies of the forms.
INSTRUCTIONS for LibreOffice Users:

1. To save a copy of this spreadsheet in .ods format, perform the following steps:
1) Load the spreadsheet as an .xlsx file, then save it as an .fods file.
2) Load the .fods file, then save it as an .ods file.
Table of Contents
W-2s
Information from Form W-2, Wage and Tax Statement Maximum SS Tax Earnings: $142,800.00 SS Tax Rate: 6.2% Max. SS Tax: $8,853.60 per person
Enter your name on the

sheet labeled '1040' Employer #1 Employer #2 Employer #3 Employer #4 Employer #5 Employer #6 Total Excess Used at:
1 Wages, tips, other compensation 0.00
2 Federal income tax withheld 0.00
3 Social security wages 0.00 Sch. SE, Line 8a
4 Social security tax withheld 0.00 0.00
5 Medicare wages and tips 0.00
6 Medicare tax withheld 0.00 Only bolded amounts are used in this spreadsheet.
7 Social Security Tips 0.00 Sch. SE, Line 8a
8 Allocated Tips 0.00 100,000.00
10 Dependent Care Benefits 0.00 18,000.00
11 Nonqualified plans 0.00 100,000.00
12a See instructions for box 12 0.00 6,200.00
12b ARA 0.00 100,000.00
12c CTC 0.00 1,450.00
12d 0.00
13 Stat Emp / Retire / 3rd Party Sick 0.00
14 Other 0.00
14 Railroad retire (RRTA) compensation 0.00
14 RRTA medicare tax withheld (see Form CT-2) 0.00
16 State wages, tips, etc. 0.00
17 State income tax 0.00
18 Local wages, tips, etc. 0.00
19 Local income tax 0.00
Information from Form W-2, Wage and Tax Statement

Enter your spouse's name on
the sheet labeled '1040' Employer #1 Employer #2 Employer #3 Employer #4 Employer #5 Employer #6 Total Excess Used at:
1 Wages, tips, other compensation 0.00
2 Federal income tax withheld 0.00
4 Social security tax withheld 0.00 0.00
5 Medicare wages and tips 0.00
6 Medicare tax withheld 0.00 Only bolded amounts are used in this spreadsheet.
7 Social Security Tips 0.00 Sch. SE, Line 8a
8 Allocated Tips 0.00
10 Dependent Care Benefits 0.00
11 Nonqualified plans 0.00
12a See instructions for box 12 0.00
12b 0.00
12c 0.00
12d 0.00
14 Other 0.00
14 Railroad retire (RRTA) compensation 0.00
14 RRTA medicare tax withheld (see Form CT-2) 0.00
17 State income tax 0.00
19 Local income tax 0.00
Page 4
W-2s
TOTALs TOTALs Used at: Excess Soc. Sec. Tax Withheld Used at:
1 Wages, tips, other compensation 0.00 Form 1040, Line 1.
2 Federal income tax withheld 0.00 Form 1040, Line 25a Only bolded amounts are used in this spreadsheet.
4 Social security tax withheld 0.00 Line 13a (CTC), Child Tax Credit W/S, Line 11 W/S, Line 6; Form 8812, Line 9 W/S, Line 1 0 Sch. 5 (Form 1040), Line 72
5 Medicare wages and tips 0.00 Form 8959, Who Must File, Criterion 3; Form 8959, Additional Medicare Tax, Line 1
6 Medicare tax withheld 0.00 Line 13a, Child Tax Credit Worksheet, Line 14 Worksheet, Line 7; Form 8812, Line 9 W/S, Line 2; Form 8959, Additional Medicare Tax, Line 19
7 Social Security Tips 0.00
8 Allocated Tips 0.00
10 Dependent Care Benefits 0.00 Form 2441, Part III, Line 12
11 Nonqualified plans 0.00
12a See instructions for box 12 0.00
12b 0.00
12c 0.00
12d 0.00
14 Other 0.00
14 Railroad retire (RRTA) compensation 0.00 Form 8959, Additional Medicare Tax, Who Must File, Criterion 2 and 4; Line 14
14 RRTA medicare tax withheld (see Form CT-2) 0.00 Form 8959, Additional Medicare Tax, Line 23
17 State income tax 0.00 Sch. A, Line 5
19 Local income tax 0.00 Sch. A, Line 5
Page 5
1099-INT
Information from Form 1099-INT, Interest Income

Enter your name(s) on the
sheet lableled '1040' Payer #1 Payer #2 Payer #3 Payer #4 Payer #5
PAYER's name
PAYER's Federal ID number
Account number
1 Interest income
2 Early withdrawal penalty
3 Interest on U.S. Savings Bonds & Treas. Obligations
3A Include Line 3 on Schedule B, Line 1? (Y / N) N N N N N
4 Federal income tax withheld
5 Investment expenses
6 Foreign tax paid
7 Foreign country or U.S. possession
8 Tax-exempt interest
9 Specified private activity bond interest
10 Market discount
11 Bond premium
12 Bond premium on Treasury obligations
13 Bond premium on tax–exempt bond
14 Tax-exempt and tax credit bond CUSIP no.
15 State
16 State identification no.
17 State tax withheld
Only bolded amounts are used in this spreadsheet.

sheet lableled '1040' Payer #6 Payer #7 Payer #8 Payer #9 Payer #10
PAYER's name
Account number
1 Interest income
2 Early withdrawal penalty
3 Interest on U.S. Savings Bonds & Treas. Obligations
6 Foreign tax paid
8 Tax-exempt interest
9 Specified private activity bond interest
10 Market discount
11 Bond premium
12 Bond premium on Treasury obligations
13 Bond premium on tax–exempt bond
14 Tax-exempt and tax credit bond CUSIP no.
15 State
Page 6
1099-INT
Information from Form 1099-INT, Interest Income

sheet lableled '1040' Payer #11 Payer #12 Payer #13 Payer #14 Payer #15 Total Used at:
PAYER's name
Account number
1 Interest income 0.00 Sch. B, Line 1
2 Early withdrawal penalty 0.00 Form 1040, Sch. 1, Line 30
3 Interest on U.S. Savings Bonds & Treas. Obligations 0.00 Sch. B, Line 1 (If line 3A is "Y")
4 Federal income tax withheld 0.00 Form 1040, Line 25b
5 Investment expenses 0.00 Consideration (by you) in Sch. A, Line 9
6 Foreign tax paid 0.00 Sch. 3, Line 48 OR Form 1116 (Cell A8)
7 Foreign country or U.S. possession ----
8 Tax-exempt interest 0.00 Form 1040, Line 2a
9 Specified private activity bond interest 0.00 Form 6251, Line 2g
0.00
10 Market discount 0.00 Sch. B, Line 1
11 Bond premium 0.00
12 Bond premium on Treasury obligations 0.00
13 Bond premium on tax–exempt bond ----
14 Tax-exempt and tax credit bond CUSIP no. ----
15 State ----
16 State identification no. ----
17 State tax withheld 0.00 Sch. A, Line 5a and Form 8960, Line 9b
Page 7
1099-DIV
Information from Form 1099-DIV, Dividends and Distributions

sheet labeled '1040' Payer #1 Payer #2 Payer #3 Payer #4 Payer #5
PAYER's name
Account number
1a Total ordinary dividends
1b Qualified dividends
2a Total capital gain distr.
2b Unrecap. Sec. 1250 gain
2c Section 1202 gain
2d Collectibles (28%) gain
3 Nondividend distributions
5 Section 199A dividends
7 Foreign tax paid
9 Cash liquidation distributions
10 Noncash liquidation distributions
11 Exempt-interest dividends
12 Specified private activity bond interest dividends
13 State
Only bolded amounts are used in this spreadsheet. 0 0 0 0 0 0.00

PAYER's name
Account number
7 Foreign tax paid
13 State
Page 8
1099-DIV

PAYER's name
Account number
7 Foreign tax paid
13 State

sheet labeled '1040' Payer #16 Payer #17 Payer #18 Payer #19 Total Used at:
PAYER's name
Account number 0
1a Total ordinary dividends 0.00 Sch. B, Line 5
1b Qualified dividends 0.00 Form 1040, Line 3a and 3b
2a Total capital gain distr. 0.00 Sch. D, Line 13
2b Unrecap. Sec. 1250 gain 0.00
0.00
2d Collectibles (28%) gain 0.00 Sch. D. WS, 28% Rate Gain WS, Line 4
3 Nondividend distributions 0.00
4 Federal income tax withheld 0.00 1040, line 25b
5 Section 199A dividends 0.00 Form 8995, QBID, Line 6
6 Investment expenses 0.00
7 Foreign tax paid 0.00 Form 1116
8 Foreign country or U.S. possession ----
9 Cash liquidation distributions 0.00
10 Noncash liquidation distributions 0.00
11 Exempt-interest dividends 0.00 Form 1040, Line 2a
12 Specified private activity bond interest dividends 0.00 Form 6251, Line 2g
13 State ----
14 State identification no. ----
15 State tax withheld 0.00 Sch. A, Line 5a and Form 8960, Line 9b
Only bolded amounts are used in this spreadsheet. 0 0 0 0 0.00
Page 9
1099-G
Form 1099-G, Certain Government Payments

sheet labeled '1040' Payer #1 Payer #2 Payer #3 Payer #4 Payer #5 Used at:
PAYER's name
PAYER's TIN
Account number
1 Unemployment Compensation
2 State or local income tax refunds, credits, offsets 'Sch. 1, Line 1 (SALT)', line 1 [State & local tax]
3 Box 2 amount is for tax year
5 RTAA Payments
6 Taxable grants
7a Agriculture payments - Disaster payments
7b Agriculture payments - Other payments 1.00
8 Check if box 2 is trade or business income
9 Market gain 1.00
10a State
10b State identification no.
11 State income tax withheld

sheet labeled '1040' Payer #6 Payer #7 Payer #8 Payer #9 Total Used at:
PAYER's name
Account number 0
1 Unemployment Compensation 0.00 Sch. 1, line 7
2 State or local income tax refunds, credits, offsets 0.00 'Sch. 1, Line 1 (SALT)', line 1 [State & local tax]
3 Box 2 amount is for tax year ---
4 Federal income tax withheld 0.00 1040, line 25b
5 RTAA Payments 0.00 Sch. 1, line 8

6 Taxable grants 0.00 Sch. 1, line 8 and 'Earned Inc WS', line 4a
7a Agriculture payments - Disaster payments 0.00 Sch. F, Line 6a
7b Agriculture payments - Other payments Sch. F, Line 4a
8 Check if box 2 is trade or business income 1
9 Market gain Sch. F, Line 4a
10a State 1
10b State identification no.
11 State income tax withheld 0.00 Sch. A, Line 5a
Page 10
This form has yet to be implemented.
Download and follow IRS instructions for where the information and amounts should be entered.
NOTE: Amounts of more than $600 will NOT typically be reported on Schedule 1 (Form 1040), Line 8.
NOTE: To report 1099-MISC income on Schedule 1 (Form 1040), Line 8, use the override cell for
Schedule 1 (Form 1040), Line 8 (Cells AI43 and AJ44)
Instructions for Form 1099-MISC may be downloaded from the IRS:

https://www.irs.gov/pub/irs-pdf/f1099msc.pdf
Form 1099-MISC may be downloaded from the IRS:

https://www.irs.gov/pub/irs-pdf/f1099msc_20.pdf
1099-R
Information from Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.
Qualified I
Enter your name on the Enter payer's Total Total Pension CONVersion R
sheet labeled '1040' name here. Payer #2 Payer #3 Payer #4 Payer #5 Payer #6 Payer #7 Payer #8 Payer #9 IRAs / Annuities to ROTH IRA A
Enter "IRA" or "P/A" or "CONV" IRA P/A CONV ###
1 Gross distribution 0.00 0.00 0.00 ###
2a Taxable amount 0.00 0.00 0.00 ###
2b Taxable amount not determined / total distr. ---- ---- ----
3 Capital gain (included in box 2a) 0.00 0.00 0.00 ###
4 Federal income tax withheld 0.00 0.00 0.00 ###
5 Employee contributions / Insurance premiums /
Designated Roth IRA contributions 0.00 0.00 0.00 ###
6 Net unrealized appreciation in employer's securities 0.00 0.00 0.00 ###
7 Distribution code(s) (Code D only) ---- ---- ----
8 Other 0.00 0.00 0.00 ###
9a Your percentage of total distribution 0.0% 0.0% 0.0% ###
9b Total employee contributions 0.00 0.00 0.00 ###
10 Amount allocable to IRR within 5 years 0.00 0.00 0.00 ###
11 1st year of desig. Roth contrib. 0.00 0.00 0.00 ###
12 FATCA filing requirement ---- ---- ---- ###
13 Date of Payment ---- ---- ---- ###
14 State tax withheld 0.00 0.00 0.00 ###
15 State/payer's state no. ---- ---- ----
16 State distribution 0.00 0.00 0.00 ###
17 Local tax withheld 0.00 0.00 0.00 ###
18 Name of locality ---- ---- ----
19 Local distribution 0.00 0.00 0.00 ###
Qualified
Enter your spouse's name on the Total Total Pension Conversion
sheet labeled '1040' Payer #1 Payer #2 Payer #3 Payer #4 Payer #5 Payer #6 Payer #7 Payer #8 Payer #9 IRAs / Annuities to ROTH IRA
Enter "IRA" or "P/A" or "CONV" IRA P/A CONV ###
1 Gross distribution 0.00 0.00 0.00 ###
2a Taxable amount 0.00 0.00 0.00 ###
2b Taxable amount not determined / total distr. ---- ---- ----
3 Capital gain (not included in box 2a) 0.00 0.00 0.00 ###
4 Federal income tax withheld 0.00 0.00 0.00 ###
Designated Roth IRA contributions 0.00 0.00 0.00 ###
6 Net unrealized appreciation in employer's securities 0.00 0.00 0.00 ###
7 Distribution code(s) (Code D only) ---- ---- ----
8 Other 0.00 0.00 0.00 ###
9a Your percentage of total distribution 0.0% 0.0% 0.0% ###
9b Total employee contributions 0.00 0.00 0.00 ###
10 Amount allocable to IRR within 5 years 0.00 0.00 0.00 ###
11 1st year of desig. Roth contrib. 0.00 0.00 0.00 ###
12 FATCA filing requirement ---- ---- ---- ###
13 Date of Payment ---- ---- ---- ###
14 State tax withheld 0.00 0.00 0.00 ###
15 State/payer's state no. ---- ---- ----
16 State distribution 0.00 0.00 0.00 ###
17 Local tax withheld 0.00 0.00 0.00 ###
18 Name of locality ---- ---- ----
19 Local distribution 0.00 0.00 0.00 ###
Page 12
1099-R
Total Qualified
Total Pension / Conversion
Total Distributions IRAs Annuities to ROTH IRA
IRA P/A CONV Used at: If your IRA is fully taxable, this spreadsheet will automatically enter
1 Gross distribution 0.00 0.00 0.00 Form 1040, Line 4a, 5a 0 the total IRA distributions (from Form(s) 1099-R, box 2a) on line 4b;
2a Taxable amount 0.00 0.00 0.00 Form 1040, Line 4b, 5b do not make an entry on line 4a.
2b Taxable amount not determined / total distr. ---- ---- ---- If your pension or annuity is fully taxable, this spreadsheet will automatically
3 Capital gain (not included in box 2a) 0.00 0.00 0.00 enter the total pension or annuity distributions (from Form(s) 1099-R, box 2a)
4 Federal income tax withheld 0.00 0.00 0.00 1040, line 25b on line 5b; do not make an entry on line 5a.
Designated Roth IRA contributions 0.00 0.00 0.00
6 Net unrealized appreciation in employer's securities 0.00 0.00 0.00 If your Form 1099-R doesn't show the taxable amount, you must use
7 Distribution code(s) (Portion of line 2a w/Code D) ---- 0.00 ---- Form 8960, Line 3 (for Dist. Code 'D' only) the General Rule explained in Pub. 939 to figure the taxable part to enter on
8 Other ---- ---- ---- line 4b. But if your annuity starting date was after July 1, 1986,
9a Your percentage of total distribution 0.0% 0.0% 0.0% see Simplified Method, sheet "Lines 5ab (Simplified Meth WS)", to find out if you
9b Total employee contributions 0.00 0.00 0.00 must use that method to figure the taxable part. You can ask the IRS to figure the
10 Amount allocable to IRR within 5 years 0.00 0.00 0.00 taxable part for you for a $1,000 fee. For details, see Pub. 939.
11 1st year of desig. Roth contrib. 0.00 0.00 0.00
12 FATCA filing requirement ---- ---- ----
13 Date of Payment ---- ---- ----
14 State tax withheld 0.00 0.00 0.00 Sch. A, Line 5a The sheet labeled "Line 5ab (Simplified Meth WS)" is a stand-alone worksheet that
15 State/payer's state no. ---- ---- ---- is used to calculate the taxable amount of a pension or annuity that is not fully taxable.
16 State distribution 0.00 0.00 0.00
17 Local tax withheld 0.00 0.00 0.00 Sch. A, Line 5a
18 Portion of state and local taxes w/Code D ---- 0.00 0.00
19 Local distribution 0.00 0.00 0.00
Page 13
SSA-1099
Information from Form SSA-1099, Social Security Benefit Statement
Enter your name on sheet labeled

1 '1040'
3 Benefits Paid in 2021
4 Benefits Repaid in 2021
5 Net Benefits for 2021 (Box 3 minus Box 4) 0.00 Used on Notice 703, Line A (below)
6 Voluntary Federal income Tax Withheld Used in 1040, line 25b
Enter your spouse's name on the

1 sheet labeled '1040'
3 Benefits Paid in 2021
4 Benefits Repaid in 2021
5 Net Benefits for 2021 (Box 3 minus Box 4) 0.00 Used on Notice 703, Line A (below)
6 Voluntary Federal income Tax Withheld Used in 1040, line 25b
Notice 703 Department of the Treasury

(Rev. October 2020) Internal Revenue Service
Read This To See If Your Social Security Benefits May Be Taxable
If your social security and/or SSI We developed this worksheet for you to see if your benefits o You exclude income from
(supplemental security income) may be taxable for 2021. Fill in lines A through E. sources outside the United States
benefits were your only source of or foreign housing, income earned
income for 2021, you probably will Do not use the worksheet below if any of the following apply by bona fide residents of American
not have to file a federal income tax to you; instead, go directly to IRS Pub. 915, Social Security Samoa or Puerto Rico, interest
return. See IRS Pub. 501, and Equivalent Railroad Retirement Benefits. income from series EE
Exemptions, Standard Deduction, or I U.S. savings bonds issued after
and Filing Information, or your tax o You received Form RRB-1099, Form SSA-1042S, or 1989, or employer-provided
return instructions to find out if you Form RRB-1042S. adoption benefits.
have to file a return.
Note. If you plan to file a joint income tax return, include your spouse's amounts, if any, on lines A, C, and D
A Enter the total amount from box 5 of all your Forms SSA-1099. Include the
full amount of any lump-sum benefit payments received in 2021, for 2021 and
earlier years. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A. . . . . . . 0 0.5
B Multiply line A by 50% (0.50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B 0
C Enter your total income that is taxable (excluding Line A), such as pensions, wages, interest, ordinary
dividends, and capital gain distributions. Do not reduce your income by any items such
as student loan interest deduction, the standard deduction (or itemized deductions), or
exemptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C 0
D Enter any tax-exempt interest such as interest on municipal bonds . . . . . . . . . . . . . . . . . . . . . D 0
E Add lines B, C, and D, and enter the total here. Then, read the information below . . . . . . . . . . . . . . E 0
Part of your social security benefits may be taxable. 0

Part of your social security If none of your benefits are taxable, but you must otherwise Railroad Retirement Benefits, for
benefits may be taxable if, for 2021, file a tax return, do the following rules on a lump-sum election you
item 1, 2, or 3 below applies to you: can make that may reduce the
amount of your taxable benefits.
1. You were single, a head of o Enter the total amount from line A above on Form 1040,
household, or a qualifying widow(er) line 6a, and enter -0- on Form 1040, line 6b.
and line E above is more than Get More Information
$25,000. From the IRS
If you still have questions about
2. You were married, would file jointly, and o If you were married, file separately, and lived apart from whether your social security
line E above is more than $32,000. your spouse for all of 2021, enter “D” to the right of the word benefits are taxable, see IRS
“benefits” on Form 1040, line 6a. Pub. 915 or your 2021 federal
3. You were married, would file separately, income tax return instructions, or
and line E above is more than zero (more than visit IRS.gov and enter 'social
$25,000 if you lived apart from your spouse security income' in the search box.
for all of 2021).
Go to www.irs.gov/Forms to view,
download, or print all of the forms
If your figures show that part of Note. If your figures show that part of your benefits may be and publications you may need.
your benefits may be taxable, see taxable and you received benefits in 2021 that were for a
IRS Pub. 915, and Social Security prior year, see IRS Pub. 915, Social Security and Equivalent
Benefits in your 2021 federal
income tax return instructions.
Do not return this notice to the SSA or the IRS. Keep it with your records.
Page 14
SSA-1099
IRS.gov Catalog No. 61879N
Page 15
1040 2021
Department of the Treasury––Internal Revenue Service (99)
Form
U.S. Income Tax Forecast OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.
Filing Status Single Married filing jointly Married filing separately (MFS) Head of Household (HOH) Qualifying Widow(er) (QW)
Check only If you checked the MFS box, enter the name of spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying person is a
one box. child but not your dependent.
Your first name and middle initial Last name Your social security number
000-00-0001
If joint return, spouse's first name and middle initial Last name Spouse's social security number
000-00-0002
Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
Check here if you, or your
spouse if filing jointly, want $3
City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP Code to go to this fund. Checking a
box below will not change
your tax or refund.
Foreign country name Foreign province/state/county Foreign postal code
You Spouse
At any time during 2020, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency? Yes No
You as a dependent Your spouse as a dependent

Standard Someone can claim:
Spouse itemizes on a separate return or you were a dual-status alien
Deduction
Age / Blindness You: Were born before January 2, 1957 Are blind Spouse: Was born before January 2, 1957 Is blind
Dependents (see instructions) : (2) Social security (4) if qualified for (see instructions):
number
(3) Birthdate
If more (1) First name Last name Child Tax Credit Credit for other dependents
than four
dependents,
see instructions
and check
here
1 Wages, salaries, tips, etc. Attach Form(s) W-2 1 0
Attach 2a Tax-exempt interest . . . . 2a 0 b Taxable interest. . . . . . . . 2b 0
Sch. B if required
3a Qualified dividends . . . . 3a 0 b Ordinary dividends . . . . . . 3b 0
Standard 4a IRA Distributions . . . . 4a b Taxable amount . . . . . . . 4b 0
Deduction for -- 5a Pensions and annuities . . . 5a b Taxable amount . . . . . . . 5b 0
• Single or married 6a Social security benefits 6a 0 b Taxable amount . . . . . . . 6b 0
filing separately 7 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . 7
$12,550 8 Other income from Schedule 1, line 9 . . . . . . . . . . . . . . . . . . . . . . . . . 8 0
• Married filing 9 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . . . . . . . . . . . . . . 9 0
jointly or Qualifying 10 Adjustments to income:
widow(er) a From Schedule 1, line 22 . . . . . . . . . . . . . . . . . . . 10a 0
$25,100 b Charitable contributions if you take the standard deduction. See instructions . . . 10b
• Head of house c Add lines 10a and 10b. These are your total adjustments to income . . . . . . . . . . . . . . 10c 0
$18,800 11 Subtract line 10c from line 9. This is your adjusted gross income . . . . . . . . . . . . . . . 11 0
• If you checked 12 Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . . . . . 12 0
any box under 13 Qualified business income deduction. Attach Form 8995 or Form 8995-A . . . . . . . . . . . 13
Standard Deduction, 14 Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 0
see instructions. 15 Taxable income. Subtract line 14 from line 11. If zero or less, enter -0- . . . . . . . . . 15 0
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2021)
Form 1040 (2021) Page 2
16 Tax (see instructions). Check if any from Form(s): 1 8814 2 4972 3 16 0
17 Amount from Schedule 2, line 3 . . . . . . . . . . . . . . . . . . . . . . . . 17 0
18 Add lines 16 and 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 0
19 Child tax credit or credit for other dependents . . . . . . . . . . . . . . . . . . . 19 0
20 Amount from Schedule 3, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . 20 0
21 Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 0
22 Subtract line 21 from line 18. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . 22 0
23 Other taxes, including self-employment tax, from Schedule 2, line 10 . . . . . . . . . . . . 23 0
24 Add lines 22 and 23. This is your total tax . . . . . . . . . . . . . . . . . . . . . 24 0
25 Federal income tax withheld from:
a Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . . 25a 0
b Form(s) 1099 . . . . . . . . . . . . . . . . . . . . . . . . 25b 0
c Other forms (see instructions) . . . . . . . . . . . . . . . . . . 25c 0
If you have a
• qualifying child, d Add lines 25a through 25c . . . . . . . . . . . . . . . . . . . . . . . . . . 25d 0
attach Sch EIC.
26 2021 estimated tax payments and amount applied from 2020 return . . . . . . . . . . . . 26
27 Earned income credit (EIC) . . . . . . . . . . . . . . . . . . . 27 0
• If you have 28 Additional child tax credit. Attach Schedule 8812 . . . . . . . . . . . . 28 0
nontaxable
combat pay, 29 American opportunity credit from Form 8863, line 8 . . . . . . . . . . . 29
see instructions.
30 Recovery rebate credit. See instructions . . . . . . . . . . . . . . . 30
31 Amount from Schedule 3, line 13 . . . . . . . . . . . . . . . . . 31 0
32 Add lines 27 through 31. These are your total other payments and refundable credits . . . . . . 32 0
33 Add lines 25d, 26, and 32. These are your total payments . . . . . . . . . . . . . . . . . 33 0
34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid . . . . . 34 0
Refund 35 a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here . . . . . 35a 0
Direct deposit? b Routing number c Type: Checking Savings
See instructions
d Account number . . . . . . . . . . .
36 Amount of line 34 you want applied to your 2022 estimated tax 36 0
37 Subtract line 33 from line 24. This is the amount you owe now 37 0
Amount
You Owe Note: Schedule H and Schedule SE filers, line 37 may not represent all of the taxes you owe for
For details on how to pay, 2020. See Schedule 3, line 12e, and its instructions for details.
see instructions.
38 Estimated tax penalty (see instructions) . . . . . . . . . . 38 0
Third Party Do you want to allow another person to discuss this return with the IRS?
Designee See instructions Yes. Complete below. X No
Designee's Phone Personal identification

name no. number (PIN)
Sign 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,
Here correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Joint return? Your signature Date Your occupation If the IRS sent you an Identity Prot. PIN,
See instructions.
enter here
Keep a copy Spouse’s signature. If a joint return, both must sign. Date Spouse's occupation If the IRS sent you an Identity Prot. PIN,
for your records.
enter here
Phone no. Email address
Preparer’s name Preparer’s signature Date PTIN Check if:
Paid
Preparers Self-employed
Use Only Firm’s name Phone no.
Firm’s address Firm's EIN
Go to www.irs.gov/Form1040 for instructions and the latest information. Form 1040 (2021)
SCHEDULE 1 OMB No. 1545-0074
(Form 1040) Additional Income and Adjustments to Income
2021
Department of the Treasury Attach to Form 1040, 1040-SR, or 1040-NR. Attachment
Internal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence 01
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number
000-00-0001
Part I Additional Income
1 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . 1 0
2a Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
b Date of original divorce or separation agreement (see instructions)
3 Business income or (loss). Attach Schedule C . . . . . . . . . . . . . . . . . . 3 0
4 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . 4
5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . 5 0
6 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . 6 0
7 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . 7 0
8 Other income. List type and amount
8 0
9 Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line 8 . . . . . . 9 0
Part II Adjustments to Income
10 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
11 Certain business expenses of reservists, performing artists, and fee-basis government officials.
Attach Form 2106 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Health savings account deduction. Attach Form 8889 . . . . . . . . . . . . . . . 12 0
13 Moving expenses for members of the Armed Forces. Attach Form 3903 . . . . . . . 13
14 Deductible part of self-employment tax. Attach Schedule SE . . . . . . . . . . . . 14 0
15 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . . . . . 15
16 Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . . . 16
17 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . . . 17 0
18a Alimony paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18a
b Recipient's SSN . . . . . . . . . . . . . . . . . . . . .
c Date of original divorce or separation agreement (see instructions)

19 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . . . . 20
21 Tuition and fees. Attach Form 8917 . . . . . . . . . . . . . . . . . . . . . . . 21
22 Add lines 10 through 21. These are your adjustments to income. Enter here and on
Form 1040, 1040-SR, or 1040-NR, line 10a 22 0
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71479F Schedule 1 (Form 1040) 2021
Additional Taxes
(Form 1040)
2021
Internal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence No. 02
000-00-0001
Part I Tax
1 Alternative minimum tax. Attach Form 6251 . . . . . . . . . . . . . . . . . . . . 1
2 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . . . . 2
3 Add lines 1 and 2. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 17 . . . . . 3 0
Part II Other Taxes
4 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . . . . 4 0
5 Unreported social security and Medicare tax from Form: a 4137 b 8919 5
6 Additional tax on IRAs, other qualified retirement plans, and other tax-favored accounts.
Attach Form 5329 if required . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7a Household employment taxes. Attach Schedule H . . . . . . . . . . . . . . . . . 7a
b Repayment of first-time homebuyer credit from Form 5405. Attach Form 5405 if required . . 7b
8 Taxes from: a Form 8959 b Form 8960
c Instructions; enter code(s) 8 0

9 Section 965 net tax liability installment from Form 965-A . . . . . 9
10 Add lines 4 through 8. These are your total other taxes. Enter here and on Form 1040
1040-SR, line 23, or Form 1040-NR, line 23b . . . . . . . . . . . . . . . . . . . 10 0

For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71478U Schedule 2 (Form 1040) 2021
Additional Credits and Payments
(Form 1040)
2021
Internal Revenue Service Go to www.irs.gov/Form1040 for instructions and the latest information. Sequence 03
000-00-0001
Part I Nonrefundable Credits
1 Foreign tax credit. Attach Form 1116, if required . . . . . . . . . . . . . . 1 0
2 Credit for child and dependent care expenses. Attach Form 2441 . . . . . . . . 2 0
3 Education credits from Form 8863, line 19 . . . . . . . . . . . . . . . . 3
4 Retirement savings contributions credit. Attach Form 8880 . . . . . . . . . . 4
5 Residential energy credit. Attach Form 5695 . . . . . . . . . . . . . . . 5
6 Other credits from Form: a 3800 b 8801 c 6
7 Add lines 1 through 6. Enter here and include on Form 1040, 1040-SR, 1040-NR, line 20 . 7 0
Part II Other Payments and Refundable Credits
8 Net premium tax credit. Attach Form 8962 . . . . . . . . . . . . . . . . . . 8
9 Amount paid with request for extension to file (see instructions) . . . . . . . . . . 9
10 Excess social security and tier 1 RRTA tax withheld . . . . . . . . . . . . . . 10 0

11 Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . . . . . . 11
12 Other payments or refundable credits:

a Form 2439 . . . . . . . . . . . . . . . . . . . . . . 12a
b Qualified sick and family leave credits from Schedule(s) H and

Form(s) 7202 . . . . . . . . . . . . . . . . . . . . . 12b
c Health coverage tax credit from Form 8885 . . . . . . . . . . 12c
d Other: 12d
e Deferral for certain Schedule H or SE filers (see instructions) 12e 0

f Add lines 12a through 12e . . . . . . . . . . . . . . . . . . . . . . . . . 12f 0
13 Add lines 8 through 12f. Enter here and on Form 1040, 1040-SR, 1040-NR, line 31. 13 0
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71480G Schedule 3 (Form 1040) 2021
Earned Income Worksheet Keep for Your Records
for
o Sheet 'Line 12 (SD Depnts)', Line 2,
o Sheet 'Line 19 (CTC)', Line 14 Worksheet, line 3 and
o Schedule 8812, Additional Child Tax Credit, line 6a
Before you begin:

o Use this worksheet for input to:
- line 2 of the Line 12, Standard Deductions for Dependents, Worksheet and/or
- line 3 of the Line 14 Worksheet in 'Line 13a (Child Tax Credit) and/or
- line 6a of Schedule 8812, Additional Child Tax Credit.
o Disregard community property laws when figuring the amounts to enter on this worksheet.
o If married filing jointly, include your spouse's amounts with yours when completing this worksheet.
1a. Enter the amount from Form 1040 or 1040-SR, line 1 1a. 0
b. Enter the amount of any nontaxable combat pay received.

This amount will automatically be entered on Schedule 8812, line 6b.
This amount should be shown in Form(s) W-2, box 12, with code Q 1b.
NEXT: If you are filing Schedule C, F, or SE, or you received a Schedule K-1 (Form 1065), go to line 2a.
Otherwise, skip lines 2a through 2e and go to line 3.
2a. Enter any statutory employee income reported on line 1 of Schedule C. 2a. 0
Sch. C, line 1
b. Enter any net profit or (loss) from Schedule C, line 31, and Schedule K-1 (Form 1065), box 14, (if box is checked)
code A (other than farming). Reduce any Schedule K-1 amounts as described in the instructions for
completing Schedule SE in the Partner's Instructions for Schedule K-1. Do not include on this line
any statutory employee income or any other amounts exempt from self-employment tax. Options
and commodities dealers must add any gain or subtract any loss (in the normal course of dealing in
or trading section 1256 contracts) from section 1256 contracts or related property 2b. 0
Sch. C, line 31
c. Enter any net farm profit or (loss) from Schedule F, line 34, and from farm
partnerships, Schedule K-1 (Form 1065), box 14, code A.* Reduce any
Schedule K-1 amounts as described in the instructions for completing
Schedule SE in the Partner's Instructions for Schedule K-1. Do not include on this
line any amounts exempt from self-employment tax 2c. 0
Sch. F, line 34
d. If you used the farm optional method to figure net earnings from self-employment,
enter the amount from Schedule SE, Section B, line 15. Otherwise, skip this line
and enter on line 2e the amount from line 2c 2d. 0
Sch. SE, line 15
(Sum of both forms)
e. If line 2c is a profit, enter the smaller of line 2c or line 2d. If line 2c is a (loss), enter the (loss)
from line 2c 2e. 0
3. Combine lines 1a, 1b, 2a, 2b, and 2e. If zero or less, stop. Do not complete the rest of this worksheet.
Instead, enter -0- on line 3 of the Line 14 Worksheet or line 6a of Schedule 8812, whichever applies. 3. 0
1
Form 1040 Instructions (Line 27 - Earned Income Credit)
4. Enter any amount included on line 1a that is:
a. A scholarship or fellowship grant not reported on Form W-2 4a. 0
b. For work done while an inmate in a penal institution (enter “PRI” and this amount
on the dotted line next to line 1 of Form 1040 or 1040-SR, or line 8 of Form 1040-NR) 4b.
c. A pension or annuity from a nonqualified deferred compensation plan or a
nongovernmental section 457 plan (enter “DFC” and this amount on the dotted
line next to line 1 of Form 1040 or 1040-SR).
This amount may be shown in box 11 of your Form W-2. If you received such an
amount but box 11 is blank, contact your employer for the amount received. 4c.
d. Medicaid waiver payments you exclude from income (see the instructions for
Schedule 1 (Form 1040 or 1040-SR), line 8, unless you choose to include this
amount in earned income, in which case enter zero. 4d.
5. Enter the amount from Schedule 1 (Form 1040 or 1040-SR), line 14, or Form 1040-NR, line 27. 5. 0
6. Add lines 4a, 4b, 4c, 4d, and 5 6. 0
7. Earned Income. Subtract line 6 from line 3 7. 0

• Enter this amount in Line 12, Standard Deduction for Dependents Worksheet. To: Sheet 'Line 12 (SD Depnts)'
• Enter this amount on line 3 of the Line 14 Worksheet of 'Line 13a (Child Tax Credit)'. To: Sheet 'Line 13a (CTC)'
• Enter this amount in Schedule 8812, line 6a To: Sheet '8812'
*If you have any Schedule K-1 amounts and you are not required to file Schedule SE, complete the appropriate
line(s) of Schedule SE, Section A. Put your name and social security number on Schedule SE and attach it to
your return.
Page 10 Publication 972 (2019)

Simplified Method Worksheet—Lines 5a and 5b Keep for Your Records
Before you begin:

Ö If you are the beneficiary of a deceased employee or former employee who died before August 21, 1996, include
any death benefit exclusion that you are entitled to (up to $5,000) in the amount entered on line 2 below.
More than one pension or annuity: If you had more than one partially taxable pension or annuity, figure the taxable part of each separately.
Enter the total of the taxable parts on Form 1040 or 1040-SR, line 5b.
Enter the total pension or annuity payments received in 2021 on Form 1040 or 1040-SR, line 5a.
If you manually enter the taxable amount from line 9 of this worksheet into 1099-R, line 2a, this spreadsheet will automatically update Form 1040, line 5a.
1. Enter the total pension or annuity payments from Form 1099-R, box 1.
Also, include this amount on Form 1040 or 1040-SR, line 5a . . . . . . . . . . . . . . . . . 1
2 Enter your cost in the plan at the annuity starting date . . . . . . . . . . . 2
Note. If you completed this worksheet last year, skip line 3 and enter the amount from line 4
of last year’s worksheet on line 4 below (even if the amount of your pension or annuity has changed).
Otherwise, go to line 3.
3 Enter the appropriate number from Table 1 below. But if your annuity starting date was after
1997 and the payments are for your life and that of your beneficiary, enter the appropriate
number from Table 2 below . . . . . . . . . . . . . . . . . . . 3 Enter date above Last year's amount
4 Divide line 2 by the number on line 3 . . . . . . . . . . . . . . . 4
5 Multiply line 4 by the number of months for which this year’s payments were made. If your The number ®
annuity starting date was before 1987, skip lines 6 and 7 and enter this amount on line 8. 1-Jan-1987 1 of months
Otherwise, go to line 6 . . . . . . . . . . . . . . . . . . . . . 5 cannot be
6 Enter the amount, if any, recovered tax free in years after 1986. If you completed this more than 12.
worksheet last year, enter the amount from line 10 of last year’s worksheet. . . . 6
7 Subtract line 6 from line 2. . . . . . . . . . . . . . . . . . . . 7
8 Enter the smaller of line 5 or line 7 . . . . . . . . . . . . . . . . . . . . . . . . 8
9 Taxable amount. Subtract line 8 from line 1. Enter the result, but not less than zero. Also, enter this amount on Sheet
'1099-R', line 2a. If your Form 1099-R shows a larger amount, use the amount on this line instead of the amount from
Form 1099-R. If you are a retired public safety officer, see Insurance Premiums for Retired Public Safety Officers
before entering an amount on line 2a of '1099-R' . . . . . . . . . . . . . . . . . . . . . . 9
10. Was your annuity starting date before 1987?
Yes. STOP Do not complete the rest of this worksheet.
X No. Add lines 6 and 8. This is the amount you have recovered tax free through 2021.
You will need this number when you fill out this worksheet next year . . . . . . . . . . 10.
11. Balance of cost to be recovered. Subtract line 10 from line 2. If zero, you won’t have to complete this
worksheet next year. The payments you receive next year will generally be fully taxable . . . . . . 11.
Table 1 For Line 3 Above

11/18/1996 Enter age
AND your annuity starting date was---- at annuity
IF the age at annuity starting before November 19, 1996 after November 18, 1996 starting date
date was … enter on line 3 … enter on line 3 … (above)
55 or under 300 360
56--60 56 260 310
61--65 61 240 260
66--70 66 170 210
71 or older 71 120 160
300 360
Table 2 For Line 3 Above 1/1/1998 0.00
IF the combined ages at annuity

starting date were . . . THEN enter on line 3. . .
110 or under 410
111--120 111 360
121--130 121 310
131--140 131 260
141 or older 141 210
Social Security Benefits Worksheet – Lines 6a and 6b Keep for Your Records
Before you begin:
Ö Figure any write-in adjustments to be entered on the dotted line next to Schedule 1, line 22.
(See the instructions for Schedule 1, line 22).
Ö If you are married filing separately and you lived apart from your spouse for all of 2021, enter 'D' to
the right of the word "benefits" on line 6a. If you don't, you may get a math error notice from the IRS.
Ö Be sure you have read the Exception in the line 6a and 6b instructions to see if you can use this
worksheet instead of a publication to find out if any of your benefits are taxable.
1 Enter the total amount from box 5 of all your Forms SSA-1099 and
RRB-1099. Also, enter this amount on Form 1040 or 1040-SR,
line 6a . . . . . . . . . . . . . . . . . . . . . . 1. 0
2 Multiply line 1 by 50% (0.50) . . . . . . . . . . . . . . . . . . . . . . . . . . 2 0
3 Combine the amounts from Form 1040 or 1040-SR, lines 1, 2b, 3b, 4b, 5b, 7, and 8 . . . . . 3 0
4 Enter the amount, if any, from Form 1040 or 1040-SR, line 2a . . . . . . . . . . . . . . . 4 0
5 Combine lines 2, 3, and 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 0
6 Enter the total of the amounts from Form 1040 or 1040-SR, line 10b, Schedule 1, lines 10 through 19,
plus any adjustments you entered on the dotted line next to Schedule 1, line 22 . . . . . . . . . 6 0
7 Is the amount on line 6 less than the amount on line 5?
X No. None of your social security benefits are taxable. Enter -0- on Form 1040
or 1040-SR, line 6b.
Yes. Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . 7 Stop
8 If you are:
l Married filing jointly, enter $32,000 32,000
l Single, head of household, qualifying widow(er), or married filing
separately and you lived apart from your spouse for all of 2021, 25,000
enter $25,000 . . . . . . 8
l Married filing separately and you lived with your spouse at any time
in 2021, skip lines 8 through 15; multiply line 7 by 85% (0.85) and 0.85
enter the result on line 16. Then go to line 17
9 Is the amount on line 8 less than the amount on line 7? 0
No. None of your social security benefits are taxable. Enter -0- on Form 1040 or 1040-SR, line 6b.
If you are married filing separately and you lived apart from your spouse for all of
2021, be sure you entered “D” to the right of the word “benefits” on line 6a.
Yes. Subtract line 8 from line 7. . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Enter: $12,000 if married filing jointly; $9,000 if single, head of household, qualifying
widow(er), or married filing separately and you lived apart from your spouse for all of 2021 10
11 Subtract line 10 from line 9. If zero or less, enter -0- . . . . . . . . . . . . . . . . . 11
12 Enter the smaller of line 9 or line 10 . . . . . . . . . . . . . . . . . . . . . . . 12
13 Enter one-half of line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Enter the smaller of line 2 or line 13 . . . . . . . . . . . . . . . . . . . . . . 14
15 Multiply line 11 by 85% (0.85). If line 11 is zero, enter -0- . . . . . . . . . . . . . . . . 15
16 Add lines 14 and 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Multiply line 1 by 85% (0.85). . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Taxable social security benefits. Enter the smaller of line 16 or line 17
Also, enter this amount on Form 1040 or 1040-SR, line 6b. . . . . . . . . . . . . . . . 18 0
If any of your benefits are taxable for 2021 and they include a lump-sum benefit payment that was for an earlier
year, you may be able to reduce the taxable amount. See Lump-Sum Election in Pub. 915 for details.
Standard Deduction Worksheet for Dependents -- Line 12 Applicable? Keep for Your Records
No 0
Use the worksheet only if someone can claim you, or your spouse, if filing jointly, as a dependent.
1. Check if: You were born before January 2, 1957
You are blind Total number of boxes

checked . . . . . . . . . 1.. . . . .
Spouse was born before January 2, 1957
Spouse is blind
Earned Income (from 'Earned Inc WS', line 7)

2. Is your earned income* more than $750? 1,100 750 1700
Yes. Add $350 to your earned income. Enter the total 350
No. Enter $1,100 . . . . . . . . . . . . . . 2.
3. Enter the amount shown below for your filing status.

• Single or married filing separately -- $12,550
• Married filing jointly or qualifying widow(er) -- $25,100 . . . . . . . . . . . . . . 3.
• Head of household -- $18,800
4. Standard deduction.
a. Enter the smaller of line 2 or line 3. If born after January 1, 1957 and not blind, stop here and enter
this amount on Form 1040 or 1040-SR, line 12. Otherwise, go to line 4b . . . . . . . . . . . . 4a.
b. If born before January 2, 1957, or blind, multiply the number on line 1 by $1,350 1350
($1,700 if single or head of household) . . . . . . . . . . . . . . . . . . . . . . . . 4b.
c. Add lines 4a and 4b. Enter the total here and on Form 1040 or 1040-SR, line 12 . . . . . . . . . 4c.
*Earned income includes wages, salaries, tips, professional fees, and other compensation received for personal services you performed. It
also includes any taxable scholarship or fellowship grant. Generally, your earned income is the total of the amount(s) you reported on Form
1040 or 1040-SR, line 1, and Schedule 1, lines 3 and 6, minus the amount, if any, on Schedule 1, line 14.
State and Local Income Tax (SALT) Refund Worksheet -- Schedule 1, Line 1 Keep for Your Records
Before you begin: Ö Be sure you have read the Exception above to see if you can use this worksheet instead of
Pub. 525 to figure if any of your refund is taxable.
1 Enter the income tax refund from Form(s) 1099-G (or similar statement). But don't enter more than the 0.00
amount of your state and local income taxes shown on your 2020 Schedule A, line 5d . . . . . . 1 0
2. Is the amount of state and local income taxes (or general sales taxes), real estate taxes, and personal property
taxes paid in 2020 (generally, this is the amount reported on your 2020 Schedule A, line 5d), more than the
amount on your 2020 Schedule A, line 5e? 0
No. Enter the amount from line 1 on line 3 and go to line 4.
Yes. Subtract the amount on your 2020 Schedule A, line 5e,

from the amount of state and local income taxes (or
general sales taxes), real estate taxes, and personal
property taxes paid in 2020 (generally, this is the amount
reported on your 2020 Schedule A, line 5d). 2
0
3 Is the amount on line 1 more than the amount on line 2? 0
No. STOP None of your refund is taxable.
Yes. Subtract line 2 from line 1. 3.
4. Enter your total itemized deductions from your 2020 Schedule A, line 17. 4.
Note. If the filing status on your 2020 Form 1040 return was married filing separately and
your spouse itemized deductions in 2020, skip lines 5 through 7, enter the amount from
line 4 on line 8, and go to line 9.
5 Enter the amount shown below for the filing status claimed on your
2020 Form 1040. 12,200
l Single or married filing separately–- $12,200 24,400
l Married filing jointly or qualifying widow(er)–-$24,400 5 18,350
l Head of household–-$18,350
6 Check any boxes that apply. *
0 You were born before January 2, 1956. 0 You are blind. 1,300
0 Spouse was born before January 2, 1956. 0 Spouse is blind. 1,650
0 No boxes checked. Enter -0-.
Multiply the number of boxes checked by $1,300 ($1,650

if your 2020 filing status was single or head of household). 6 0
*If your filing status is married filing separately, you can check the boxes for your spouse only
if your spouse had no income, isn't filing a return, and can't be claimed as a dependent on
another person's return.
7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . 7

0.00
No. STOP None of your refund is taxable.
Yes. Subtract line 7 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . 8
7 Taxable part of your refund. Enter the smaller of line 3 or line 8 here and on Schedule 1, line 1. 9 0
Qualified Dividends and Capital Gain Tax Worksheet—Line 16 Keep for your records.
Before you begin: P See the earlier instructions for line 16 to see if you can use this worksheet to figure your tax.
P Before completing this worksheet, complete Form 1040 or 1040-SR through line 15.
P If you do not have to file Schedule D and you received capital gain distributions, be sure
you checked the box on Form 1040 or 1040-SR, line 7.
1. Enter the amount from Form 1040 or 1040-SR, line 15. However, if you are filing Form
2555 (relating to foreign earned income), enter the amount from
line 3 of the Foreign Earned Income Tax Worksheet . . . . . . . . . . . 1.
2. Enter the amount from Form 1040 or 1040-SR, line 3a* . . . . . 2.
3. Are you filing Schedule D?* 0
Yes. Enter the smaller of line 15 or 16 of
Schedule D. If either line 15 or line 16 is
blank or a loss, enter -0-. 3.
No. Enter the amount from Form 1040 or
1040-SR, line 7
4. Add lines 2 and 3 . . . . . . . . . . . . . 4.
5. Subtract line 4 from line 1. If zero or less, enter -0- . . . . . . . . . . . . 5.
6. Enter:
$40,400 if single or married filing separately, 40,400
$80,800 if married filing jointly or qualifying widow(er), . . . . . . . . 6. 80,800
$54,100 if head of household. 54,100
7. Enter the smaller of line 1 or line 6 . . . . . . . . . . . . . . . . . 7. 0
8. Enter the smaller of line 5 or line 7 . . . . . . . . . . . . . . . . . 8. 0
9. Subtract line 8 from line 7. This amount is taxed at 0% . . . . . . . . . . 9. 0
10. Enter the smaller of line 1 or line 4 . . . . . . . . . . . . . . . . 10. 0
11. Enter the amount from line 9 . . . . . . . . . . . . . . . . . 11. 0
12. Subtract line 11 from line 10 . . . . . . . . . . . . . . . . . . 12. 0
13. Enter:
$445,850 if single, 445,850
$250,800 if married filing separately, 250,800
$501,600 if married filing jointly or qualifying widow(er), . . . . . . . . 13. 501,600
$473,750 if head of household. 473,750
14. Enter the smaller of line 1 or line 13 . . . . . . . . . . . . . . . . 14. 0
15. Add lines 5 and 9 . . . . . . . . . . . . . . . . . 15. 0
16. Subtract line 15 from line 14. If zero or less, enter -0- . . . . . . . . . . . . 16.
17. Enter the smaller of line 12 or line 16 . . . . . . . . . . . . . . . . 17. 0 0.15
18. Multiply line 17 by 15% (0.15) . . . . . . . . . . . . . . . . . . . . . . . . . . 18. 0
19. Add lines 9 and 17 . . . . . . . . . . . . . . . . . . . . 19. 0
20. Subtract line 19 from line 10 . . . . . . . . . . . . . . . . . . 20. 0 0.20
21. Multiply line 20 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . 21. 0
22. Figure the tax on the amount on line 5. If the amount on line 5 is less than $100,000, use the Tax
Table to figure this tax. If the amount on line 5 is $100,000 or more, use the Tax Computation
Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22.
23. Add lines 18, 21, and 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23.
24. Figure the tax on the amount on line 1. If the amount on line 1 is less than $100,000, use the Tax
Table to figure this tax. If the amount on line 1 is $100,000 or more, use the Tax Computation
Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24.
25. Tax on all taxable income. Enter the smaller of line 23 or line 24. Also include this amount on the entry
space for Form 1040 or 1040-SR, line 16. If you are filing Form 2555, do not enter this amount on the
entry space on Form 1040 or 1040-SR, line 16. Instead, enter it on line 4 of the Foreign Earned Income
Tax Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25.
* If you are filing Form 2555, see the footnote in the Foreign Earned Income Tax Worksheet before completing this line.
Foreign Earned Income Tax Worksheet — Line 16 Keep for Your Records
0
Complete Form 2555 before completing this worksheet.
If Form 1040 or 1040-SR, line 15, is zero, do not complete this worksheet.
1. Enter the amount from Form 1040 or 1040-SR, line 15 . . . . . . . . . . . . . . . . . . 1.
2a. Enter the amount from your (and your spouse's, if filing jointly) Form 2555, lines 45 and 50 . . . . . . . . .2a.
b. Enter the total amount of any itemized deductions or exclusions you couldn't claim because they are
related to excluded income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b.
c. Subtract line 2b from line 2a. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . c.
3. Add lines 1 and 2c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.

0
4. Figure the tax on the amount on line 3. Use the Tax Table, Tax Computation Worksheet,
Qualified Dividends and Capital Gain Tax Worksheet*, Schedule D Tax Worksheet*, or Form
8615, whichever applies. See the instructions for Form 1040 or 1040-SR, line 16 to see which tax
computation method applies. (Do not use a second Foreign Earned Income Tax Worksheet to figure
the tax on this line) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Figure the tax on the amount on line 2c. If the amount on line 2c is less than $100,000, use the
Tax Table to figure this tax. If the amount on line 2c is $100,000 or more, use the Tax Computation
Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.
6. Subtract line 5 from line 4. Enter the result. If zero or less, enter -0-. Also include this amount on
Form 1040 or 1040-SR, line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.
*Enter the amount from line 3 above on line 1 of the Qualified Dividends and Capital Gain Tax Worksheet or Schedule D Tax Worksheet if you
use either of those worksheets to figure the tax on line 4 above. Complete the rest of that worksheet through line 6 (line 10 if you use the
Schedule D Tax Worksheet). Next, you must determine if you have a capital gain excess. To find out if you have a capital gain excess, subtract
Form 1040 or 1040-SR, line 15, from line 4 of your Qualified Dividends and Capital Gain Tax Worksheet (line 10 of your Schedule D Tax
Worksheet). If the result is more than zero, that amount is your capital gain excess.
If you don't have a capital gain excess, complete the rest of either of those worksheets according to the worksheet's instructions. Then
complete lines 5 and 6 above.
If you have a capital gain excess, complete a second Qualified Dividends and Capital Gain Tax Worksheet or Schedule D Tax Worksheet
(whichever applies) as instructed above but in its entirety and with the following additional modifications. Then complete lines 5 and 6 above.
These modifications are to be made only for purposes of filling out the Foreign Earned Income Tax Worksheet above.
1. Reduce (but not below zero) the amount you would otherwise enter on line 3 of your Qualified Dividends and Capital Gain Tax Worksheet
or line 9 of your Schedule D Tax Worksheet by your capital gain excess.
2. Reduce (but not below zero) the amount you would otherwise enter on line 2 of your Qualified Dividends and Capital Gain Tax Worksheet
or line 6 of your Schedule D Tax Worksheet by any of your capital gain excess not used in (1) above.
3. Reduce (but not below zero) the amount on your Schedule D (Form 1040 or 1040-SR), line 18, by your capital gain excess.
4. Include your capital gain excess as a loss on line 16 of your Unrecaptured Section 1250 Gain Worksheet in the Instructions for
Schedule D (Form 1040 or 1040-SR).
NOTICE! No qualifying children OR other dependents have been indicated on Form 1040.
0
1. Are you excluding income from Puerto Rico or are you filing any of the following forms? No Yes
l Form 2555 (relating to foreign earned income) X
l Form 4563 (exclusion of income for residents of American Samoa) X
2. Are you claiming any of the following credits? No Yes

l Mortgage interest credit, Form 8396 X
l Adoption credit, Form 8839. X
l Residential energy efficient property credit, Form 5695, Part I (As indicated on Sch. 3, Line 5) X
l District of Columbia first-time homebuyer credit, Form 8859 X
Status: Not applicable
NOTICE ! THIS IS NOT AN IRS WORKSHEET. METHODOLOGY HAS BEEN DERIVED FROM MULTIPLE SOURCES
2021 Child Tax Credit and Credit for Other Dependents Worksheet -- Line 19
(See Publication 972) Keep for Your Records
Before you begin: P Figure the amount of any credits you are claiming on Schedule 3, lines 1 through 4;
Form 5695, Part II, line 30*; Form 8910, line 15**; Form 8936, line 23; or Schedule R.
*See the Form 5695 instructions to see if line 30 (nonbusiness energy property credit) applies for 2021.
**See the Form 8910 instructions to see if line 15 (alternate motor vehicle credit for personal use part of vehicle) applies for 2021.
Part 1 1. Number of qualifying children under age 6 with the required social 3,600
1 0
security number: 0 X $3,600. Enter the result.
2. Number of qualifying children under age 17 with the required social 3,000
2 0
security number: 0 X $3,000. Enter the result.
3. Number of other dependents, including qualifying children without the 500

3 0
required security number: 0 X $500. Enter the result.
Caution. Don’t include yourself, your spouse, or anyone who is not a U.S. citizen,
U.S. national, or U.S. resident alien. Also, don’t include anyone you included on line 1.
4. Add lines 1 and 2. 4 0
5. Enter the amount from line 11 of your Form 1040,

1040-SR, or 1040-NR. 5 0
6. 1040 and 1040-SR Filers. Enter the total of any—

l Exclusion of income from Puerto Rico, and
l Amounts from Form 2555, lines 45 and 50; 6 0
and Form 4563, line 15.
7. Add lines 5 and 6. Enter the total. 7 0
8. Enter the amount shown below for your

filing status.
l Married filing jointly – $150,000 8 Filing Status? 150,000
l Head of Houshold – $112,500 112,500
l All othe filing statuses – $75,000 75,000
9. Enter the amount shown below for your

filing status.
l Married filing jointly – $400,000 9 Filing Status? 400,000
l Head of Houshold – $300,000 300,000
l All othe filing statuses – $200,000 200,000
10. Is the amount on line 8 more than the amount on line 7?
1 X Yes. Enter the amount from line 4 here and

on line 20. Go to line 20. 10 0
No. Leave line 10 blank. Continue to line 11.
1 Yes. Subtract line 8 from line 7.

If the result is not a multiple of $1,000,
increase it to the next multiple of $1,000.
For example, increase $425 to $1,000,
increase $1,025 to $2,000, etc.
Continue to line 12. 11
No. Leave line 11 blank. Go to line 16.
12. Multiply the amount on line 11 by 5% (0.05). Enter the result. 12 0.05
13. Subtract line 12 from line 4. 13

14. Multiply the total number of qualified children under age 17 14 2,000
by $2,000
15. Enter the larger of line 13 and line 14. 15 2,000

Enter this amount on line 20.
Go to line 20.
16 Subtract line 9 from line 7.

If the result is not a multiple of $1,000,
increase it to the next multiple of $1,000.
For example, increase $425 to $1,000,
increase $1,025 to $2,000, etc. 16
17. Multiply the total number of qualified children under age 17 17 2,000
by $2,000
18. Multiply the amount on line 16 by 5% (0.05). Enter the result. 18 0.05
19. Subtract line 18 from line 17. If less than zero, enter '0'. 19
Enter this amount on line 20.
20. Enter amount from line 10, line 15, or line 19, in accordance with worksheet instructions. 20 0
21. Add the amounts from line 3 and line 20. 21 0
X No. STOP
You cannot take the child tax credit or credit for other dependents on line 19 of
your Form 1040, 1040-SR, or 1040-NR. You also cannot take the additional
child tax credit on line 28 of your Form 1040, 1040-SR, or 1040-NR. Complete
rest of your Form 1040, 1040-SR, or 1040-NR.
Yes. Enter amount from line 21. 22 0

Go to Part 2 on the next page.

Child Tax Credit and Credit for Other Dependents Worksheet --- Continued
Part 2 23. Enter the amount from Form 1040 or 1040-SR, line 18. 23.
24. Add the amounts from:
Schedule 3, line 1 0
Schedule 3, line 2 + 0
Schedule 3, line 3 +
Schedule 3, line 4 + 0
Form 5695, line 30* +
Form 8910, line 15** +
Form 8936, line 23 +
Schedule R, line 22 +
Enter the total. 24
*See the Form 5695 instructions to see if line 30 (nonbusiness energy property credit) applies for 2021.
**See the Form 8910 instructions to see if line 15 (alternate motor vehicle credit for personal use part of)
vehicle) applies for 2021.
25. Subtract line 24 from line 23 25
26. Are you claiming any of the following credits?

l Mortgage interest credit, Form 8396
l Adoption credit, Form 8839.
l Residential energy efficient property credit, Form 5695, Part I.
l District of Columbia first-time homebuyer credit, Form 8859
X No. Enter -0-.
26
Yes. If you are filing Form 2555, enter -0-.
Otherwise, complete the Line 26 Worksheet, later,
to figure the amount to enter here.
27. Subtract line 26 from line 23. Enter the result. 27
28. Is the amount on line 22 of this worksheet more than the amount on line 27?
X No. Enter the amount from line 22.
Yes. Enter the amount from line 27. This is your child tax 28 0
See TIP below. credit and credit for Enter this amount on
other dependents. Form 1040, line 19;
Form 1040-SR, line 19;
You may be able to take the additional child tax credit on line 28
Form 1040, 1040-SR, or 19040-NR, only if you answered
"Yes" on line 16 and line 1 is more than zero.
l First, complete your Form 1040, 1040-SR, or 1040-NR through line 28
(also complete Schedule 3, line 10).
l Then, use Schedule 8812 to figure any additional child tax
credit.
Publication 972 (2021) Page 7

Line 26 Worksheet
Before you begin: ü Complete the Earned Income Worksheet if it applies to you.
ü 1040 or 1040-SR filers. Complete lines 27; Schedule 2, line 5; and Schedule 3, line 10
of your return if they apply to you.
Use this worksheet only if you answered “Yes” on line 14 of the Child Tax Credit Worksheet and Credit for Other
Dependents Worksheet earlier and are not filing Form 2555. Line 14 is
1. Enter the amount from line 10 of the Child Tax Credit and Credit for Other
Dependents Worksheet. 1
2. Number of qualifying children under 17 with the required social security

number: 0 X $1,400. Enter the result. 2
TIP: The number of children you use for this line is the same as the number of
children you used for line 1 of the Child Tax Credit and Credit for Other
Dependents Worksheet.
3. Enter your earned income from the Earned Income 3 0 Source: "Earned Inc WS" line 7.
Worksheet.
4. Is the amount on line 3 more than $2,500? 2500
No. Leave line 4 blank, enter -0- on line 5, and go

to line 6. 4
Yes. Subtract $2,500 from the amount on line 3.
Enter the result.
5. Multiply the amount on line 4 by 15% (0.15) and enter the result. 0.15 5
6. On line 2 of this worksheet, is the amount $4,200 or more? 4200
No.
0 l If line 2 or line 5 above is zero, enter the amount from line 1 above on line 14 of this worksheet.
Do not complete the rest of this worksheet. Instead, go back to the Child Tax Credit Worksheet and
Credit for Other Dependents Worksheet and do the following.
Enter -0- on line 14, and complete lines 15 and 16.
0 l If both line 2 and line 5 are more than zero, leave lines 7 through 10 blank,
enter -0- on line 11, and go to line 12.
Yes. If line 5 above is equal to or more than line 1 above, leave lines 7 through 10
0 blank, enter -0- on line 11, and go to line 12. Otherwise, go to line 7.
7. If your employer withheld or you paid Additional Medicare Tax or Tier 1 RRTA
If married filing taxes, use the Additional Medicare Tax and RRTA Tax
jointly, include your Worksheet to fi_x001F_gure the amount to enter; otherwise enter
spouse's amounts the total of the following amounts from Form(s) W-2:
with yours when l Social security taxes from box 4, and 7
completing lines l Medicare taxes from box 6.
lines 7 and 8.
8. 1040 and 1040-SR Filers. Enter the total of any—
l Amounts from Schedule 1, line 14, and
Schedule 2, line 5; and 8
l Any taxes that you identified using code "UT"
and entered on Schedule 2, line 8.
9. Add lines 7 and 8. Enter the total. 9

Line 26 Worksheet—Continued
10. 1040 and 1040-SR filers. Enter the total of the amounts from 10
Form 1040 or 1040-SR, line 27, and Schedule 3, Line 10.
11. Subtract line 10 from line 9. If the result is zero or less, enter -0-. 11
12. Enter the larger of line 5 or line 11. 12
13. Enter the smaller of line 2 or line 12. 13
14. Is the amount on line 13 of this worksheet more than the amount on line 1?
No. Subtract line 13 from line 1. Enter the result.

14
Yes. Enter -0-.
Next, figure the amount of any of the following credits that you are claiming.
l Mortgage interest credit, Form 8396
l Adoption credit, Form 8839.
l Residential energy efficient property credit, Form 5695, Part I.
l District of Columbia first-time homebuyer credit, Form 8859
Then, go to line 15.
15. Enter the total of the amounts from—

l Form 8396, line 9, and
l Form 8839, line 16, and
l Form 5695, line 15, and 15
l Form 8859, line 3.
Enter this amount on

line 26 of the Child
Tax Credit and
Credit for Other
Dependents Worksheet
Publication 972 (2021) Page 9

0 0 Please answer question at Step 1, Question 2. 0
Line 27 --
Earned Income Credit (EIC)
Override
Step 1 All Filers Number of qualified children
0
1. If, in 2021:
● 3 or more children lived with you,

Is the amount on Form 1040, line 11, less than $51,464 ($57,414 if married filing jointly)? 51464 57414
or 51464
● 2 children lived with you,
or 47915
● 1 child lived with you,
or 42158
● No children lived with you,
15980
0 Yes. Continue. No. STOP You can't take the credit.
2. Do you, and your spouse if filing a joint return, have a social security number issued on or before the due date
of your 2021 return (including extensions) that allows you to work and is valid for EIC purposes?
0 Yes. Continue. 0 No. STOP You cannot take the credit.

Enter “No” on the dotted line next to Form 1040, line 27.
3. Is your filing status married filing separately?
0 Yes. STOP You can't take the credit. No. Continue
4. Are you filing Form 2555 (relating to foreign earned income)?
0 Yes. STOP You can't take the credit. No. Continue
5. Were you or your spouse a nonresident alien for any part of 2021?
0 Yes. No. Go to Step 2.

See Non-resident aliens, later,
0 under Definitions and Special Rules
Step 2 Investment Income
1. Add the amounts from Form 1040 or 1040-SR: (This is automatically completed.)
Line 2a
Line 2b +
Line 3b +
Line 7* +
Investment Income = 0
*If line 7 is a loss, enter -0-.
2. Is your investment income more than $3,650? 3650
Yes. Continue No. Skip question 3; go to question 4.
3. Are you filing Form 4797 (relating to sales of business property)?
Yes. See Form 4797 filers, No. You cannot take the credit.
under Definitions and Special Rules
4. Do any of the following apply for 2021?
® ● You are filing Schedule E. (This is automatically completed.)

or
® ● You are reporting income or a loss from the rental of
personal property not used in a trade or business.
or
® ● You are filing Form 8814 (relating to election to report child’s interest
and dividends on your return).
or
® ● You have income or loss from a passive activity.
Yes. Use Worksheet 1 ® No. Go to Step 3.

in Pub. 596 to see if you
can take the credit. ® Check here if you can take the credit.
Step 3 Qualifying Child See CAUTIONS and TIP in the instructions.
A qualifying child for the EIC is a child who is your…
● Son, daughter, stepchild, foster child, brother, sister, stepbrother, stepsister, CAUTION:
half brother, half sister, or a descendant of any of them You can't take the credit for a child who didn't live with you for more than half
the year, even if you paid most of the child's living expenses. The IRS may
(for example, your grandchild, niece, or nephew) ask you for documents to show you lived with each qualifying child.
and, Documents you might want to keep for this purpose include school and child
was … care records and other records that show your child's address.
● Under age 19 at the end of 2021 and younger than you (or your spouse, if filing jointly)
or
● Under age 24 at the end of 2021 and a student (defined later) and younger than you
(or your spouse, if filing jointly), TIP:
or If the child didn't live with you for more than half of 2021 because of a
temporary absence, birth, death, or kidnapping, see Exception to time lived
● Any age and permanently and totally disabled (defined later) with you, later.
and,
Who isn't filing a joint return for 2021
or is filing a joint return for 2021 only to claim a refund of withheld income tax or CAUTION:
estimated tax paid (see Pub. 596 for examples) If the child meets the conditions to be a qualifying child of any other person
(other than your spouse if filing a joint return) for 2021, see Qualifying child of
and, more than one person, later. If the child was married, see Married child, later.
Who lived with you in the United States for more than half of 2021.
<-- Enter number of qualifying children here.
1. Are you claiming at least one child who meets the conditions to be your qualifying child and,
unless the child was born and died in 2021, has a valid SSN as defined later?
Yes. No. Skip questions 2 and 3; go to Step 4.
2. Are you filing a joint return for 2021?
Yes. Skip question 3 and Step 4; No. Continue.

go to Step 5.
3. Could you be a qualifying child of another person in 2021?

(Check "No" if the other person is not rquired to file, and
isn't filing, a 2021 tax return or is filing a 2021 return only
to claim a refund of withheld income tax or estimated tax
paid (see Pub. 596 for examples).)
Yes. You can't take the credit. No. Skip Step 4; go to Step 5.
Enter “No” on the dotted line
next to line 27.
Step 4 Filers Without a Qualifying Child
1. Is the amount on Form 1040, line 11, less than $15,980 ($21,920 if married filing jointly)?
Yes. Continue No. You can't take the credit.
2. Were you, or your spouse if filing a joint return, at least age

25 but under age 65 at the end of 2021? (Check 'Yes' if
you, or your spouse if filing a joint return, were born after
1 December 31, 1956, and before January 2, 1997.) If your
1 spouse died in 2021, see Pub. 596 before you answer.
1
Yes. Continue 0 No. You can't take the credit.
Override ->
3. Was your main home, and your spouse's if filing a joint
return, in the United States for more than half of 2021?
Members of the military stationed outside the United States,
see Members of the military, in the instructions, before you answer.
Yes. Continue No. You can't take the credit.

Enter "No" on the dotted
line next to line 27.
4. Are you filing a joint return for 2021?
Yes. Skip questions 5 X No. Continue

and 6; go to Step 5.
5. Could you be a qualifying child of another person for 2021?

(Check "No" if the other person isn't rquired to file, and
isn't filing, a 2021 tax return or is filing a 2021 return only
to claim a refund of withheld income tax or estimated tax
paid (see Pub. 596 for examples).)
Yes. STOP You can't take the No. Continue

credit. Enter "No" in
the space to the left of
line 27.
6. Can you be claimed as a dependent on someone else's 2021

tax return?
Yes. You can't take the credit. No. Go to Step 5.

Step 5 Earned Income
1. Are you filing Schedule SE because you were a member of the clergy or you had church employee income of $108.28 or more?
0 Yes. No. Complete the

See Clergy or Church employees, following worksheet.
whichever applies. Manual
Override ê
1. Enter the amount from Form 1040, line 1 1. 0
2. Enter any amount included on Form 1040, line 1,

that is a taxable scholarship or fellowship grant NOTE:
not reported on a Form W-2. 2. 0 Information needed for Lines 2, 3, 4, 5, and 8 are
entered on the sheet labeled "Earned Inc Calc".
3. Enter any amount included on Form 1040, line 1,
that you received for work perform while an
inmate in a penal institution. (Enter "PRI" and
the same amount on the dotted line next to Form
1040, line 1.) 3. 0
4. Enter any amount included on Form 1040 or 1040-SR,

line 1, that you received as a pension or annuity
from a nonqualified deferred compensation plan or
a nongovernmental section 457 plan. (Enter “DFC”
and the same amount on the dotted line next to
Form 1040 or 1040-SR, line 1.) This amount may be
shown in box 11 of Form W-2. If you received such
amount but box 11 is blank, contact your
employer for the amount received 4. 0
5. Enter any amount included on Form 1040 or

1040-SR, line 1, that is a Medicaid waiver
payment you exclude from income (see the
instructions for Schedule 1, line 8), unless you
choose to include this amount in earned income,
in which case enter zero 5.
6. Add lines 2, 3, 4, and 5. 6. 0
7. Subtract line 6 from line 1 7. 0
8. Enter all of your nontaxable combat pay if you

elect to include it in earned income. Also enter
"NCP" and the amount of your nontaxable
combat pay I the space to the left of line 17 on
Form 1040. See Combat pay,
nontaxable, later 8. 0
Electing to include nontaxable combat

pay may increase or decrease your EIC. Figure
the credit with and without your nontaxable
combat pay before making the election.
Manual
9. Add lines 7 and 8. This is your Override ê
earned income. 9. 0
2. Were you self-employed at any time in 2021, or are you filing Schedule SE because you were a member of the
clergy or you had church employee income, or are you filing Schedule C or C-EZ as a statutory employee?
Yes. Skip question 3 and Step 6; No. Continue

go to Worksheet B.
3. If you have:
● 3 or more qualifying children,

Is your earned income less than $51,464 ($57,414 if married filing jointly)? 0
or
● 2 qualifying children,
or
● 1 qualifying child,
or
● No qualifying children,
Yes. Go to Step 6. No. You can't take the credit.
Step 6 How To Figure the Credit
1. Do you want the IRS to figure the credit for you?
0 Yes. See Credit figured by the IRS. X No. Go to Worksheet A.

figured by the IRS, in the instructions.
Worksheet A — 2021 EIC — Line 27
PART 1 - All Filers Using Worksheet A
Before you begin: Be sure you are using the correct worksheet.
Use this worksheet only if you answered "No" to Step 5, question 2.
Otherwise, use Worksheet B.
1. Enter your earned income from Step 5. 1.
2. Look up the amount on line 1 above in the EIC Table (right after 2.
Worksheet B) to find the credit. Be sure you use the correct column
for your filing status and the number of children you have. Enter the
credit here.
If line 2 is zero, STOP you can't take the credit. 0
Enter “No” in the space to the left of Form 1040 or 1040-SR, line 27.
3. Enter the amount from Form 1040 or 1040-SR, line 11. 3.
4. Are the amounts on lines 3 and 1 the same?
Yes. Skip line 5; enter the amount from line 2 on line 6.
No. Go to line 5.
PART 2 - Filers who answered "No" on Line 4.
5. If you have:
● No qualifying children, 8,800
Is the amount on line 3 less than $8,800 ($14,700 if married filing jointly)? 0 14,700
or
● 1 or more qualifying children, 19,350
Is the amount on line 3 less than $19,350 ($25,250 if married filing jointly)? 0 25,250
Yes. Leave line 5 blank; enter the amount from line 2 on line 6.
No. Look up the amount on line 3 in the EIC Table to find the
credit. Be sure you use the correct column for your filing
status and the number of children you have. Enter the credit
here. 5.
Look at the amounts on lines 5 and 2.
Then, enter the smaller amount on line 6.
PART 3 - Your Earned Income Credit
6. This is your earned income credit. 6.

Enter this amount on Form 1040, line 27.
Reminder—
If you have a qualifying child, complete and attach Schedule EIC.
https://www.irs.gov/pub/irs-pdf/f1040sei.pdf
If your EIC for a year after 1996 was reduced or disallowed, see
Form 8862, who must file, earlier, to find out if you must file Form 8862 to take the
the credit for 2021.
Worksheet B — 2021 EIC — Line 27 Keep for Your Records
0 Use this worksheet if you answered “Yes” to Step 5, question 2.
Ö Complete the parts below (Parts 1 through 3) that apply to you. Then, continue to Part 4.
Ö If you are married filing a joint return, include your spouse’s amounts, if any, with yours to figure the amounts to enter in Parts 1 through 3.
PART 1 - Self-Employed, Members of the Clergy, and People With Church Employee Income Filing Schedule SE
0 Check if PART 1 applies to you.
1a. Enter the amount from Schedule SE, Part I, line 3. 1a.
b. Enter any amount from Schedule SE, Part I, line 4b and line 5a. 1b. +
c. Combine lines 1a and 1b. 1c. =
d. Enter the amount from Schedule SE, Part I, line 13. 1d. - Manual
Override ê
e. Subtract line 1d from 1c. 1e. =
PART 2 - Self-Employed NOT Required To File Schedule SE

For example, your net earnings from self-employment were less than $400.
0 Check if PART 2 applies to you.
2. Don't include on these lines any statutory employee income, any net profit from services performed as a notary public,
any amount exempt from self-employment tax as the result of the filing and approval of Form 4029 or Form 4361,
or any other amounts exempt from self-employment tax.
Manual
a. Enter any net farm profit or (loss) from Schedule F, line 34, and from 2a. Override ê
farm partnerships, Schedule K-1 (Form 1065), box 14, code A*. 0
b. Enter any net profit or (loss) from Schedule C, line 31; and 2b. +
Schedule K-1 (Form 1065), box 14, code A (other than farming)*.
c. Combine lines 2a and 2b. 2c. =
*If you have any Schedule K-1 amounts, complete the appropriate line(s) of Schedule SE, Section A.
Reduce the Schedule K-1 amounts as described in the Partner’s Instructions for Schedule K-1. Enter
your name and social security number on Schedule SE and attach it to your return.
Worksheet B — 2021 EIC — Line 27 — Continued Keep for Your Records
PART 3 - Statutory Employees Filing Schedule C Manual

Override ê
3. Enter the amount from Schedule C, line 1, that 3.
you are filing as a statutory employee.
PART 4 - All Filers Using Worksheet B

Note. If line 4b includes income on which you should have paid self-employment tax but didn't,
we may reduce your credit by the amount of self-employment tax not paid. Manual
Override ê
4a. Enter your earned income from Step 5. 4a.
b. Combine lines 1e, 2c, 3, and 4a. This is your total earned income. 4b.
If line 4b is zero or less, STOP you can't take the credit. Enter “No” in the space to the left of Form 1040,
line 27.
5. If you have:
Is line 4b less than $51,464 ($57,414 if married filing jointly)?
or
● 2 qualifying children,
or
● 1 qualifying child,
or
Yes. If you want the IRS to figure your credit, see Credit figured by the IRS, earlier.
If you want to figure the credit yourself, enter the amount from line 4b on line 6 of this worksheet.
No. STOP You can't take the credit. Enter “No” in the space to the left of Form 1040, line 27.
PART 5 - All Filers Using Worksheet B
6. Enter your total earned income from Part 4, line 4b. 6.
7. Look up the amount on line 6 above in the EIC Table to find

the credit. Be sure you use the correct column for your filing status 7.
and the number of children you have. Enter the credit here.
If line 7 is zero, STOP you can't take the credit. 0

Enter “No” on the dotted line next to Form 1040 or 1040-SR, line 27.
8. Enter the amount from Form 1040 or 1040-SR, line 11. 8.
9. Are the amounts on lines 8 and 6 the same?
Yes. Skip line 10; enter the amount from line 7 on line 11.
No. Go to line 10.
PART 6 - Filers Who Answered “No” on Line 9
10. If you have:
Is the amount on line 8 less than $8,800 ($14,700 if married filing jointly)? 0

Is the amount on line 8 less than $19,350 ($25,250 if married filing jointly)? 0
Yes. Leave line 10 blank; enter the amount from line 7 on line 11.
No. Look up the amount on line 8 in the EIC Table to find the
credit. Be sure you use the correct column for your filing
column for your filing status and the number of children
status and the number of children you have. Enter the credit here. 10.
Look at the amounts on lines 10 and 7.

Then, enter the smaller amount on line 11.
PART 7 - Your Earned Income Credit

11.
11. This is your earned income credit.
Reminder —
Ö If you have a qualifying child, complete and attach Schedule EIC.
https://www.irs.gov/pub/irs-pdf/f1040sei.pdf
If your EIC for a year after 1996 was reduced or disallowed, see
Form 8862, who must fi_x001F_le, earlier, to find out if you must file Form
8862 to take the credit for 2021. Earned Income Credit => 0
American Rescue Plan Worksheet—Line 30 Tax Year 2021 conceptualization for American Rescue Act and Child Tax Credit payments.
Before you begin: P See the instructions for line 30 to find out if you can take this credit and for definitions and other information
needed to fill out this worksheet.
P If you received Notice 1444 and Notice 1444-B, have them available.
Don’t include on line 15 or 17 any amount you received but later returned to the IRS.
15. Enter the amount, if any, of American Rescue Act (ARA) payments that was issued to you in 2021.
You may refer to Notice 1444 or your tax account information at IRS.gov/Account for the amount to enter here . . . . 15.
17. Enter the amount, if any, of Child Tax Credit payments you received in 2021.
You may refer to Notice 1444-B or your tax account information at IRS.gov/Account for the amount to enter here . . . 17. 0
1. Can you be claimed as a dependent on another person's 2021 return? If filing a joint return, go to line 2. 0
1 X No. Go to line 2.
0 Yes. You can't take the credit. Don’t complete the rest of this worksheet and don’t enter any amount on line 30.
2. Does your 2020 return include a valid social security number (defined under Valid social security number, earlier)
for you and, if filing a joint return, your spouse?
1 X Yes. Skip lines 3 and 4, and go to line 5.
0 No. If you are filing a joint return, go to line 3.
0 If you aren't filing a joint return, STOP you can’t take the credit.
Don’t complete the rest of this worksheet and don’t enter any
amount on line 30.
3. Was at least one of you a member of the U.S. Armed Forces at any time during 2021, and does at least one of you
have a valid social security number (defined under Valid social security number, earlier)?
Yes. Your credit is not limited. Go to line 5. 0
No. Go to line 4. 1
4. Does one of you have a valid social security number (defined under Valid social security number, earlier)?
1 Yes. Your credit is limited. Go to line 5. 0
0 No. You can’t take the credit. Don’t complete the rest of this worksheet and don’t enter any amount on line 30. 0
1 0 1
5. For your ARA Credit, enter $1,400 ($2,800 if married filing jointly), 1400 1,400
● $1,400 if single, head of household, married filing separately, qualifying widow(er), or if married filing
jointly and you answered “Yes” to question 4, or 2800 0
● $2,800 if married filing jointly and you answered 'Yes' to question 2 or 3 . . . . . . . . . . . . . . . . 5.
6a. Enter the number of dependants indicated on Form 1040. 0 6b. Multiply this number by $1,400 per dependent 6. 0
7. Add the amounts on lines 5 and 6. . . . . . . . . . . . . . . . . 7. 0
8. Enter the amount from line 11 of Form 1040 or 1040-SR 8.

9. Enter the amount shown below for your filing status:
● $150,000 if married filing jointly or qualifying widow(er) 150000
● $112,500 if head of household 112500 9.
● $75,000 if single or married filing separately 75000
10. Subtract line 9 from line 10. If zero or less, enter -0- here and on line 13. Skip lines 11 and 12. 1 10.
11. Enter the amount shown below for your filing status:
● $10,000 if married filing jointly or qualifying widow(er) 10000
● $7,500 if head of household 7500 11.
● $5,000 if single or married filing separately 5000
12. Divide the amount on line 5 by the amount on Line 11. 0.28 12.
13. Multiply the amount on line 10 by the amount on line 12. 13.
14. Subtract line 13 from 7. If zero or less, enter '0'. 14.
15. Enter the amount, if any, of American Rescue Act (ARA) payments that was issued to you in 2021.
You may refer to Notice 1444 or your tax account information at IRS.gov/Account for the amount to enter here 13.
16. Subtract line 14 from line 7. If zero or less, enter -0-. If line 13 is more than line 7, you don’t have to pay back
the difference 14.
15. Enter the amount from the Child Tax Credit Worksheet - Line 19, line 20 . . . . . . . . . . . . . . . . 15. 0
1
16. Multiply the amount on line 8 by 50%. This is the amount that you should have received in the last 6 months of 2021. 16. 0
17. Enter the amount, if any, of Child Tax Credit payments you received in 2021. 17.
18. Subtract line 17 from line 16. If zero or less, enter -0-. If line 17 is more than line 16, you don’t have to pay back
the difference 18.
19. Recovery rebate credit. Add lines 14 and 18. Enter the result here and, if more than zero, on line 30 of Form
1040 or 1040-SR 19.
IRA Deduction Worksheet – Schedule 1, Line 19 Keep for Your Records
Before you begin: Ö Be sure you have read the 10-item list in the instructions for this line. You may not be able to use this worksheet.
Ö Figure any write-in adjustments to be entered on the dotted line next to Schedule 1, line 22 (see the instructions for
Schedule 1, line 22).
Ö If you are married filing separately and you lived apart from your spouse for all of 2021, enter “D” on the dotted
line next to Schedule 1, line 19. If you do not, you may get a math error notice from the IRS.
Your IRA Spouses IRA

1a Were you covered by a retirement plan (see Were You Covered by a
Retirement Plan?)? . . . . . . . . . . . . . . . . . . . . . . . . . . 1a. Yes No
1b If married filing jointly, was your spouse covered by a retirement plan? . . . . . . . . . . . . . . . . . . 1b. Yes No
Next. If you checked “No” on line 1a (and “No” on line 1b if married filing jointly),
skip lines 2 through 6, enter the applicable amount below on line 7a (and line 7b if
applicable), and go to line 8.
· $6,000, if under age 50 at the end of 2021. 1.00
· $7,000, if age 50 or older at the end of 2021.
2 Enter the amount shown below that applies to you.
· Single, head of household, or married filing separately and you lived apart
from your spouse for all of 2021, enter $75,000
· Qualifying widow(er), enter $124,000
· Married filing jointly, enter $124,000 in both columns. But if you checked 2a 2b
'No' on either line 1a or 1b, enter $206,000 for the person who was not
covered by a plan
· Married filing separately and you lived with your spouse at any time in 2021,
enter $10,000.
3 Enter the amount from Form 1040 or 1040-SR, line 9 . . . . . . . . . . . 3
4 Enter the total of the amounts from Form 1040 or 1040-SR, line 10b,
Schedule 1, lines 10 through 18a, plus any write-in adjustments
the dotted line next to Schedule 1, line 22 . . . . . . . 4
5 Subtract line 4 from line 3. If married filing jointly, enter the result in both columns . . . . . . . . 5a 5b
No. Stop. None of your IRA contributions are deductible. For details on
nondeductible IRA contributions, see Form 8606.
Yes. Subtract line 5 from line 2 in each column. Follow the instruction below
that applies to you.
· If single, head of household, or married filing separately, and the
result is $10,000 or more, enter the applicable amount below on
line 7 for that column and go to line 8.
i. $6,000, if under age 50 at the end of 2021.
ii. $7,000, if age 50 or older at the
end of 2021.
If the result is less than $10,000, go to line 7. 6a. 6b.
· If married filing jointly or qualifying widow(er), and the result is
$20,000 or more ($10,000 or more in the column for the IRA of 10000 10000
a person who was not covered by a retirement plan), enter the
applicable amount below on line 7 for that column and go to line 8.
i. $6,000, if under age 50 at the end of 2021.
ii. $7,000, if age 50 or older at the
end of 2021.
IRA Deduction Worksheet – Schedule 1, Line 19 - Continued
Your IRA Spouses IRA
7 Multiply lines 6a and 6b by the percentage below that applies to you. If the Single, HOH, MFS 7,000 7,000
result is not a multiple of $10, increase it to the next multiple of $10 (for MFJ, QWidow(er) 7,000
example, increase $490.30 to $500). If the result is $200, or more, enter the
result. But if it is less than $200, enter $200. 0.700 0.700
· Single, head of household, or married filing separately, multiply by 60%
(0.60)(or by 70% (0.70) in the column for the IRA of a person who is age
50 or older at the end of 2021) . . . . . . . . . . . . . . . . . . . . . . . 7a. 7b.
· Married filing jointly or qualifying widow(er), multiply by 30% (0.30)
(or by 35% (0.35) in the column for the IRA of a person who is age 50 or
older at the end of 2021). But if you checked “No” on either line 1a
or 1b, then in the column for the IRA of the person who was not covered by a
retirement plan, multiply by 60% (0.60) (or by 70% (0.70) if age 50 or
older at the end of 2021).
8 Enter the total of your (and your spouse’s if filing jointly):
· Wages, salaries, tips, etc. Generally, this is the
amount reported in box 1 of Form W-2. Exceptions
are explained earlier in these instructions for line 19.
· Alimony and separate maintenance payments 8 0
reported on Schedule 1, line 2a
· Nontaxable combat pay. This amount should be
reported in box 12 of Form W-2 with code Q
9 Enter the earned income you (and your spouse if filing jointly)
received as a self-employed individual or a partner. Generally,
this is your (and your spouse’s if filing jointly) net earnings from
self-employment if your personal services were a material
income-producing factor, minus any deductions on Schedule 1,
lines 14 and 15. If zero or less, enter -0-.
For more details, see Pub. 590-A. . . . . . . . . . . . . . . . . . . . . .9 .
10 Add lines 8 and 9 . . . . . . . . . . . . . . . . . . . . 10 0
If married filing jointly and line 10 is less than $12,000 ($13,000 if one
spouse is age 50 or older at the end of 2021; $14,000 if both
spouses are age 50 or older at the end of 2021), stop here and
see Pub. 590-A to figure your IRA deduction. 14000
11 Enter traditional IRA contributions made, or that will be made by the due date
of your 2021 return not counting extensions (April 18, 2022 for most people),
for 2021 to your IRA on line 11a and to your spouse's IRA on line 11b . . . . . . . . . . . . . 11a. 11b.
12 On line 12a, enter the smallest of line 7a, 10, or 11a. On line 12b, enter the 0.00 0.00
smallest of line 7b, 10, or 11b. This is the most you can deduct. Add the amounts on lines 12a
and 12b and enter the total on Schedule 1, line 19. Or, if you want, you can deduct
a smaller amount and treat the rest as a nondeductible contribution (see Form 8606) . . . . . . . . 12a. 12b.
Amount entered on Schedule 1, line 19 -->

Keep for Your Records
Student Loan Interest Deduction Worksheet—Schedule 1, Line 20
Before you begin:
Ö Figure any write-in adjustments to be entered on the dotted line next to Schedule 1, line 22
(see the instructions for Schedule 1, line 22).
Ö Be sure you have read the Exception in the instructions for this line to see if you can use this worksheet instead of
Pub. 970 to figure your deduction.
1
1. Enter the total interest you paid in 2021 on qualified student loans (see the instructions for line 20).
Don't enter more than $2,500 . . . . . . . . . . . . . . . . . . . . . . . . . 1.
0 2500
2. Enter the amount from Form 1040 or 1040-SR, line 9 . . . . . . . . . . . . 2.
3. Enter the total of the amounts from Form 1040 or 1040-SR, line 10b, and Schedule 1,
lines 10 through 19, plus any write-in adjustments you entered on the dotted line next
to Schedule 1, line 22 . . . . . . . . . . . . . . . . . . . . . . . 3.
4. Subtract line 3 from line 2 . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Enter the amount shown below for your filing status.

Single, head of household, or qualifying widow(er) — $70,000 . . . . 5. 70000
Married filing jointly — $140,000 140000
6. Is the amount on line 4 more than the amount on line 5? 0
No. Skip lines 6 and 7, enter -0- on line 8, and go to line 9.
Yes. Subtract line 5 from line 4 . . . . . . . . . . . . 6.

15000
7. Divide line 6 by $15,000 ($30,000 if married filing jointly). Enter the result as a decimal 30000
(rounded to at least three places). If the result is 1.000 or more, enter 1.000 . . . . . . . . 7.
8. Multiply line 1 by line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
9. Student loan interest deduction. Subtract line 8 from line 1. Enter the result here and on Schedule 1, line 20
Don't include this amount in figuring any other deduction on your return (such as on Schedule A, C, E, etc.) . . 9.
SCHEDULE A Itemized Deductions OMB No. 1545-0074
(Form 1040)
Go to www.irs.gov/ScheduleA for instructions and the latest information. 2021
Department of the Treasury Attach to Form 1040 or 1040-SR. Attachment
Internal Revenue Service (99)
Caution: If you are claiming a net qualified disaster loss on Form 4684, see the instructions for line 16. Sequence No. 07
Name(s) shown on Form 1040 or 1040-SR Your social security number
000-00-0001
Medical Caution: Do not include expenses reimbursed or paid by others.
and 1 Medical and dental expenses (see instructions) . . . . . . . . . 1 0 5,000
Dental 2 Enter amount from Form 1040 or 1040-SR, line 11 2 0 10,000
Expenses 3 Multiply line 2 above by 7.5% (0.075) . . . . . . . . . . . . . . 3 0.075
4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . . . . . . . . . . . . . 4
Taxes You 5 State and local taxes 0.00
Paid a State and local income taxes or general sales taxes. You may include 10,000
either income taxes or general sales taxes on line 5a, but not both.
If you elect to include general sales taxes instead of income taxes,
check this box . . . . . . . . . . . . . . . . . . . . 5a 0
b State and local real estate taxes (see instructions) . . . . . . 5b 0.00
c State and local personal property taxes . . . . . . . . . . 5c 0.00
d Add lines 5a through 5c . . . . . . . . . . . . . . . . 5d 0 0.00
e Enter the smaller of line 5d or $10,000 ($5,000 if married filing
separately) . . . . . . . . . . . . . . . . . . . . . 5e 0
6 Other taxes. List type and amount
6
7 Add lines 5e and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 0
Interest You 8 Home mortgage interest and points. If you didn't use all of your
Paid home mortgage loan(s) to buy, build, or improve your home,
see instructions and check this box . . . . . . . . .
Caution: Your a Home mortgage interest and points reported to you on Form 1098.
mortgage interest See instructions if limited . . . . . . . . . . . . . . . . . 8a 0
deduction may be
limited (see b Home mortgage interest not reported to you on Form 1098. See
instructions). instructions if limited. If paid to the person from whom you bought the
home, see instructions and show that person's name, identifying no.,
and address
8b
c Points not reported to you on Form 1098. See instructions for special
rules . . . . . . . . . . . . . . . . . . . . . . . . . 8c
d Mortgage insurance premiums (see instructions) . . . . . . . . . 8d
e Add lines 8a through 8d . . . . . . . . . . . . . . . . 8e 0
9 Investment interest. Attach Form 4952 if required. See instructions 9
10 Add lines 8e and 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 0
Gifts to 11 Gifts by cash or check. If you made any gift of $250 or more
Charity see instructions . . . . . . . . . . . . . . . . . . . . 11
If you made a 12 Other than by cash or check. If any gift of $250 or more,
gift and got a
benefit for it, see instructions. You must attach Form 8283 if over $500 . . . . . 12
see instructions. 13 Carryover from prior year . . . . . . . . . . . . . . . . . . . . . . . . 13. . . . . . . . . . . . . .
14 Add lines 11 through 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 0
Casualty and 15 Casualty and theft loss(es) from a federally declared disaster (other than net qualified
Theft Losses disaster losses). Attach Form 4684 and enter the amount from line 18 of that form. See
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Other 16 Other--from list in instructions. List type and amount.
Itemized 0.00
Deductions 16
Total 17 Add the amounts in the far right column for lines 4 through 16. Also, enter this amount on 0
Itemized Form 1040 or 1040-SR, line 12 17 0
Deductions 18 If you elect to itemize deductions even though they are less than your standard
0 deduction, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Paperwork Reduction Act Notice, see the Instructions for Form 1040 or 1040-SR. Cat. No. 17145C Schedule A (Form 1040) 2021
OMB No. 1545-0074
SCHEDULE B
Interest and Ordinary Dividends
2021
(Form 1040)
4 Go to www.irs.gov/ScheduleB for instructions and the latest information.
Department of the Treasury 4 Attach to Form 1040A or 1040. Attachment
Internal Revenue Service (99) Sequence No. 08
Name(s) shown on return Your social security number
000-00-0001
Part I 1 List name of payer. If any interest is from a seller-financed mortgage and the Amount
Interest 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
(See instructions Use sheet '1099-INT' to enter interest amounts.
and the
instructions for
Form 1040 and
1040-SR, line 2b.)
Note: If you
received a Form 1099- 1
INT, Form 1099-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. 2 Add the amounts on line 1 . . . . . . . . . . . . . . . . . . . . . . . . 2 . . . . . . . 0. . . . .
3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.
Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4 Subtract line 3 from line 2. Enter the result here and on Form 1040 or 1040-SR, line 2b . 4 0
Note: If line 4 is over $1,500, you must complete Part III. 0 ### Amount
Part II 5 List name of payer
Ordinary Use sheet '1099-DIV' to enter dividend amounts.
Dividends
(See instructions
and the
instructions for
Form 1040 and
1040-SR, line 3b.) 5
Note: If you
received a Form
1099-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. 6 Add the amounts on line 5. Enter the total here and on Form 1040 or 1040-SR, line 3b . . . . 6 . . 0
Note: If line 6 is over $1,500, you must complete Part III. 0
Part III You must complete this part if you (a) had over $1,500 of interest or dividends; (b) had a foreign
Yes No
account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust.
Foreign 7a At any time during 2021, did you have interest in or a signature or other authority over a financial
account (such as a bank account, securities account, or brokerage account) located in a foreign
Accounts country? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . .
and Trusts
If “Yes,” are you required to file FinCEN Form 114, Report of Foreign Bank and Financial
Accounts (FBAR), to report that financial interest or signature authority? See FinCEN Form 114
(See instructions.)
instructions on and its instructions for filing requirements and exceptions to those requirements . . . . . . .
b If you are required to file FinCEN Form 114, enter the name of the foreign country where the
financial account is located
8 During 2021, did you receive a distribution from, or were you the grantor of, or transferor to, a
foreign trust? If "Yes," you may have to file Form 3520. See instructions . . . . . . . . . .
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 17146N Schedule B (Form 1040) 2021
SCHEDULE C Profit or Loss from Business OMB No. 1545-0074
(Form 1040) (Sole Proprietorship)
Go to www.irs.gov/ScheduleC for instructions and the latest information.

2021
Department of the Treasury Attachment
Internal Revenue Service (99) Attach to Form 1040, 1040-NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09
Name of Proprietor Social security number (SSN)
000-00-0001
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.)
E Business address (including suite or room no.)

City, town or post office, state, and ZIP code
F Accounting method: (1) Cash (2) Accrual (3) Other (specify)
G Did you 'materially participate' in the operation of this business during 2021? If 'No,' see instructions for loss limits. Yes No
H If you started or acquired this business during 2021, check here . . . . . . . . . . . . . . . . . . . .
I Did you make any payments in 2021 that would require you to file Form(s) 1099? (see instructions) . . . . . . Yes No
J If "Yes," did you or will you file all required Forms 1099? . . . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Income
1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . . 1
2 Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 0
4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 0
5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 0
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . . . . . . . 6
7 Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 0
Part II Expenses. Enter expenses for business use of your home only on line 30.
8 Advertising . . . . . . . . . . . . . . 8 . . . . . . . 18 Office Expense (see instructions) . . . . . 18
9 Car and truck expenses 19 Pension and profit-sharing plans . . . . . 19
(see instructions) . . . . . . . . . . . 9. 20 Rent or lease (see instructions):
10 Commissions and fees . . . . . . . . . 10 a Vehicles, machinery and equipment . . . . 20a
11 Contract labor (see instructions) . . . . . 11 b Other business property . . . . . . . . . 20b
12 Depletion . . . . . . . . . . . . . 12 21 Repairs and maintenance . . . . . . . . 21
13 Depreciation and section 179 expense 22 Supplies (not included in Part III) . . . . . 22
deduction (not included in Part III) 23 Taxes and licenses . . . . . . . . . . . 23
(see instructions) . . . . . . . . . . . 13 24 Travel and meals:
14 Employee benefit programs a Travel . . . . . . . . . . . . . . . 24a
(other than on line 19) . . . . . . . . 14 b Deductible meals (see
15 Insurance (other than health) . . . . . . 15 instructions) . . . . . . . . . . . . . . . 24b
16 Interest: 25 Utilities . . . . . . . . . . . . . . . 25
a Mortgage (paid to banks, etc.) . . . . . 16a . 26 Wages (less employment credits) . . . . . 26
b Other . . . . . . . . . . . . . . . .16b 27 a Other expenses (from line 48) 27a 0
17 Legal and professional services 17 b Reserved for future use . . . . . . . . 27b
28 Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . . . . . . . 28 0
29 Tentative profit (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 0
30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method (see instructions).
Simplified method filers only: enter the total square footage of: (a) your home:
and (b) the part of your home used for business:
Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . . 30
31 Net profit or (loss). Subtract line 30 from line 29.
• If a profit, enter on both Schedule 1 (Form 1040) and on Schedule SE, line 2. (If you
checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. 31 0
• If a loss, you must go to line 32.
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 both Schedule 1 (Form 1040), line 3, and on Schedule 32a X All investment at risk.
SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on 32b Some investment is not
Form 1041, line 3. at risk.
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11334P Schedule C (Form 1040) 2021
Schedule C (Form 1040) 2021 Page 2
Part III Cost of Goods Sold (see instructions)
33 Method(s) used to
value closing inventory a Cost b Lower cost or market c Other (attach explanation)
34 Was there any change in determining quantities, cost or valuations between opening and closing inventory?
If "Yes", attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
35 Inventory at beginning of the 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 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
40 Add lines 35 through 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 0
41 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . . . . . . . . . . . 42 0
Part IV 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 13 on instructions to find out if you must
file Form 4562.
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 2021, enter the number of miles you used your vehicle for:
a Business b Commuting (see instructions) c Other
45 Was your vehicle available for use during off-duty hours? . . . . . . . . . . . . . . . . . . Yes No
46 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . . . . . Yes No
47 a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . Yes No
b If "Yes", is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

Part V Other expenses. List below business expenses not included on lines 8-26 or line 30.
48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 0

Schedule C (Form 1040) 2021
SCHEDULE C Profit or Loss from Business OMB No. 1545-0074
(Form 1040) (Sole Proprietorship)

Go to www.irs.gov/ScheduleC for instructions and the latest information.
2021
Internal Revenue Service (99) Attach to Form 1040, 1040-NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09
Name of Proprietor Social security number (SSN)
000-00-0001
A Principal business or profession, including product or service (see instructions) B Enter code from instructions
C Business name. If no separate business name, leave blank. D Employer ID number (EIN) (see instr.)
E Business address (including suite or room no.)

City, town or post office, state, and ZIP code
F Accounting method: (1) Cash (2) Accrual (3) Other (specify)
G Did you 'materially participate' in the operation of this business during 2021? If 'No,' see instructions for loss limits. Yes No
H If you started or acquired this business during 2021, check here . . . . . . . . . . . . . . . . . . . .
I Did you make any payments in 2021 that would require you to file Form(s) 1099? (see instructions) . . . . . . Yes No
J If "Yes," did you or will you file all required Forms 1099? . . . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Income
1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on
Form W-2 and the “Statutory employee” box on that form was checked . . . . . . . . . . . . . . 1
2 Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 0
4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 0
5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 0
6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . . . . . . . 6
7 Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 0
Part II Expenses Enter expenses for business use of your home only on line 30.
8 Advertising . . . . . . . . . . . . . . 8 . . . . . . . 18 Office Expense (see instructions) . . . . . 18
9 Car and truck expenses 19 Pension and profit-sharing plans . . . . . 19
(see instructions) . . . . . . . . . . . 9. 20 Rent or lease (see instructions):
10 Commissions and fees . . . . . . . . . 10 a Vehicles, machinery and equipment . . . . 20a
11 Contract labor (see instructions) . . . . . 11 b Other business property . . . . . . . . . 20b
12 Depletion . . . . . . . . . . . . . 12 21 Repairs and maintenance . . . . . . . . 21
13 Depreciation and section 179 expense 22 Supplies (not included in Part III) . . . . . 22
deduction (not included in Part III) 23 Taxes and licenses . . . . . . . . . . . 23
(see instructions) . . . . . . . . . . . . 13 24 Travel and meals:
14 Employee benefit programs a Travel . . . . . . . . . . . . . . . 24a
(other than on line 19) . . . . . . . . . 14 b Deductible meals (see
15 Insurance (other than health). . . . . . . 15 instructions) . . . . . . . . . . . . . . . 24b
16 Interest: 25 Utilities 25
. . . . . . . . . . . . . . .
a Mortgage (paid to banks, etc.) . . . . . 16a. 26 Wages (less employment credits) 26 . . . . .
b Other . . . . . . . . . . . . . . . .16b 27 a Other expenses (from line 48) 27a 0
17 Legal and professional services 17 b Reserved for future use
. . . . . 27b
. . .
28 Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . . . . . 28 0
29 Tentative profit (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . 29 0
30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829
unless using the simplified method (see instructions).
Simplified method filers only: enter the total square footage of: (a) your home:
and (b) the part of your home used for business:
Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 . . . . . . . 30
31 Net profit or (loss). Subtract line 30 from line 29.
• If a profit, enter on both Schedule 1 (Form 1040), line 3 and on Schedule SE, line 2. (If you
checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. 31 0
• If a loss, you must go to line 32.
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 both Schedule 1 (Form 1040), line 3, and on Schedule 32a All investment at risk.
SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on 32b Some investment is not
Form 1041, line 3. at risk.
• If you checked 32b, you must attach Form 6198. Your loss may be limited.
For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11334P Schedule C (Form 1040) 2021
Schedule C (Form 1040) 2021 Page 2
Part III Cost of Goods Sold (see instructions)
33 Method(s) used to
value closing inventory a Cost b Lower cost or market c Other (attach explanation)
34 Was there any change in determining quantities, cost or valuations between opening and closing inventory?
If "Yes", attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
35 Inventory at beginning of the 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 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
40 Add lines 35 through 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 0
41 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . . . . . . . . . . . 42 0
Part IV 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 13 on instructions to find out if you must
file Form 4562.
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 2021, enter the number of miles you used your vehicle for:
a Business b Commuting (see instructions) c Other
45 Was your vehicle available for use during off-duty hours? . . . . . . . . . . . . . . . . . . Yes No
46 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . . . . . Yes No
47 a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . Yes No
b If "Yes", is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

Part V Other expenses. List below business expenses not included on lines 8-26 or line 30.
48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 0

Schedule C (Form 1040) 2021
SCHEDULE D OMB No. 1545-0074
Capital Gains and Losses
2021
(Form 1040)
Attach to Form 1040, 1040-SR, or Form 1040-NR.
Department of the Treasury Go to www.irs.gov/ScheduleD for instructions and the latest information. Attachment
Internal Revenue Service (99) Use Form 8949 to list your transactions for lines 1b, 2, 3, 8b, 9, and 10. Sequence No. 12
000-00-0001
Did you dispose of any investment(s) in a qualified opportunity fund during the tax year? Yes No
If “Yes,” attach Form 8949 and see its instructions for additional requirements for reporting your gain or loss.
Part I Short-Term Capital Gains and Losses – Generally Assets Held One Year or Less (see instructions)
See instructions for how to figure the amounts to enter on the (g) (h) Gain or (loss)
lines below. (d) (e) Adjustments Subtract column (e)
This form may be easier to complete if you round off cents to whole Proceeds Cost to gain or loss from from column (d) and
(sales price) (or other basis) Form(s) 8949, Part I, combine the result
dollars. line 2, column (g) with column (g)
1a
Totals for all short-term transactions reported on Form
1099-B for which basis was reported to the IRS and for
which you have no adjustments (see instructions).
However, if you choose to report all these transactions
on Form 8949, leave this line blank and go to line 1b .
1b Totals for all transactions reported on Form(s) 8949 with 0 0 0 0
Box A checked . . . . . . . . . . . . . . .
2 0 0 0 0
Totals for all transactions reported on Form(s) 8949 with
Box B checked . . . . . . . . . . . . . . . .
3 Totals for all transactions reported on Form(s) 8949 with 0 0 0 0
Box C checked . . . . . . . . . . . . . . . .
4 Short-term gain from Form 6252, and short-term gain or (loss) from Forms 4684, 6781, and 8824 . . . . 4
5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from
Schedules(s) K-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover 0
Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 ( )
7 Net short-term capital gain or (loss). Combine lines 1a through 6 in column (h). If you have any long-
term capital gains or losses, go to Part II below. Otherwise, go to Part III on the 7
back . . . . . . . . . . . .
Part II Long-Term Capital Gains and Losses – Generally Assets Held More Than One Year (see instructions)
See instructions for how to figure the amounts to enter on the (g) (h) Gain or (loss)
lines below. (d) (e) Adjustments Subtract column (e)
This form may be easier to complete if you round off cents to Proceeds Cost to gain or loss from from column (d) and combine the
(sales price) (or other basis) Form(s) 8949, Part II, result
whole dollars. line 2, column (g) with column (g)
8a
Totals for all long-term transactions reported on Form
1099-B for which basis was reported to the IRS and for
which you have no adjustments (see instructions).
However, if you choose to report all these transactions
on Form 8949, leave this line blank and go to line 8b . .
8b Totals for all transactions reported on Form(s) 8949 with 0 0 0 0
Box D checked . . . . . . . . . . . . . . . .
Box E checked . . . . . . . . . . . . . . . .
Box F checked . . . . . . . . . . . . . . . .
11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss)
from Forms 4684, 6781, and 8824 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Net long-term gain or (loss) from partnerships, S corporations, estates, & trusts from Schedules(s) K-1 12
13 Capital gain distributions. See the instructions . . . . . . . . . . . . . . . . . . . . . . 13
14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover 0
Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ( )
15 Net long-term capital gain or (loss). Combine lines 8a thru 14 in column (h). Then go to Part III on
the back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
.
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 11338H Schedule D (Form 1040) 2021
Schedule D ( Form 1040) 2021 Page 2
PART III Summary
16 Combine lines 7 and 15 and enter the result. . . . . . . . . . . . . . . . . . . . . . . 16
h If line 16 is a gain, enter the amount from line 16 on Form 1040, 1040-SR, or 1040-NR, line 7.
Then go to line 17 below.
h If line 16 is a loss, skip lines 17 through 20 below. Then go to line 21. Also be sure to complete
line 22.
h If line 16 is zero, skip lines 17 through 21 below and enter -0- on Form 1040 or 1040-SR, line 7.
Then go to line 22.
17 Are lines 15 and 16 both gains?

Yes. Go to line 18.
No. Skip lines 18 through 21, and go to line 22.
18 If you are required to complete the 28% Rate Gain Worksheet (see instructions), enter
the amount, if any, from line 7 of that worksheet . . . . . . . . . . . . . . . . . . . . 18
19 If you are required to complete the Unrecaptured Section 1250 Gain Worksheet (see
instructions), enter the amount, if any, from line 18 of that worksheet . . . . . . . . . . 19
20 Are lines 18 and 19 both zero or blank and are you not filing Form 4952?
Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions 0
for Form 1040 or 1040-SR, line 16. Don't complete lines 21 and 22 below
No. Complete the Schedule D Tax Worksheet in the instructions. Don't complete lines 21
and 22 below.
21 If line 16 is a loss, enter here and on Form 1040, 1040-SR, 1040-NR, line 7, the smaller of:
l The
Theloss
losson
online
line16
16oror . . . . . . . . . . . . . . . . . . 21 ( )
l ($3,000),
($3,000),ororififmarried
marriedfiling
filingseparately,
separately,($1,500)
($1,500)
Note: When figuring which amount is smaller, treat both amounts as positive numbers.
22 Do you have qualified dividends on Form 1040, 1040-SR, or 1040-NR, line 3a?
Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions
for Form 1040 or 1040-SR, line 16.
X No. Complete the rest of Form 1040, 1040-SR, or 1040-NR.
Schedule D (Form 1040) 2021

Capital Loss Carryover Worksheet—Lines 6 and 14 Keep for Your Records
Use this worksheet to figure your capital loss carryovers from 2020 to 2021 if your 2020 Schedule D, line 21, is a loss and
(a) that loss is a smaller loss than the loss on your 2020 Schedule D, line 16, or
(b) the amount on your 2020 Form 1040, line 15 would be less than zero if you could enter a
a negative amount on that line. Otherwise, you don't have any carryovers.
If you and your spouse once filed a joint return and are filing separate returns for 2021,
any capital loss carryover from the joint return can be deducted only on the return of the spouse who actually had the loss.
If you excluded canceled debt from income in 2021, see Pub. 4681.
1. Enter the amount from your 2020 Form 1040, line 11b (Taxable Income), or your 2020 Form 1040NR, line 41.
If the amount would have been a loss if you could enter a negative number on that line, enclose the amount in parentheses 1.
2. Enter the loss from your 2020 Schedule D, line 21, as a positive amount . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
3. Combine lines 1 and 2. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
4. Enter the smaller of line 2 or line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
If line 7 of your 2020 Schedule D is a loss, go to line 5; otherwise, enter -0- on line 5 and go to line 9. 0
5. Enter the loss from your 2020 Schedule D, line 7, as a positive amount . . . . . . . . . . . . . . . . . . . . . . . . . 5.
6. Enter any gain from your 2020 Schedule D, line 15. If a loss, enter -0- . . . . . . . . . . . . . . . . . . 6.
7. Add lines 4 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.
8. Short-term capital loss carryover for 2021. Subtract line 7 from line 5. If zero or less, enter -0-.
If more than zero, also enter this amount on Schedule D, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
If line 15 of your 2020 Schedule D is a loss, go to line 9; otherwise, skip lines 9 through 13. 0
9. Enter the loss from your 2020 Schedule D, line 15, as a positive amount . . . . . . . . . . . . . . . . . . . . . . . . . 9.
10. Enter any gain from your 2020 Schedule D, line 7. If a loss, enter -0- . . . . . . . . . . . . . . . . . . 10.
11. Subtract line 5 from line 4. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Add lines 10 and 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Long-term capital loss carryover for 2021. Subtract line 12 from line 9. If zero or less, enter -0-.
If more than zero, also enter this amount on Schedule D, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.
28% Rate Gain Worksheet — Line 18 Keep for Your Records
1. Enter the total of all collectibles gain or (loss) from items you reported on Form 8949, Part II . . . . . . . . . 1.
2. Enter as a positive number the total of:
l Any section 1202 exclusion you reported in column (g) of Form 8949,
Part II, with code “Q” in column (f), for which you excluded 50% of the gain;
l 2/3 of any section 1202 exclusion you reported in column (g) of Form . . . . . . . . 2.
8949, Part II, with code “Q” in column (f), for which you excluded 60% of the gain; and
l 1/3 of any section 1202 exclusion you reported in column (g) of Form
8949, Part II, with code “Q” in column (f), for which you excluded 75% of the gain.
don't make an entry for any section 1202 exclusion that is 100% of the gain.
3. Enter the total of all collectibles gain or (loss) from Form 4684, line 4 (but only if Form 4684, line 15, is more than zero); 0
Form 6252; Form 6781, Part II; and Form 8824. . . . . . . . . . . . . . . . . . . . . . . . . 3.
4. Enter the total of any collectibles gain reported to you on:
l Form 1099-DIV, box 2d;
l Form 2439, box 1d; and . . . . . . . . . . 4. 0
l Schedule K-1 from a partnership, S corporation, estate, or trust.
5. Enter your long-term capital loss carryovers from Schedule D, line 14, and Schedule K-1 (Form 1041),
box 11, code D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. 0
6. If Schedule D, line 7, is a (loss), enter that (loss) here. Otherwise, enter -0- . . . . . . . . . . . . . . 6. 0
7. Combine lines 1 through 6. If zero or less, enter -0-. If more than zero, also enter this amount on
Schedule D, line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. 0
Schedule D Tax Worksheet Keep for Your Records
> Complete this worksheet only if line 18 or line 19 of Schedule D is more than zero and lines 15 and 16 of Schedule D are gains or
if you file Form 4952 and you have an amount on line 4e or 4g, even if you don’t need to file Schedule D.
Otherwise, complete the Qualified Dividends and Capital Gain Tax Worksheet in the Instructions for Form 1040 or 1040-SR, line 16 to figure your tax.
Before completing this worksheet, complete Form 1040, 1040-SR, or 1040-NR through line 15.
Exception: Don't use the Qualified Dividends and Capital Gain Tax Worksheet or this worksheet to figure your tax if:
> l Line 15 or line 16 of Schedule D is zero or less and you have no qualified dividends on Form 1040 or 1040-SR, line 3a;
or
> l Form 1040 or 1040-SR, line 15 (Taxable Income), is zero or less.
Instead, see the instructions for Forms 1040 and 1040-SR, line 16 (or Form 1040-NR, line 16).
1 Enter your taxable income from Form 1040 or 1040-SR, line 15. (However, if you are filing
Form 2555 (relating to foreign earned income), enter instead the amount from line 3 of the
Foreign Earned Income Tax Worksheet in the Instructions for Form 1040 or 1040-SR, line 16) . . . . . . . . . . . . . . . . 1
2 Enter your qualified dividends from Form 1040, 1040-SR,
1040-SR, or 1040-NR, line 3a . . . . . . . . . . . . . . . . . . . . . . . . 2
3. Enter the amount from Form 4952 (used to figure investment
interest
expense deduction), line 4e* . . . . . . . . . . 3. (used to figure investment interest expense deduction)
4. Enter the amount from Form 4952, line 4e* . . . . . . . . . 4. . 0.00
5. Subtract line 4 from line 3. If zero or less, enter -0- . . . . . . . . . . 5.
6. Subtract line 5 from line 2. If zero or less, enter -0-** . . . . . . . . . . . . . . . . . . . . 6.
7. Enter the smaller of line 15 or line 16 of Schedule D . . . . . . . . . . 7.
8. Enter the smaller of line 3 or line 4 . . . . . . . . . . . . . . . . 8.
9. Subtract line 8 from line 7. If zero or less, enter -0-** . . . . . . . . . . . . . . . . . . . . 9.
10. Add lines 6 and 9 . . . . . . . . . . . . . . . . . . . . . . 10.
11. Add lines 18 and 19 of Schedule D** . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Enter the smaller of line 9 or line 11 12.
13. Subtract line 12 from line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Subtract line 13 from line 1. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.
15. Enter:
0 l $40,000 if single or married filing separately; Filing status? 40,000
0 l $80,000 if married filing jointly or qualifying widow(er); or . . . 15. 80,000
0 l $53,600 if head of household. 53,600
16. Enter the smaller of line 1 or line 15 . . . . . . . . . . . . . . . . . . . . . . . . . 16.
17. Enter the smaller of line 14 or line 16 . . . . . . . . . . . . . . . 17.
18. Subtract line 10 from line 1. If zero or less, enter -0- . . . . . . . . . . 18.
19. Enter the smaller of line 1 or:
0 l $163,300 if single or married filing separately; Filing status? 163,300
0 l $326,600 if married filing jointly or qualifying widow(er); or . . . 19. 326,600
20. Enter the smaller of line 14 or line 19 . . . . . . . . . . . . . . . . 20.
21. Enter the larger of line 18 or line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . 21.
22. Subtract line 17 from line 16. This amount is taxed at 0%. . . . . . . . . . . . . . . . . . . 22. 0
If lines 1 and 16 are the same, skip lines 23 through 43 and go to line 44. Otherwise, go to line 23.
23. Enter the smaller of line 1 or line 13 . . . . . . . . . . . . . . . 23.
24. Enter the amount from line 22 (if line 22 is blank, enter -0-) . . . . . . . . 24.
25. Subtract line 24 from line 23. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . 25.
26 Enter:
0 l $441,450 if single; 441,450
0 l $248,300 if married filing separately; Filing status? 248,300
0 l $496,600 if married filing jointly or qualifying widow(er); or . . . 26 496,600
27 Enter the smaller of line 1 or line 26 27
28 Add lines 21 and 22 28
29 Subtract line 28 from line 27. If zero or less, enter -0- 29
30 Enter the smaller of line 25 or line 29 . . . . . . . . . . . . . . . . . . . . . . . . . 30
31 Multiply line 30 by 15% (0.15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
32 Add lines 24 and 30 . . . . . . . . . . . . . . . . . . . . . . 32
If lines 1 and 32 are the same, skip lines 33 through 43 and go to line 44. Otherwise, go to line 33.
33 Subtract line 32 from line 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34. Multiply line 33 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34.
If Schedule D, line 19, is zero or blank, skip lines 35 through 40 and go to line 41. Otherwise, go to line 35.
35. Enter the smaller of line 9 above or Schedule D, line 19 . . . . . . . . 35.
36 Add lines 10 and 21 . . . . . . . . . . . . 36
37 Enter the amount from line 1 above . . . . . . . 37
38 Subtract line 37 from line 36. If zero or less, enter -0- . . . . . . . . . 38
39 Subtract line 38 from line 35. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . 39
40 Multiply line 39 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
If Schedule D, line 18, is zero or blank, skip lines 41 through 43 and go to line 44. Otherwise, go to line 41.
41 Add lines 21, 22, 30, 33, and 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
42 Subtract line 41 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
43 Multiply line 42 by 28% (0.28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
44 Figure the tax on the amount on line 21. If the amount on line 21 is less than $100,000, use the Tax Table to figure the tax.
If the amount on line 21 is $100,000 or more, use the Tax Computation Worksheet . . . . . . . . . . . . . . . . . 44
45 Add lines 31, 34, 40, 43, and 44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
46 Figure the tax on the amount on line 1. If the amount on line 1 is less than $100,000, use the Tax Table to figure the tax.
If the amount on line 1 is $100,000 or more, use the Tax Computation Worksheet . . . . . . . . . . . . . . . . . . 46
47 Tax on all taxable income (including capital gains and qualified dividends). Enter the smaller of line 45 or line 46. Also
include this amount on Form 1040 or 1040-SR, line 16. (If you are filing Form 2555, don't enter this amount
on Form 1040 or 1040-SR, line 12a. Instead, enter it on line 4 of the Foreign Earned Income Tax Worksheet in the instructions
for Forms 1040 and 1040-SR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
*If applicable, enter instead the smaller amount you entered on the dotted line next to line 4e of Form 4952.
**If you are filing Form 2555, see the footnote in the Foreign Earned Income Tax Worksheet in the Instructions for
Form 1040 and 1040-SR, line 16, before completing this line.
SCHEDULE E OMB No. 1545-0074
(Form 1040)
Supplemental Income and Loss
(From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.)
2021
Department of the Treasury Attach to Form 1040, 1040-SR, 1040NR, or Form 1041.
Internal Revenue Service (99) Attachment
Go to www.irs.gov/ScheduleE for instructions and the latest information. Sequence No. 13
000-00-0001
Part I Income or Loss From Rental Real Estate and Royalties Note: If you are in business of renting personal property, use
Schedule C (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.
A Did you make any payments in 2021 that would require you to file Form(s) 1099? (see instructions) Yes No
B If “Yes,” did you or will you file all required Forms 1099? Yes No
1a Physical address of each property (street, city, state, ZIP code)
A
B
C
1b Type of Property 2 For each rental real estate property listed
Fair Rental Days Personal Use Days QJV
(from list below above, report the number of fair rental and
personal use days. Check the QJV box only
A if you meet the requirements to file as a A
B qualified joint venture. See instructions. B
C C
Type of Property:
1 Single Family Residence 3 Vacation/Short-Term Rental 5 Land 7 Self-Rental
2 Multi-Family Residence 4 Commercial 6 Royalties 8 Other (describe)
Income: Properties: A B C
3 Rents received . . . . . . . . . . . . . . . . . 3
4 Royalties received . . . . . . . . . . . . . . . . 4
Expenses:
5 Advertising . . . . . . . . . . . . . . . . . . . 5
6 Auto and travel (see instructions) . . . . . . . . . . 6
7 Cleaning and maintenance . . . . . . . . . . . . . 7
8 Commissions . . . . . . . . . . . . . . . . . . 8
9 Insurance . . . . . . . . . . . . . . . . . . . . 9
10 Legal and other professional fees . . . . . . . . . 10
11 Management fees . . . . . . . . . . . . . . . . 11
12 Mortgage interest paid to banks, etc. (see instructions) 12
13 Other interest . . . . . . . . . . . . . . . . . . 13
14 Repairs . . . . . . . . . . . . . . . . . . . . 14
15 Supplies . . . . . . . . . . . . . . . . . . . . 15
16 Taxes . . . . . . . . . . . . . . . . . . . . . 16
17 Utilities . . . . . . . . . . . . . . . . . . . . . 17
18 Depreciation expense or depletion . . . . . . . . . 18
19 Other (list) 19
20 Total expenses. Add lines 5 through 19 . . . . . . . 20 0 0 0
21 Subtract line 20 from line 3 (rents) and/or 4 (royalties).
If result is a (loss), see instructions to find out if you
must file Form 6198 . . . . . . . . . . . . . . . 21 0 0 0
22 Deductible rental real estate loss after limitation, if any,
on Form 8582 (see instructions) . . . . . . . . . 22 ( )( )( )
23a Total of all amounts reported on line 3 for all rental properties . . . . . . . . 23a 0
b Total of all amounts reported on line 4 for all royalty properties . . . . . . . 23b 0
c Total of all amounts reported on line 12 for all properties . . . . . . . . . . 23c 0
d Total of all amounts reported on line 18 for all properties . . . . . . . . . . 23d 0
e Total of all amounts reported on line 20 for all properties . . . . . . . . . . 23e 0
24 Income. Add positive amounts shown on line 21. Do not include any losses . . . . . . . . . . . 24 0
25 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here 25 ( 0 )
26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result 0
here. If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount on
Schedule 1 (Form 1040), line 5. Otherwise, include this amount in the total on line 41 on page 2 . . 26 0
For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11344L Schedule E (Form 1040) 2021
Schedule E (Form 1040) 2021 Attachment Sequence No. 13 Page 2
Name(s) shown on return. Do not enter name and social security number if shown on other side. Your social security number
Caution: The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1.
Part II Income or Loss From Partnerships and S Corporations -- Note: If you report a loss, receive a distribution, dispose of
stock, or receive a loan repayment from an S corporation, you must check the box in column (e) on line 28 and attach the required basis
computation. If you report a loss from an at-risk activity for which any amount is not at risk, you must check the box in column (f) on
line 28 and attach Form 6198 (see instructions).
27 Are you reporting any loss not allowed in a prior year due to the at-risk or basis limitations, a prior year unallowed loss from a
passive activity (if that loss was not reported on Form 8582), or unreimbursed partnership expenses?
If you answered “Yes,” see instructions before completing this section . . . . . . . . . . . . . . . . Yes No
(b) Enter P for (c) Check if (d) Employer (e) Check if (f) Check if
28 (a) Name partnership; S foreign identification basis computation any amount is
for S corporation partnership number is required not at risk
A
B
C
D
Passive Income and Loss Nonpassive Income and Loss
(g) Passive loss allowed (h) Passive income (i) Nonpassive loss allowed (j) Section 179 expense (k) Nonpassive income
(attach Form 8582 if required) from Schedule K-1 (see Schedule K-1) deduction from Form 4562 from Schedule K-1
A
B
C
D
29a Totals 0 0
b Totals 0 0 0
30 Add columns (h) and (k) of line 29a . . . . . . . . . . . . . . . . . . . . . . . . 30 0
31 Add columns (g), (i), and (j) of line 29b . . . . . . . . . . . . . . . . . . . . . . . 31 ( 0 )
32 Total partnership and S corporation income or (loss). Combine lines 30 and 31 . . . . 32 0
Part III Income or Loss From Estates and Trusts
(b) Employer
33 (a) Name identification number
A
B
(c) Passive deduction or loss allowed (d) Passive income (e) Deduction or loss (f) Other income from
(attach Form 8582 if required) from Schedule K-1 from Schedule K-1 Schedule K-1
A
B
34a Totals 0 0
b Totals 0 0
35 Add columns (d) and (f) of line 34a 35
. . . . . . . . . . . . . . . . . . . . . . . . . . 0
36 Add columns (c) and (e) of line 34b 36 (
. . . . . . . . . . . . . . . . . . . . . . . . . . 0 )
37 Total estate and trust income or (loss). Combine lines 35 and 36 37
. . . . . . . . . . . . . 0
Part IV Income or Loss From Real Estate Mortgage Investment Conduits (REMICs)—Residual Holder
(c) Excess inclusion from
(b) Employer identification (d) Taxable income (net loss) (e) Income from
38 (a) Name
number
Schedules Q, line 2c
from Schedules Q, line 1b Schedules Q, line 3b
(see instructions)
39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below 39 0
Part V Summary
40 Net farm rental income or (loss) from Form 4835. Also, complete line 42 below 40
41 Total income or (loss). Combine lines 26, 32, 37, 39, and 40. Enter the result here and on Schedule 1 (Form 1040), line 5. 41 0
42 Reconciliation of farming and fishing income. Enter your gross
farming and fishing income reported on Form 4835, line 7; Schedule K-1
Form 1065), box 14, code B; Schedule K-1 (Form 1120S), box 17, code
AC; and Schedule K-1 (Form 1041), box 14, code F (see instructions) . . . 42
43 Reconciliation for real estate professionals. If you were a real estate
professional (see instructions), enter the net income or (loss) you reported
anywhere on Form 1040, 1040-SR, or 1040-NR from all rental real estate act-
ivities in which you materially participated under the passive activity loss rules . 43
Schedule E (Form 1040) 2021
SCHEDULE E OMB No. 1545-0074
(Form 1040)
Supplemental Income and Loss
(From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.)
2021
Department of the Treasury
Attach to Form 1040, 1040-SR, 1040NR, or Form 1041. Attachment
Go to www.irs.gov/ScheduleE for instructions and the latest information. Sequence No. 13
000-00-0001
Part I Income or Loss From Rental Real Estate and Royalties Note: If you are in business of renting personal property, use
Schedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.
A Did you make any payments in 2021 that would require you to file Form(s) 1099? (see instructions) Yes No
B If “Yes,” did you or will you file all required Forms 1099? Yes No
1a Physical address of each property (street, city, state, ZIP code)
A
B
C
1b Type of Property 2 For each rental real estate property listed
Fair Rental Days Personal Use Days QJV
(from list below above, report the number of fair rental and
personal use days. Check the QJV box only
A if you meet the requirements to file as a A
B qualified joint venture. See instructions. B
C C
Type of Property:
1 Single Family Residence 3 Vacation/Short-Term Rental 5 Land 7 Self-Rental
2 Multi-Family Residence 4 Commercial 6 Royalties 8 Other (describe)
Income: Properties: A B C
3 Rents received . . . . . . . . . . . . . . . . . 3
4 Royalties received . . . . . . . . . . . . . . . . 4
Expenses:
5 Advertising . . . . . . . . . . . . . . . . . . . 5
6 Auto and travel (see instructions) . . . . . . . . . . 6
7 Cleaning and maintenance . . . . . . . . . . . . . 7
8 Commissions . . . . . . . . . . . . . . . . . . 8
9 Insurance . . . . . . . . . . . . . . . . . . . . 9
10 Legal and other professional fees . . . . . . . . . 10
11 Management fees . . . . . . . . . . . . . . . . 11
12 Mortgage interest paid to banks, etc. (see instructions) 12
13 Other interest . . . . . . . . . . . . . . . . . . 13
14 Repairs . . . . . . . . . . . . . . . . . . . . 14
15 Supplies . . . . . . . . . . . . . . . . . . . . 15
16 Taxes . . . . . . . . . . . . . . . . . . . . . 16
17 Utilities . . . . . . . . . . . . . . . . . . . . . 17
18 Depreciation expense or depletion . . . . . . . . . 18
19 Other (list) 19
20 Total expenses. Add lines 5 through 19 . . . . . . . 20 0 0 0
21 Subtract line 20 from line 3 (rents) and/or 4 (royalties).
If result is a (loss), see instructions to find out if you
must file Form 6198 . . . . . . . . . . . . . . . 21 0 0 0
22 Deductible rental real estate loss after limitation, if any,
on Form 8582 (see instructions) . . . . . . . . . . 22 ( )( )( )
23a Total of all amounts reported on line 3 for all rental properties . . . . . . . . 23a 0
b Total of all amounts reported on line 4 for all royalty properties . . . . . . . 23b 0
c Total of all amounts reported on line 12 for all properties . . . . . . . . . . 23c 0
d Total of all amounts reported on line 18 for all properties . . . . . . . . . . 23d 0
e Total of all amounts reported on line 20 for all properties . . . . . . . . . . 23e 0
24 Income. Add positive amounts shown on line 21. Do not include any losses . . . . . . . . . . . 24 0
25 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here 25 ( 0 )
26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result 0
here. If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount on
Schedule 1 (Form 1040), line 5. Otherwise, include this amount in the total on line 41 on page 2 . . 26 0
For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11344L Schedule E (Form 1040) 2021
Schedule E (Form 1040) 2021 Attachment Sequence No. 13 Page 2
Name(s) shown on return. Do not enter name and social security number if shown on other side. Your social security number
Caution: The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1.
Part II Income or Loss From Partnerships and S Corporations -- Note: If you report a loss, receive a distribution, dispose of
stock, or receive a loan repayment from an S corporation, you must check the box in column (e) on line 28 and attach the required basis
computation. If you report a loss from an at-risk activity for which any amount is not at risk, you must check the box in column (f) on
line 28 and attach Form 6198 (see instructions).
27 Are you reporting any loss not allowed in a prior year due to the at-risk or basis limitations, a prior year unallowed loss from a
passive activity (if that loss was not reported on Form 8582), or unreimbursed partnership expenses?
If you answered “Yes,” see instructions before completing this section Yes No
(b) Enter P for (c) Check if (d) Employer (e) Check if (f) Check if
28 (a) Name partnership; S foreign identification basis computation any amount is
for S corporation partnership number is required not at risk
A
B
C
D
(g) Passive loss allowed (h) Passive income (i) Nonpassive loss allowed (j) Section 179 expense (k) Nonpassive income
(attach Form 8582 if required) from Schedule K-1 (see Schedule K-1) deduction from Form 4562 from Schedule K-1
A
B
C
D
29a Totals 0 0
b Totals 0 0 0
30 Add columns (h) and (k) of line 29a . . . . . . . . . . . . . . . . . . . . . . . . 30 0
31 Add columns (g), (i), and (j) of line 29b . . . . . . . . . . . . . . . . . . . . . . . 31 ( 0 )
32 Total partnership and S corporation income or (loss). Combine lines 30 and 31 . . . . 32 0
Part III Income or Loss From Estates and Trusts
(b) Employer
33 (a) Name identification number
A
B
(c) Passive deduction or loss allowed (d) Passive income (e) Deduction or loss (f) Other income from
(attach Form 8582 if required) from Schedule K-1 from Schedule K-1 Schedule K-1
A
B
34a Totals 0 0
b Totals 0 0
35 Add columns (d) and (f) of line 34a 35
. . . . . . . . . . . . . . . . . . . . . . . . . . 0
36 Add columns (c) and (e) of line 34b 36 (
. . . . . . . . . . . . . . . . . . . . . . . . . . 0 )
37 Total estate and trust income or (loss). Combine lines 35 and 36 37
. . . . . . . . . . . . . 0
Part IV Income or Loss From Real Estate Mortgage Investment Conduits (REMICs)—Residual Holder
(c) Excess inclusion from
(b) Employer identification (d) Taxable income (net loss) (e) Income from
38 (a) Name
number
Schedules Q, line 2c
from Schedules Q, line 1b Schedules Q, line 3b
(see instructions)
39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below 39 0
Part V Summary
40 Net farm rental income or (loss) from Form 4835. Also, complete line 42 below 40
41 Total income or (loss). Combine lines 26, 32, 37, 39, and 40. Enter the result here and on Schedule 1 (Form 1040 or 1040-SR), line 5. 41 0
42 Reconciliation of farming and fishing income. Enter your gross
farming and fishing income reported on Form 4835, line 7; Schedule K-1
Form 1065), box 14, code B; Schedule K-1 (Form 1120S), box 17, code
AC; and Schedule K-1 (Form 1041), box 14, code F (see instructions) . . . 42
43 Reconciliation for real estate professionals. If you were a real estate
professional (see instructions), enter the net income or (loss) you reported
anywhere on Form 1040, 1040-SR, or 1040-NR from all rental real estate act-
ivities in which you materially participated under the passive activity loss rules . 43
Schedule E (Form 1040) 2021
OMB No. 1545-0074
SCHEDULE F
(Form 1040) Profit or Loss from Farming
Attach to Form 1040, Form 1040-SR, Form 1040NR, Form 1041, or Form 1065.
2021
Attachment
Go to www.irs.gov/ScheduleF for instructions and the latest information. Sequence No. 14
Name of proprietor Social security number (SSN)
000-00-0001
A Principal crop or activity B Enter code from Part IV C Accounting method: D Employer ID number (EIN), (see instr)
Cash Accrual
E Did you “materially participate” in operation of this business during 2021? If “No,” see instructions for limit on passive losses Yes No
F Did you make any payments in 2021 that would require you to file Form(s) 1099 (see instructions)? . . . . . . Yes No
G If "Yes," did you or will you file all required Forms 1099? . . . . . . . . . . . . . . . . . . . . . . . Yes No
Part I Farm Income—Cash Method. Complete Parts I and II (Accrual method. Complete Parts II and III, and Part I, line 9.)
1a Sales of livestock and other resale items (see instructions) . . . . . . . . . . . . . . . 1a
b Cost or other basis of livestock or other items reported on line 1a . . . . . . . . 1b
c Subtract line 1b from line 1a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c 0
2 Sales of livestock, produce, grains, and other products you raised . . . . . . . . . . . . . . . . . . 2
3a Cooperative distributions (Form(s) 1099-PATR) . . . . . . . 3a 3b Taxable amount 3b
4a Agricultural program payments (see instructions) . . . . . . . 4a 4b Taxable amount 4b
5a Commodity Credit Corporation (CCC) loans reported under election . . . . . . . . . . . . . . . . . . 5a
b CCC loans forfeited . . . . . . . . . . . . . . . . . . . . 5b 5c Taxable amount 5c
6 Crop insurance proceeds and federal crop disaster payments (see instructions)
a Amount received in 2021 . . . . . . . . . . . . . . . . 6a 0 6b Taxable amount 6b 0
c If election to defer to 2022 is attached, check here 6d Amount deferred from 2020 6d
7 Custom hire (machine work) income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . . 8
9 Gross income. Add amounts in the right column (lines 1c, 2, 3b, 4b, 5a, 5c, 6b, 6d, 7, and 8). If you use the
accrual method, enter the amount from Part III, line 50. See instructions . . . . . . . . . . . . . . 9 0
Part II Farm Expenses—Cash and Accrual Method. Do not include personal or living expenses. See instructions.
10 Car and truck expenses (see 23 Pension and profit-sharing plans 23
instructions). Also attach Form 4562 10 24 Rent or lease (see instructions):
11 Chemicals . . . . . . . . . . . . . . 11 a Vehicles, machinery, equipment . . . . 24a
12 Conservation expenses (see instructions) 12 b Other (land, animals, etc.) . . . . . . 24b
13 Custom hire (machine work) . . . . . . 13 25 Repairs and maintenance . . . . . . 25
14 Depreciation and section 179 26 Seeds and plants . . . . . . . . . . 26
expense (see instructions) . . . . . . . . 14 27 Storage and warehousing . . . . . . 27
15 Employee benefit programs other than 28 Supplies . . . . . . . . . . . . . 28
on line 23 . . . . . . . . . . . . . . 15 29 Taxes . . . . . . . . . . . . . . 29
16 Feed . . . . . . . . . . . . . . . . . . 16 30 Utilities . . . . . . . . . . . . . . 30
17 Fertilizers and lime . . . . . . . . . . . 17 31 Veterinary, breeding, and medicine 31
18 Freight and trucking . . . . . . . . . . 18 32 Other expenses (specify):
19 Gasoline, fuel, and oil . . . . . . . . . . 19 a 32a
20 Insurance (other than health) . . . . . . . 20 b 32b
21 Interest: c 32c
a Mortgage (paid to banks, etc.) . . . . . . 21a d 32d
b Other. . . . . . . . . . . . . . . . . . . . 21b e 32e
22 Labor hired (less employment credits) 22 f 32f
33 Total expenses. Add lines 10 through 32f. If line 32f is negative, see instructions . . . . . . . . . . . . . 33 0
34 Net farm profit or (loss). Subtract line 33 from line 9 . . . . . . . . . . . . . . . . . . . . . . . . . 34 0
If a profit, stop here and see instructions for where to report. If a loss, complete lines 35 and 36. 0 0 0
35 Reserved for future use.
36 Check the box that describes your investment in this activity and see instructions for where to report your loss.
a All investment is at risk. b Some investment is not at risk.
For Paperwork Reduction Act Notice, see the separate instructions. Cat. No. 11346H Schedule F (Form 1040) 2021
Schedule F (Form 1040) 2021 Page 2
Part III Farm Income — Accrual Method (see instructions).
37 Sales of livestock, produce, grains, and other products (see instructions) . . . . . . . . . . . . . . . . . . 37
38a Cooperative distributions (Form(s) 1099-PATR) . . . . . 38a 38b Taxable amount 38b
39a Agricultural program payments . . . . . . . . . . . . 39a 39b Taxable amount 39b
40 Commodity Credit Corporation (CCC) loans:

a CCC loans reported under election . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40a
b CCC loans forfeited . . . . . . . . . . . . . . . 40b 40c Taxable amount 40c
41 Crop insurance proceeds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
42 Custom hire (machine work) income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
43 Other income (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
44 Add amounts in the right column for lines 37 through 43 (lines 37, 38b, 39b, 40a, 40c, 41, 42, and 43) . . . . 44 0
45 Inventory of livestock, produce, grains, and other products at beginning of

the year. Do not include sales reported on Form 4797 . . . . . . . . . . . . . . . . 45
46 Cost of livestock, produce, grains, and other products purchased during the
year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
47 Add lines 45 and 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 0
48 Inventory of livestock, produce, grains, and other products at end of year . . . . . . . 48
49 Cost of livestock, produce, grains, and other products sold. Subtract line 48 from line 47* . . . . . . . . . . 49 0
0
50 Gross income. Subtract line 49 from line 44. Enter the result here and on Part I, line 9 . . . . . . . . . . . . 50 0
*If you use the unit-livestock-price method or the farm-price method of valuing inventory and the amount on line 48 is larger than the amount on line
47, subtract line 47 from line 48. Enter the result on line 49. Add lines 44 and 49. Enter the total on line 50 and on Part I, line 9.
Part IV Principal Agricultural Activity Codes
Do not file Schedule F (Form 1040) to 111300 Fruit and tree nut farming
report the following. 111400 Greenhouse, nursery, and floriculture production
• Income from providing agricultural services such as 111900 Other crop farming
soil preparation, veterinary, farm labor, horticultural, or Animal Production
management for a fee or on a contract basis. Instead file 112111 Beef cattle ranching and farming
Schedule C (Form 1040). 112112 Cattle feedlots
• Income from breeding, raising, or caring for dogs, cats, or 112120 Dairy cattle and milk production
other pet animals. Instead file Schedule C (Form 1040). 112210 Hog and pig farming
• Sales of livestock held for draft, breeding, sport, or dairy 112300 Poultry and egg production
purposes. Instead file Form 4797. 112400 Sheep and goat farming
These codes for the Principal Agricultural Activity classify 112510 Aquaculture
farms by their primary activity to facilitate the administration of 112900 Other animal production
the Internal Revenue Code. These six-digit codes are based on Forestry and Logging
the North American Industry Classification System (NAICS). 113000 Forestry and logging (including forest nurseries and
Select the code that best identifies your primary farming timber tracts)
activity and enter the six-digit number on line B.
Crop Production
111100 Oilseed and grain farming
111210 Vegetable and melon farming
Schedule F (Form 1040) 2021

OMB No. 1545-0074
Schedule R
(Form 1040) Credit for the Elderly or the Disabled
Complete and attach to Form 1040.
2021
Attachment
Department of the Treasury Go to www.irs.gov/ScheduleR for instructions and latest information. Sequence No. 16
Name(s) shown on Form 1040 Your social security number
000-00-0001
You may be able to take this credit and reduce your tax if by the end of 2021:
• You were age 65 or older or • You were under age 65, you retired on permanent and total disability, and
you received taxable disability income.
But you must also meet other tests. See instructions.
In most cases, the IRS can figure the credit for you. See instructions.
Part I Check the Box for Your Filing Status and Age
If your filing status is: And by the end of 2021: Check only one box:
0
Single, 1 You were 65 or older . . . . . . . . . . . . . . . . . . . . . . . . 1
Head of household, or
Qualifying widow(er) 2 You were under 65 and you retired on permanent and total disability . . . . . . . 2
3 Both spouses were 65 or older . . . . . . . . . . . . . . . . . . . . 3
4 Both spouses were under 65, but only one spouse retired on permanent and
total disability . . . . . . . . . . . . . . . . . . . . . . . . . . 4
0
Married filing 5 Both spouses were under 65, and both retired on permanent and total
jointly disability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 One spouse was 65 or older, and the other spouse was under 65 and retired
on permanent and total disability . . . . . . . . . . . . . . . . . . . 6
7 One spouse was 65 or older, and the other spouse was under 65 and not
retired on permanent and total disability . . . . . . . . . . . . . . . . . . 7
0 8 You were 65 or older and you lived apart from your spouse for all of 2021 . . . . . 8
Married filing
separately 9 You were under 65, you retired on permanent and total disability, and you
lived apart from your spouse for all of 2021 . . . . . . . . . . . . . . . . 9
Did you check ————— Yes ———————— Skip Part II and complete Part III on the back.
box 1, 3, 7 or 8? ————— No ———————— Complete Parts II and III.
Part II Statement of Permanent and Total Disability (Complete only if you checked box 2, 4, 5, 6, or 9 above.)
If: 1 You filed a physician’s statement for this disability for 1983 or an earlier year, or you filed or got a
statement for tax years after 1983 and your physician signed line B on the statement, and
2 Due to your continued disabled condition, you were unable to engage in any substantial gainful activity
in 2021, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
• If you checked this box, you don’t have to get another statement for 2021.
• If you didn’t check this box, have your physician complete the statement in the instructions. You must
keep the statement for your records.
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 11359K Schedule R (Form 1040) 2021
Schedule R (Form 1040) 2021 Page 2
Part III Figure Your Credit
10 If you checked (in Part I): Enter:
0 Box 1, 2, 4, or 7 . . . . . . . . . . . . . . . $5,000
0 Box 3, 5, or 6 . . . . . . . . . . . . . . . . $7,500 . . . . . . . . . . . . . . . . 10
0 Box 8 or 9 . . . . . . . . . . . . . . . . . $3,750
Did you check ————— Yes —————————— You must complete line 11.
0 box 2, 4, 5, 6,
or 9 in Part I? ————— No —————————— Enter the amount from line 10
on line 12 and go to line 13.
11 If you checked (in Part I):
0 • Box 6, add $5,000 to the taxable disability income of the
spouse who was under age 65. Enter the total.
0 • Box 2, 4, or 9, enter your taxable disability income. . . . . . . . . . . . . . . . . . . 11
0 • Box 5, add your taxable disability income to your spouse’s
0 taxable disability income. Enter the total.
For more details on what to include on line 11, see Figure Your Credit in the instructions.
12 If you completed line 11, enter the smaller of line 10 or line 11. All others, enter the
amount from line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Enter the following pensions, annuities, or disability income that
you (and your spouse if filing jointly) received in 2021.
a Nontaxable part of social security benefits and nontaxable part
of railroad retirement benefits treated as social security (see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13a
b Nontaxable veterans’ pensions and any other pension, annuity,
or disability benefit that is excluded from income under any
other provision of law (see instructions) . . . . . . . . . . . . . . . . . . 13b
c Add lines 13a and 13b. (Even though these income items aren’t
taxable, they must be included here to figure your credit.) If you
didn’t receive any of the types of nontaxable income listed on
line 13a or 13b, enter -0- on line 13c . . . . . . . . . . . . . . . . . . . 13c 0
14 Enter the amount from Form 1040,
line 11 . . . . . . . . . . . . . . . . . . . . . . . 14
15 If you checked (in Part I): Enter:
0 Box 1 or 2 . . . . . . . . . . $7,500
0 Box 3, 4, 5, 6, or 7 . . . . . . $10,000 15
0 Box 8 or 9 . . . . . . . . . . $5,000 0
16 Subtract line 15 from line 14. If zero or
less, enter -0- . . . . . . . . . . . . . . . . . . . 16
17 Enter one-half of line 16 . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Add lines 13c and 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Subtract line 18 from line 12. If zero or less, stop; you can’t take the credit. Otherwise, 1
go to line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Multiply line 19 by 15% (0.15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21 Tax liability limit. Enter the amount from the Credit Limit Worksheet in the instructions . . . . . . . . . . 21
22 Credit for the elderly or the disabled. Enter the smaller of line 20 or line 21. Also enter
this amount on Schedule 3 (Form 1040), line 6 (check box c and enter “Sch R” on the
line next to that box) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Schedule R (Form 1040) 2021
SCHEDULE SE OMB No. 1545-0074
(Form 1040) Self-Employment Tax 2021
Department of the Treasury Go to www.irs.gov/ScheduleSE for instructions and the latest information. Attachment
Internal Revenue Service (99) Attach to Form 1040, 1040-SR, or 1040NR. Sequence No. 17
Name of person with self-employment income (as shown on Form 1040 or 1040-NR) Social security number of person
with self-employment income 000-00-0001
Part I Self-Employment Tax

Note: If your only income subject to self-employment tax is church employee income, see instructions for how to report your income
and the definition of church employee income.
A If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361, but you had
$400 or more of other net earnings from self-employment, check here and continue with Part I . . . . . . . . . .
Skip lines 1a and 1b if you use the farm optional method in Part II. See instructions.
1a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form
1065), box 14, code A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a 0
b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve
Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code AH 1b
Skip line 2 if you use the nonfarm optional method in Part II. See instructions.
2 Net profit or (loss) from Schedule C, line 31; Schedule K-1 (Form 1065), box 14, code A (other
than farming). Ministers and members of religious orders, see instructions for types of income to
report on this line. See instructions for other income to report . . . . . . . . . . . . . . . 2 0
3 Combine lines 1a, 1b, and 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 0
4a If line 3 is more than zero, multiply line 3 by 92.35% (0.9235). Otherwise, enter the amount from line 3
Note: If line 4a is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions 4a 0
b If you elect one or both of the optional methods, enter the total of lines 15 and 17 here 4b
c Combine lines 4a and 4b. If less than $400, stop; you don’t owe self-employment tax. Exception: If
less than $400 and you had church employee income, enter -0- and continue 4c 0
5a Enter your church employee income from Form W-2. See instructions for
definition of church employee income 5a 0
b Multiply line 5a by 92.35% (0.9235). If less than $100, enter -0- 100 0.9235 5b
6 Add lines 4c and 5b 6
7 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 1) tax for 2021 0 7 142,800
8a Total social security wages and tips (total of boxes 3 and 7 on Form(s) W-2)
and railroad retirement (tier 1) compensation. If $142,800 or more, skip lines
lines 8b through 10, and go to line 11 8a 0
b Unreported tips subject to social security tax from Form 4137, line 10 8b 0
c Wages subject to social security tax from Form 8919, line 10 8c 0
d Add lines 8a, 8b, and 8c 8d
9 Subtract line 8d from line 7. If zero or less, enter -0- here and on line 10 and go to line 11 9
10 Multiply the smaller of line 6 or line 9 by 12.4% (0.124) 10
11 Multiply line 6 by 2.9% (0.029) 11
12 Self-employment tax. Add lines 10 and 11. Enter here and on Schedule 2 (Form 1040), line 4 12
13 Deduction for one-half of self-employment tax.
Multiply line 12 by 50% (0.50). Enter the result here and on Schedule 1 0.5
(Form 1040), line 14 . . . . 13
Part II Optional Methods To Figure Net Earnings (see instructions)
Farm Optional Method. You may use this method only if (a) your gross farm income1 was not more 8,460
than $8,460 or (b) your net farm profits were less than $6,107. 6,107
14 Maximum income for optional methods . . . . . . . . . . . . . . . . . . . . . . . 14 5,640
15 Enter the smaller of: two-thirds (2 ⁄3) of gross farm income1 (not less than zero) or $5,640 Also, include 0
this amount on line 4b above . . . . . . . . . . . . . . . . . . . . . . . . 15
Nonfarm Optional Method. You may use this method only if (a) your net nonfarm profits3 were less than $6,107 0.72189
and also less than 72.189% of yougross nonfarm income4 and (b) you had net earnings from self- 400
employment of at least $400 in 2 of the prior 3 years. Caution: You may use this method no more than five times.
16 Subtract line 15 from line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Enter the smaller of: two-thirds (2 ⁄3) of gross nonfarm income4 (not less than zero) or the amount on 0
line 16. Also include this amount on line 4b above . . . . . . . . . . . . . . . . . 17
1 From Sch. F, line 9, and Sch. K-1 (Form 1065), box 14, code B. 3 From Sch. C, line 31; and Sch. K-1 (Form 1065), box 14, code A.
2 From Sch. F, line 34, and Sch. K-1 (Form 1065), box 14, code A - minus the 4 From Sch. C, line 7; and Sch. K-1 (Form 1065), box 14, code C.
amount you would have entered on line 1b had you not used the optional method.
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 11358Z Schedule SE (Form 1040) 2020
Schedule SE (Form 1040) 2021 Attachment Sequence No. 17 Page 2
Part III Maximum Deferral of Self-Employment Tax Payments
If line 4c is zero, skip lines18 through 20, and enter -0- on line 21. 1
18 Enter the portion of line 3 that can be attributed to March 27, 2021, through December 31, 2021 18
19 If line 18 is more than zero, multiply line 18 by 92.35% (0.9235); otherwise, enter the amount from line 18 19
20 Enter the portion of lines 15 and 17 that can be attributed to March 27, 2021, through December 31, 2021 20
21 Combine lines 19 and 20 21 0
If line 5b is zero, skip line 22 and enter -0- on line 23. 1
22 Enter the portion of line 5a that can be attributed to March 27, 2021, through December 31, 2021 22
23 Multiply line 22 by 92.35% (0.9235) 23 0
24 Add lines 21 and 23 24 0
25 Enter the smaller of line 9 or line 24 25 0
26 Multiply line 25 by 6.2% (0.062). Enter here and see the instructions for line 12e of Schedule 3 (Form
1040) 26 0
Schedule SE (Form 1040) 2021
OMB No. 1545-0121
1116 Foreign Tax Credit
2021
Form
(Individual, Estate, or Trust)
Attach to Form 1040, 1040-SR, 1040-NR, 1041, or 990-T. Attachment
Internal Revenue Service (99) Go to www.irs.gov/Form1116 for instructions and the latest information.
Sequence
No.
19
Name Identifying number as shown on page 1 of your tax return
000-00-0001
Use a separate Form 1116 for each category of income listed below. See Categories of Income in the instructions. Check only one box on each
Form 1116. Report all amounts in U.S. dollars except where specified in Part II below.
0 0 0 0 0
a Section 951A income c Passive category income e Section 901(j) income g Lump-sum distributions
0 0 0
b Foreign branch income d General category income f Certain income re-sourced by treaty 1
h Resident of (name of country)

Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part I and line A in Part II. If you paid taxes to
more than one foreign country or U.S. possession, use a separate column and line for each country or possession.
Part I Taxable Income or Loss From Sources Outside the United States (for category checked above)
Foreign Country or U.S. Possession Total
i Enter the name of the foreign country or U.S. A B C (Add cols. A, B, and C.)
possession . . . . . . . . . . . . . . .
1a Gross income from sources within country shown
above and of the type checked above (see
instructions):
1a 0
b Check if line 1a is compensation for personal
services as an employee, your total
compensation from all sources is $250,000 or
more, and you used an alternative basis to
determine its source (see instructions) . .
Deductions and losses (Caution: See instructions.):
2 Expenses definitely related to the income on line
line1a (attach statement) . . . . . . . .
3 Pro rata share of other deductions not definitely
related:
a Certain itemized deductions or standard deduction
(see instructions) . . . . . . . . . . .
b Other deductions (attach statement) . . . . .
c Add lines 3a and 3b . . . . . . . . . . 0 0 0
d Gross foreign source income (see instructions) .
e Gross income from all sources (see instructions) .
f Divide line 3d by line 3e (see instructions) . . .
g Multiply line 3c by line 3f . . . . . . . . .
4 Pro rata share of interest expense (see instructions):
a Home mortgage interest (use the Worksheet for
Home Mortgage Interest in the instructions) . .
.
b Other interest expense . . . . . . . . .
5 Losses from foreign sources . . . . . . .
6 Add lines 2, 3g, 4a, 4b, and 5 . . . . . . . 0 0 0 6
7 Subtract line 6 from line 1a. Enter the result here and on line 15, page 2 . . . . . . . . . . . . . . 7
Part II Foreign Taxes Paid or Accrued (see instructions)
Credit is claimed
Country
for taxes Foreign taxes paid or accrued

(you must check one)
1 (j) X Paid In foreign currency In U.S. dollars
0 (k) Accrued Taxes withheld at source on: Taxes withheld at source on:
(p) Other (t) Other (u) Total foreign
foreign taxes foreign taxes taxes paid or
1 (l) Date paid (m) (n) Rents (o) Interest paid or (q) (r) Rents
(s) Interest
paid or accrued (add cols.
or accrued Dividends and royalties accrued Dividends and royalties accrued (q) through (t))
A -
B -
C -
8 Add lines A through C, column (u). Enter the total here and on line 9, page 2 . . . . . . . . . 8 0
For Paperwork Reduction Act Notice, see instructions. Cat. No. 11440U Form 1116 (2021)
Form 1116 (2021) Page 2
Part III Figuring the Credit
9 Enter the amount from line 8. These are your total foreign taxes paid
or accrued for the category of income checked above Part I . . . . . . 9 0
10 Carryback or carryover (attach detailed computation) . . . . . . . . . 10

(If your income was section 951A income (box a above Part I), leave
line 10 blank.)
11 Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . 11 0
12 Reduction in foreign taxes (see instructions) . . . . . . . . . . . . 12
13 Taxes reclassified under high tax kickout (see instructions) . . . . . . 13
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit . . . . . 14 0
15 Enter the amount from line 7. This is your taxable income or (loss) from
sources outside the United States (before adjustments) for the category
of income checked above Part I (see instructions) . . . . . . . . . . 15
16 Adjustments to line 15 (see instructions) . . . . . . . . . . . . 16
17 Combine the amounts on lines 15 and 16. This is your net foreign
source taxable income. (If the result is zero or less, you have no
foreign tax credit for the category of income you checked above
Part I. Skip lines 18 through 24. However, if you are filing more than
one Form 1116, you must complete line 20.) . . . . . . . . . . . 17 0
18 Individuals: Enter the amount from line 15 of your Form 1040, 1
1040-SR, or 1040-NR. Estates and trusts: Enter your taxable
income without the deduction for your exemption . . . . . . . . . . 18
Caution: If you figured your tax using the lower rates on qualified dividends or capital gains, see
instructions.
19 Divide line 17 by line 18. If line 17 is more than line 18, enter “1” . . . . . . . . . . . . . . . 19
20 Individuals: Enter the total of Form 1040 or 1040-SR, line 16, and Schedule 2 (Form 1040), line 2. If
you are a nonresident alien, enter the total of Form 1040-NR, line 16 and Schedule 2 (Form 1040),
line 2. Estates and trusts: Enter the amount from Form 1041, Schedule G, line 1a; or the total of
Form 990-T, Part II, lines 2, 3, 4, and 6. Foreign estates and trusts should enter the amount from
Form 1040-NR, line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Caution: If you are completing line 20 for separate category g (lump-sum distributions), see
instructions.
21 Multiply line 20 by line 19 (maximum amount of credit) . . . . . . . . . . . . . . . . . . 21
22 Increase in limitation (section 960(c)) . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Add lines 21 and 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

24 Enter the smaller of line 14 or line 23. If this is the only Form 1116 you are filing, skip lines 25
through 32 and enter this amount on line 33. Otherwise, complete the appropriate line in Part IV (see 0
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Part IV Summary of Credits From Separate Parts III (see instructions) 0
25 Credit for taxes on section 951A income . . . . . . . . . . . . . 25
26 Credit for taxes on foreign branch income . . . . . . . . . . . . 26
27 Credit for taxes on passive category income . . . . . . . . . . . 27
28 Credit for taxes on general category income . . . . . . . . . . . 28
29 Credit for taxes on section 901(j) income . . . . . . . . . . . . 29
30 Credit for taxes on certain income re-sourced by treaty . . . . . . . 30
31 Credit for taxes on lump-sum distributions . . . . . . . . . . . . 31
32 Add lines 25 through 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
34 Reduction of credit for international boycott operations. See instructions for line 12 . . . . . . . 34
35 Subtract line 34 from line 33. This is your foreign tax credit. Enter here and on Schedule 3 (Form
1040), line 1; Form 1041, Schedule G, line 2a; or Form 990-T, Part III, line 1a . . . . . . . . . . 35
Form 1116 (2021)
1116 Foreign Tax Credit
OMB No. 1545-0121
Form
(Individual, Estate, or Trust) 2021
Department of the Treasury Attach to Form 1040, 1040-SR, 1040-NR, 1041, or 990-T. Attachment
Internal Revenue Service (99) Go to www.irs.gov/Form1116 for instructions and the latest information. Sequence No. 19
000-00-0001
0 0 0 0 0
0 0 0
f Resident of (name of country)

possession . . . . . . . . . . . . . . .
instructions):
1a 0
Pro rata share of other deductions not definitely
related:
c Add lines 3a and 3b . . . . . . . . . . 0 0 0
.
6 Add lines 2, 3g, 4a, 4b, and 5 . . . . . . . 0 0 0 6
Credit is claimed
Foreign taxes paid or accrued
Country
for taxes
foreign taxes foreign taxes taxes paid or
(l) Date paid (m) (n) Rents (o) Interest paid or (q) (r) Rents paid or accrued (add cols.
(s) Interest
or accrued Dividends and royalties accrued Dividends and royalties accrued (q) through (t))
A -
B -
C -
8 Add lines A through C, column (s). Enter the total here and on line 9, page 2 . . . . . . . . . 8 0
Form 1116 (2021) Page 2
or accrued for the category of income checked above Part I 9 0

line 10 blank.)
11 Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . 11 0
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit . . . . . . 14 0
16 Adjustments to line 15 (see instructions) . . . . . . . . . . . . . . 16
one Form 1116, you must complete line 20.) . . . . . . . . . . . . 17 0

income without the deduction for your exemption . . . . . . . . . . 18
instructions.
Form 990-T, Part II, lines 2, 3, 4, and 6. Foreign estates and trusts should enter the amount from
Form 1040-NR, line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
instructions.
23 Add lines 21 and 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
25 Credit for taxes on section 951A income . . . . . . . . . . . . . 25
26 Credit for taxes on foreign branch income . . . . . . . . . . . . 26
27 Credit for taxes on passive category income . . . . . . . . . . . 27
28 Credit for taxes on general category income . . . . . . . . . . . 28
29 Credit for taxes on section 901(j) income . . . . . . . . . . . . 29

Form 1116 (2021)
Form 1116 Foreign Tax Credit
OMB No. 1545-0121
(Individual, Estate, or Trust) 2021

Department of the Treasury Attach to Form 1040, 1040-SR, 1040-NR, 1041, or 990-T. Attachment
000-00-0001
0 0 0 0 0
0 0 0
h Resident of (name of country)
possession . . . . . . . . . . . . . . .
instructions):
1a 0
3 Pro rata share of other deductions not definitely
related:
c Add lines 3a and 3b . . . . . . . . . . 0 0 0
6 Add lines 2, 3g, 4a, 4b, and 5 . . . . . . . 0 0 0 6
Credit is claimed
Foreign taxes paid or accrued
Country
for taxes
(l) Date paid foreign taxes foreign taxes taxes paid or
(m) (n) Rents (o) Interest paid or (q) (r) Rents paid or accrued (add cols.
or accrued (s) Interest
Dividends and royalties accrued Dividends and royalties accrued (q) through (t))
A -
B -
C -
8 Add lines A through C, column (u). Enter the total here and on line 9, page 2 . . . . . . . . . 8 0
Form 1116 (2021) Page 2
or accrued for the category of income checked above Part I . . . . . . 9 0

line 10 blank.)
11 Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . 11 0
14 Combine lines 11, 12, and 13. This is the total amount of foreign taxes available for credit 14 0
16 Adjustments to line 15 (see instructions) . . . . . . . . . . . . . . 16
one Form 1116, you must complete line 20.) . . . . . . . . . . . . 17 0
income without the deduction for your exemption . . . . . . . . . . . 18
instructions.
Form 990-T, Part II, lines 2, 3, 4, and 6. Foreign estates and trusts should enter the amount from 20
Form 1040-NR, line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
instructions.
23 Add lines 21 and 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
25 Credit for taxes on section 951A income . . . . . .
. . . . . . . 25
26 Credit for taxes on foreign branch income . . . . .
. . . . . . . 26
27 Credit for taxes on passive category income . . . .
. . . . . . . 27
28 Credit for taxes on general category income . . . .
. . . . . . . 28
29 Credit for taxes on section 901(j) income . . . . .
. . . . . . . 29
Form 1116 (2021)
Underpayment of Estimated Tax
2210
OMB No. 1545-0074
Form by Individuals, Estates, and Trusts

2021
Department of the Treasury Go to www.irs.gov/Form2210 for instructions and the latest information. Attachment
Internal Revenue Service Attach to Form 1040, 1040-SR, 1040-NR, 1040NR-EZ, or 1041. Sequence No. 06
Name(s) shown on tax return Identifying number
000-00-0001
Do You Have To File Form 2210?

Yes
Complete lines 1 through 7 below. Is line 4 or line 7 less than $1,000? Don't file Form 2210. You don't owe a penalty.
No
Yes You don't owe a penalty. Don't file Form 2210

Complete lines 8 and 9 below. Is line 6 equal to or more
(but if box E in Part II applies, you must file page 1 of
than line 9?
Form 2210).
No
108.28
You must file Form 2210. Does box B, C, or D in Part II
You may owe a penalty. Does any box in Part II below apply? Yes
apply?
No No Yes
You must figure your penalty.
Don't file Form 2210. You aren't required to figure

You aren't required to figure your penalty because the IRS
your penalty because the IRS will figure it and send
will figure it and send you a bill for any unpaid amount. If
you a bill for any unpaid amount. If you want to figure
you want to figure it, you may use Part III or Part IV as a
it, you may use Part III or Part IV as a worksheet and
worksheet and enter your penalty amount on your tax return,
enter your penalty amount on your tax return, but
but file only page 1 of Form 2210.
don't file Form 2210.
Part I Required Annual Payment

1 Enter your 2021 tax after credits from Form 1040, 1040-SR, or 1040-NR, line 22. (See the
instructions if not filing Form 1040.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0
2 Other taxes, including the portion of 2021 self-employment tax to which the estimated tax requirement
applies and, if applicable, Additional Medicare Tax and/or Net Investment Income Tax (see instructions) . . 2 0
3 Refundable credits, including the premium tax credit (see instructions) . . . . . . . . . . . 3 0
4 Current year tax. Combine lines 1, 2, and 3. If less than $1,000, stop; you don't owe a penalty. 1
Don't file Form 2210 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 0
5 Multiply line 4 by 90% (0.90) . . . . . . . . . . . . . . . . . . . . 5 0.90 1 1000
6 Withholding taxes. Don't include estimated tax payments (see instructions) . . . . . . . . . 6
7 Subtract line 6 from line 4. If less than $1,000, stop; you don't owe a penalty. Don't file Form 2210. 7
8 Maximum required annual payment based on prior year’s tax (see instructions) . . . . . . . . 8
9 Required annual payment. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . 9
Next: Is line 9 more than line 6? 0 0
No. You don't owe a penalty. Don't file Form 2210 unless box E below applies.
Yes. You may owe a penalty, but don't file Form 2210 unless one or more boxes in Part II below applies. 0
h If box B, C, or D applies, you must figure your penalty and file Form 2210. 0
h If box A or E applies (but not B, C, or D) file only page 1 of Form 2210. You aren't required to figure your penalty; the IRS
will figure it and send you a bill for any unpaid amount. If you want to figure your penalty, you may use Part III or IV as a
worksheet and enter your penalty on your tax return, but file only page 1 of Form 2210. 0
Part II Reasons for Filing. Check applicable boxes. If none apply, don't file Form 2210.
0 A You request a waiver (see instructions) of your entire penalty. You must check this box and file page 1 of Form 2210, but you
aren't required to figure your penalty.
0 B You request a waiver (see instructions) of part of your penalty. You must figure your penalty and waiver amount and file
Form 2210.
0 C Your income varied during the year and your penalty is reduced or eliminated when figured using the annualized income
installment method. You must figure the penalty using Schedule Al and file Form 2210.
0 D Your penalty is lower when figured by treating the federal income tax withheld from your income as paid on the dates it was
actually withheld, instead of in equal amounts on the payment due dates. You must figure your penalty and file Form 2210.
0 E You filed or are filing a joint return for either 2020 or 2021, but not for both years, and line 8 above is smaller than line 5
0 above. You must file page 1 of Form 2210, but you aren't required to figure your penalty (unless box B, C, or D applies).
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11744P 0 Form 2210 (2021)
Form 2210 (2021) Page 2
Part III Short Method
Can You Use the You can use the short method if:
Short Method? X h You made no estimated tax payments (or your only payments were withheld
federal income tax), or 1
h You paid the same amount of estimated tax on each of the four payment
due dates.
Must You Use the You must use the regular method (Part IV) instead of the short method if:
Regular Method? h You made any estimated tax payments late,
h You checked box C or D in Part II, or 0
h You are filing Form 1040NR or 1040NR-EZ and you didn't receive wages as
an employee subject to U.S. income tax withholding. 1
Note: If any payment was made earlier than the due date, you can use the short method, but using it may cause you to pay a
larger penalty than the regular method. If the payment was only a few days early, the difference is likely to be small.
10 Enter the amount from Form 2210, line 9 . . . . . . . . . . . . . . . . . . . . . . 10
11 Enter the amount, if any, from Form 2210, line 6 . . . . . . . . . . . . . 11
12 Enter the total amount, if any, of estimated tax payments you made . . . . . 12 0
13 Add lines 11 and 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 0
14 Total underpayment for year. Subtract line 13 from line 10. If zero or less, stop; you don't owe a penalty
If the amount on line 14 was paid on or before 1/15/22, do not use the short method. If zero or less, stop;
you don't owe a penalty. Don't file Form 2210 unless you checked box E in Part II 14 0
0.01744
15 Multiply line 14 by 0.01744 . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 h If the amount on line 14 was paid on or after 4/15/22, enter -0-. 1

h If the amount on line 14 was paid before 4/15/22, make the following computation to find the 15-Apr-2022
amount to enter on line 16. 0
Amount on Number of days paid 0.00008
line 14 X before 4/15/22 X 0.00008 . . . . . . . . . . . . . 16 0
0
17 Penalty. Subtract line 16 from line 15. Enter the result here and on Form 1040 or 1040-SR, line 24;
Form 1040-NR, line 76; Form 1040-NR-EZ, line 26; or Form 1041, line 27.
Don't file Form 2210 unless you checked a box in Part II . . . . . . . . . . . . . . 17 0
Form 2210 (2021)
Form 2210 (2021) Page 3
Part IV Regular Method (See the instructions if you are filing Form 1040-NR.)
Section A—Figure Your Underpayment Payment Due Dates
(Calendar year filers skip column (b); fiscal year filers, (a) (b) (c) (d)
see instructions.) 7/15/21 6/15/21 9/15/21 1/15/22
18 Required installments. If box C in Part II applies,
combine the Schedule AI, line 27, columns (a) and
(b) amounts and enter the result here in column (a),
then enter the Schedule AI, line 27, columns (c) and
(d) amounts in the corresponding columns (c) and
(d) here. Otherwise, calendar year filers, enter the
following percentages of Form 2210, line 9, as
follows: 50% (0.50) in column (a) and 25% (0.25) in
columns (c) and (d) (skip column (b) entirely). For 50% 25% 25%
fiscal year filers, see instructions . . . . . . . . . . . 18
19 Estimated tax paid and tax withheld (see the 0
instructions). For column (a) only, also enter the
amount from line 19 on line 23 column (a). If line 19 0
is equal to or more than line 18 for all payment periods,
stop here; you don't owe a penalty. Don't file 0 0 0
Form 2210 unless you checked a box in Part II . . . 19
Complete lines 20 through 26 of one column before going to line 20 of the next column.
20 Enter the amount, if any, from line 26 in the previous

column . . . . . . . . . . . . . . . . . . . . 20
21 Add lines 19 and 20 . . . . . . . . . . . . . . . . 21
22 Add the amounts on lines 24 and 25 in the previous
column . . . . . . . . . . . . . . . . . . . . 22
23 Subtract line 22 from line 21. If zero or less, enter -0-.
For column (a) only, enter the amount from line 19 . . 23
24 If line 23 is zero, subtract line 21 from line 22.
Otherwise, enter -0- . . . . . . . . . . . . . . . 24
25 Underpayment. If line 18 is equal to or more than
line 23, subtract line 23 from line 18. Then go to line
20 of the next column. Otherwise, go to line 26 . . . 25
26 Overpayment. If line 23 is more than line 18,
subtract line 18 from line 23. Then go to line 20 of
the next column . . . . . . . . . . . . . . . . . 26
Section B - Figure the Penalty (Use the Worksheet for Form 2210, Part IV, Section B - Figure Penalty in the
instructions.)
27 Penalty. Enter the total penalty from line 14 of the Worksheet for Form 2210, Part IV, Section B -
Figure the Penalty. Also include this amount on Form 1040, 1040-SR, or 1040-NR, line 38; or
Form 1041, line 27. Don't file Form 2210 unless you checked a box in Part II 27 0
Form 2210 (2021)
Form 2210 (2021) Page 4
Schedule AI—Annualized Income Installment Method (See the instructions.)
Estates and trusts, don't use the period ending dates shown to the right. (a) (b) (c) (d)
Instead, use the following: 2/28/21, 4/30/21, 7/31/21, and 11/30/21. 1/1/21–3/31/21 1/1/21–5/31/21 1/1/21–8/31/21 1/1/21–12/31/21
Part I Annualized Income Installments 2/28/21 4/30/21 7/31/21 11/30/21
1 Enter your adjusted gross income for each period (see
instructions). (Estates and trusts, enter your taxable
income without your exemption for each period.) . . 1
2 Annualization amounts. (Estates and trusts, see instructions.) 2 4 2.4 1.5 1
3 Annualized income. Multiply line 1 by line 2 . . . . . 3
4 If you itemize, enter itemized deductions for the period shown in
each column. All others enter -0-, and skip to line 7. Exception:
Estates and trusts, skip to line 11 & enter amount from line 3 . . 4 0 0 0 0
5 Annualization amounts . . . . . . . . . . . . . . . 5 4 2.4 1.5 1
6 Multiply line 4 by line 5 . . . . . . . . . . . . . . . 6
7 In each column, enter the full amount of your standard
deduction from Form 1040 or Form 1040-SR, line 9. (Form
1040-NR filers, enter -0-. Exception: Indian students and 0
business apprentices, see instructions.) . . . . . . . . . 7
8 Enter the larger of line 6 or line 7 . . . . . . . . . . . 8
9 Deduction for qualified business income. Estates & trusts:
Subtract this amount from the amount on line 3, skip
line 10, and enter the result on line 11 . . . . . . . . . 9
10 Add lines 8 and 9 . . . . . . . . . . . . . . . . . 10
11 Subtract line 10 from line 3 . . . . . . . . . . . . . 11
12 Form 1040, 1040-SR, or 1040-NR filers, enter -0-
in each column. (Estates and trusts, see instructions.) . . 12
14 Figure your tax on the amount on line 13 (see instructions) 14
15 Self-employment tax from line 36 (complete Part II below) 15
16 Enter other taxes for each payment period
including, if applicable, Additional Medicare Tax
and/or Net Investment Income Tax (see instructions) 16
17 Total tax. Add lines 14, 15, and 16 . . . . . . . . . 17
18 For each period, enter the same type of credits as allowed
on Form 2210, Part I, lines 1 and 3 (see instructions) . . . . 18
20 Applicable percentage . . . . . . . . . . . . . . . 20 22.5% 45% 67.5% 90%
21 Multiply line 19 by line 20 . . . . . . . . . . . . . . 21
Complete lines 22–27 of one column before going to line 22 of the next column.
22 Enter the total of the amounts in all previous columns of line 27 22
24 Enter 25% (0.25) of line 9 on page 1 of Form 2210 in each column 24
25 Subtract line 27 of the previous column from line 26 0.25
of that column . . . . . . . . . . . . . . . . . . 25
26 Add lines 24 and 25 . . . . . . . . . . . . . . . . 26
27 Enter the smaller of line 23 or line 26 here and on
Form 2210, Part IV, line 18 . . . . . . . . . . . . . 27
Part II Annualized Self-Employment Tax (Form 1040, Form 1040-SR, and Form 1040-NR filers only)
28 Net earnings from self-employment for the period
(see instructions) . . . . . . . . . . . . . . . . . 28
29 Prorated social security tax limit . . . . . . . . . . . . 29 $35,700 $59,500 $95,200 $142,800
30 Enter actual wages for the period subject to social security tax or
the 6.2% portion of the 7.65% railroad retirement (tier 1) tax. 0.496 0.2976 0.186 0.124
Exception: If you filed Form 4137 or Form 8919, see instructions 30
31 Subtract line 30 from line 29. If zero or less, enter -0- . . . . 31
32 Annualization amounts (see instructions) . . . . . . . . 32 0.496 0.2976 0.186 0.124
33 Multiply line 32 by the smaller of line 28 or line 31 . . . 33
34 Annualization amounts . . . . . . . . . . . . . . . . 34 0.116 0.0696 0.0435 0.029
35 Multiply line 28 by line 34 . . . . . . . . . . . . 35
36 Add lines 33 and 35. Enter here and on line 15 above . . . 36
Form 2210 (2021)
Worksheet for Form 2210, Part IV, Section B—Figure the Penalty
(penalty worksheet) Keep for Your Records
Complete Rate Period 1 of each column before going to the next column; then go to Rate Periods 2, 3, and 4 in the
same manner. If multiple estimated tax payments are applied to the underpayment amount in a column of line 1a,
you will need to make more than one computation for that column. This worksheet is modified by Notice 2020-23, so
in the calculation of the estimated tax penalty, it disregards the days beginning 4/1/2020, and ending 7/15/2020.
Payment Due Dates
Enter payment information below. (Starting on row 290.) (a) (b) (c) (d)
7/15/21 6/15/21 9/15/21 1/15/22
1a Enter your underpayment from Part IV, Section A, line 25 . . . . 1a
12/30/99
Date and amount of each payment applied to the underpayment
1b in the same column. Don't enter more than the underpayment amount on line 344 #N/A #N/A #N/A
1a for each column (see instructions). 0 0 0
Note: Your payments are applied in the order made first to any underpayment
balance in an earlier column until that 12/30/99 4/15/22 4/15/22
underpayment is fully paid.
1.b
Rate Period 1: April 16, 2021—June 30, 2021
2 Computation starting dates for this period 4/16/21 2
6/30/21
3 Number of days from the date on line 2 to the date the amount
on line 1a was paid or 6/30/21, whichever is earlier . . . ###
.
4 Underpayment Number of days

on line 1a x on line 3 x 0.05
365 ###
Rate Period 2: July 1, 2021—September 30, 2021
5 Computation starting dates for this period 7/1/21 ### 7/15/21 6/30/21 9/15/21
9/30/21 Days: Days: Days:
6 Number of days from the date on line 5 to the date the amount 12/30/99 9/30/21 9/30/21
.

365 ### $0.00 $0.00 $0.00
Rate Period 3: October 1, 2021—December 31, 2021
8 Computation starting dates for this period 10/1/21 ### 9/30/21 9/30/21 9/30/21
12/31/21 Days: Days: Days:
9 Number of days from the date on line 8 to the date the amount 12/30/99 12/31/21 12/31/21
.

365 10 $0.00 $0.00 $0.00
Rate Period 4: January 1, 2022—April 15, 2022
11 Computation starting dates for this period 1/1/22 11 12/31/21 12/31/21 12/31/21 1/15/22
4/15/22 Days: Days: Days: Days:
12 Number of days from the date on line 11 to the date the amount 12/30/99 4/15/22 4/15/22 4/15/22
on line 1a was paid or 4/15/22, whichever is earlier . . . . 12

365 13 $0.00 $0.00 $0.00 $0.00
14 Penalty. Add all amounts on lines 7, 10, and 13 in all columns. Enter the total here and on line 27 of Part IV,
Section B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $0.00
-6- Instructions for Form 2210 (2021)

OMB No. 1545-0074
Child and Dependent Care Expenses
Form 2441 4 Attach to Form 1040, 1040-SR, or 1040-NR. 2021
Department of the Treasury 4 Go to www.irs.gov/Form2441 for instructions and the Attachment
Internal Revenue Service (99) latest information.
Sequence No. 21
000-00-0001
You cannot claim a credit for child and dependent care expenses if your filing status is married filing separately unless you meet the
requirements listed in the instructions under "Married Persons Filing Separately." If you meet these requirements, check this box.
Part I Persons or Organizations Who Provided the Care–You must complete this part.
(If you have more than two care providers, see the instructions.)
1 (a) Care provider's (b) Address (c) Identifying number (d) Amount paid
name (number, street, apt. no., city, state, and ZIP code) (SSN or EIN) (see instructions)
No X Complete only Part II below.

Did you receive
dependent care benefits? Yes Complete Part III on the back next.
Caution: If the care was provided in your home, you may owe employment taxes. For details, see the instructions for Schedule 2
(Form 1040), line 7a.
Part II Credit for Child and Dependent Care Expenses
2 Information about your qualifying person(s). If you have more than two qualifying persons, see the instructions.
(a) Qualifying person's name (c) Qualified expenses you
(b) Qualifying person's social
incurred and paid in 2021 for
security number
First Last the person listed in column (a)
3 Add the amounts in column (c) of line 2. Don't enter more than $3,000 for one qualifying person 0
or $6,000 for two or more persons. If you completed Part III, enter the amount from line 31 3 0
4 Enter your earned income. See instructions . . . . . . . . . . . . . . . . . . . . . 4 0
5 If married filing jointly, enter your spouse’s earned income (if you or your spouse was a student
or was disabled, see the instructions); all others, enter the amount from line 4 . . . . . . . . . 5 0
6 Enter the smallest of line 3, 4, or 5 . . . . . . . . . . . . . . . . . . . . . . . 6 0
7 Enter the amount from Form 1040, 1040-SR, or 1040-NR, line 11 . . . . 7 0
8 Enter on line 8 the decimal amount shown below that applies to the amount on line 7 0
If line 7 is: If line 7 is:
But not Decimal But not Decimal
Over over amount is Over over amount is
$0 -- 15,000 .35 $29,000 -- 31,000 .27
15,000 -- 17,000 .34 31,000 -- 33,000 .26
17,000 -- 19,000 .33 33,000 -- 35,000 .25
19,000 -- 21,000 .32 35,000 -- 37,000 .24
21,000 -- 23,000 .31 37,000 -- 39,000 .23 8 X 0.35
23,000 -- 25,000 .30 39,000 -- 41,000 .22
25,000 -- 27,000 .29 41,000 -- 43,000 .21
27,000 -- 29,000 .28 43,000 -- No limit .20
9 Multiply line 6 by the decimal amount on line 8. If you paid 2020 expenses in 2021, see the
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 0
10 Tax liability limit. Enter the amount from the Credit Limit Worksheet
Stop. You cannot take this credit.
in the instructions . . . . . . . . . . . . . . . . . . . . . . 10 0
11 Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10 here and 1.00
on Schedule 3 (Form 1040), line 2 . . . . . . . . . . . 11 0
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 11862M Form 2441 (2021)
Form 2441 (2021) Page 2
Part III Dependent Care Benefits
12 Enter total amount of dependent care benefits you received for 2021. Amounts you
received as an employee should be shown in box 10 of your Form(s) W-2. Don't include
amounts reported as wages in box 1 of Form(s) W-2. If you were self-employed or a
partner, include amounts you received under a dependent care assistance program from
your sole proprietorship or partnership . . . . . . . . . . . . . . . . . . . . . 12 0
13 Enter the amount, if any, you carried over from 2020 and used in 2021 during the grace
period. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Enter the amount, if any, you forfeited or carried forward to 2022. See instructions . . . . 14
15 Combine lines 12 through 14. See instructions . . . . . . . . . . . . . . . . . . 15
16 Enter the total amount of qualified expenses incurred
in 2021 for care of the qualifying person(s) . . . . . . . . . 16
17 Enter the smaller of line 15 or 16 . . . . . . . . . . . . . 17 Indicate at the top
18 Enter your earned income. See instructions . . . . . . . . 18 and to the right
19 Enter the amount shown below that applies as to whether or
to you. not you meet the
h If married filing a joint return, enter your requirements to
spouse's earned income (if your spouse be considered
was a student or was disabled, see the 'unmarried' for
instructions for line 5). . . . . . . . . 19 purposes of claiming
h If married filing separately, see the credit on
instructions. Form 2441.
h All others, enter the amount from line 18.
20 Enter the smallest of line 17, 18, or 19 . . . . . . . . . . 20
21 Enter $5,000 ($2,500 if married filing separately and 5,000
you were required to enter your spouse’s earned income on line 19) 21 2,500
22 Is any amount on line 12 from your sole proprietorship or partnership?
X No. Enter -0-.
Yes. Enter the amount here . . . . . . . . . . . . . . . . . . . . . . . 22

23 Subtract line 22 from line 15 . . . . . . . . . . . . . . . . 23
24 Deductible benefits. Enter the smallest of line 20, 21, or 22. Also, include this amount on
the appropriate line(s) of your return. See instructions . . . . . . . . . . . . . 24
25 Excluded benefits. If you checked "No" on line 22, enter the smaller of line 20 or 21.
Otherwise, subtract line 24 from the smaller of line 20 or line 21. If zero or less, enter -0-. 25
26 Taxable benefits. Subtract line 25 from line 23. If zero or less, enter -0-. Also, include this
amount on Form 1040 or 1040-SR, line 1; or Form 1040-NR, line 1a. On the dotted line next
to Form 1040 or 1040-SR, line 1; or Form 1040-NR, line 1a, enter “DCB” . . . . . . . . 26
To claim the child and dependent care

credit, complete lines 27 through 31 below.
27 Enter $3,000 ($6,000 if two or more qualifying persons) . . . . . . . . . . . . . . . 27

28 Add lines 24 and 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
29 Subtract line 28 from line 27. If zero or less, stop. You can't take the credit.
Exception. IfIf you
you paid 2020 expenses in 2021, see the instruction for line 9. 29
30 Complete line 2 on the front of this form. Don't include in column (c) any benefits shown on
on line 28 above. Then, add the amounts in column (c) and enter the total here . . . . . . . 30
31 Enter the smaller of line 29 or 30. Also, enter this amount on line 3 on the front of this form
form and complete lines 4 through 11 . . . . . . . . . . . . . . . . . . . . . . . 31
Form 2441 (2021)
Form
2441 Attachment to:
Child and Dependent Care Expenses
2021
000-00-0001
Part I Persons or Organizations Who Provided the Care -- (Continued)
1 (a) Care provider's (b) Address (c) Identifying number (d) Amount paid
name (number, street, apt. no., city, state, and ZIP code) (SSN or EIN) (see instructions)
Credit for Child and Dependent Care Expenses -- (Continued)

Part II
2 Information about your qualifying person(s). If you have more than two qualifying persons, see the instructions.
(a) Qualifying person's name (c) Qualified expenses you
(b) Qualifying person's social incurred and paid in 2021 for
First Last the person listed in column (a)
OMB No. 1545-0074
Form 2555 Foreign Earned Income

2021
For Use by U.S. Citizens and Resident Aliens Only
Name shown on Form 1040 or 1040-SR Your social security number
000-00-0001
Part I General Information
1 Your foreign address (including country) 2 Your occupation
3 Employer’s name
4a Employer’s U.S. address
b Employer’s foreign address
5 Employer is (check a A foreign entity b A U.S. company c Self
any that apply): d A foreign affiliate of a U.S. company e Other (specify)
6a If you previously filed Form 2555 or Form 2555-EZ, enter the last year you filed the form.
b If you didn't previously file Form 2555 or 2555-EZ to claim either of the exclusions, check here and go to line 7.
c Have you ever revoked either of the exclusions? . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
d If you answered “Yes,” enter the type of exclusion and the tax year for which the revocation was effective.
7 Of what country are you a citizen/national?
8a Did you maintain a separate foreign residence for your family because of adverse living conditions at your
tax home? See Second foreign household in the instructions . . . . . . . . . . . . . . . . . . . . . . Yes No
b If “Yes,” enter city and country of the separate foreign residence. Also, enter the number of days during your tax year that you
maintained a second household at that address.
9 List your tax home(s) during your tax year and date(s) established.
Next, complete either Part II or Part III. If an item doesn't apply, enter “NA.” If you don't give
the information asked for, any exclusion or deduction you claim may be disallowed.
Part II Taxpayers Qualifying Under Bona Fide Residence Test (see instructions)
10 Date bona fide residence began , and ended
11 Kind of living quarters in foreign country a Purchased house b Rented house or apartment c Rented room
d Quarters furnished by employer
12 a Did any of your family live with you abroad during any part of the tax year? . . . . . . . . . . . . . . . . . Yes No
b If “Yes,” who and for what period?
13 a Have you submitted a statement to the authorities of the foreign country where you claim bona fide
residence that you aren't a resident of that country? See instructions . . . . . . . . . . . . . . . . . . Yes No
b Are you required to pay income tax to the country where you claim bona fide residence? See instructions . . Yes No
If you answered “Yes” to 13a and “No” to 13b, you don't qualify as a bona fide resident. Don't complete the rest of
this part.
14 If you were present in the United States or its possessions during the tax year, complete columns (a)–(d) below. Don't include
the income from column (d) in Part IV, but report it on Form 1040 or 1040-SR.
(c) Number of (d) Income earned in (c) Number of (d) Income earned in
(a) Date (b) Date left (a) Date (b) Date left
days in U.S. U.S. on business days in U.S. U.S. on business
arrived in U.S. U.S. arrived in U.S. U.S.
on business (attach computation) on business (attach computation)
15 a List any contractual terms or other conditions relating to the length of your employment abroad.
b Enter the type of visa under which you entered the foreign country.
c Did your visa limit the length of your stay or employment in a foreign country? If “Yes,” attach explanation . . Yes No
d Did you maintain a home in the United States while living abroad? . . . . . . . . . . . . . . . . . . . . Yes No
e If “Yes,” enter address of your home, whether it was rented, the names of the occupants, and their relationship
to you.
For Paperwork Reduction Act Notice, see the Form 1040 instructions. Cat. No. 11900P Form 2555 (2021)
Form 2555 (2021) Page 2
Part III Taxpayers Qualifying Under Physical Presence Test (see instructions)
Note: U.S. citizens and all resident aliens can use this test. See instructions.
16 The physical presence test is based on the 12-month period from through
17 Enter your principal country of employment during your tax year.
18 If you traveled abroad during the 12-month period entered on line 16, complete columns (a)–(f) below. Exclude travel between
foreign countries that didn't involve travel on or over international waters, or in or over the United States, for 24 hours or more.
If you have no travel to report during the period, enter “Physically present in a foreign country or countries for the entire 12-
month period." Don't include the income from column (f) below in Part IV, but report it on Form 1040 or 1040-SR.
(d) Full days (e) Number of (f) Income earned in U.S.
(a) Name of country
(b) Date arrived (c) Date left present days in U.S. on business
(including U.S.)
in country on business (attach computation)
Part IV All Taxpayers

Note: Enter on lines 19 through 23 all income, including noncash income, you earned and actually or constructively received during
your 2021 tax year for services you performed in a foreign country. If any of the foreign earned income received this tax year was
earned in a prior tax year, or will be earned in a later tax year (such as a bonus), see the instructions. Don't include income from line
14, column (d), or line 18, column (f). Report amounts in U.S. dollars, using the exchange rates in effect when you actually or
constructively received the income.
If you are a cash basis taxpayer, report on Form 1040 or 1040-SR all income you received in 2021, no matter when you
performed the service.
Amount
2021 Foreign Earned Income (in U.S. dollars)
19 Total wages, salaries, bonuses, commissions, etc. . . . . . . . . . . . . . . . . . . . . 19
20 Allowable share of income for personal services performed (see instructions):
a In a business (including farming) or profession . . . . . . . . . . . . . . . . . . . . . . 20a
b In a partnership. List partnership’s name and address and type of income.
20b
21 Noncash income (market value of property or facilities furnished by employer—attach statement
showing how it was determined):
a Home (lodging) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21a
b Meals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21b
c Car . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21c
d Other property or facilities. List type and amount.
21d
22 Allowances, reimbursements, or expenses paid on your behalf for services you performed:
a Cost of living and overseas differential 22a
b Family . . . . . . . . . . . . . . . . . . . . . . . . . 22b
c Education . . . . . . . . . . . . . . . . . . . . . . . . 22c
d Home leave . . . . . . . . . . . . . . . . . . . . . . . 22d
e Quarters . . . . . . . . . . . . . . . . . . . . . . . . 22e
f For any other purpose. List type and amount.
22f
g Add lines 22a through 22f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22g 0

23 Other foreign earned income. List type and amount.
23
24 Add lines 19 through 21d, line 22g, and line 23 . . . . . . . . . . . . . . . . . . . . . . . . 24 0
25 Total amount of meals and lodging included on line 24 that is excludable (see instructions) 25
26 Subtract line 25 from line 24. Enter the result here and on line 27 on page 3. This is your 2021
foreign earned income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 0
Form 2555 (2021)
Form 2555 (2021) Page 3
Part V All Taxpayers
27 Enter the amount from line 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 0

Are you claiming the housing exclusion or housing deduction?
Yes. Complete Part VI.
X No. Go to Part VII.
Part VI Taxpayers Claiming the Housing Exclusion and/or Deduction
28 Qualified housing expenses for the tax year (see instructions) . . . . . . . . . . . . . . . . . . 28

29 a Enter location where housing expenses incurred (see instructions)
b Enter limit on housing expenses (see instructions) . . . . . . . . . . . . . . . . . . . . . . 29b
30 Enter the smaller of line 28 or line 29b . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31 Number of days in your qualifying period that fall within your 2021 tax 47.04
year (see instructions) . . . . . . . . . . . . . . . . . . . 31 days 17,216
32 Multiply $47.04 by the number of days on line 31. If 365 is entered on line 31, enter $17,216 here 32
33 Subtract line 32 from line 30. If the result is zero or less, don't complete the rest of this part or
any of Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34 Enter employer-provided amounts (see instructions) 34
35 Divide line 34 by line 27. Enter the result as a decimal (rounded to at least three places), but
don't enter more than “1.000” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 X
36 Housing exclusion. Multiply line 33 by line 35. Enter the result but don't enter more than the
amount on line 34. Also, complete Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . 36 0
Note: The housing deduction is figured in Part IX. If you choose to claim the foreign earned income 0
exclusion, complete Parts VII and VIII before Part IX.
Part VII Taxpayers Claiming the Foreign Earned Income Exclusion 0
37 Maximum foreign earned income exclusion. Enter $107,600 . . . . . . . . . . . . . . . . . . 37 $107,600

38 h If you completed Part VI, enter the number from line 31. 107,600
h All others, enter the number of days in your qualifying period that 38 365 days
fall within your 2021 tax year (see the instructions for line 31).
39 h If line 38 and the number of days in your 2021 tax year (usually 365) are the same, enter “1.000.”
h Otherwise, divide line 38 by the number of days in your 2021 tax year and enter the result as 39 X 1.000
a decimal (rounded to at least three places).
40 Multiply line 37 by line 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 107,600
41 Subtract line 36 from line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 0
42 Foreign earned income exclusion. Enter the smaller of line 40 or line 41. Also, complete Part VIII 42 0
Part VIII Taxpayers Claiming the Housing Exclusion, Foreign Earned Income Exclusion, or Both
43 Add lines 36 and 42 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 0
44 Deductions allowed in figuring your adjusted gross income (Form 1040 or 1040-SR, line 11) that are
allocable to the excluded income. See instructions and attach computation . . . . . . . . . . . . . 44
45 Subtract line 44 from line 43. Enter the result here and in parentheses on Schedule 1 (Form 1040), line 8.
In the blank space next to line 8, enter “Form 2555.” On Schedule 1 (Form 1040), subtract this
amount from your additional income to arrive at total income on Schedule 1 (Form 1040), line 9
Complete the Foreign Earned Income Tax Worksheet in the Instructions for Forms 1040 and 1040-SR
if you enter an amount on this line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 0
Taxpayers Claiming the Housing Deduction—Complete this part only if (a) line 33 is more than line 36, and
Part IX
(b) line 27 is more than line 43.
48 Enter the smaller of line 46 or line 47 . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Note: If line 47 is more than line 48 and you couldn't deduct all of your 2020 housing deduction
because of the 2020 limit, use the Housing Deduction Carryover Worksheet in the instructions to
figure the amount to enter on line 49. Otherwise, go to line 50.
49 Housing deduction carryover from 2020 (from the Housing Deduction Carryover Worksheet in
the instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
50 Housing deduction. Add lines 48 and 49. Enter the total here and on Schedule 1 (Form 1040) to the
left of line 22. Next to the amount on Schedule 1 (Form 1040), line 22, enter “Form 2555.” Add the
amount to the adjustments to income reported on Schedule 1 (Form 1040), line 22. Complete the
Foreign Earned Income Tax Worksheet in the Instructions for Forms 1040 and 1040-SR if you enter
an amount on this line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 0
Form 2555 (2021)
4562
OMB No. 1545-0172
Depreciation and Amortization
Form
(Including Information on Listed Property) 2021
Attachment
Attach to your tax return.
Name shown on your return Business or activity to which this form relates Identifying number
Part I Election To Expense Certain Property Under Section 179

Note: If you have any listed property, complete Part V before you complete Part I.
1 Maximum amount (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . 2
3 Threshold cost of section 179 property before reduction in limitation (see instructions) . . . . . . . 3
4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . . . . . . . . . . . . 4
5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing
separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6 (a) Description of property (b) Cost (business use only) (c) Elected cost
7 Listed property. Enter the amount from line 29 . . . . . . . . . . . 7 0

8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . . . 8 0
9 Tentative deduction. Enter the smaller of line 5 or line 8 . . . . . . . . . . . . . . . . . . . . 9 0
10 Carryover of disallowed deduction from line 13 of your 2018 Form 4562 . . . . . . . . . . . . 10
11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5. See instructions 11 0
12 Section 179 expense deduction. Add lines 9 and 10, but don’t enter more than line 11 . . . . . . . 12 0
13 Carryover of disallowed deduction to 2022. Add lines 9 and 10, less line 12 13 0
Note: Don’t use Part II or Part III below for listed property. Instead, use Part V.
Part II Special Depreciation Allowance and Other Depreciation (Don’t include listed property. See instructions.)
14 Special depreciation allowance for qualified property (other than listed property) placed in service
during the tax year. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
15 Property subject to section 168(f)(1) election . . . . . . . . . . . . . . . . . . . . . . . 15
16 Other depreciation (including ACRS) . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Part III MACRS Depreciation (Don’t include listed property. See instructions.)
Section A
17 MACRS deductions for assets placed in service in tax years beginning before 2021 17
18 If you are electing to group any assets placed in service during the tax year into one or more general
asset accounts, check here . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section B—Assets Placed in Service During 2021 Tax Year Using the General Depreciation System
(b) Month and year (c) Basis for depreciation
(d) Recovery
(a) Classification of property placed in (business/investment use only (e) Convention (f) Method (g) Depreciation deduction
—see instructions) period
service
19a 3-year property

b 5-year property
c 7-year property
d 10-year property
e 15-year property
f 20-year property
g 25-year property 25 yrs. S/L
h Residential rental 27.5 yrs. MM S/L
property 27.5 yrs. MM S/L
i Nonresidential real 39 yrs. MM S/L
property MM S/L
Section C—Assets Placed in Service During 2021 Tax Year Using the Alternative Depreciation System
20a Class life S/L
b 12-year 12 yrs. S/L
c 30-year 30 yrs. MM S/L
d 40-year 40 yrs. MM S/L
Part IV Summary (See instructions.)
21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 0
22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter
here and on the appropriate lines of your return. Partnerships and S corporations—see instructions . . . . 22 0
23 For assets shown above and placed in service during the current year, enter the
portion of the basis attributable to section 263A costs . . . . . . . . . . . . 23
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 12906N Form 4562 (2021)
Form 4562 (2021) Page 2
Part V Listed Property (Include automobiles, certain other vehicles, certain aircraft, and property used for
entertainment, recreation, or amusement.)
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a,
24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable.
Section A—Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.)
24a Do you have evidence to support the business/investment use claimed? Yes No 24b If “Yes,” is the evidence written? Yes No
(c) (e) (f) (g) (h) (i)
(a) (b)
Business/ (d) Basis for depreciation
Type of property (list Date placed investment use (business/investment
Recovery Method/ Depreciation Elected Section 179
vehicles first) in service Cost or other basis
percentage use only) period Convention deduction cost
25 Special depreciation allowance for qualified listed property placed in service during
the tax year and used more than 50% in a qualified business use. See instructions 25
26 Property used more than 50% in a qualified business use:
%
%
%
27 Property used 50% or less in a qualified business use :
% S/L
% S/L
% S/L
28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 28 0
29 Add amounts in column (i), line 26. Enter here and on line 7, page 1 . . . . . . . . . . . . . . . . . . . . . . . 29
. . . . . . . . . . . . 0. . .
Section B—Information on Use of Vehicles
Complete this section for vehicles used by a sole proprietor, partner, or other “more than 5% owner,” or related person. If you provided vehicles
to you're employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.
(a) (b) (c) (d) (e) (f)

Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6
30 Total business/investment miles driven during
the year (don’t include commuting miles)
31 Total commuting miles driven during the year
32 Total other personal (noncommuting)
miles driven
33 Total miles driven during the year. Add
lines 30 through 32
34 Was the vehicle available for personal Yes No Yes No Yes No Yes No Yes No Yes No
use during off-duty hours?
35 Was the vehicle used primarily by a more than
5% owner or related person?
36 Is another vehicle available for personal use?

Section C—Questions for Employers Who Provide Vehicles for Use by Their Employees
Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who aren’t
more than 5% owners or related persons. See instructions.
37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by YES NO
your employees? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners
39 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . . . . . . . . . . . . . . .
40 Do you provide more than five vehicles to your employees, obtain information from your employees about the
use of the vehicles, and retain the information received? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41 Do you meet the requirements concerning qualified automobile demonstration use? See instructions . . . . . . . . .
Note: If your answer to 37, 38, 39, 40, or 41 is “Yes,” don’t complete Section B for the covered vehicles.
Part VI Amortization
(b) (e)
(a) (c) (d) Amortization (f)
Date amortization
Description of costs Amortizable amount Code section period or Amortization for this year
begins
percentage
42 Amortization of costs that begins during your 2021 tax year (see instructions):
43 Amortization of costs that began before your 2021 tax year . . . . . . . . . . . . . . . . . 43

44 Total. Add amounts in column (f). See the instructions for where to report . . . . . . . . . . . . 44 0
Form 4562 (2021)
OMB No. 1545-0074
Alternative Minimum Tax—Individuals

Form 6251 2021
Department of the Treasury Go to www.irs.gov/Form6251 for instructions and the latest information. Attachment
Attach to Form 1040, 1040-SR, or Form 1040-NR. Sequence No. 32
000-00-0001
Part I Alternative Minimum Taxable Income (See instructions for how to complete each line.)
1 Enter the amount from Form 1040, line 15, if more than zero. If Form 1040, line 15,
is zero, subtract lines 12 and 13 of Form 1040 from line 11 of Form 1040 and enter
the result here. (If less than zero, enter as a negative amount.) . . . . . . . . . . . . . 1 0
2 a If filing Schedule A (Form 1040), enter the taxes from Schedule A, line 7; otherwise, enter the amount from
Form 1040, line 12 . . . . . . . . . . . . . . . . . . . . . . 2a 0
b Tax refund from Schedule 1 (Form 1040), line 1 or line 8 . . . . . . . . . . . . . 2b 0
c Investment interest expense (difference between regular tax and AMT) . . . . . . . . . . . . . 2c
d Depletion (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . . . 2d
e Net operating loss deduction from Schedule 1 (Form 1040), line 8. Enter as positive amount. 2e
f Alternative tax net operating loss deduction . . . . . . . . . . . . . . . . . . . . . . 2f
g Interest from specified private activity bonds exempt from the regular tax . . . . . . . . . . . . 2g 0
h Qualified small business stock, see instructions . . . . . . . . . . . . . . . . . . . . . 2h
i Exercise of incentive stock options (excess of AMT income over regular tax income) . . . . . . . . . 2i
j Estates and trusts (amount from Schedule K-1 (Form 1041), box 12, code A) . . . . . . . . . . 2j
k Disposition of property (difference between AMT and regular tax gain or loss) . . . . . . . . . . . 2k
l Depreciation on assets placed in service after 1986 (difference between regular tax and AMT) . . . . . 2l
m Passive activities (difference between AMT and regular tax income or loss) . . . . . . . . . . . 2m
n Loss limitations (difference between AMT and regular tax income or loss) . . . . . . . . . . . . 2n
o Circulation costs (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . 2o
p Long-term contracts (difference between AMT and regular tax income) . . . . . . . . . . . . . 2p
q Mining costs (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . . 2q
r Research and experimental costs (difference between regular tax and AMT) . . . . . . . . . . . 2r
s Income from certain installment sales before January 1, 1987 . . . . . . . . . . . . . . . . 2s
t Intangible drilling costs preference . . . . . . . . . . . . . . . . . . . . . . . . . . 2t
3 Other adjustments, including income-based related adjustments . . . . . . . . . . . . . . . 3
4 Alternative minimum taxable income. Combine lines 1 through 3. (If married filing separately and line 4 0
is more than $745,200, see instructions.) . . . . . . . . . . . . . . . . . . . . . . 4 0
Part II Alternative Minimum Tax (AMT)
5 Exemption. (If you were under age 24 at the end of 2021, see instructions.)
IF your filing status is . . . AND line 4 is not over . . . THEN enter on line 5 . . .
Single or head of household $523,600 . . . . $73,600
Married filing jointly or qualifying widow(er) 1,047,200 . . . . 114,600
Married filing separately . . . . . . . . . . . 523,600 . . . . 57,300
If line 4 is over the amount shown above for your filing status, see instructions. . . . . 5
6 Subtract line 5 from line 4. If more than zero, go to line 7. If zero or less, enter -0- here and on lines 7, 9,
and 11 and go to line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 0
7 l If you are filing Form 2555, see instructions for the amount to enter.
l If you reported capital gain distributions directly on Form 1040 or 1040-SR, line 7; you reported
qualified dividends on Form 1040 or 1040-SR, line 3a; or you had a gain on both lines 15 and
16 of Schedule D (Form 1040) (as refigured for the AMT, if necessary), complete Part III on the
back and enter the amount from line 40 here. . . 7
l All others: If line 6 is $199,900 or less ($99,950 or less if married filing separately), multiply
line 6 by 26% (0.26). Otherwise, multiply line 6 by 28% (0.28) and subtract $3,998 ($1,999 if
married filing separately) from the result.
8 Alternative minimum tax foreign tax credit (see instructions) . . . . . . . . . . . . . . . . . 8 0
9 Tentative minimum tax. Subtract line 8 from line 7 . . . . . . . . . . . . . . . . . . . . 9 0
10 Add Form 1040 or 1040-SR, line 16 (minus any tax from Form 4972), and Schedule 2 (Form 1040), line 2.
Subtract from the result any foreign tax credit from Schedule 3 (Form 1040), line 1. If you used Schedule J
to figure your tax on Form 1040 or 1040-SR, line 16, refigure that tax without using Schedule J before
completing this line (see instructions) . . . . . . . . . . . . 10
11 AMT. Subtract line 10 from line 9. If zero or less, enter -0-. Enter here and on Schedule 2 (Form 1040), line 1 11
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 13600G Form 6251 (2021)
Form 6251 (2021) Page 2
Part III Tax Computation Using Maximum Capital Gains Rates

Complete Part III only if you are required to do so by line 7 or by the Foreign Earned Income Tax Worksheet in the instructions.
12 Enter the amount from Form 6251, line 6. If you are filing Form 2555, enter the amount from line 3 of the
worksheet in the instructions for line 7 . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Enter the amount from line 4 of the Qualified Dividends and Capital Gain Tax Worksheet in the Instructions
for Forms 1040 and 1040-SR or the amount from line 13 of the Schedule D Tax Worksheet in the
Instructions for Schedule D (Form 1040), whichever applies (as refigured for the AMT, if necessary) (see
instructions). If you are filing Form 2555, see instructions for the amount to enter . . . . . . . . . . . . 13
14 Enter the amount from Schedule D (Form 1040), line 19 (as refigured for the AMT, if
necessary) (see instructions). If you are filing Form 2555, see instructions for the amount to enter. . . . 14
15 If you did not complete a Schedule D Tax Worksheet for the regular tax or the AMT, enter the amount
from line 13. Otherwise, add lines 13 and 14, and enter the smaller of that result or the amount from line 10
of the Schedule D Tax Worksheet (as refigured for the AMT, if necessary). If you are filing Form 2555,
see instructions for the amount to enter . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Enter the smaller of line 12 or line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17 Subtract line 16 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 If line 17 is $199,900 or less ($99,950 or less if married filing separately), multiply line 17 by 26% (0.26).
Otherwise, multiply line 17 by 28% (0.28) and subtract $3,998 ($1,999 if married filing separate) from the result 18
19 Enter:
l $80,800 if married filing jointly or qualifying widow(er),
l $40,400 if single or married filing separately, or . . . . . . . . . . . . 19
l $54,100 if head of household.
20 Enter the amount from line 5 of the Qualified Dividends and Capital Gain Tax Worksheet or the amount from
line 14 of the Schedule D Tax Worksheet, whichever applies (as figured for the regular tax). If you did not
complete either worksheet for the regular tax, enter the amount from Form 1040 or 1040-SR, line 15; if
zero or less, enter -0-. If you are filing Form 2555, see instructions for the amount to enter 20
21 Subtract line 20 from line 19. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . 21
22 Enter the smaller of line 12 or line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Enter the smaller of line 21 or line 22. This amount is taxed at 0% . . . . . . . . . . . . . . . . 23
25 Enter:
l $445,850 if single,
l $250,800 if married filing separately
l $501,600 if married filing jointly or qualifying widow(er) . . . . . . . . . . . . . . 25
l $473,750 if head of household
26 Enter the amount from line 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
27 Enter the amount from line 5 of the Qualified Dividends & Capital Gain Tax Worksheet or the amount from
line 21 of the Schedule D Tax Worksheet, whichever applies (as figured for the regular tax). If you did not
complete either worksheet for the regular tax, enter the amount from Form 1040 or 1040-SR, line 15; if
amount from Form 1040, line 11b; if zero or less, enter -0-. If you are filing Form 2555,
zero or less, enter -0-. If you are filing Form 2555, see instructions for the amount to enter . . . . . . 27 0
28 Add line 26 and line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30 Enter the smaller of line 24 or line 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
31 Multiply line 30 by 15% (0.15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
32 Add lines 23 and 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
If lines 32 and 12 are same, skip lines 33 through 37 and go to line 38. Otherwise, go to line 33.
33 Subtract line 32 from line 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
34 Multiply line 33 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
If line 14 is zero or blank, skip lines 35 through 37 and go to line 38. Otherwise, go to line 35.
35 Add lines 17, 32, and 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
36 Subtract line 35 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
37 Multiply line 36 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
38 Add lines 18, 31, 34, and 37 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
39 If line 12 is $199,900 or less ($99,950 or less if married filing separately), multiply line 12 by 26% (0.26). 199,900
Otherwise, multiply line 12 by 28% (.28) & subtract $3,998 ($1,999 if married filing separately) from result 39
40 Enter the smaller of line 38 or line 39 here and on line 7. If you are filing Form 2555, do not enter this 3,998
amount on line 7. Instead, enter it on line 4 of the worksheet in the instructions for line 7 . . . . . . . . 40
Form 6251 (2021)
Form 8283 Noncash Charitable Contributions OMB No. 1545-0074
(Rev. December 2020) Attach one or more Forms 8283 to your tax return if you claimed a total deduction Attachment
Department of the Treasury of over $500 for all contributed property. Sequence 155
Internal Revenue Service Go to www.irs.gov/Form8283 for instructions and the latest information. No.
Name(s) shown on your income tax return Identifying number
Note: Figure the amount of your contribution deduction before completing this form. See your tax return instructions.
Section A. Donated Property of $5,000 or Less and Publicly Traded Securities—List in this section only items (or
groups of similar items) for which you claimed a deduction of $5,000 or less. Also list publicly traded securities
and certain other property even if the deduction is more than $5,000 (see instructions).
Part I Information on Donated Property — If you need more space, attach a statement.
c) Description of donated property
(b) If donated property is a vehicle (see instructions),
(a) Name and address of the donee (For a vehicle, enter the year, make, model, and
1 organization
check the box. Also enter the vehicle identification
mileage. For securities, enter the company name and
number (unless Form 1098-C is attached).
the number of shares.)
Note. If the amount you claimed as a deduction for an item is $500 or less, you do not have to complete columns (e), (f), and (g).
(d) Date of the (e) Date acquired (f) How acquired (g) Donor’s cost or adjusted (h) Fair market value (i) Method used to determine the fair
contribution by donor (mo., yr.) by donor basis (see instructions) market value
A
B
C
D
E
Section B. Donated Property Over $5,000 (Except Publicly Traded Securities, Vehicles, Intellectual Property or Inventory Reportable
in Section A)—Complete this section for one item (or group of similar items) for which you claimed a deduction of more than
$5,000 per item or group (except contributions of publicly traded securities reported in Section A). Provide a separate form for each item
is part of a group of similar items. A qualified appraisal is generally required for items reportable in Section B. See instructions.
Part I Information on Donated Property
2 Check the box that describes the type of property donated:
a Art* (contribution of $20,000 or more) e Other Real Estate i Vehicles
b Qualified Conservation Contribution f Securities j Clothing and household items
c Equipment g Collectibles** k Other
d Art* (contribution of less than $20,000) h Intellectual Property

*Art includes paintings, sculptures, watercolors, prints, drawings, ceramics, antiques, decorative arts, textiles, carpets, silver, rare manuscripts,
historical memorabilia, and other similar objects.
**Collectibles include coins, stamps, books, gems, jewelry, sports memorabilia, dolls, etc., but not art as defined above.
Note. In certain cases, you must attach a qualified appraisal of the property. See instructions.
(a) Description of donated property (if you need (b) If tangible property was donated, give a brief summary of the overall (c) Appraised fair
3 more space, attach a separate statement) physical condition of the property at the time of the gift market value
A
B
C
(d) Date acquired (g) For bargain sales, enter (h) Amount claimed
(f) Donor’s cost or (i) Date of contribution
by donor (e) How acquired by donor amount received and attach a as a deduction
adjusted basis (see instructions)
(see instructions)
(mo., yr.) separate statement.
A
B
C
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 62299J Form 8283 (Rev. 12-2020)
Form 8283 (Rev. 12-2020) Page 2
Name(s) shown on your income tax return Identifying number
Part II Partial Interests and Restricted Use Property (Other Than Qualified Conservation Contributions)—
Complete lines 4a through 4e if you gave less than an entire interest in a property listed in Section B, Part I.
Complete lines 5a through 5c if conditions were placed on a contribution listed in Section B, Part I; also
attach the required statement. See instructions.
4a Enter the letter from Section B, Part I that identifies the property for which you gave less than an entire interest
If Section B, Part II applies to more than one property, attach a separate statement.
b Total amount claimed as a deduction for the property listed in Part I: (1) For this tax year
(2) For any prior tax years
c Name and address of each organization to which any such contribution was made in a prior year (complete only if different
from the donee organization above):
Name of charitable organization (donee)
Address (number, street, and room or suite no.)
City or town, state, and ZIP code
d For tangible property, enter the place where the property is located or kept
e Name of any person, other than the donee organization, having actual possession of the property
Yes No
5a Is there a restriction, either temporary or permanent, on the donee’s right to use or dispose of the donated property?
b Did you give to anyone (other than the donee organization or another organization participating with the donee
organization in cooperative fundraising) the right to the income from the donated property or to the possession of
the property, including the right to vote donated securities, to acquire the property by purchase or otherwise, or to
designate the person having such income, possession, or right to acquire? . . . . . . . . . . . . . .
c Is there a restriction limiting the donated property for a particular use? . . . . . . . . . . . . . . .
Part III Taxpayer (Donor) Statement—List each item included in Section B, Part I above that the appraisal identifies
as having a value of $500 or less. See instructions.
I declare that the following item(s) included in Section B, Part I above has to the best of my knowledge and belief an appraised value
of not more than $500 (per item). Enter identifying letter from Section B, Part I and describe the specific item. See instructions.
Signature of
taxpayer (donor) Date
Part IV Declaration of Appraiser
I declare that I am not the donor, the donee, a party to the transaction in which the donor acquired the property, employed by, or related to any of the foregoing persons, or
married to any person who is related to any of the foregoing persons. And, if regularly used by the donor, donee, or party to the transaction, I performed the majority of my
appraisals during my tax year for other persons.
Also, I declare that I perform appraisals on a regular basis; and that because of my qualifications as described in the appraisal, I am qualified to make appraisals of the type of property being
valued. I certify that the appraisal fees were not based on a percentage of the appraised property value. Furthermore, I understand that a false or fraudulent overstatement of the property value
as described in the qualified appraisal or this Form 8283 may subject me to the penalty under section 6701(a) (aiding and abetting the understatement of tax liability). I understand that my
appraisal will be used in connection with a return or claim for refund. I also understand that, if there is a substantial or gross valuation misstatement of the value of the property claimed on the
return or claim for refund that is based on my appraisal, I may be subject to a penalty under section 6695A of the Internal Revenue Code, as well as other applicable penalties. I affirm that I
have not been at any time in the three-year period ending on the date of the appraisal barred from presenting evidence or testimony before the Department of the Treasury or the Internal
Revenue Service pursuant to 31 U.S.C. 330(c).
Sign
Here Signature Title Date
Business address (including room or suite no.) Identifying number
City or town, state, and ZIP code
Part V Donee Acknowledgment

This charitable organization acknowledges that it is a qualified organization under section 170(c) and that it received the donated property as described
as described in Section B, Part I, above on the following date
Furthermore, this organization affirms that in the event it sells, exchanges, or otherwise disposes of the property described in Section B, Part I
(or any portion thereof) within 3 years after the date of receipt, it will file Form 8282, Donee Information Return, with the IRS and give the
donor a copy of that form. This acknowledgment does not represent agreement with the claimed fair market value. Check one box.
Does the organization intend to use the property for an unrelated use? Yes 0 0 No
Name of charitable organization (donee) Employer identification number
Address (number, street, and room or suite no.) City or town, state, and ZIP code
Authorized signature Title Date
Form 8283 (Rev. 12-2020)

OMB No. 1545-0074
Nondeductible IRAs
Form 8606 Go to www.irs.gov/Form8606 for instructions and the latest information. 2021
Department of the Treasury For coronavirus-related distributions, see the instructions. Attachment
Internal Revenue Service (99) Attach to Form 1040, 1040-SR, or 1040-NR. Sequence No. 48
Name. If married, file a separate form for each spouse required to file 2021 Form 8606. See instructions. Your social security number
000-00-0001
Home address (number and street, or P.O. box if mail is not delivered to your home) Apt. no.
Fill in Your Address
Only if You Are City, town or post office, state, and ZIP code. If you have a foreign address, also complete the spaces below (see instructions).
Filing This Form by
Itself and Not With
Your Tax Return
Part I Nondeductible Contributions to Traditional IRAs and Distributions From Traditional, SEP, and SIMPLE IRAs
Complete this part only if one or more of the following apply.
● You made nondeductible contributions to a traditional IRA for 2021.
● You took distributions from a traditional, SEP, or SIMPLE IRA in 2021 and you made nondeductible contributions to a
traditional IRA in 2021 or an earlier year. For this purpose, a distribution does not include a rollover (other than a
repayment of a qualified disaster distribution (see 2021 Forms 8915-C, 8915-D, and 8915-E)), qualified charitable,
distribution, one-time distribution to fund an HSA, conversion, recharacterization, or return of certain contributions.
● You converted part, but not all, of your traditional, SEP, and SIMPLE IRAs to Roth IRAs in 2021 and you made
nondeductible contributions to a traditional IRA in 2021 or an earlier year.
1 Enter your nondeductible contributions to traditional IRAs for 2021, including those made for 2021
from January 1, 2022, through April 15, 2022. See instructions . . . . . . . . . . . . . . . . . . 1
2 Enter your total basis in traditional IRAs. See instructions . . . . . . . . . . . . . . . . . . . . 2
3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
In 2021, did you take a distribution No Enter the amount from line 3 on line 14.
from traditional, SEP, or SIMPLE IRAs, Do not complete the rest of Part I.
or make a Roth IRA conversion? Yes Go to line 4.
4 Enter those contributions included on line 1 that were made from January 1, 2022, through April 15, 2022 4
6 Enter the value of all your traditional, SEP, and SIMPLE IRAs as of December
31, 2021, plus any outstanding rollovers. Subtract any repayments of qualified 6
disaster distributions (see 2021 Forms 8915-C, 8915-D, and 8915-E)
7 Enter your distributions from traditional, SEP, and SIMPLE IRAs in 2021. Do
not include rollovers (other than repayments of qualified disaster distributions
(see 2021 Forms 8915-C, 8915-D, & 8915-E)), qualified charitable distributions,
a one-time distribution to fund an HSA, conversions to a Roth IRA, certain
returned contributions, or recharacterizations of traditional IRA contributions
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Enter the net amount you converted from traditional, SEP, and SIMPLE IRAs to
Roth IRAs in 2021. Also enter this amount on line 16 . . . . . . . . . . . 8
9 Add lines 6, 7, and 8 . . . . . . . . . . . 9
10 Divide line 5 by line 9. Enter the result as a decimal rounded to at least 3
places. If the result is 1.000 or more, enter “1.000” . . . . . . . . . . . 10 x 0.00000
11 Multiply line 8 by line 10. This is the nontaxable portion of the amount you
converted to Roth IRAs. Also enter this amount on line 17 . . . . . . . . . 11
12 Multiply line 7 by line 10. This is the nontaxable portion of your distributions
that you did not convert to a Roth IRA . . . . . . . . . . . . . . . . 12
13 Add lines 11 and 12. This is the nontaxable portion of all your distributions . . . . . . . . . . . . 13
14 Subtract line 13 from line 3. This is your total basis in traditional IRAs for 2021 and earlier years . 14
15 a Subtract line 12 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15a
b Enter the amount on line 15a attributable to qualified disaster distributions from 2021 Forms 8915-C,
8915-D, and 8915-E (see instructions). Also, enter this amount on 2021 Form 8915-C, line 23, or 2021
Form 8915-D, line 22; or 2020 Form 8915-E, line 13, as applicable . . . . . . . . . . . . . . . . 15b
c Taxable amount. Subtract line 15b from line 15a. If more than zero, also include this amount on 2021
Form 1040, 1040-SR, or 1040-NR, line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . 15c
Note: You may be subject to an additional 10% tax on the amount on line 15c if you were under age
59½ at the time of the distribution. See instructions.
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 63966F
Form 8606 (2021)
Form 8606 (2021) Page 2
Part II 2021 Conversions From Traditional, SEP, or SIMPLE IRAs to Roth IRAs
Complete this part if you converted part or all of your traditional, SEP, and SIMPLE IRAs to a Roth IRA in 2021.
16 If you completed Part I, enter the amount from line 8. Otherwise, enter the net amount you converted
from traditional, SEP, and SIMPLE IRAs to Roth IRAs in 2021 . . . . . . . . . . . . . . . . . . 16 0
17 If you completed Part I, enter the amount from line 11. Otherwise, enter your basis in the amount on 0
line 16 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 0
18 Taxable amount. Subtract line 17 from line 16. If more than zero, also include this amount on 2021
Form 1040, 1040-SR, or 1040-NR, line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 0
Part III Distributions From Roth IRAs
Complete this part only if you took a distribution from a Roth IRA in 2021. For this purpose, a distribution does not include
a rollover (other than a repayment of a qualified disaster distribution (see 2021 Forms 8915-C, 8915-D, and 8915-E)),
qualified charitable distribution, one-time distribution to fund an HSA, recharacterization, or return of certain contributions
(see instructions).
19 Enter your total nonqualified distributions from Roth IRAs in 2021, including any qualified first-time
homebuyer distributions, and any qualified disaster distributions (see instructions). Also see 2021
Forms 8915-C, 8915-D, and 8915-E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Qualified first-time homebuyer expenses (see instructions). Do not enter more than $10,000 reduced 10,000
by the total of all your prior qualified first-time homebuyer distributions . . . . . . . . . . . . . . 20
22 Enter your basis in Roth IRA contributions (see instructions). If line 21 is zero, stop here . . . . . . 22
23 Subtract line 22 from line 21. If zero or less, enter -0- and skip lines 24 and 25. If more than zero, you
may be subject to an additional tax (see instructions) . . . . . . . . . . . . . . . . . . . . . 23
24 Enter your basis in conversions from traditional, SEP, and SIMPLE IRAs and rollovers from qualified
retirement plans to a Roth IRA. See instructions . . . . . . . . . . . . . . . . . . . . . . . 24
25 a Subtract line 24 from line 23. If zero or less, enter -0- and skip lines 25b and 25c . . . . . . . . . . . 25a
8915-D, and 8915-E (see instructions). Also, enter this amount on 2021 Form 8915C, line 24; 2021
Form 8915-D, line 23; or 2021 Form 8915-E, line 14, as applicable . . . . . . . . . . . . . . . 25b
Form 1040, 1040-SR, or 1040-NR, line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . 25c
Under penalties of perjury, I declare that I have examined this form, including accompanying attachments, and to the best of my knowledge and
Sign Here Only if You belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Are Filing This Form
by Itself and Not With
Your Tax Return
Your signature Date
Print/Type preparer’s name Preparer’s signature Date Check if PTIN
Paid
Preparer self-employed
Firm's name Firm's EIN
Use Only Firm's address Phone no.
Form 8606 (2021)
OMB No. 1545-0074
Nondeductible IRAs
Form 8606 Go to www.irs.gov/Form8606 for instructions and the latest information. 2021
Department of the Treasury For coronavirus-related distributions, see the instructions. Attachment
Internal Revenue Service (99) Attach to Form 1040, 1040-SR, or 1040-NR. Sequence No. 48
Name. If married, file a separate form for each spouse required to file 2021 Form 8606. See instructions. Your social security number
000-00-0002
Home address (number and street, or P.O. box if mail is not delivered to your home) Apt. no.
Fill in Your Address
Only if You Are City, town or post office, state, and ZIP code. If you have a foreign address, also complete the spaces below (see instructions).
Filing This Form by
Itself and Not With
Your Tax Return
Part I Nondeductible Contributions to Traditional IRAs and Distributions From Traditional, SEP, and SIMPLE IRAs
Complete this part only if one or more of the following apply.
● You made nondeductible contributions to a traditional IRA for 2021.
● You took distributions from a traditional, SEP, or SIMPLE IRA in 2021 and you made nondeductible contributions to a
traditional IRA in 2021 or an earlier year. For this purpose, a distribution does not include a rollover (other than a
repayment of a qualified disaster distribution (see 2021 Forms 8915-C, 8915-D, and 8915-E)), qualified charitable,
one-time distribution to fund an HSA, conversion, recharacterization, or return of certain contributions.
● You converted part, but not all, of your traditional, SEP, and SIMPLE IRAs to Roth IRAs in 2021 and you made
nondeductible contributions to a traditional IRA in 2021 or an earlier year.
1 Enter your nondeductible contributions to traditional IRAs for 2021, including those made for 2021
from January 1, 2022, through April 15, 2022. See instructions . . . . . . . . . . . . . . . . . . 1
2 Enter your total basis in traditional IRAs. See instructions . . . . . . . . . . . . . . . . . . . . 2
3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
In 2021, did you take a distribution No Enter the amount from line 3 on line 14.
from traditional, SEP, or SIMPLE IRAs, Do not complete the rest of Part I.
or make a Roth IRA conversion? Yes Go to line 4.
4 Enter those contributions included on line 1 that were made from January 1, 2022, through April 15, 2022 4
6 Enter the value of all your traditional, SEP, and SIMPLE IRAs as of December
31, 2021, plus any outstanding rollovers. Subtract any repayments of qualified 6
disaster distributions (see 2021 Forms 8915-C, 8915-D, and 8915-E)
7 Enter your distributions from traditional, SEP, and SIMPLE IRAs in 2021. Do
not include rollovers (other than repayments of qualified disaster distributions
(see 2021 Forms 8915-C, 8915-D, & 8915-E)), qualified charitable distributions,
a one-time distribution to fund an HSA, conversions to a Roth IRA, certain
returned contributions, or recharacterizations of traditional IRA contributions
8 Enter the net amount you converted from traditional, SEP, and SIMPLE IRAs to
Roth IRAs in 2021. Also enter this amount on line 16 . . . . . . . . . . . 8
9 Add lines 6, 7, and 8 . . . . . . . . . . . 9
10 Divide line 5 by line 9. Enter the result as a decimal rounded to at least 3
places. If the result is 1.000 or more, enter “1.000” . . . . . . . . . . . 10 x 0.000
11 Multiply line 8 by line 10. This is the nontaxable portion of the amount you
converted to Roth IRAs. Also enter this amount on line 17 . . . . . . . . . 11
12 Multiply line 7 by line 10. This is the nontaxable portion of your distributions
that you did not convert to a Roth IRA . . . . . . . . . . . . . . . . 12
13 Add lines 11 and 12. This is the nontaxable portion of all your distributions . . . . . . . . . . . . 13
14 Subtract line 13 from line 3. This is your total basis in traditional IRAs for 2021 and earlier years . 14
15 a Subtract line 12 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15a
8915-D, and 8915-E (see instructions). Also, enter this amount on 2021 Form 8915-C, line 23, or 2021
Form 8915-D, line 22; or 2020 Form 8915-E, line 13, as applicable . . . . . . . . . . . . . . . . 15b
Form 1040, 1040-SR, or 1040-NR, line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . 15c
Note: You may be subject to an additional 10% tax on the amount on line 15c if you were under age
59½ at the time of the distribution. See instructions.
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 63966F
Form 8606 (2021)
Form 8606 (2021) Page 2
Part II 2021 Conversions From Traditional, SEP, or SIMPLE IRAs to Roth IRAs
Complete this part if you converted part or all of your traditional, SEP, and SIMPLE IRAs to a Roth IRA in 2021.
16 If you completed Part I, enter the amount from line 8. Otherwise, enter the net amount you converted
from traditional, SEP, and SIMPLE IRAs to Roth IRAs in 2021 . . . . . . . . . . . . . . . . . . 16 0
17 If you completed Part I, enter the amount from line 11. Otherwise, enter your basis in the amount on 0
line 16 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 0
18 Taxable amount. Subtract line 17 from line 16. If more than zero, also include this amount on 2021
Form 1040, 1040-SR, or 1040-NR, line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 0
Part III Distributions From Roth IRAs
Complete this part only if you took a distribution from a Roth IRA in 2021. For this purpose, a distribution does not include
a rollover (other than a repayment of a qualified disaster distribution (see 2021 Forms 8915-C, 8915-D, and 8915-E)),
qualified charitable distribution, one-time distribution to fund an HSA, recharacterization, or return of certain contributions
(see instructions).
19 Enter your total nonqualified distributions from Roth IRAs in 2021, including any qualified first-time
homebuyer distributions, and any qualified disaster distributions (see instructions). Also see 2021
Forms 8915-C, 8915-D, and 8915-E . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Qualified first-time homebuyer expenses (see instructions). Do not enter more than $10,000 reduced 10,000
by the total of all your prior qualified first-time homebuyer distributions . . . . . . . . . . . . . . 20
22 Enter your basis in Roth IRA contributions (see instructions). If line 21 is zero, stop here . . . . . . 22
23 Subtract line 22 from line 21. If zero or less, enter -0- and skip lines 24 and 25. If more than zero, you
may be subject to an additional tax (see instructions) . . . . . . . . . . . . . . . . . . . . . 23
24 Enter your basis in conversions from traditional, SEP, and SIMPLE IRAs and rollovers from qualified
retirement plans to a Roth IRA. See instructions . . . . . . . . . . . . . . . . . . . . . . . 24
25 a Subtract line 24 from line 23. If zero or less, enter -0- and skip lines 25b and 25c . . . . . . . . . . . 25a
8915-D, and 8915-E (see instructions). Also, enter this amount on 2021 Form 8915C, line 24; 2021
Form 8915-D, line 23; or 2021 Form 8915-E, line 14, as applicable . . . . . . . . . . . . . . . 25b
Form 1040, 1040-SR, or 1040-NR, line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . 25c
Under penalties of perjury, I declare that I have examined this form, including accompanying attachments, and to the best of my knowledge and
Sign Here Only if You belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Are Filing This Form
by Itself and Not With
Your Tax Return
Your signature Date
Print/Type preparer’s name Preparer’s signature Date Check if PTIN
Paid
Preparer self-employed
Firm's name Firm's EIN
Use Only Firm's address Phone no.
Form 8606 (2021)
t
t
a
c
h
m
e
SCHEDULE 8812 OMB
n No. 1545-0074
Additional Child Tax Credit
(Form 1040) t
2021
Attach to Form 1040, 1040-SR, or Form 1040-NR. S
Department of the Treasury Internal Go to www.irs.gov/Schedule8812 for instructions and the latest e
Attachment
Revenue Service (99) information. q
Sequence No. 47
Name(s) shown on return u security number
Your social
e
000-00-0001
n
c
Part I All Filers e
Caution: If you file Form 2555, stop here; you cannot claim the additional child tax credit.
1 If you are required to use the worksheet in Pub. 972, enter the amount from line 10 of the Child Tax Credit N 0
and Credit for Other Dependents in the publication. Otherwise, enter the amount from line 8 of your o
Child Tax Credit and Credit for Other Dependents Worksheet. (See the instructions for Forms 1040 and 1040- 1 .
SR, line 19, or the instructions for Form 1040-NR, line 19.)
2 Enter the amount from line 19 of your Form 1040, Form 1040-SR, or Form 1040-NR . . . . . . . . . . 2 0
3 Subtract line 2 from line 1. If zero, stop here; you cannot claim this credit . . . . . . . . . . . . . . 3
4 Number of qualifying children under 6 with the required social security number: 0 X $3,600. 3,600
Number of qualifying children 6 and older and under 17 with the required SSN: 0 X $3,000. 3,000
Enter the result. If zero, stop here; you cannot claim this credit . . . . . . . . . . . . . . . . . . . 4 0
TIP: The number of children you use for this line is the same as the number of children you used for line 1 of the
Child Tax Credit and Credit for Other Dependents Worksheet.
5 Enter the smaller of line 3 and line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6a Earned income (see separate instructions) . . . . . . . . . . . . . . . . . . 6a
b Nontaxable combat pay (see instructions) . . . . . . . . . . 6b 0

7 Is the amount on line 6a more than $2,500? 2500
No. Leave line 7 blank and enter -0- on line 8.
Yes. Subtract $2,500 from the amount on line 6a. Enter the result . . . . . . . 7
8 Multiply the amount on line 7 by 15% (0.15) and enter the result . . . . . . . . . . . . . . . . . . 8
Next. On line 4, is the amount $4,200 or more? 0 4200 0.15
No. If line 8 is zero, stop here; you cannot claim this credit. Otherwise, skip Part II and enter the smaller
of line 5 or line 8 on line 15. 0
Yes. If line 8 is equal to or more than line 5, skip Part II and enter the amount from line 5 on line 15.
0
Part II Certain Filers Who Have Three or More Qualifying Children 0
9 Withheld social security, Medicare, and Additional Medicare taxes from Forms(s) W-2,
boxes 4 and 6. If married filing jointly, include your spouse’s amounts with yours. If
your employer withheld or you paid Additional Medicare Tax or tier 1 RRTA taxes, see
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
10 Enter the total of the amounts from Schedule 1 (Form 1040), line 14, and Schedule 2
(Form 1040), line 5, plus any taxes that you identified using code "UT" and entered on
Schedule 2 (Form 1040), line 8 . . . . . . . . . . . . . . . . . . . . . . . 10
11 Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 1040 and Enter the total of the amounts from Form 1040 or 1040-SR, line 27,
1040-SR filers: and Schedule 3 (Form 1040), line 10.
1040-NR filers: Enter the amount from Schedule 3 (Form 1040), line 10. 12
13 Subtract line 12 from line 11. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . 13
14 Enter the larger of line 8 or line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Next, enter the smaller of line 5 or line 14 on line 15. 0
Part III Additional Child Tax Credit 0
15 This is your additional child tax credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 0
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 59761M Schedule 8812 (Form 1040) 2021
Line 9 Worksheet Keep for Your Records
If your employer withheld or you paid Additional Medicare Tax or Tier 1 RRTA taxes, use this worksheet to figure the amount to enter on line 9.
Social security tax, Medicare tax, and Additional Medicare Tax on Wages.
1. Enter the social security tax withheld (Form(s) W-2, box 4) . . . . . . . . . . . . . . . . . . . . . . . 1.
2. Enter the Medicare tax withheld (Form(s) W-2, box 6). Box 6 includes any Additional Medicare Tax withheld . . . . . . . 2.
3. Enter any amount from Form 8959, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
4. Add lines 1, 2, and 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Enter the Additional Medicare Tax withheld (Form 8959, line 22) . . . . . . . . . . . . . . . . . . . . . 5.
0
6. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.
Additional Medicare Tax on Self-Employment Income.

0
7. Enter one-half of the Additional Medicare Tax, if any, on self-employment income (one-half of Form 8959, line 13) . . . . 7.
Tier 1 RRTA taxes as an employee of a railroad (enter amounts on line 8, 9, 10 & 11) or employee representative (enter amounts on lines 12, 13, 14, & 15). Do not include
amounts in Form W-2, box 14 that are identified as Additional Medicare Tax or Tier 2 tax. Do not include amounts shown on Form CT-2 on line 3 for Additional Medicare Tax or
line 4 for Tier 2 tax.
8. Enter the Tier 1 tax (Form(s) W-2, box 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
9. Enter the Medicare Tax (Form(s) W-2, box 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.
10. Enter the Additional Medicare Tax, if any, on RRTA compensation as an employee (Form 8959, line 17).
Don't use the same amount from Form 8959, line 17 for both this line 10 and line 14 . . . . . . . . . . . . . . 10.
11. Add lines 8, 9, and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Enter one-half of Tier 1 tax (one-half of Forms CT-2, line 1 for all 4 quarters of 2018) . . . . . . . . . . . . . . 12.
13. Enter one-half of Tier 1 Medicare tax (one-half of Forms CT-2, line 2 for all 4 quarters of 2018) . . . . . . . . . . . 13.
14. Enter one-half of the Additional Medicare Tax, if any, on RRTA compensation as an employee representative (one-half of
Form 8959, line 17). Do not use the same amount from Form 8959, line 17 for both this line 14 and line 10 . . . . . . . . 14.
15. Add lines 12, 13, and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.
Line 9 Amount
16. Add lines 6, 7, 11, and 15. Enter here and on Schedule 8812, line 9 . . . . . . . . . . . . . . . . . . . . 16.
Education Credits OMB No. 1545-0074
Form 8863 (American Opportunity and Lifetime Learning Credits) 2021

000-00-0001
Complete a separate Part III on page 2 for each student for whom you’re claiming either credit before
you complete Parts I and II.
Part I Refundable American Opportunity Credit 1
1 After completing Part III for each student, enter the total of all amounts from all Parts III, line 30 . . . . . 1
2 Enter: $180,000 if married filing jointly; $90,000 if single, head of household, 180,000
or qualifying widow(er) . . . . . . . . . . . . . . . . . . . . . . 2 90,000
3 Enter the amount from Form 1040 or 1040-SR, line 11. If you’re filing Form
2555 or 4563, or you’re excluding income from Puerto Rico, see Pub. 970 for
the amount to enter . . . . . . . . . . . . . . . . . . . . . . . 3
4 Subtract line 3 from line 2. If zero or less, stop; you can’t take any education 1
credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5 Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or 20,000
qualifying widow(er) . . . . . . . . . . . . . . . . . . . . . . 5 10,000
6 If line 4 is:
● Equal to or more than line 5, enter 1.000 on line 6 . . . . . . . . . . .
● Less than line 5, divide line 4 by line 5. Enter the result as a decimal (rounded to . . . . . . . . 6
at least three places) . . . . . . . . . . . . . . . . . . . . . .
7 Multiply line 1 by line 6. Caution: If you were under age 24 at the end of the year and meet the
conditions described in the instructions, you can’t take the refundable American opportunity credit; 0
skip line 8, enter the amount from line 7 on line 9, and check this box . . . . . . . . . . 7
8 Refundable American opportunity credit. Multiply line 7 by 40% (0.40). Enter the amount here and 0.40
on Form 1040 or 1040-SR, line 29. Then go to line 9 below . . . . . . . . . . . . . . . . . . . 8
Part II Nonrefundable Education Credits
9 Subtract line 8 from line 7. Enter here and on line 2 of the Credit Limit Worksheet (see instructions) 9
10 After completing Part III for each student, enter the total of all amounts from all Parts III, line 31. If 1
zero, skip lines 11 through 17, enter -0- on line 18, and go to line 19 . . . . . . . . . . . . . . . . 10
11 Enter the smaller of line 10 or $10,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12 Multiply line 11 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13 Enter: $138,000 if married filing jointly; $69,000 if single, head of household, or 10000 0.2 138,000
qualifying widow(er) . . . . . . . . . . . . . . . . . . . . . . . 13 69,000
14 Enter the amount from Form 1040 or 1040-SR, line 11. If you're filing Form
2555 or 4563, or you’re excluding income from Puerto Rico, see Pub. 970 for
the amount to enter . . . . . . . . . . . . . . . . . . . . . . . 14
15 Subtract line 14 from line 13. If zero or less, skip lines 16 and 17, enter -0- on 0
line 18, and go to line 19 . . . . . . . . . . . . . . . . . . . . . . 15
16 Enter: $20,000 if married filing jointly; $10,000 if single, head of household, or
qualifying widow(er) . . . . . . . . . . . . . . . . . . . . . . . 16
17 If line 15 is:
● Equal to or more than line 16, enter 1.000 on line 17 and go to line 18
● Less than line 16, divide line 15 by line 16. Enter the result as a decimal (rounded to at least three
places) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
18 Multiply line 12 by line 17. Enter here and on line 1 of the Credit Limit Worksheet (see instructions) 18
19 Nonrefundable education credits. Enter the amount from line 7 of the Credit Limit Worksheet (see
instructions) here and on Schedule 3 (Form 1040), line 3 . . . . . . . . . . . . . . . 19
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 25379M
Form 8863 (2021)
Form 8863 (2021) Page 2
000-00-0001
Complete Part III for each student for whom you’re claiming either the American
opportunity credit or lifetime learning credit. Use additional copies of page 2 as needed for
each student.
Part III Student and Educational Institution Information. See instructions.
20 Student name (as shown on page 1 of your tax return) 21 Student social security number (as shown on page 1 of
your tax return)
22 Educational institution information (see instructions)

a. Name of first educational institution b. Name of second educational institution (if any)
(1) Address. Number and street (or P.O. box). City, town or (1) Address. Number and street (or P.O. box). City, town or
post office, state, and ZIP code. If a foreign address, see post office, state, and ZIP code. If a foreign address, see
instructions. instructions.
(2) Did the student receive Form 1098-T (2) Did the student receive Form 1098-T
from this institution for 2021? Yes No from this institution for 2021? Yes No
from this institution for 2020 with box Yes No from this institution for 2020 with box Yes No
7 checked? 7 checked?
(4) Enter the institution’s employer identification number (EIN) (4) Enter the institution’s employer identification number (EIN)
if you’re claiming the American opportunity credit or if you if you’re claiming the American opportunity credit or if you
checked “Yes” in (2) or (3). You can get the EIN from Form checked “Yes” in (2) or (3). You can get the EIN from Form
1098-T or from the institution. 1098-T or from the institution.
- -
23 Has the Hope Scholarship Credit or American opportunity

credit been claimed for this student for any 4 tax years Yes -- Stop! X No -- Go to line 24.
before 2021? Go to line 31 for this student.
24 Was the student enrolled at least half-time for at least one
academic period that began or is treated as having begun in
2021 at an eligible educational institution in a program
leading towards a postsecondary degree, certificate, or X Yes -- Go to line 25. No -- Stop! Go to Line 31.
other recognized postsecondary educational credential? for this student
See instructions.
25 Did the student complete the first 4 years of post secondary
education before 2021? See instructions. Yes -- Stop! X No -- Go to line 26.
Go to line 31 for this student.
26 Was the student convicted, before the end of 2021, of a
felony for possession or distribution of a controlled Yes -- Stop! X No -- Complete lines 27
substance? Go to line 31 for this student. through 30 for this student.
You can't take the American opportunity credit and the lifetime learning credit for the same student in the same year.
If you complete lines 27 through 30 for this student, don’t complete line 31.
American Opportunity Credit 0 1
27 Adjusted qualified education expenses (see instructions). Don't enter more than $4,000. 27
28 Subtract $2,000 from line 27. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . 28
29 Multiply line 28 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
30 If line 28 is zero, enter the amount from line 27. Otherwise, add $2,000 to the amount on line 29 and 0.25
enter the result. Skip line 31. Include the total of all amounts from all Parts III, line 30, on Part I, line 1. . . . 30
Lifetime Learning Credit
31 Adjusted qualified education expenses (see instructions). Include the total of all amounts from all Parts
III, line 31, on Part II, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Form 8863 (2021)
Form 8863 (2021) Page 2
000-00-0001
each student.
your tax return)

- -

See instructions.
29 Multiply line 28 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Form 8863 (2021)
Form 8863 (2021) Page 2
000-00-0001
each student.
your tax return)

- -

See instructions.
29 Multiply line 28 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Form 8863 (2021)
Form 8863 (2021) Page 2
000-00-0001
each student.
your tax return)

- -

See instructions.
29 Multiply line 28 by 25% (0.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Form 8863 (2021)
OMB No. 1545-0074
Form 8889 Health Savings Accounts (HSAs) 2021

Department of the Treasury 4 Attach to Form 1040 or 1040-SR or Form 1040-NR. Attachment
Internal Revenue Service 4 Go to www.irs.gov/Form8889 for instructions and the latest information. Sequence No. 52
Name(s) shown on Form 1040, 1040-SR, or Form 1040-NR Social security number of HSA
beneficiary. If both spouses have
HSAs, see instructions 000-00-0001
Before you begin: Complete Form 8853, Archer MSAs and Long-Term Care Insurance Contracts, if required.
Part I HSA Contributions and Deduction. See the instructions before completing this part. If you are filing jointly
and both you and your spouse each have separate HSAs, complete a separate Part I for each spouse.
1 Check the box to indicate your coverage under a high-deductible health plan (HDHP) during 2021 Self-only
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Family
2 HSA contributions you made for 2021 (or those made on your behalf), including those made
from January 1, 2022, through April 18, 2022, that were for 2021. Do not include employer 0
contributions, contributions through a cafeteria plan, or rollovers (see instructions) . . . . . . . . . . 2
3 If you were under age 55 at the end of 2021, and on the first day of every month during 2021, you
were, or were considered, an eligible individual with the same coverage, enter $3,600 ($7,200 for
family coverage). All others, see instructions for the amount to enter . . . . . . . . . . . . . . 3
4 Enter the amount you and your employer contributed to your Archer MSAs for 2021 from Form 8853,
lines 1 and 2. If you or your spouse had family coverage under an HDHP at any time during 2021, also
include any amount contributed to your spouse’s Archer MSAs . . . . . . . . . . . . . . . . . . 4 0
5 Subtract line 4 from line 3. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . 5 0
6 Enter the amount from line 5. But if you and your spouse each have separate HSAs and had family
coverage under an HDHP at any time during 2021, see the instructions for the amount to enter . . . . .
6
7 If you were age 55 or older at the end of 2021, married, and you or your spouse had family
coverage under an HDHP at any time during 2021, enter your additional contribution amount
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Add lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 0
9 Employer contributions made to your HSAs for 2021 . . . . . . . . . . . . 9 ---
10 Qualified HSA funding distributions . . . . . . . . . . . . . . . . . . . 10 ---
11 Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 0
12 Subtract line 11 from line 8. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . 12 0
13 HSA deduction. Enter the smaller of line 2 or line 12 here and on Schedule 1 (Form 1040), Part II, line 12 13
Caution: If line 2 is more than line 13, you may have to pay an additional tax. See instructions. 0.00
Part II HSA Distributions. If you are filing jointly and both you and your spouse each have separate HSAs, complete
a separate Part II for each spouse.
14a Total distributions you received in 2021 from all HSAs (see instructions) . . . . . . . . . . . . 14a
b Distributions included on line 14a that you rolled over to another HSA. Also include any excess
contributions (and the earnings on those excess contributions) included on line 14a that were
withdrawn by the due date of your return (see instructions) . . . . . . . . . . . . . . . . 14b
c Subtract line 14b from line 14a . . . . . . . . . . . . . . . . . . . . . . . . . . 14c 0
15 Qualified medical expenses paid using HSA distributions (see instructions) . . . . . . . . . . 15
16 Taxable HSA distributions. Subtract line 15 from line 14c. If zero or less, enter -0-. Also,
include this amount in the total on Schedule 1 (Form 1040), line 8, and enter "HSA" and the amount
on the dotted line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 0
17a If any of the distributions included on line 16 meet any of the Exceptions to the Additional
20% Tax (see instructions), check here . . . . . . . . . . .
b Additional 20% tax (see instructions). Enter 20% (.20) of the distributions included on line 16 0.20
that are subject to the additional 20% tax. Also include this amount in the total on Schedule 2 (Form
1040), Part II, line 8; check box c and enter "HSA" and the amount on the line next to the box. 17b 0
Part III Income and Additional Tax for Failure To Maintain HDHP Coverage. See the instructions before
completing this part. If you are filing jointly and both you and your spouse each have separate HSAs,
complete a separate Part III for each spouse.
18 Last month rule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Qualified HSA funding distribution . . . . . . . . . . . . . . . . . . . . . . . 19
20 Total income. Add lines 18 and 19. Include this amount on Schedule 1 (Form 1040), Part I, line 8,
and enter “HSA” and the amount on the dotted line . . . . . . . . . . . . . . . . 20 0
21 Additional tax. Multiply line 20 by 10% (.10). Include this amount in the total on Schedule 2 (Form 0.10
1040), Part II, line 8; check box c and enter “HDHP” and the amount on the line next to the box . . 21 0
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 37621P Form 8889 (2021)
OMB No. 1545-0074
Form 8889 Health Savings Accounts (HSAs) 2021

Department of the Treasury 4 Attach to Form 1040 or 1040-SR or Form 1040-NR. Attachment
Name(s) shown on Form 1040, 1040-SR, or Form 1040-NR Social security number of HSA
beneficiary. If both spouses have
HSAs, see instructions
Before you begin: Complete Form 8853, Archer MSAs and Long-Term Care Insurance Contracts, if required.
Part I HSA Contributions and Deduction. See the instructions before completing this part. If you are filing jointly
and both you and your spouse each have separate HSAs, complete a separate Part I for each spouse.
1 Check the box to indicate your coverage under a high-deductible health plan (HDHP) during 2021 Self-only
See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Family
2 HSA contributions you made for 2021 (or those made on your behalf), including those made
from January 1, 2022, through April 18, 2022, that were for 2021. Do not include employer
contributions, contributions through a cafeteria plan, or rollovers (see instructions) . . . . . . . . . . 2
3 If you were under age 55 at the end of 2021, and on the first day of every month during 2021, you
were, or were considered, an eligible individual with the same coverage, enter $3,600 ($7,200 for
family coverage). All others, see the instructions for the amount to enter . . . . . . . . . . . . . . 3
4 Enter the amount you and your employer contributed to your Archer MSAs for 2021 from Form 8853,
lines 1 and 2. If you or your spouse had family coverage under an HDHP at any time during 2021, also
include any amount contributed to your spouse’s Archer MSAs . . . . . . . . . . . . . . . . . . 4
5 Subtract line 4 from line 3. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . 5 0
6 Enter the amount from line 5. But if you and your spouse each have separate HSAs and had
family coverage under an HDHP at any time during 2021, see the instructions for the amount to
enter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 If you were age 55 or older at the end of 2021, married, and you or your spouse had family
coverage under an HDHP at any time during 2021, enter your additional contribution amount
(see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Add lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 0
9 Employer contributions made to your HSAs for 2021 . . . . . . . . . . . . 9 ---
10 Qualified HSA funding distributions . . . . . . . . . . . . . . . . . . . 10 ---
11 Add lines 9 and 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 0
12 Subtract line 11 from line 8. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . 12 0
13 HSA deduction. Enter the smaller of line 2 or line 12 here and on Schedule 1 (Form 1040), Part II, line 12 13 0
Caution: If line 2 is more than line 13, you may have to pay an additional tax. See instructions. 0.00
Part II HSA Distributions. If you are filing jointly and both you and your spouse each have separate HSAs, complete
a separate Part II for each spouse.
14a Total distributions you received in 2021 from all HSAs (see instructions) . . . . . . . . . . . . 14a
b Distributions included on line 14a that you rolled over to another HSA. Also include any excess
contributions (and the earnings on those excess contributions) included on line 14a that were
withdrawn by the due date of your return (see instructions) . . . . . . . . . . . . . . . . 14b
c Subtract line 14b from line 14a . . . . . . . . . . . . . . . . . . . . . . . . . . 14c 0
15 Qualified medical expenses paid using HSA distributions (see instructions) . . . . . . . . . . 15
16 Taxable HSA distributions. Subtract line 15 from line 14c. If zero or less, enter -0-. Also,
include this amount in the total on Schedule 1 (Form 1040), line 8, and enter "HSA" and the amount
on the dotted line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 0
17a If any of the distributions included on line 16 meet any of the Exceptions to the Additional
20% Tax (see instructions), check here . . . . . . . . . .
b Additional 20% tax (see instructions). Enter 20% (.20) of the distributions included on line 16 0.20
that are subject to the additional 20% tax. Also include this amount in the total on Schedule 2 (Form
1040), Part II, line 8; check box c and enter "HSA" and the amount on the line next to the box. 17b 0
Part III Income and Additional Tax for Failure To Maintain HDHP Coverage. See the instructions before
completing this part. If you are filing jointly and both you and your spouse each have separate HSAs,
complete a separate Part III for each spouse.
18 Last month rule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
19 Qualified HSA funding distribution . . . . . . . . . . . . . . . . . . . . . . . . 19
20 Total income. Add lines 18 and 19. Include this amount on Schedule 1 (Form 1040), Part I, line 8,
and enter “HSA” and the amount on the dotted line . . . . . . . . . . . . . . . . 20 0
21 Additional tax. Multiply line 20 by 10% (.10). Include this amount in the total on Schedule 2 (Form 0.10
1040), Part II, line 8; check box c and enter “HDHP” and the amount on the line next to the box . . 21 0
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 37621P Form 8889 (2021)
OMB No. 1545-0074
Form 8949 Sales and Other Dispositions of Capital Assets 2021

Go to www.irs.gov/Form8949 for instructions and the latest information.
Internal Revenue Service
File with your Schedule D to list your transactions for lines 1b, 2, 3, 8b, 9, and 10 of Schedule D.
Sequence No. 12A
Name(s) shown on return Social security number or taxpayer identification number
000-00-0001
Before you check Box A, B, or C below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute
statement will have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
broker and may even tell you which box to check.
Part I Short-Term. Transactions involving capital assets you held 1 year or less are generally short-term (see
instructions). For long-term transactions, see page 2.
Note. You may aggregate all short-term transactions reported on Form(s) 1099-B showing basis was
reported to the IRS and for which no adjustments or codes are required. Enter the total directly on
Schedule D, line 1a; you aren't required to report these transactions on Form 8949 (see instructions).
You must check Box A, B, or C below. Check only one box. If more than one box applies for your short-term transactions,
complete a separate Form 8949, page 1, for each applicable box. If you have more short-term transactions than will fit on this page
for one or more of the boxes, complete as many forms with the same box checked as you need.
0 (A) Short-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above)
0 (B) Short-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS
0 (C) Short-term transactions not reported to you on Form 1099-B Check ONE box.
Adjustment, if any, to gain or loss.

(e) If you enter an amount in column (g), (h)
(d) Cost or other basis. enter a code in column (f). Gain or (loss).
(a) (b) (c) See the separate instructions.
Proceeds See the Note below Subtract column (e)
Description of property Date acquired Date sold and see Column (e) from column (d) and
(sales price)
(Example: 100 sh. XYZ Co.) (Mo., day, yr.) (Mo., day, yr.) in the separate (f) (g) combine the result
(see instructions)
instructions Code(s) from Amount of with column (g)
1 instructions adjustment
2 Totals. Add the amounts in columns (d),(e),(g), and (h) (subtract

negative amounts). Enter each total here and include on your
Schedule D, line 1b (if Box A above is checked), line 2 (if Box B
above is checked), or line 3 (if Box C above is checked) .
Note. If you checked Box A above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an adjustment
in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment.
Cat. No. 37768Z
For Paperwork Reduction Act Notice, see your tax return instructions. Form 8949 (2021)
Form 8949 (2021) Attachment Sequence No. 12A Page 2
Name(s) shown on return. Name and SSN or taxpayer identification no. not required if shown on other side Social security number or taxpayer identification number
000-00-0001
Before you check Box D, E, or F below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute statement will
have the same information as Form 1099-B. Either will show whether your basis (usually your cost) was reported to the IRS by your
Part II Long-Term. Transactions involving capital assets you held more than 1 year are generally long-term (see
instructions). For short-term transactions, see page 1.
Note.
to the You mayfor
IRS and aggregate
which noalladjustments
long-term transactions
or codes arereported onEnter
required. Form(s) 1099-B
the total showing
directly basis wasD,reported
on Schedule line 8a;
you aren't required to report these transactions on Form 8949 (see instructions).
You must check Box D, E, or F below. Check only one box. If more than one box applies for your long-term transactions, complete
a separate Form 8949, page 2, for each applicable box. If you have more long-term transactions than will fit on this page for one or
more of the boxes, complete as many forms with the same box checked as you need.
0 (D) Long-term transactions reported on Form(s) 1099-B showing basis was reported to the IRS (see Note above)
0 (E) Long-term transactions reported on Form(s) 1099-B showing basis wasn't reported to the IRS
0 (F) Long-term transactions not reported to you on Form 1099-B Check ONE box.

Description of property Date acquired Date sold
(sales price) and see Column (e) from column (d) and
(see instructions)
2 Totals. Add the amounts in columns (d), (e), (g), and (h) (subtract
Schedule D, line 8b (if Box D above is checked), line 9 (if Box E
above is checked), or line 10 (if Box F above is checked)
Note. If you checked Box D above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an
adjustment in column (g) to correct the basis. See Column (g) in the separate instructions for how to figure the amount of the adjustment.
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 37768Z Form 8949 (2021)
OMB No. 1545-0074

Sequence No. 12A
000-00-0001

(see instructions)

Note. If you checked Box A above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an
Cat. No. 37768Z
000-00-0001
Before you check Box D, E, or F below, see whether you received any Form(s) 1099-B or substitute statement(s) from your broker. A substitute
Note.
to the You mayfor
IRS and aggregate
required. Form(s)
the 1099-B showing
total directly basis wasD,reported

(see instructions)
OMB No. 1545-0074

Sequence No. 12A
000-00-0001

(see instructions)

Cat. No. 37768Z
000-00-0001
Note.
to the You mayfor
IRS and aggregate
required. Form(s)
the 1099-B showing

(see instructions)
OMB No. 1545-0074

Sequence No. 12A
000-00-0001

(see instructions)

Cat. No. 37768Z
000-00-0001
Note.
to the You mayfor
IRS and aggregate
required. Form(s)
the 1099-B showing

(see instructions)
OMB No. 1545-0074
Additional Medicare Tax

Form 8959 4 If any line doesn't apply to you, leave it blank. See separate instructions.
2021
Department of the Treasury 4 Attach to Form 1040, 1040-SR, 1040NR, 1040-PR, or 1040-SS. Attachment
000-00-0001
Part I Additional Medicare Tax on Medicare Wages
1 Medicare wages and tips from Form W-2, box 5. If you have more than
one Form W-2, enter the total of the amounts from box 5 . . . . . . 1
2 Unreported tips from Form 4137, line 6 . . . . . . . . . . . . . . . 2
3 Wages from Form 8919, line 6 . . . . . . . . . . . . . . . . . . 3
4 Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . 4
5 Enter the following amount for your filing status:
Married filing jointly . . . . . . . . . . . . . . . . . $250,000
Married filing separately . . . . . . . . . . . . . . . . $125,000
Single, Head of household, or Qualifying widow(er) . . . . . . $200,000 5 ---
6 Subtract line 5 from line 4. If the result is zero or less, enter -0- . . . . . . . . . . . . . . . . 6
7 Additional Medicare Tax on Medicare wages. Multiply line 6 by 0.9% (0.009). Enter here and 0.009
go to Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Part II Additional Medicare Tax on Self-Employment Income
8 Self-employment income from Schedule SE (Form 1040), Part I, line 6. If you 0
had a loss, enter -0- (Form 1040-PR or 1040-SS filers, see instructions.) . . 8
10 Enter the amount from line 4 . . . . . . . . . . . . . . . . . . 10
11 Subtract line 10 from line 9. If zero or less, enter -0- . . . . . . . . . . 11 0.00
12 Subtract line 11 from line 8. If the result is zero or less, enter -0- . . . . . . . . . . . . . . . 12
13 Additional Medicare Tax on self-employment income. Multiply line 12 by 0.9% (0.009). Enter here and 0.009
go to Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Part III Additional Medicare Tax on Railroad Retirement Tax Act (RRTA) Compensation
14 Railroad retirement (RRTA) compensation and tips from Form(s) W-2,
box 14 (see instructions) . . . . . . . . . . . . . . . . . 14
16 Subtract line 15 from line 14. If the result is zero or less, enter -0- . . . . . . . . . . . . . . . 16
17 Additional Medicare Tax on railroad retirement (RRTA) compensation. Multiply line 16 by 0.9% (0.009). 0.009
Enter here and go to Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Part IV Total Additional Medicare Tax
18 Add lines 7, 13, and 17. Also include this amount on Schedule 2 (Form 1040 or 1040-SR), line 8 (check box a) 0.009
(Form 1040-NR, 1040-PR, & 1040-SS filers, see instructions) and go to Part V . . . . . . . . . . 18
Part V Withholding Reconciliation
19 Medicare tax withheld from Form W-2, box 6. If you have more than one
Form W-2, enter the total of the amounts from box 6 . . . . . . . 19
20 Enter the amount from line 1 . . . . . . . . . . . . . . . . 20
21 Multiply line 20 by 1.45% (0.0145). This is your regular Medicare tax 0.0145
withholding on Medicare wages . . . . . . . . . . . . . . . 21
22 Subtract line 21 from line 19. If zero or less, enter -0-. This is your Additional Medicare Tax 0.009
withholding on Medicare wages . . . . . . . . . . . . . . . . . . . . . . . . 22
23 Additional Medicare Tax withholding on railroad retirement (RRTA) compensation from Form 0.009
W-2, box 14 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 23
24 Total Additional Medicare Tax withholding. Add lines 22 and 23. Also include this amount 0.009
with federal income tax withholding on Form 1040, 1040-SR, or 1040-NR, line 25c
(Form 1040-PR or 1040-SS filers, see instructions) . . . . . . . . . . . . . . . . . 24 0
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 59475X Form 8959 (2021)
OMB No. 1545-2227
Net Investment Income Tax—

Form 8960 Individuals, Estates, and Trusts 2021
Department of the Treasury 4 Attach to your tax return. Attachment
Internal Revenue Service (99) 4 Go to www.irs.gov/Form8960 for instructions and the latest information. Sequence No. 72
Name(s) shown on your tax return Your social security number or EIN
000-00-0001
Part I Investment Income Section 6013(g) election (see instructions)
Section 6013(h) election (see instructions)
Regulations section 1.1411-10(g) election (see instructions)
1 Taxable interest (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Ordinary dividends (see instructions) . . . . . . . . . . . . . . . . . . . . . . . 2
3 Annuities (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4a Rental real estate, royalties, partnerships, S corporations, trusts, etc. (see
instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a
b Adjustment for net income or loss derived in the ordinary course of a non-
section 1411 trade or business (see instructions) . . . . . . . . . . . b
c Combine lines 4a and 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . 4c
5a Net gain or loss from disposition of property (see instructions) . . . . . . 5a
b Net gain or loss from disposition of property that is not subject to
net investment income tax (see instructions) . . . . . . . . . . . 5b
c Adjustment from disposition of partnership interest or S corporation
stock (see instructions) . . . . . . . . . . . . . . . . . . . 5c
d Combine lines 5a through 5c . . . . . . . . . . . . . . . . . . . . . . . . . . 5d
6 Changes to investment income for certain CFCs and PFICs (see instructions) . . . . . . . . . 6
7 Other modifications to investment income (see instructions) . . . . . . . . . . . . . . . 7
8 Total investment income. Combine lines 1, 2, 3, 4c, 5d, 6, and 7 . . . . . . . . . . . . . 8
Part II Investment Expenses Allocable to Investment Income and Modifications
9a Investment interest expenses (see instructions) . . . . . . . . . . 9a
b State, local, and foreign income tax (see instructions) . . . . . . . . 9b
c Miscellaneous investment expenses (see instructions) . . . . . . . . 9c
d Add lines 9a, 9b, and 9c . . . . . . . . . . . . . . . . . . . . . . . . . . . 9d
10 Additional modifications (see instructions) . . . . . . . . . . . . . . . . . . . . . 10
11 Total deductions and modifications. Add lines 9d and 10 . . . . . . . . . . . . . . . . 11
Part III Tax Computation
12 Net investment income. Subtract Part II, line 11 from Part I, line 8. Individuals complete lines 13–17.
Estates and trusts complete lines 18a–21. If zero or less, enter -0- . . . . . . . . . . . . . 12
Individuals: 250,000
13 Modified adjusted gross income (see instructions) . . . . . . . . . . 13 125,000
14 Threshold based on filing status (see instructions) . . . . . . . . . . 14 Filing status? 200,000
15 Subtract line 14 from line 13. If zero or less, enter -0- . . . . . . . . . 15 ---
17 Net investment income tax for individuals. Multiply line 16 by 3.8% (0.038). 0.038
Enter here and include on your tax return (see instructions) . . . . . . . . . . . 17
Estates and Trusts:
18a Net investment income (line 12 above) . . . . . . . . . . . . . . . 18a
b Deductions for distributions of net investment income and
deductions under section 642(c) (see instructions) . . . . . . . . . . 18b
c Undistributed net investment income. Subtract line 18b from 18a (see
instructions). If zero or less, enter -0- . . . . . . . . . . . . . . 18c
19a Adjusted gross income (see instructions) . . . . . . . . . . . . . 19a
b Highest tax bracket for estates and trusts for the year (see instructions) 19b
c Subtract line 19b from line 19a. If zero or less, enter -0- . . . . . . . . . 19c
20 Enter the smaller of line 18c or line 19c . . . . . . . . . . . . . . . . . . . . . . 20
21 Net investment income tax for estates and trusts. Multiply line 20 by 3.8% (0.038). 0.038
Enter here and include on your tax return (see instructions) . . . . . . . . . . . . . 21
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 59474M Form 8960 (2021)
OMB No. 1545-0074
Form 8962 Premium Tax Credit (PTC) 2021

Name shown on your return Your social security number
000-00-0001
You cannot claim the PTC if your filing status is married filing separately unless you qualify for an exception (see instructions). If you qualify, check the box. . . . .
Part I Annual and Monthly Contribution Amount
1 Tax family size. Enter your tax family size (see instructions). 1 0
2a Modified AGI. Enter your modified AGI (see instructions) 2a 0

b Enter the total of your dependents' modified AGI (see instructions) 2b 0
3 Household income. Add the amounts on lines 2a and 2b (see instructions) . . . . . . . . . . . . . . . 3 0
4 Federal poverty line. Enter the federal poverty line amount from Table 1-1, 1-2, or 1-3 (see instr.). Check the appro-
priate box for the federal poverty table used. a Alaska b Hawaii c X Other 48 states and DC 4 0
5 Household income as a percentage of federal poverty line (see instructions) . . . . . . . . . . . . . . 5 %

6 Did you enter 401% on line 5? (See instructions if you entered less than 100%.)
No. Continue to line 7.
Yes. You are not eligible to take the PTC. If advance payment of the PTC was made, see the instructions for
how to report your excess advance PTC repayment amount.
7 Applicable Figure: Using your line 5 percentage, locate your “applicable figure” on the table in the instructions 7
8a Annual contrib. amt. Multiply line 3 by b Monthly contribution amount. Divide line 8a
line 7. Round to nearest whole dollar. 8a by 12. Round to whole dollar amount. . . 8b
Part II Premium Tax Credit Claim and Reconciliation of Advance Payment of Premium Tax Credit
9 Are you allocating policy amounts with another taxpayer or do you want to use the alternative calculation for year of marriage (see instructions)?
Yes. Skip to
Part IV, Allocation of Policy Amounts, or X No. Continue to line 10.
Part V, Alternative Calculation for Year of Marriage.
10 See the instructions to determine if you can use line 11 or must complete lines 12 through 23.
Yes. Continue to line 11. Compute your annual PTC. Skip lines 12–23 X No. Continue to lines 12–23. Compute
and continue to line 24. your monthly PTC and continue to line 24.
(b) Annual applicable (d) Annual maximum (f) Annual advance

(a) Annual enrollment (c) Annual (e) Annual premium tax
Annual premiums (Form(s)
SLCSP premium
contribution amount
premium assistance
credit allowed
payment of PTC
Calculation (Form(s) 1095-A, (subtract (c) from (b), if (Form(s) 1095-A,
1095-A, line 33A) (line 8a) (smaller of (a) or (d))
line 33B) zero or less, enter -0-) line 33C)
11 Annual Totals
(f) Monthly advance
(b) Monthly applicable (c) Monthly contribution (d) Monthly maximum
(a) Monthly enrollment (e) Monthly premium tax payment of PTC (Form(s)
Monthly premiums (Form(s) 1095-A,
SLCSP premium (Form(s) amount (amount from line premium assistance
credit allowed (smaller of 1095-A,
Calculation 1095-A, lines 21–32, 8b or alternative marriage (subtract (c) from (b), if
lines 21–32, column A) (a) or (d)) lines 21–32,
column B) monthly calculation) zero or less, enter -0-)
column C)
12 January
13 February
14 March
15 April
16 May
17 June
18 July
19 August
20 September
21 October
22 November
23 December
24 Total premium tax credit. Enter the amount from line 11(e) or add lines 12(e) through 23(e) and enter the total here 24 0
25 Advance payment of PTC. Enter the amount from line 11(f) or add lines 12(f) through 23(f) and enter the total here 25 0
26 Net Premium Tax Credit: If line 24 is greater than line 25, subtract line 25 from line 24. Enter the difference here and
on Schedule 3 (Form 1040), line 8. If line 24 equals line 25, enter -0-. Stop here. If line 25 is greater than line 24, 0
leave this line blank and continue to line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Part III Repayment of Excess Advance Payment of the Premium Tax Credit
27 Excess advance payment of PTC. If line 25 is greater than line 24, subtract line 24 from line 25. Enter the difference here 27
28 Repayment limitation (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
29 Excess advance premium tax credit repayment: Enter the smaller of line 27 or line 28 here and on Schedule 2
(Form 1040) line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 37784Z
Form 8962 (2021)
Form 8962 (2021) Page 2
Part IV Allocation of Policy Amounts
Complete the following information for up to four shared policy allocations. See instructions for allocation details.
Allocation 1
30 (a) Policy Number (Form 1095-A, line 2) (b) SSN of other taxpayer (c) Allocation start month (d) Allocation stop month
Allocation percentage (g) Advance Payment of the PTC

(e) Premium Percentage (f) SLCSP Percentage
applied to monthly Percentage
amounts
Allocation 2

amounts
Allocation 3

amounts
Allocation 4

amounts
34 Have you completed all policy amount allocations?

Yes. Multiply the amounts on Form 1095-A by the allocation percentages entered by policy. Add all allocated policy amounts and non-
allocated policy amounts from Forms 1095-A, if any, to compute a combined total for each month. Enter the combined total for each month on
lines 12–23, columns (a), (b), and (f). Compute the amounts for lines 12–23, columns (c)–(e), and continue to line 24.
No. See the instructions to report additional policy amount allocations.
Part V Alternative Calculation for Year of Marriage

Complete line(s) 35 and/or 36 to elect the alternative calculation for year of marriage. For eligibility to make the election, see instructions for line 9.
To complete line(s) 35 and/or 36 and compute the amounts for lines 12–23, see the instructions for this Part V.
(a) Alternative family size (b) Alternative monthly (c) Alternative start month (d) Alternative stop month
Alternative entries contribution amount
35 for your SSN
Alternative entries (a) Alternative family size (b) Alternative monthly (c) Alternative start month (d) Alternative stop month
36 for your spouse's contribution amount
SSN
Form 8962 (2021)

OMB No. 1545-0123
8995 Qualified Business Income Deduction

Form
Simplified Computation 2021

Department of the Treasury Attach to your tax return. Attachment
Internal Revenue Service Go to www.irs.gov/Form8995 for instructions and the latest information. Sequence N55
Name(s) shown on return Your taxpayer identifcation number
000-00-0001
Note. You can claim the qualified business income deduction only if you have qualified business income from a qualified trade or
business, real estate investment trust dividends, publicly traded partnership income, or a domestic production activities deduction
passed through from an agricultural or horticultural cooperative. See instructions.
Use this form if your taxable income, before your qualified business income deduction, is at or below $163,300 ($326,600 if married
filing jointly), and you aren’t a patron of an agricultural or horticultural cooperative.
1 (a) Trade, business, or aggregation name (b) Taxpayer (c) Qualified business
identification number income or (loss)
ii
iii
iv
2 Total qualified business income or (loss). Combine lines 1i through 1v,

column (c ) . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Qualified business net (loss) carryforward from the prior year . . . . 3 ( )
4 Total qualified business income. Combine lines 2 & 3. If zero or less, enter -0- 4 0.2
5 Qualified business income component. Multiply line 4 by 20% (0.20) . . . . . . . . . . . . . . 5
6 Qualified REIT dividends and publicly traded partnership (PTP) income or (loss)
7 Qualified REIT dividends and qualified PTP (loss) carryforward from the prior
year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 ( )
8 Total qualified REIT dividends and PTP income. Combine lines 6 and 7. If zero 0
or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . 8
9 REIT and PTP component. Multiply line 8 by 20% (0.20) . . . . . . . . . . . . . . . . . 9
10 Qualified business income deduction before the income limitation. Add lines 5 and 9 10
11 Taxable income before qualified business income deduction . . . . . . 11
12 Net capital gain (see instructions) . . . . . . . . . . . . . . . . . 12 0
13 Subtract line 12 from line 11. If zero or less, enter -0- . . . . . . . . . 13
14 Income limitation. Multiply line 13 by 20% (0.20) . . . . . . . . . . . . . . . . . . . . . 14
15 Qualified business income deduction. Enter the lesser of line 10 or line 14. Also enter this amount
on the applicable line of your return . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16 Total qualified business (loss) carryforward. Combine lines 2 and 3. If greater than zero, enter -0- . . 16 ( )
17 Total qualified REIT dividends and PTP (loss) carryforward. Combine lines 6 & 7. If greater than
zero, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 ( )
For Privacy Act and Paperwork Reduction Act Notice, see instructions. Cat. No. 37806C Form 8995 (2021)
If the Worksheet Amount is: Single, Head of Household, or Qualifying Widow(er) Married Filing Jointly 1.01021021021021
At least But less than No Children One Child Two Children Three Children+ No Children One Child Two Children Three Children+
$1 $50 $2 $9 $10 $11 $2 $9 $10 $11
50 100 6 26 30 34 6 26 30 34
100 150 10 43 51 57 10 43 51 57
150 200 13 61 71 80 13 61 71 80
200 250 17 78 91 102 17 78 91 102
250 300 21 95 111 125 21 95 111 125
300 350 25 112 131 147 25 112 131 147
350 400 29 129 152 171 29 129 152 171
400 450 33 146 172 193 33 146 172 193
450 500 36 164 192 216 36 164 192 216
500 550 40 181 212 238 40 181 212 238
550 600 44 198 232 262 44 198 232 262
600 650 48 215 253 284 48 215 253 284
650 700 53 232 273 307 53 232 273 307
700 750 56 250 293 329 56 250 293 329
750 800 60 267 313 353 60 267 313 353
800 850 64 284 333 375 64 284 333 375
850 900 68 301 354 398 68 301 354 398
900 950 72 318 374 420 72 318 374 420
950 1,000 76 335 394 443 76 335 394 443
1,000 1,050 79 353 414 466 79 353 414 466
1,050 1,100 83 370 434 489 83 370 434 489
1,100 1,150 87 387 455 511 87 387 455 511
1,150 1,200 91 404 475 534 91 404 475 534
1,200 1,250 95 421 495 557 95 421 495 557
1,250 1,300 99 438 515 580 99 438 515 580
1,300 1,350 102 456 535 602 102 456 535 602
1,350 1,400 106 473 556 625 106 473 556 625
1,400 1,450 110 490 576 648 110 490 576 648
1,450 1,500 114 507 596 671 114 507 596 671
1,500 1,550 118 524 616 693 118 524 616 693
1,550 1,600 121 541 636 716 121 541 636 716
1,600 1,650 125 559 657 738 125 559 657 738
1,650 1,700 129 576 677 762 129 576 677 762
1,700 1,750 133 593 697 784 133 593 697 784
1,750 1,800 137 609 717 807 137 609 717 807
1,800 1,850 141 626 737 829 141 626 737 829
1,850 1,900 144 644 758 853 144 644 758 853
1,900 1,950 149 661 778 875 149 661 778 875
1,950 2,000 153 678 798 898 153 678 798 898
2,000 2,050 157 695 818 920 157 695 818 920
2,050 2,100 161 712 838 944 161 712 838 944
2,100 2,150 165 729 859 966 165 729 859 966
2,150 2,200 168 747 879 989 168 747 879 989
2,200 2,250 172 764 899 1,011 172 764 899 1,011
2,250 2,300 176 781 919 1,034 176 781 919 1,034
2,300 2,350 180 798 939 1,057 180 798 939 1,057
2,350 2,400 184 815 960 1,080 184 815 960 1,080
2,400 2,450 188 832 980 1,102 188 832 980 1,102
2,450 2,500 191 850 1,000 1,125 191 850 1,000 1,125
2,500 2,550 195 867 1,020 1,148 195 867 1,020 1,148
2,550 2,600 199 884 1,041 1,171 199 884 1,041 1,171
2,600 2,650 203 901 1,061 1,193 203 901 1,061 1,193
2,650 2,700 207 918 1,081 1,216 207 918 1,081 1,216
2,700 2,750 210 935 1,101 1,239 210 935 1,101 1,239
2,750 2,800 214 953 1,121 1,262 214 953 1,121 1,262
2,800 2,850 218 970 1,142 1,284 218 970 1,142 1,284
2,850 2,900 222 987 1,162 1,307 222 987 1,162 1,307
2,900 2,950 226 1,004 1,182 1,329 226 1,004 1,182 1,329
2,950 3,000 230 1,021 1,202 1,353 230 1,021 1,202 1,353
3,000 3,050 233 1,039 1,222 1,375 233 1,039 1,222 1,375
3,050 3,100 237 1,056 1,243 1,398 237 1,056 1,243 1,398
3,100 3,150 241 1,073 1,263 1,420 241 1,073 1,263 1,420
3,150 3,200 245 1,090 1,283 1,444 245 1,090 1,283 1,444
3,200 3,250 250 1,107 1,303 1,466 250 1,107 1,303 1,466
3,250 3,300 254 1,124 1,323 1,489 254 1,124 1,323 1,489
3,300 3,350 257 1,142 1,344 1,511 257 1,142 1,344 1,511
3,350 3,400 261 1,159 1,364 1,535 261 1,159 1,364 1,535
3,400 3,450 265 1,176 1,384 1,557 265 1,176 1,384 1,557
3,450 3,500 269 1,193 1,404 1,580 269 1,193 1,404 1,580
3,500 3,550 273 1,210 1,424 1,602 273 1,210 1,424 1,602
3,550 3,600 276 1,227 1,445 1,625 276 1,227 1,445 1,625
3,600 3,650 280 1,245 1,465 1,648 280 1,245 1,465 1,648
3,650 3,700 284 1,262 1,485 1,671 284 1,262 1,485 1,671
3,700 3,750 288 1,279 1,505 1,693 288 1,279 1,505 1,693
3,750 3,800 292 1,296 1,525 1,716 292 1,296 1,525 1,716
3,800 3,850 296 1,313 1,546 1,739 296 1,313 1,546 1,739
3,850 3,900 299 1,330 1,566 1,762 299 1,330 1,566 1,762
3,900 3,950 303 1,348 1,586 1,784 303 1,348 1,586 1,784
3,950 4,000 307 1,365 1,606 1,807 307 1,365 1,606 1,807
4,000 4,050 311 1,382 1,626 1,829 311 1,382 1,626 1,829
4,050 4,100 315 1,399 1,647 1,853 315 1,399 1,647 1,853
4,100 4,150 319 1,416 1,667 1,875 319 1,416 1,667 1,875
4,150 4,200 322 1,433 1,687 1,898 322 1,433 1,687 1,898
4,200 4,250 326 1,451 1,707 1,920 326 1,451 1,707 1,920
4,250 4,300 330 1,468 1,727 1,944 330 1,468 1,727 1,944
4,300 4,350 334 1,485 1,748 1,966 334 1,485 1,748 1,966
4,350 4,400 338 1,502 1,768 1,989 338 1,502 1,768 1,989
4,400 4,450 342 1,519 1,788 2,011 342 1,519 1,788 2,011
4,450 4,500 345 1,537 1,808 2,035 345 1,537 1,808 2,035
4,500 4,550 350 1,554 1,828 2,057 350 1,554 1,828 2,057
4,550 4,600 354 1,571 1,849 2,080 354 1,571 1,849 2,080
4,600 4,650 358 1,588 1,869 2,102 358 1,588 1,869 2,102
4,650 4,700 362 1,605 1,889 2,125 362 1,605 1,889 2,125
4,700 4,750 365 1,622 1,909 2,148 365 1,622 1,909 2,148
4,750 4,800 369 1,640 1,930 2,171 369 1,640 1,930 2,171
4,800 4,850 373 1,657 1,950 2,193 373 1,657 1,950 2,193
4,850 4,900 377 1,674 1,970 2,216 377 1,674 1,970 2,216
4,900 4,950 381 1,691 1,990 2,239 381 1,691 1,990 2,239
4,950 5,000 385 1,708 2,010 2,262 385 1,708 2,010 2,262
5,000 5,050 388 1,725 2,031 2,284 388 1,725 2,031 2,284
5,050 5,100 392 1,743 2,051 2,307 392 1,743 2,051 2,307
5,100 5,150 396 1,760 2,071 2,330 396 1,760 2,071 2,330
5,150 5,200 400 1,777 2,091 2,353 400 1,777 2,091 2,353
5,200 5,250 404 1,794 2,111 2,375 404 1,794 2,111 2,375
5,250 5,300 408 1,810 2,132 2,398 408 1,810 2,132 2,398
5,300 5,350 411 1,827 2,152 2,420 411 1,827 2,152 2,420
5,350 5,400 415 1,845 2,172 2,444 415 1,845 2,172 2,444
5,400 5,450 419 1,862 2,192 2,466 419 1,862 2,192 2,466
5,450 5,500 423 1,879 2,212 2,489 423 1,879 2,212 2,489
5,500 5,550 427 1,896 2,233 2,511 427 1,896 2,233 2,511
5,550 5,600 430 1,913 2,253 2,535 430 1,913 2,253 2,535
5,600 5,650 434 1,931 2,273 2,557 434 1,931 2,273 2,557
5,650 5,700 438 1,948 2,293 2,580 438 1,948 2,293 2,580
5,700 5,750 442 1,965 2,313 2,602 442 1,965 2,313 2,602
5,750 5,800 447 1,982 2,334 2,626 447 1,982 2,334 2,626
5,800 5,850 451 1,999 2,354 2,648 451 1,999 2,354 2,648
5,850 5,900 454 2,016 2,374 2,671 454 2,016 2,374 2,671
5,900 5,950 458 2,034 2,394 2,693 458 2,034 2,394 2,693
5,950 6,000 462 2,051 2,414 2,716 462 2,051 2,414 2,716
6,000 6,050 466 2,068 2,435 2,739 466 2,068 2,435 2,739
6,050 6,100 470 2,085 2,455 2,762 470 2,085 2,455 2,762
6,100 6,150 474 2,102 2,475 2,784 474 2,102 2,475 2,784
6,150 6,200 477 2,119 2,495 2,807 477 2,119 2,495 2,807
6,200 6,250 481 2,137 2,515 2,830 481 2,137 2,515 2,830
6,250 6,300 485 2,154 2,536 2,853 485 2,154 2,536 2,853
6,300 6,350 489 2,171 2,556 2,875 489 2,171 2,556 2,875
6,350 6,400 493 2,188 2,576 2,898 493 2,188 2,576 2,898
6,400 6,450 497 2,205 2,596 2,921 497 2,205 2,596 2,921
6,450 6,500 500 2,222 2,616 2,944 500 2,222 2,616 2,944
6,500 6,550 504 2,240 2,637 2,966 504 2,240 2,637 2,966
6,550 6,600 508 2,257 2,657 2,989 508 2,257 2,657 2,989
6,600 6,650 512 2,274 2,677 3,011 512 2,274 2,677 3,011
6,650 6,700 516 2,291 2,697 3,035 516 2,291 2,697 3,035
6,700 6,750 519 2,308 2,717 3,057 519 2,308 2,717 3,057
6,750 6,800 523 2,326 2,738 3,080 523 2,326 2,738 3,080
6,800 6,850 527 2,343 2,758 3,102 527 2,343 2,758 3,102
6,850 6,900 531 2,360 2,778 3,126 531 2,360 2,778 3,126
6,900 6,950 535 2,377 2,798 3,148 535 2,377 2,798 3,148
6,950 7,000 539 2,394 2,818 3,171 539 2,394 2,818 3,171
7,000 7,050 543 2,411 2,839 3,193 543 2,411 2,839 3,193
7,050 7,100 543 2,429 2,859 3,217 543 2,429 2,859 3,217
7,100 7,150 543 2,446 2,879 3,239 543 2,446 2,879 3,239
7,150 7,200 543 2,463 2,899 3,262 543 2,463 2,899 3,262
7,200 7,250 543 2,480 2,920 3,284 543 2,480 2,920 3,284
7,250 7,300 543 2,497 2,940 3,307 543 2,497 2,940 3,307
7,300 7,350 543 2,514 2,960 3,330 543 2,514 2,960 3,330
7,350 7,400 543 2,532 2,980 3,353 543 2,532 2,980 3,353
7,400 7,450 543 2,549 3,000 3,375 543 2,549 3,000 3,375
7,450 7,500 543 2,566 3,021 3,398 543 2,566 3,021 3,398
7,500 7,550 543 2,583 3,041 3,421 543 2,583 3,041 3,421
7,550 7,600 543 2,600 3,061 3,444 543 2,600 3,061 3,444
7,600 7,650 543 2,617 3,081 3,466 543 2,617 3,081 3,466
7,650 7,700 543 2,635 3,101 3,489 543 2,635 3,101 3,489
7,700 7,750 543 2,652 3,122 3,511 543 2,652 3,122 3,511
7,750 7,800 543 2,669 3,142 3,535 543 2,669 3,142 3,535
7,800 7,850 543 2,686 3,162 3,557 543 2,686 3,162 3,557
7,850 7,900 543 2,703 3,182 3,580 543 2,703 3,182 3,580
7,900 7,950 543 2,721 3,202 3,602 543 2,721 3,202 3,602
7,950 8,000 543 2,738 3,223 3,626 543 2,738 3,223 3,626
8,000 8,050 543 2,755 3,243 3,648 543 2,755 3,243 3,648
8,050 8,100 543 2,772 3,263 3,671 543 2,772 3,263 3,671
8,100 8,150 543 2,789 3,283 3,693 543 2,789 3,283 3,693
8,150 8,200 543 2,806 3,303 3,717 543 2,806 3,303 3,717
8,200 8,250 543 2,824 3,324 3,739 543 2,824 3,324 3,739
8,250 8,300 543 2,841 3,344 3,762 543 2,841 3,344 3,762
8,300 8,350 543 2,858 3,364 3,784 543 2,858 3,364 3,784
8,350 8,400 543 2,875 3,384 3,807 543 2,875 3,384 3,807
8,400 8,450 543 2,892 3,404 3,830 543 2,892 3,404 3,830
8,450 8,500 543 2,909 3,425 3,853 543 2,909 3,425 3,853
8,500 8,550 543 2,927 3,445 3,875 543 2,927 3,445 3,875
8,550 8,600 543 2,944 3,465 3,898 543 2,944 3,465 3,898
8,600 8,650 543 2,961 3,485 3,921 543 2,961 3,485 3,921
8,650 8,700 543 2,978 3,505 3,944 543 2,978 3,505 3,944
8,700 8,750 543 2,995 3,526 3,966 543 2,995 3,526 3,966
8,750 8,800 543 3,012 3,546 3,989 543 3,012 3,546 3,989
8,800 8,850 540 3,029 3,566 4,012 543 3,029 3,566 4,012
8,850 8,900 536 3,046 3,586 4,035 543 3,046 3,586 4,035
8,900 8,950 532 3,063 3,606 4,057 543 3,063 3,606 4,057
8,950 9,000 529 3,080 3,627 4,080 543 3,080 3,627 4,080
9,000 9,050 525 3,097 3,647 4,102 543 3,097 3,647 4,102
9,050 9,100 521 3,115 3,667 4,126 543 3,115 3,667 4,126
9,100 9,150 517 3,132 3,687 4,148 543 3,132 3,687 4,148
9,150 9,200 513 3,149 3,707 4,171 543 3,149 3,707 4,171
9,200 9,250 510 3,166 3,728 4,193 543 3,166 3,728 4,193
9,250 9,300 506 3,183 3,748 4,217 543 3,183 3,748 4,217
9,300 9,350 502 3,200 3,768 4,239 543 3,200 3,768 4,239
9,350 9,400 498 3,218 3,788 4,262 543 3,218 3,788 4,262
9,400 9,450 494 3,235 3,808 4,284 543 3,235 3,808 4,284
9,450 9,500 490 3,252 3,829 4,308 543 3,252 3,829 4,308
9,500 9,550 487 3,269 3,849 4,330 543 3,269 3,849 4,330
9,550 9,600 483 3,286 3,869 4,353 543 3,286 3,869 4,353
9,600 9,650 479 3,303 3,889 4,375 543 3,303 3,889 4,375
9,650 9,700 475 3,321 3,910 4,398 543 3,321 3,910 4,398
9,700 9,750 471 3,338 3,930 4,421 543 3,338 3,930 4,421
9,750 9,800 467 3,355 3,950 4,444 543 3,355 3,950 4,444
9,800 9,850 464 3,372 3,970 4,466 543 3,372 3,970 4,466
9,850 9,900 460 3,389 3,990 4,489 543 3,389 3,990 4,489
9,900 9,950 456 3,406 4,011 4,512 543 3,406 4,011 4,512
9,950 10,000 452 3,424 4,031 4,535 543 3,424 4,031 4,535
10,000 10,050 448 3,441 4,051 4,557 543 3,441 4,051 4,557
10,050 10,100 443 3,458 4,071 4,580 543 3,458 4,071 4,580
10,100 10,150 440 3,475 4,091 4,603 543 3,475 4,091 4,603
10,150 10,200 436 3,492 4,112 4,626 543 3,492 4,112 4,626
10,200 10,250 432 3,510 4,132 4,648 543 3,510 4,132 4,648
10,250 10,300 428 3,527 4,152 4,671 543 3,527 4,152 4,671
10,300 10,350 424 3,544 4,172 4,693 543 3,544 4,172 4,693
10,350 10,400 421 3,561 4,192 4,717 543 3,561 4,192 4,717
10,400 10,450 417 3,578 4,213 4,739 543 3,578 4,213 4,739
10,450 10,500 413 3,595 4,233 4,762 543 3,595 4,233 4,762
10,500 10,550 409 3,618 4,253 4,784 543 3,618 4,253 4,784
10,550 10,600 405 3,618 4,273 4,808 543 3,618 4,273 4,808
10,600 10,650 401 3,618 4,293 4,830 543 3,618 4,293 4,830
10,650 10,700 398 3,618 4,314 4,853 543 3,618 4,314 4,853
10,700 10,750 394 3,618 4,334 4,875 543 3,618 4,334 4,875
10,750 10,800 390 3,618 4,354 4,899 543 3,618 4,354 4,899
10,800 10,850 386 3,618 4,374 4,921 543 3,618 4,374 4,921
10,850 10,900 382 3,618 4,394 4,944 543 3,618 4,394 4,944
10,900 10,950 378 3,618 4,415 4,966 543 3,618 4,415 4,966
10,950 11,000 375 3,618 4,435 4,989 543 3,618 4,435 4,989
11,000 11,050 371 3,618 4,455 5,012 543 3,618 4,455 5,012
11,050 11,100 367 3,618 4,475 5,035 543 3,618 4,475 5,035
11,100 11,150 363 3,618 4,495 5,057 543 3,618 4,495 5,057
11,150 11,200 359 3,618 4,516 5,080 543 3,618 4,516 5,080
11,200 11,250 356 3,618 4,536 5,103 543 3,618 4,536 5,103
11,250 11,300 352 3,618 4,556 5,126 543 3,618 4,556 5,126
11,300 11,350 348 3,618 4,576 5,148 543 3,618 4,576 5,148
11,350 11,400 343 3,618 4,596 5,171 543 3,618 4,596 5,171
11,400 11,450 339 3,618 4,617 5,193 543 3,618 4,617 5,193
11,450 11,500 335 3,618 4,637 5,217 543 3,618 4,637 5,217
11,500 11,550 332 3,618 4,657 5,239 543 3,618 4,657 5,239
11,550 11,600 328 3,618 4,677 5,262 543 3,618 4,677 5,262
11,600 11,650 324 3,618 4,697 5,284 543 3,618 4,697 5,284
11,650 11,700 320 3,618 4,718 5,308 543 3,618 4,718 5,308
11,700 11,750 316 3,618 4,738 5,330 543 3,618 4,738 5,330
11,750 11,800 312 3,618 4,758 5,353 543 3,618 4,758 5,353
11,800 11,850 309 3,618 4,778 5,375 543 3,618 4,778 5,375
11,850 11,900 305 3,618 4,798 5,399 543 3,618 4,798 5,399
11,900 11,950 301 3,618 4,819 5,421 543 3,618 4,819 5,421
11,950 12,000 297 3,618 4,839 5,444 543 3,618 4,839 5,444
12,000 12,050 293 3,618 4,859 5,466 543 3,618 4,859 5,466
12,050 12,100 289 3,618 4,879 5,489 543 3,618 4,879 5,489
12,100 12,150 286 3,618 4,900 5,512 543 3,618 4,900 5,512
12,150 12,200 282 3,618 4,920 5,535 543 3,618 4,920 5,535
12,200 12,250 278 3,618 4,940 5,557 543 3,618 4,940 5,557
12,250 12,300 274 3,618 4,960 5,580 543 3,618 4,960 5,580
12,300 12,350 270 3,618 4,980 5,603 543 3,618 4,980 5,603
12,350 12,400 267 3,618 5,001 5,626 543 3,618 5,001 5,626
12,400 12,450 263 3,618 5,021 5,648 543 3,618 5,021 5,648
12,450 12,500 259 3,618 5,041 5,671 543 3,618 5,041 5,671
12,500 12,550 255 3,618 5,061 5,694 543 3,618 5,061 5,694
12,550 12,600 251 3,618 5,081 5,717 543 3,618 5,081 5,717
12,600 12,650 246 3,618 5,102 5,739 543 3,618 5,102 5,739
12,650 12,700 243 3,618 5,122 5,762 543 3,618 5,122 5,762
12,700 12,750 239 3,618 5,142 5,784 543 3,618 5,142 5,784
12,750 12,800 235 3,618 5,162 5,808 543 3,618 5,162 5,808
12,800 12,850 231 3,618 5,182 5,830 543 3,618 5,182 5,830
12,850 12,900 227 3,618 5,203 5,853 543 3,618 5,203 5,853
12,900 12,950 223 3,618 5,223 5,875 543 3,618 5,223 5,875
12,950 13,000 220 3,618 5,243 5,899 543 3,618 5,243 5,899
13,000 13,050 216 3,618 5,263 5,921 543 3,618 5,263 5,921
13,050 13,100 212 3,618 5,283 5,944 543 3,618 5,283 5,944
13,100 13,150 208 3,618 5,304 5,966 543 3,618 5,304 5,966
13,150 13,200 204 3,618 5,324 5,990 543 3,618 5,324 5,990
13,200 13,250 201 3,618 5,344 6,012 543 3,618 5,344 6,012
13,250 13,300 197 3,618 5,364 6,035 543 3,618 5,364 6,035
13,300 13,350 193 3,618 5,384 6,057 543 3,618 5,384 6,057
13,350 13,400 189 3,618 5,405 6,080 543 3,618 5,405 6,080
13,400 13,450 185 3,618 5,425 6,103 543 3,618 5,425 6,103
13,450 13,500 181 3,618 5,445 6,126 543 3,618 5,445 6,126
13,500 13,550 178 3,618 5,465 6,148 543 3,618 5,465 6,148
13,550 13,600 174 3,618 5,485 6,171 543 3,618 5,485 6,171
13,600 13,650 170 3,618 5,506 6,194 543 3,618 5,506 6,194
13,650 13,700 166 3,618 5,526 6,217 543 3,618 5,526 6,217
13,700 13,750 162 3,618 5,546 6,239 543 3,618 5,546 6,239
13,750 13,800 158 3,618 5,566 6,262 543 3,618 5,566 6,262
13,800 13,850 155 3,618 5,586 6,285 543 3,618 5,586 6,285
13,850 13,900 151 3,618 5,607 6,308 543 3,618 5,607 6,308
13,900 13,950 146 3,618 5,627 6,330 543 3,618 5,627 6,330
13,950 14,000 142 3,618 5,647 6,353 543 3,618 5,647 6,353
14,000 14,050 138 3,618 5,667 6,375 543 3,618 5,667 6,375
14,050 14,100 134 3,618 5,687 6,399 543 3,618 5,687 6,399
14,100 14,150 131 3,618 5,708 6,421 543 3,618 5,708 6,421
14,150 14,200 127 3,618 5,728 6,444 543 3,618 5,728 6,444
14,200 14,250 123 3,618 5,748 6,466 543 3,618 5,748 6,466
14,250 14,300 119 3,618 5,768 6,490 543 3,618 5,768 6,490
14,300 14,350 115 3,618 5,789 6,512 543 3,618 5,789 6,512
14,350 14,400 112 3,618 5,809 6,535 543 3,618 5,809 6,535
14,400 14,450 108 3,618 5,829 6,557 543 3,618 5,829 6,557
14,450 14,500 104 3,618 5,849 6,581 543 3,618 5,849 6,581
14,500 14,550 100 3,618 5,869 6,603 543 3,618 5,869 6,603
14,550 14,600 96 3,618 5,890 6,626 543 3,618 5,890 6,626
14,600 14,650 92 3,618 5,910 6,648 543 3,618 5,910 6,648
14,650 14,700 89 3,618 5,930 6,671 543 3,618 5,930 6,671
14,700 14,750 85 3,618 5,950 6,694 539 3,618 5,950 6,694
14,750 14,800 81 3,618 5,970 6,717 536 3,618 5,970 6,717
14,800 14,850 77 3,618 5,980 6,728 532 3,618 5,980 6,728
14,850 14,900 73 3,618 5,980 6,728 528 3,618 5,980 6,728
14,900 14,950 69 3,618 5,980 6,728 524 3,618 5,980 6,728
14,950 15,000 66 3,618 5,980 6,728 520 3,618 5,980 6,728
15,000 15,050 62 3,618 5,980 6,728 516 3,618 5,980 6,728
15,050 15,100 58 3,618 5,980 6,728 513 3,618 5,980 6,728
15,100 15,150 54 3,618 5,980 6,728 509 3,618 5,980 6,728
15,150 15,200 50 3,618 5,980 6,728 505 3,618 5,980 6,728
15,200 15,250 46 3,618 5,980 6,728 501 3,618 5,980 6,728
15,250 15,300 42 3,618 5,980 6,728 497 3,618 5,980 6,728
15,300 15,350 38 3,618 5,980 6,728 493 3,618 5,980 6,728
15,350 15,400 34 3,618 5,980 6,728 490 3,618 5,980 6,728
15,400 15,450 30 3,618 5,980 6,728 486 3,618 5,980 6,728
15,450 15,500 26 3,618 5,980 6,728 482 3,618 5,980 6,728
15,500 15,550 23 3,618 5,980 6,728 478 3,618 5,980 6,728
15,550 15,600 19 3,618 5,980 6,728 474 3,618 5,980 6,728
15,600 15,650 15 3,618 5,980 6,728 471 3,618 5,980 6,728
15,650 15,700 11 3,618 5,980 6,728 467 3,618 5,980 6,728
15,700 15,750 7 3,618 5,980 6,728 463 3,618 5,980 6,728
15,750 15,800 3 3,618 5,980 6,728 459 3,618 5,980 6,728
15,800 15,820 1 3,618 5,980 6,728 455 3,618 5,980 6,728
15,820 15,850 0 3,618 5,980 6,728 451 3,618 5,980 6,728
15,850 15,900 0 3,618 5,980 6,728 451 3,618 5,980 6,728
15,900 15,950 0 3,618 5,980 6,728 448 3,618 5,980 6,728
15,950 16,000 0 3,618 5,980 6,728 443 3,618 5,980 6,728
16,000 16,050 0 3,618 5,980 6,728 439 3,618 5,980 6,728
16,050 16,100 0 3,618 5,980 6,728 435 3,618 5,980 6,728
16,100 16,150 0 3,618 5,980 6,728 431 3,618 5,980 6,728
16,150 16,200 0 3,618 5,980 6,728 427 3,618 5,980 6,728
16,200 16,250 0 3,618 5,980 6,728 424 3,618 5,980 6,728
16,250 16,300 0 3,618 5,980 6,728 420 3,618 5,980 6,728
16,300 16,350 0 3,618 5,980 6,728 416 3,618 5,980 6,728
16,350 16,400 0 3,618 5,980 6,728 412 3,618 5,980 6,728
16,400 16,450 0 3,618 5,980 6,728 408 3,618 5,980 6,728
16,450 16,500 0 3,618 5,980 6,728 404 3,618 5,980 6,728
16,500 16,550 0 3,618 5,980 6,728 401 3,618 5,980 6,728
16,550 16,600 0 3,618 5,980 6,728 397 3,618 5,980 6,728
16,600 16,650 0 3,618 5,980 6,728 393 3,618 5,980 6,728
16,650 16,700 0 3,618 5,980 6,728 389 3,618 5,980 6,728
16,700 16,750 0 3,618 5,980 6,728 385 3,618 5,980 6,728
16,750 16,800 0 3,618 5,980 6,728 382 3,618 5,980 6,728
16,800 16,850 0 3,618 5,980 6,728 378 3,618 5,980 6,728
16,850 16,900 0 3,618 5,980 6,728 374 3,618 5,980 6,728
16,900 16,950 0 3,618 5,980 6,728 370 3,618 5,980 6,728
16,950 17,000 0 3,618 5,980 6,728 366 3,618 5,980 6,728
17,000 17,050 0 3,618 5,980 6,728 362 3,618 5,980 6,728
17,050 17,100 0 3,618 5,980 6,728 359 3,618 5,980 6,728
17,100 17,150 0 3,618 5,980 6,728 355 3,618 5,980 6,728
17,150 17,200 0 3,618 5,980 6,728 351 3,618 5,980 6,728
17,200 17,250 0 3,618 5,980 6,728 347 3,618 5,980 6,728
17,250 17,300 0 3,618 5,980 6,728 342 3,618 5,980 6,728
17,300 17,350 0 3,618 5,980 6,728 338 3,618 5,980 6,728
17,350 17,400 0 3,618 5,980 6,728 335 3,618 5,980 6,728
17,400 17,450 0 3,618 5,980 6,728 331 3,618 5,980 6,728
17,450 17,500 0 3,618 5,980 6,728 327 3,618 5,980 6,728
17,500 17,550 0 3,618 5,980 6,728 323 3,618 5,980 6,728
17,550 17,600 0 3,618 5,980 6,728 319 3,618 5,980 6,728
17,600 17,650 0 3,618 5,980 6,728 316 3,618 5,980 6,728
17,650 17,700 0 3,618 5,980 6,728 312 3,618 5,980 6,728
17,700 17,750 0 3,618 5,980 6,728 308 3,618 5,980 6,728
17,750 17,800 0 3,618 5,980 6,728 304 3,618 5,980 6,728
17,800 17,850 0 3,618 5,980 6,728 300 3,618 5,980 6,728
17,850 17,900 0 3,618 5,980 6,728 296 3,618 5,980 6,728
17,900 17,950 0 3,618 5,980 6,728 293 3,618 5,980 6,728
17,950 18,000 0 3,618 5,980 6,728 289 3,618 5,980 6,728
18,000 18,050 0 3,618 5,980 6,728 285 3,618 5,980 6,728
18,050 18,100 0 3,618 5,980 6,728 281 3,618 5,980 6,728
18,100 18,150 0 3,618 5,980 6,728 277 3,618 5,980 6,728
18,150 18,200 0 3,618 5,980 6,728 273 3,618 5,980 6,728
18,200 18,250 0 3,618 5,980 6,728 270 3,618 5,980 6,728
18,250 18,300 0 3,618 5,980 6,728 266 3,618 5,980 6,728
18,300 18,350 0 3,618 5,980 6,728 262 3,618 5,980 6,728
18,350 18,400 0 3,618 5,980 6,728 258 3,618 5,980 6,728
18,400 18,450 0 3,618 5,980 6,728 254 3,618 5,980 6,728
18,450 18,500 0 3,618 5,980 6,728 250 3,618 5,980 6,728
18,500 18,550 0 3,618 5,980 6,728 246 3,618 5,980 6,728
18,550 18,600 0 3,618 5,980 6,728 242 3,618 5,980 6,728
18,600 18,650 0 3,618 5,980 6,728 238 3,618 5,980 6,728
18,650 18,700 0 3,618 5,980 6,728 234 3,618 5,980 6,728
18,700 18,750 0 3,618 5,980 6,728 230 3,618 5,980 6,728
18,750 18,800 0 3,618 5,980 6,728 227 3,618 5,980 6,728
18,800 18,850 0 3,618 5,980 6,728 223 3,618 5,980 6,728
18,850 18,900 0 3,618 5,980 6,728 219 3,618 5,980 6,728
18,900 18,950 0 3,618 5,980 6,728 215 3,618 5,980 6,728
18,950 19,000 0 3,618 5,980 6,728 211 3,618 5,980 6,728
19,000 19,050 0 3,618 5,980 6,728 207 3,618 5,980 6,728
19,050 19,100 0 3,618 5,980 6,728 204 3,618 5,980 6,728
19,100 19,150 0 3,618 5,980 6,728 200 3,618 5,980 6,728
19,150 19,200 0 3,618 5,980 6,728 196 3,618 5,980 6,728
19,200 19,250 0 3,618 5,980 6,728 192 3,618 5,980 6,728
19,250 19,300 0 3,618 5,980 6,728 188 3,618 5,980 6,728
19,300 19,350 0 3,618 5,980 6,728 184 3,618 5,980 6,728
19,350 19,400 0 3,610 5,971 6,719 181 3,618 5,980 6,728
19,400 19,450 0 3,601 5,960 6,708 177 3,618 5,980 6,728
19,450 19,500 0 3,593 5,949 6,697 173 3,618 5,980 6,728
19,500 19,550 0 3,585 5,939 6,687 169 3,618 5,980 6,728
19,550 19,600 0 3,577 5,928 6,675 165 3,618 5,980 6,728
19,600 19,650 0 3,569 5,918 6,665 162 3,618 5,980 6,728
19,650 19,700 0 3,561 5,907 6,654 158 3,618 5,980 6,728
19,700 19,750 0 3,553 5,897 6,644 154 3,618 5,980 6,728
19,750 19,800 0 3,545 5,885 6,633 150 3,618 5,980 6,728
19,800 19,850 0 3,537 5,875 6,623 145 3,618 5,980 6,728
19,850 19,900 0 3,530 5,864 6,612 141 3,618 5,980 6,728
19,900 19,950 0 3,522 5,854 6,602 138 3,618 5,980 6,728
19,950 20,000 0 3,514 5,843 6,591 134 3,618 5,980 6,728
20,000 20,050 0 3,505 5,833 6,581 130 3,618 5,980 6,728
20,050 20,100 0 3,497 5,822 6,569 126 3,618 5,980 6,728
20,100 20,150 0 3,489 5,812 6,559 122 3,618 5,980 6,728
20,150 20,200 0 3,481 5,801 6,548 118 3,618 5,980 6,728
20,200 20,250 0 3,473 5,791 6,538 115 3,618 5,980 6,728
20,250 20,300 0 3,465 5,779 6,527 111 3,618 5,980 6,728
20,300 20,350 0 3,457 5,768 6,516 107 3,618 5,980 6,728
20,350 20,400 0 3,449 5,758 6,506 103 3,618 5,980 6,728
20,400 20,450 0 3,441 5,747 6,495 99 3,618 5,980 6,728
20,450 20,500 0 3,433 5,737 6,485 95 3,618 5,980 6,728
20,500 20,550 0 3,425 5,726 6,473 92 3,618 5,980 6,728
20,550 20,600 0 3,417 5,716 6,463 88 3,618 5,980 6,728
20,600 20,650 0 3,408 5,705 6,452 84 3,618 5,980 6,728
20,650 20,700 0 3,400 5,695 6,442 80 3,618 5,980 6,728
20,700 20,750 0 3,392 5,683 6,431 76 3,618 5,980 6,728
20,750 20,800 0 3,384 5,673 6,421 73 3,618 5,980 6,728
20,800 20,850 0 3,376 5,662 6,410 69 3,618 5,980 6,728
20,850 20,900 0 3,368 5,652 6,400 65 3,618 5,980 6,728
20,900 20,950 0 3,360 5,641 6,389 61 3,618 5,980 6,728
20,950 21,000 0 3,352 5,631 6,378 57 3,618 5,980 6,728
21,000 21,050 0 3,344 5,620 6,367 53 3,618 5,980 6,728
21,050 21,100 0 3,336 5,610 6,357 50 3,618 5,980 6,728
21,100 21,150 0 3,328 5,599 6,346 45 3,618 5,980 6,728
21,150 21,200 0 3,320 5,587 6,335 41 3,618 5,980 6,728
21,200 21,250 0 3,311 5,577 6,325 37 3,618 5,980 6,728
21,250 21,300 0 3,303 5,566 6,314 33 3,618 5,980 6,728
21,300 21,350 0 3,295 5,556 6,304 29 3,618 5,980 6,728
21,350 21,400 0 3,287 5,545 6,293 26 3,618 5,980 6,728
21,400 21,450 0 3,279 5,535 6,282 22 3,618 5,980 6,728
21,450 21,500 0 3,271 5,524 6,271 18 3,618 5,980 6,728
21,500 21,550 0 3,263 5,514 6,261 14 3,618 5,980 6,728
21,550 21,600 0 3,255 5,503 6,250 10 3,618 5,980 6,728
21,600 21,650 0 3,247 5,493 6,240 7 3,618 5,980 6,728
21,650 21,700 0 3,239 5,481 6,229 3 3,618 5,980 6,728
21,700 21,710 0 3,231 5,471 6,219 0 3,618 5,980 6,728
21,710 21,750 0 3,231 5,471 6,219 0 3,618 5,980 6,728
21,750 21,800 0 3,223 5,460 6,208 0 3,618 5,980 6,728
21,800 21,850 0 3,215 5,450 6,198 0 3,618 5,980 6,728
21,850 21,900 0 3,206 5,439 6,187 0 3,618 5,980 6,728
21,900 21,950 0 3,198 5,428 6,175 0 3,618 5,980 6,728
21,950 22,000 0 3,190 5,418 6,165 0 3,618 5,980 6,728
22,000 22,050 0 3,182 5,407 6,154 0 3,618 5,980 6,728
22,050 22,100 0 3,174 5,397 6,144 0 3,618 5,980 6,728
22,100 22,150 0 3,166 5,385 6,133 0 3,618 5,980 6,728
22,150 22,200 0 3,158 5,375 6,123 0 3,618 5,980 6,728
22,200 22,250 0 3,150 5,364 6,112 0 3,618 5,980 6,728
22,250 22,300 0 3,142 5,354 6,102 0 3,618 5,980 6,728
22,300 22,350 0 3,134 5,343 6,091 0 3,618 5,980 6,728
22,350 22,400 0 3,126 5,333 6,080 0 3,618 5,980 6,728
22,400 22,450 0 3,118 5,322 6,069 0 3,618 5,980 6,728
22,450 22,500 0 3,109 5,312 6,059 0 3,618 5,980 6,728
22,500 22,550 0 3,101 5,301 6,048 0 3,618 5,980 6,728
22,550 22,600 0 3,093 5,290 6,038 0 3,618 5,980 6,728
22,600 22,650 0 3,085 5,279 6,027 0 3,618 5,980 6,728
22,650 22,700 0 3,077 5,269 6,017 0 3,618 5,980 6,728
22,700 22,750 0 3,069 5,258 6,006 0 3,618 5,980 6,728
22,750 22,800 0 3,061 5,247 5,995 0 3,618 5,980 6,728
22,800 22,850 0 3,053 5,237 5,984 0 3,618 5,980 6,728
22,850 22,900 0 3,045 5,226 5,973 0 3,618 5,980 6,728
22,900 22,950 0 3,037 5,216 5,963 0 3,618 5,980 6,728
22,950 23,000 0 3,029 5,205 5,952 0 3,618 5,980 6,728
23,000 23,050 0 3,021 5,195 5,942 0 3,618 5,980 6,728
23,050 23,100 0 3,013 5,183 5,931 0 3,618 5,980 6,728
23,100 23,150 0 3,005 5,173 5,921 0 3,618 5,980 6,728
23,150 23,200 0 2,997 5,162 5,910 0 3,618 5,980 6,728
23,200 23,250 0 2,989 5,152 5,900 0 3,618 5,980 6,728
23,250 23,300 0 2,981 5,141 5,889 0 3,618 5,980 6,728
23,300 23,350 0 2,973 5,131 5,878 0 3,618 5,980 6,728
23,350 23,400 0 2,965 5,120 5,867 0 3,618 5,980 6,728
23,400 23,450 0 2,957 5,110 5,857 0 3,618 5,980 6,728
23,450 23,500 0 2,949 5,099 5,846 0 3,618 5,980 6,728
23,500 23,550 0 2,941 5,088 5,836 0 3,618 5,980 6,728
23,550 23,600 0 2,933 5,077 5,825 0 3,618 5,980 6,728
23,600 23,650 0 2,925 5,066 5,814 0 3,618 5,980 6,728
23,650 23,700 0 2,916 5,056 5,804 0 3,618 5,980 6,728
23,700 23,750 0 2,908 5,045 5,793 0 3,618 5,980 6,728
23,750 23,800 0 2,900 5,035 5,782 0 3,618 5,980 6,728
23,800 23,850 0 2,892 5,024 5,771 0 3,618 5,980 6,728
23,850 23,900 0 2,884 5,014 5,761 0 3,618 5,980 6,728
23,900 23,950 0 2,876 5,003 5,750 0 3,618 5,980 6,728
23,950 24,000 0 2,868 4,992 5,740 0 3,618 5,980 6,728
24,000 24,050 0 2,860 4,981 5,729 0 3,618 5,980 6,728
24,050 24,100 0 2,852 4,971 5,719 0 3,618 5,980 6,728
24,100 24,150 0 2,844 4,960 5,708 0 3,618 5,980 6,728
24,150 24,200 0 2,836 4,950 5,698 0 3,618 5,980 6,728
24,200 24,250 0 2,828 4,939 5,686 0 3,618 5,980 6,728
24,250 24,300 0 2,820 4,929 5,676 0 3,618 5,980 6,728
24,300 24,350 0 2,811 4,918 5,665 0 3,618 5,980 6,728
24,350 24,400 0 2,803 4,908 5,655 0 3,618 5,980 6,728
24,400 24,450 0 2,795 4,896 5,644 0 3,618 5,980 6,728
24,450 24,500 0 2,787 4,885 5,633 0 3,618 5,980 6,728
24,500 24,550 0 2,779 4,875 5,623 0 3,618 5,980 6,728
24,550 24,600 0 2,771 4,864 5,612 0 3,618 5,980 6,728
24,600 24,650 0 2,763 4,854 5,602 0 3,618 5,980 6,728
24,650 24,700 0 2,755 4,843 5,591 0 3,618 5,980 6,728
24,700 24,750 0 2,747 4,833 5,580 0 3,618 5,980 6,728
24,750 24,800 0 2,739 4,822 5,569 0 3,618 5,980 6,728
24,800 24,850 0 2,731 4,812 5,559 0 3,618 5,980 6,728
24,850 24,900 0 2,724 4,801 5,548 0 3,618 5,980 6,728
24,900 24,950 0 2,715 4,790 5,538 0 3,618 5,980 6,728
24,950 25,000 0 2,707 4,779 5,527 0 3,618 5,980 6,728
25,000 25,050 0 2,699 4,769 5,517 0 3,618 5,980 6,728
25,050 25,100 0 2,691 4,758 5,506 0 3,618 5,980 6,728
25,100 25,150 0 2,683 4,748 5,496 0 3,618 5,980 6,728
25,150 25,200 0 2,675 4,737 5,484 0 3,618 5,980 6,728
25,200 25,250 0 2,667 4,727 5,474 0 3,618 5,980 6,728
25,250 25,300 0 2,659 4,716 5,463 0 3,609 5,968 6,716
25,300 25,350 0 2,651 4,705 5,452 0 3,600 5,958 6,706
25,350 25,400 0 2,643 4,694 5,442 0 3,592 5,947 6,695
25,400 25,450 0 2,635 4,683 5,431 0 3,584 5,937 6,685
25,450 25,500 0 2,627 4,673 5,421 0 3,576 5,926 6,673
25,500 25,550 0 2,618 4,662 5,410 0 3,568 5,916 6,663
25,550 25,600 0 2,610 4,652 5,400 0 3,560 5,905 6,652
25,600 25,650 0 2,602 4,641 5,388 0 3,552 5,895 6,642
25,650 25,700 0 2,594 4,631 5,378 0 3,544 5,883 6,631
25,700 25,750 0 2,586 4,620 5,367 0 3,536 5,873 6,621
25,750 25,800 0 2,578 4,610 5,357 0 3,528 5,862 6,610
25,800 25,850 0 2,570 4,598 5,346 0 3,520 5,852 6,600
25,850 25,900 0 2,562 4,588 5,336 0 3,512 5,841 6,589
25,900 25,950 0 2,554 4,577 5,325 0 3,503 5,831 6,578
25,950 26,000 0 2,546 4,567 5,315 0 3,495 5,820 6,567
26,000 26,050 0 2,538 4,556 5,304 0 3,487 5,809 6,556
26,050 26,100 0 2,530 4,546 5,294 0 3,479 5,799 6,546
26,100 26,150 0 2,522 4,535 5,282 0 3,471 5,787 6,535
26,150 26,200 0 2,513 4,524 5,271 0 3,463 5,777 6,525
26,200 26,250 0 2,505 4,514 5,261 0 3,455 5,766 6,514
26,250 26,300 0 2,497 4,503 5,250 0 3,447 5,756 6,504
26,300 26,350 0 2,489 4,492 5,240 0 3,439 5,745 6,493
26,350 26,400 0 2,481 4,481 5,229 0 3,431 5,735 6,483
26,400 26,450 0 2,473 4,471 5,219 0 3,423 5,724 6,471
26,450 26,500 0 2,465 4,460 5,208 0 3,415 5,714 6,461
26,500 26,550 0 2,457 4,450 5,198 0 3,406 5,703 6,450
26,550 26,600 0 2,449 4,439 5,186 0 3,398 5,693 6,440
26,600 26,650 0 2,441 4,429 5,176 0 3,390 5,681 6,429
26,650 26,700 0 2,433 4,418 5,165 0 3,382 5,671 6,419
26,700 26,750 0 2,425 4,408 5,155 0 3,374 5,660 6,408
26,750 26,800 0 2,416 4,396 5,144 0 3,366 5,650 6,398
26,800 26,850 0 2,408 4,386 5,134 0 3,358 5,639 6,387
26,850 26,900 0 2,400 4,375 5,123 0 3,350 5,628 6,375
26,900 26,950 0 2,392 4,364 5,112 0 3,342 5,618 6,365
26,950 27,000 0 2,384 4,354 5,102 0 3,334 5,607 6,354
27,000 27,050 0 2,376 4,343 5,090 0 3,326 5,597 6,344
27,050 27,100 0 2,368 4,333 5,080 0 3,318 5,585 6,333
27,100 27,150 0 2,360 4,322 5,069 0 3,309 5,575 6,323
27,150 27,200 0 2,352 4,312 5,059 0 3,301 5,564 6,312
27,200 27,250 0 2,344 4,300 5,048 0 3,293 5,554 6,302
27,250 27,300 0 2,336 4,290 5,038 0 3,285 5,543 6,291
27,300 27,350 0 2,328 4,279 5,027 0 3,277 5,533 6,280
27,350 27,400 0 2,319 4,269 5,017 0 3,269 5,522 6,269
27,400 27,450 0 2,311 4,258 5,006 0 3,261 5,512 6,259
27,450 27,500 0 2,303 4,248 4,995 0 3,253 5,501 6,248
27,500 27,550 0 2,295 4,237 4,984 0 3,245 5,490 6,238
27,550 27,600 0 2,287 4,227 4,974 0 3,237 5,479 6,227
27,600 27,650 0 2,279 4,216 4,963 0 3,229 5,469 6,217
27,650 27,700 0 2,271 4,206 4,953 0 3,221 5,458 6,206
27,700 27,750 0 2,263 4,194 4,942 0 3,212 5,447 6,195
27,750 27,800 0 2,255 4,183 4,931 0 3,204 5,437 6,185
27,800 27,850 0 2,247 4,173 4,921 0 3,196 5,426 6,173
27,850 27,900 0 2,239 4,162 4,910 0 3,188 5,416 6,163
27,900 27,950 0 2,231 4,152 4,900 0 3,180 5,405 6,152
27,950 28,000 0 2,222 4,141 4,888 0 3,172 5,395 6,142
28,000 28,050 0 2,214 4,131 4,878 0 3,164 5,383 6,131
28,050 28,100 0 2,206 4,120 4,867 0 3,156 5,373 6,121
28,100 28,150 0 2,198 4,110 4,857 0 3,148 5,362 6,110
28,150 28,200 0 2,190 4,098 4,846 0 3,140 5,352 6,100
28,200 28,250 0 2,182 4,088 4,836 0 3,132 5,341 6,089
28,250 28,300 0 2,174 4,077 4,825 0 3,124 5,331 6,078
28,300 28,350 0 2,166 4,067 4,815 0 3,116 5,320 6,067
28,350 28,400 0 2,158 4,056 4,804 0 3,107 5,310 6,057
28,400 28,450 0 2,150 4,046 4,793 0 3,099 5,299 6,046
28,450 28,500 0 2,142 4,035 4,782 0 3,091 5,287 6,035
28,500 28,550 0 2,134 4,025 4,772 0 3,083 5,277 6,025
28,550 28,600 0 2,126 4,014 4,761 0 3,075 5,266 6,014
28,600 28,650 0 2,117 4,002 4,750 0 3,067 5,256 6,004
28,650 28,700 0 2,109 3,992 4,740 0 3,059 5,245 5,993
28,700 28,750 0 2,101 3,981 4,729 0 3,052 5,235 5,982
28,750 28,800 0 2,093 3,971 4,719 0 3,044 5,224 5,971
28,800 28,850 0 2,085 3,960 4,708 0 3,036 5,214 5,961
28,850 28,900 0 2,077 3,950 4,697 0 3,028 5,203 5,950
28,900 28,950 0 2,069 3,939 4,686 0 3,020 5,192 5,940
28,950 29,000 0 2,061 3,929 4,676 0 3,012 5,181 5,929
29,000 29,050 0 2,053 3,918 4,665 0 3,004 5,171 5,919
29,050 29,100 0 2,045 3,907 4,655 0 2,996 5,160 5,908
29,100 29,150 0 2,037 3,896 4,644 0 2,988 5,150 5,898
29,150 29,200 0 2,029 3,886 4,634 0 2,980 5,139 5,886
29,200 29,250 0 2,020 3,875 4,623 0 2,972 5,129 5,876
29,250 29,300 0 2,012 3,865 4,613 0 2,964 5,118 5,865
29,300 29,350 0 2,004 3,854 4,602 0 2,956 5,107 5,854
29,350 29,400 0 1,996 3,844 4,591 0 2,948 5,097 5,844
29,400 29,450 0 1,988 3,833 4,580 0 2,940 5,085 5,833
29,450 29,500 0 1,980 3,822 4,569 0 2,932 5,075 5,823
29,500 29,550 0 1,972 3,812 4,559 0 2,924 5,064 5,812
29,550 29,600 0 1,964 3,800 4,548 0 2,915 5,054 5,802
29,600 29,650 0 1,956 3,790 4,538 0 2,907 5,043 5,791
29,650 29,700 0 1,948 3,779 4,527 0 2,899 5,033 5,780
29,700 29,750 0 1,940 3,769 4,517 0 2,891 5,022 5,769
29,750 29,800 0 1,932 3,758 4,506 0 2,883 5,012 5,759
29,800 29,850 0 1,923 3,748 4,495 0 2,875 5,001 5,748
29,850 29,900 0 1,916 3,737 4,484 0 2,867 4,990 5,738
29,900 29,950 0 1,908 3,727 4,474 0 2,859 4,979 5,727
29,950 30,000 0 1,900 3,716 4,463 0 2,851 4,969 5,717
30,000 30,050 0 1,892 3,705 4,453 0 2,843 4,958 5,706
30,050 30,100 0 1,884 3,694 4,442 0 2,835 4,948 5,696
30,100 30,150 0 1,876 3,684 4,432 0 2,827 4,937 5,684
30,150 30,200 0 1,868 3,673 4,421 0 2,819 4,926 5,673
30,200 30,250 0 1,860 3,663 4,411 0 2,810 4,916 5,663
30,250 30,300 0 1,852 3,652 4,399 0 2,802 4,905 5,652
30,300 30,350 0 1,844 3,641 4,388 0 2,794 4,894 5,642
30,350 30,400 0 1,836 3,631 4,378 0 2,786 4,883 5,631
30,400 30,450 0 1,827 3,620 4,367 0 2,778 4,873 5,621
30,450 30,500 0 1,819 3,609 4,357 0 2,770 4,862 5,610
30,500 30,550 0 1,811 3,598 4,346 0 2,762 4,852 5,600
30,550 30,600 0 1,804 3,588 4,336 0 2,754 4,841 5,588
30,600 30,650 0 1,796 3,577 4,325 0 2,746 4,831 5,578
30,650 30,700 0 1,788 3,567 4,315 0 2,738 4,820 5,567
30,700 30,750 0 1,780 3,556 4,303 0 2,730 4,810 5,557
30,750 30,800 0 1,772 3,546 4,293 0 2,722 4,798 5,546
30,800 30,850 0 1,764 3,535 4,282 0 2,713 4,788 5,536
30,850 30,900 0 1,756 3,525 4,272 0 2,705 4,777 5,525
30,900 30,950 0 1,748 3,514 4,261 0 2,697 4,767 5,515
30,950 31,000 0 1,740 3,503 4,251 0 2,689 4,756 5,504
31,000 31,050 0 1,732 3,492 4,240 0 2,681 4,745 5,493
31,050 31,100 0 1,723 3,482 4,230 0 2,673 4,735 5,482
31,100 31,150 0 1,715 3,471 4,219 0 2,665 4,724 5,471
31,150 31,200 0 1,707 3,460 4,208 0 2,657 4,714 5,461
31,200 31,250 0 1,699 3,450 4,197 0 2,649 4,703 5,450
31,250 31,300 0 1,691 3,439 4,186 0 2,641 4,692 5,440
31,300 31,350 0 1,683 3,429 4,176 0 2,633 4,681 5,429
31,350 31,400 0 1,675 3,418 4,165 0 2,625 4,671 5,419
31,400 31,450 0 1,667 3,407 4,155 0 2,616 4,660 5,408
31,450 31,500 0 1,659 3,396 4,144 0 2,608 4,650 5,398
31,500 31,550 0 1,651 3,386 4,134 0 2,600 4,639 5,386
31,550 31,600 0 1,643 3,375 4,123 0 2,592 4,629 5,376
31,600 31,650 0 1,635 3,365 4,113 0 2,584 4,618 5,365
31,650 31,700 0 1,626 3,354 4,101 0 2,576 4,608 5,355
31,700 31,750 0 1,618 3,344 4,091 0 2,568 4,596 5,344
31,750 31,800 0 1,610 3,333 4,080 0 2,560 4,586 5,334
31,800 31,850 0 1,602 3,323 4,070 0 2,552 4,575 5,323
31,850 31,900 0 1,594 3,311 4,059 0 2,544 4,564 5,312
31,900 31,950 0 1,586 3,300 4,048 0 2,536 4,554 5,302
31,950 32,000 0 1,578 3,290 4,038 0 2,528 4,543 5,290
32,000 32,050 0 1,570 3,279 4,027 0 2,519 4,533 5,280
32,050 32,100 0 1,562 3,269 4,017 0 2,511 4,522 5,269
32,100 32,150 0 1,554 3,258 4,005 0 2,503 4,512 5,259
32,150 32,200 0 1,546 3,248 3,995 0 2,495 4,500 5,248
32,200 32,250 0 1,538 3,237 3,984 0 2,487 4,490 5,238
32,250 32,300 0 1,529 3,227 3,974 0 2,479 4,479 5,227
32,300 32,350 0 1,521 3,215 3,963 0 2,471 4,469 5,217
32,350 32,400 0 1,513 3,205 3,953 0 2,463 4,458 5,206
32,400 32,450 0 1,505 3,194 3,942 0 2,455 4,448 5,196
32,450 32,500 0 1,497 3,184 3,932 0 2,447 4,437 5,184
32,500 32,550 0 1,489 3,173 3,921 0 2,439 4,427 5,174
32,550 32,600 0 1,481 3,163 3,911 0 2,431 4,416 5,163
32,600 32,650 0 1,473 3,152 3,899 0 2,423 4,406 5,153
32,650 32,700 0 1,465 3,142 3,889 0 2,414 4,394 5,142
32,700 32,750 0 1,457 3,131 3,878 0 2,406 4,383 5,131
32,750 32,800 0 1,449 3,120 3,867 0 2,398 4,373 5,121
32,800 32,850 0 1,441 3,109 3,857 0 2,390 4,362 5,110
32,850 32,900 0 1,432 3,098 3,846 0 2,382 4,352 5,100
32,900 32,950 0 1,424 3,088 3,836 0 2,374 4,341 5,088
32,950 33,000 0 1,416 3,077 3,825 0 2,366 4,331 5,078
33,000 33,050 0 1,408 3,067 3,815 0 2,358 4,320 5,067
33,050 33,100 0 1,400 3,056 3,803 0 2,350 4,310 5,057
33,100 33,150 0 1,392 3,046 3,793 0 2,342 4,298 5,046
33,150 33,200 0 1,384 3,035 3,782 0 2,334 4,288 5,036
33,200 33,250 0 1,376 3,025 3,772 0 2,326 4,277 5,025
33,250 33,300 0 1,368 3,013 3,761 0 2,317 4,267 5,015
33,300 33,350 0 1,360 3,003 3,751 0 2,309 4,256 5,004
33,350 33,400 0 1,352 2,992 3,740 0 2,301 4,246 4,993
33,400 33,450 0 1,344 2,982 3,730 0 2,293 4,235 4,982
33,450 33,500 0 1,336 2,971 3,719 0 2,285 4,224 4,971
33,500 33,550 0 1,327 2,961 3,708 0 2,277 4,214 4,961
33,550 33,600 0 1,319 2,950 3,697 0 2,269 4,202 4,950
33,600 33,650 0 1,311 2,939 3,686 0 2,261 4,192 4,940
33,650 33,700 0 1,303 2,929 3,676 0 2,253 4,181 4,929
33,700 33,750 0 1,295 2,917 3,665 0 2,246 4,171 4,919
33,750 33,800 0 1,287 2,907 3,655 0 2,238 4,160 4,908
33,800 33,850 0 1,279 2,896 3,644 0 2,230 4,150 4,897
33,850 33,900 0 1,271 2,886 3,634 0 2,221 4,139 4,886
33,900 33,950 0 1,263 2,875 3,623 0 2,213 4,129 4,876
33,950 34,000 0 1,255 2,865 3,613 0 2,205 4,118 4,865
34,000 34,050 0 1,247 2,854 3,601 0 2,197 4,108 4,855
34,050 34,100 0 1,239 2,844 3,591 0 2,189 4,096 4,844
34,100 34,150 0 1,230 2,833 3,580 0 2,181 4,086 4,834
34,150 34,200 0 1,222 2,823 3,570 0 2,173 4,075 4,823
34,200 34,250 0 1,214 2,811 3,559 0 2,165 4,065 4,813
34,250 34,300 0 1,206 2,801 3,549 0 2,157 4,054 4,802
34,300 34,350 0 1,198 2,790 3,538 0 2,149 4,043 4,790
34,350 34,400 0 1,190 2,780 3,528 0 2,141 4,033 4,780
34,400 34,450 0 1,182 2,769 3,517 0 2,133 4,022 4,769
34,450 34,500 0 1,174 2,758 3,505 0 2,124 4,012 4,759
34,500 34,550 0 1,166 2,748 3,495 0 2,116 4,000 4,748
34,550 34,600 0 1,158 2,737 3,484 0 2,108 3,990 4,738
34,600 34,650 0 1,150 2,727 3,474 0 2,100 3,979 4,727
34,650 34,700 0 1,142 2,715 3,463 0 2,092 3,969 4,717
34,700 34,750 0 1,133 2,705 3,453 0 2,084 3,958 4,706
34,750 34,800 0 1,125 2,694 3,442 0 2,076 3,948 4,695
34,800 34,850 0 1,117 2,684 3,432 0 2,068 3,937 4,684
34,850 34,900 0 1,110 2,673 3,421 0 2,060 3,927 4,674
34,900 34,950 0 1,102 2,663 3,410 0 2,052 3,916 4,663
34,950 35,000 0 1,094 2,652 3,399 0 2,044 3,905 4,653
35,000 35,050 0 1,086 2,642 3,389 0 2,036 3,894 4,642
35,050 35,100 0 1,078 2,631 3,378 0 2,028 3,884 4,632
35,100 35,150 0 1,070 2,620 3,368 0 2,019 3,873 4,621
35,150 35,200 0 1,062 2,609 3,357 0 2,011 3,862 4,610
35,200 35,250 0 1,054 2,599 3,347 0 2,003 3,852 4,599
35,250 35,300 0 1,046 2,588 3,336 0 1,995 3,841 4,588
35,300 35,350 0 1,037 2,577 3,325 0 1,987 3,831 4,578
35,350 35,400 0 1,029 2,567 3,314 0 1,979 3,820 4,567
35,400 35,450 0 1,021 2,556 3,303 0 1,971 3,810 4,557
35,450 35,500 0 1,013 2,546 3,293 0 1,963 3,798 4,546
35,500 35,550 0 1,005 2,535 3,282 0 1,955 3,788 4,536
35,550 35,600 0 997 2,525 3,272 0 1,947 3,777 4,525
35,600 35,650 0 989 2,513 3,261 0 1,939 3,767 4,515
35,650 35,700 0 981 2,503 3,251 0 1,931 3,756 4,504
35,700 35,750 0 973 2,492 3,240 0 1,922 3,746 4,493
35,750 35,800 0 965 2,482 3,230 0 1,914 3,735 4,482
35,800 35,850 0 957 2,471 3,219 0 1,906 3,725 4,472
35,850 35,900 0 949 2,461 3,208 0 1,898 3,714 4,461
35,900 35,950 0 941 2,450 3,197 0 1,890 3,703 4,451
35,950 36,000 0 932 2,440 3,187 0 1,882 3,692 4,440
36,000 36,050 0 924 2,429 3,176 0 1,874 3,681 4,429
36,050 36,100 0 916 2,418 3,166 0 1,866 3,671 4,419
36,100 36,150 0 908 2,407 3,155 0 1,858 3,660 4,408
36,150 36,200 0 900 2,396 3,144 0 1,850 3,650 4,397
36,200 36,250 0 892 2,386 3,134 0 1,842 3,639 4,386
36,250 36,300 0 884 2,375 3,123 0 1,834 3,629 4,376
36,300 36,350 0 876 2,365 3,112 0 1,825 3,618 4,365
36,350 36,400 0 868 2,354 3,101 0 1,817 3,607 4,355
36,400 36,450 0 860 2,344 3,091 0 1,809 3,596 4,344
36,450 36,500 0 852 2,333 3,080 0 1,802 3,586 4,334
36,500 36,550 0 844 2,322 3,070 0 1,794 3,575 4,323
36,550 36,600 0 835 2,311 3,059 0 1,786 3,565 4,313
36,600 36,650 0 827 2,301 3,049 0 1,778 3,554 4,301
36,650 36,700 0 819 2,290 3,038 0 1,770 3,544 4,291
36,700 36,750 0 811 2,280 3,028 0 1,762 3,533 4,280
36,750 36,800 0 803 2,269 3,016 0 1,754 3,523 4,270
36,800 36,850 0 795 2,259 3,006 0 1,746 3,511 4,259
36,850 36,900 0 787 2,248 2,995 0 1,738 3,500 4,248
36,900 36,950 0 779 2,237 2,984 0 1,729 3,490 4,238
36,950 37,000 0 771 2,227 2,974 0 1,721 3,479 4,227
37,000 37,050 0 763 2,215 2,963 0 1,713 3,469 4,217
37,050 37,100 0 755 2,205 2,953 0 1,705 3,458 4,206
37,100 37,150 0 747 2,194 2,942 0 1,697 3,448 4,195
37,150 37,200 0 738 2,184 2,932 0 1,689 3,437 4,184
37,200 37,250 0 730 2,173 2,921 0 1,681 3,427 4,174
37,250 37,300 0 722 2,163 2,910 0 1,673 3,416 4,163
37,300 37,350 0 714 2,152 2,899 0 1,665 3,405 4,153
37,350 37,400 0 706 2,142 2,889 0 1,657 3,394 4,142
37,400 37,450 0 698 2,131 2,878 0 1,649 3,384 4,132
37,450 37,500 0 690 2,120 2,868 0 1,641 3,373 4,121
37,500 37,550 0 682 2,109 2,857 0 1,633 3,363 4,111
37,550 37,600 0 674 2,099 2,847 0 1,624 3,352 4,099
37,600 37,650 0 666 2,088 2,836 0 1,616 3,342 4,089
37,650 37,700 0 658 2,078 2,826 0 1,608 3,331 4,078
37,700 37,750 0 650 2,067 2,814 0 1,600 3,320 4,067
37,750 37,800 0 641 2,056 2,803 0 1,592 3,309 4,057
37,800 37,850 0 633 2,046 2,793 0 1,584 3,298 4,046
37,850 37,900 0 625 2,035 2,782 0 1,576 3,288 4,036
37,900 37,950 0 617 2,024 2,772 0 1,568 3,277 4,025
37,950 38,000 0 609 2,013 2,761 0 1,560 3,267 4,015
38,000 38,050 0 602 2,003 2,751 0 1,552 3,256 4,003
38,050 38,100 0 594 1,992 2,740 0 1,544 3,246 3,993
38,100 38,150 0 586 1,982 2,730 0 1,536 3,235 3,982
38,150 38,200 0 578 1,971 2,718 0 1,527 3,225 3,972
38,200 38,250 0 570 1,961 2,708 0 1,519 3,213 3,961
38,250 38,300 0 562 1,950 2,697 0 1,511 3,203 3,951
38,300 38,350 0 554 1,940 2,687 0 1,503 3,192 3,940
38,350 38,400 0 546 1,928 2,676 0 1,495 3,182 3,930
38,400 38,450 0 537 1,918 2,666 0 1,487 3,171 3,919
38,450 38,500 0 529 1,907 2,655 0 1,479 3,160 3,907
38,500 38,550 0 521 1,897 2,645 0 1,471 3,150 3,897
38,550 38,600 0 513 1,886 2,634 0 1,463 3,139 3,886
38,600 38,650 0 505 1,875 2,623 0 1,455 3,129 3,876
38,650 38,700 0 497 1,865 2,612 0 1,447 3,118 3,865
38,700 38,750 0 489 1,854 2,601 0 1,440 3,107 3,855
38,750 38,800 0 481 1,844 2,591 0 1,431 3,096 3,844
38,800 38,850 0 473 1,833 2,580 0 1,423 3,086 3,834
38,850 38,900 0 465 1,822 2,570 0 1,415 3,075 3,823
38,900 38,950 0 457 1,811 2,559 0 1,407 3,065 3,813
38,950 39,000 0 449 1,801 2,549 0 1,399 3,054 3,801
39,000 39,050 0 440 1,790 2,538 0 1,391 3,044 3,791
39,050 39,100 0 432 1,780 2,528 0 1,383 3,033 3,780
39,100 39,150 0 424 1,769 2,516 0 1,375 3,023 3,770
39,150 39,200 0 416 1,759 2,506 0 1,367 3,011 3,759
39,200 39,250 0 408 1,748 2,495 0 1,359 3,001 3,749
39,250 39,300 0 400 1,738 2,485 0 1,351 2,990 3,738
39,300 39,350 0 392 1,726 2,474 0 1,343 2,979 3,727
39,350 39,400 0 384 1,716 2,464 0 1,334 2,969 3,717
39,400 39,450 0 376 1,705 2,453 0 1,326 2,958 3,705
39,450 39,500 0 368 1,694 2,442 0 1,318 2,948 3,695
39,500 39,550 0 360 1,684 2,432 0 1,310 2,937 3,684
39,550 39,600 0 352 1,673 2,420 0 1,302 2,927 3,674
39,600 39,650 0 343 1,663 2,410 0 1,294 2,915 3,663
39,650 39,700 0 335 1,652 2,399 0 1,286 2,905 3,653
39,700 39,750 0 327 1,642 2,389 0 1,278 2,894 3,642
39,750 39,800 0 319 1,630 2,378 0 1,270 2,884 3,632
39,800 39,850 0 311 1,620 2,368 0 1,262 2,873 3,621
39,850 39,900 0 304 1,609 2,357 0 1,254 2,863 3,610
39,900 39,950 0 296 1,599 2,347 0 1,246 2,852 3,599
39,950 40,000 0 288 1,588 2,336 0 1,238 2,842 3,589
40,000 40,050 0 280 1,578 2,326 0 1,229 2,831 3,578
40,050 40,100 0 272 1,567 2,314 0 1,221 2,821 3,568
40,100 40,150 0 264 1,557 2,304 0 1,213 2,809 3,557
40,150 40,200 0 256 1,546 2,293 0 1,205 2,798 3,546
40,200 40,250 0 248 1,536 2,283 0 1,197 2,788 3,536
40,250 40,300 0 239 1,524 2,272 0 1,189 2,777 3,525
40,300 40,350 0 231 1,513 2,261 0 1,181 2,767 3,515
40,350 40,400 0 223 1,503 2,251 0 1,173 2,756 3,503
40,400 40,450 0 215 1,492 2,240 0 1,165 2,746 3,493
40,450 40,500 0 207 1,482 2,230 0 1,157 2,735 3,482
40,500 40,550 0 199 1,471 2,218 0 1,149 2,725 3,472
40,550 40,600 0 191 1,461 2,208 0 1,141 2,713 3,461
40,600 40,650 0 183 1,450 2,197 0 1,132 2,703 3,451
40,650 40,700 0 175 1,440 2,187 0 1,124 2,692 3,440
40,700 40,750 0 167 1,428 2,176 0 1,116 2,682 3,430
40,750 40,800 0 159 1,418 2,166 0 1,108 2,671 3,419
40,800 40,850 0 151 1,407 2,155 0 1,100 2,661 3,408
40,850 40,900 0 142 1,397 2,145 0 1,092 2,650 3,397
40,900 40,950 0 134 1,386 2,134 0 1,084 2,640 3,387
40,950 41,000 0 126 1,376 2,123 0 1,076 2,629 3,376
41,000 41,050 0 118 1,365 2,112 0 1,068 2,617 3,365
41,050 41,100 0 110 1,355 2,102 0 1,060 2,607 3,355
41,100 41,150 0 102 1,344 2,091 0 1,052 2,596 3,344
41,150 41,200 0 94 1,332 2,080 0 1,044 2,586 3,334
41,200 41,250 0 86 1,322 2,070 0 1,035 2,575 3,323
41,250 41,300 0 78 1,311 2,059 0 1,027 2,565 3,312
41,300 41,350 0 70 1,301 2,049 0 1,019 2,554 3,301
41,350 41,400 0 62 1,290 2,038 0 1,011 2,544 3,291
41,400 41,450 0 54 1,280 2,027 0 1,003 2,533 3,280
41,450 41,500 0 45 1,269 2,016 0 995 2,522 3,270
41,500 41,550 0 37 1,259 2,006 0 987 2,511 3,259
41,550 41,600 0 29 1,248 1,995 0 979 2,501 3,249
41,600 41,650 0 21 1,238 1,985 0 971 2,490 3,238
41,650 41,700 0 13 1,226 1,974 0 963 2,480 3,228
41,700 41,750 0 5 1,216 1,964 0 955 2,469 3,217
41,750 41,756 0 0 1,205 1,953 0 947 2,459 3,206
41,756 41,800 0 0 1,205 1,953 0 947 2,459 3,206
41,800 41,850 0 0 1,195 1,943 0 938 2,448 3,195
41,850 41,900 0 0 1,184 1,932 0 930 2,437 3,184
41,900 41,950 0 0 1,173 1,920 0 922 2,427 3,174
41,950 42,000 0 0 1,163 1,910 0 914 2,415 3,163
42,000 42,050 0 0 1,152 1,899 0 906 2,405 3,153
42,050 42,100 0 0 1,142 1,889 0 898 2,394 3,142
42,100 42,150 0 0 1,130 1,878 0 890 2,384 3,132
42,150 42,200 0 0 1,120 1,868 0 882 2,373 3,121
42,200 42,250 0 0 1,109 1,857 0 874 2,363 3,110
42,250 42,300 0 0 1,099 1,847 0 866 2,352 3,099
42,300 42,350 0 0 1,088 1,836 0 858 2,342 3,089
42,350 42,400 0 0 1,078 1,825 0 850 2,331 3,078
42,400 42,450 0 0 1,067 1,814 0 842 2,320 3,068
42,450 42,500 0 0 1,057 1,804 0 833 2,309 3,057
42,500 42,550 0 0 1,046 1,793 0 825 2,299 3,047
42,550 42,600 0 0 1,035 1,783 0 817 2,288 3,036
42,600 42,650 0 0 1,024 1,772 0 809 2,278 3,026
42,650 42,700 0 0 1,014 1,762 0 801 2,267 3,014
42,700 42,750 0 0 1,003 1,751 0 793 2,256 3,003
42,750 42,800 0 0 992 1,740 0 785 2,246 2,993
42,800 42,850 0 0 982 1,729 0 777 2,235 2,982
42,850 42,900 0 0 971 1,718 0 769 2,224 2,972
42,900 42,950 0 0 961 1,708 0 761 2,213 2,961
42,950 43,000 0 0 950 1,697 0 753 2,203 2,951
43,000 43,050 0 0 939 1,687 0 745 2,192 2,940
43,050 43,100 0 0 928 1,676 0 736 2,182 2,930
43,100 43,150 0 0 918 1,666 0 728 2,171 2,918
43,150 43,200 0 0 907 1,655 0 720 2,161 2,908
43,200 43,250 0 0 897 1,645 0 712 2,150 2,897
43,250 43,300 0 0 886 1,634 0 704 2,140 2,887
43,300 43,350 0 0 876 1,623 0 696 2,129 2,876
43,350 43,400 0 0 865 1,612 0 688 2,118 2,866
43,400 43,450 0 0 855 1,602 0 680 2,107 2,855
43,450 43,500 0 0 844 1,591 0 672 2,096 2,844
43,500 43,550 0 0 833 1,581 0 664 2,086 2,834
43,550 43,600 0 0 822 1,570 0 656 2,075 2,823
43,600 43,650 0 0 811 1,559 0 648 2,065 2,812
43,650 43,700 0 0 801 1,549 0 639 2,054 2,801
43,700 43,750 0 0 790 1,538 0 632 2,044 2,791
43,750 43,800 0 0 780 1,527 0 624 2,033 2,780
43,800 43,850 0 0 769 1,516 0 616 2,022 2,770
43,850 43,900 0 0 759 1,506 0 608 2,011 2,759
43,900 43,950 0 0 748 1,495 0 601 2,001 2,749
43,950 44,000 0 0 737 1,485 0 593 1,990 2,738
44,000 44,050 0 0 726 1,474 0 585 1,980 2,728
44,050 44,100 0 0 716 1,464 0 577 1,969 2,716
44,100 44,150 0 0 705 1,453 0 569 1,959 2,706
44,150 44,200 0 0 695 1,443 0 561 1,948 2,695
44,200 44,250 0 0 684 1,431 0 553 1,938 2,685
44,250 44,300 0 0 674 1,421 0 545 1,926 2,674
44,300 44,350 0 0 663 1,410 0 536 1,915 2,663
44,350 44,400 0 0 653 1,400 0 528 1,905 2,653
44,400 44,450 0 0 641 1,389 0 520 1,894 2,642
44,450 44,500 0 0 630 1,378 0 512 1,884 2,632
44,500 44,550 0 0 620 1,368 0 504 1,873 2,620
44,550 44,600 0 0 609 1,357 0 496 1,863 2,610
44,600 44,650 0 0 599 1,347 0 488 1,852 2,599
44,650 44,700 0 0 588 1,335 0 480 1,842 2,589
44,700 44,750 0 0 578 1,325 0 472 1,831 2,578
44,750 44,800 0 0 567 1,314 0 464 1,820 2,568
44,800 44,850 0 0 557 1,304 0 456 1,809 2,557
44,850 44,900 0 0 546 1,293 0 448 1,799 2,547
44,900 44,950 0 0 535 1,283 0 439 1,788 2,536
44,950 45,000 0 0 524 1,272 0 431 1,778 2,526
45,000 45,050 0 0 514 1,262 0 423 1,767 2,514
45,050 45,100 0 0 503 1,251 0 415 1,757 2,504
45,100 45,150 0 0 493 1,241 0 407 1,746 2,493
45,150 45,200 0 0 482 1,229 0 399 1,735 2,482
45,200 45,250 0 0 472 1,219 0 391 1,724 2,472
45,250 45,300 0 0 461 1,208 0 383 1,713 2,461
45,300 45,350 0 0 450 1,197 0 375 1,703 2,451
45,350 45,400 0 0 439 1,187 0 367 1,692 2,440
45,400 45,450 0 0 428 1,176 0 359 1,682 2,430
45,450 45,500 0 0 418 1,166 0 351 1,671 2,418
45,500 45,550 0 0 407 1,155 0 342 1,661 2,408
45,550 45,600 0 0 397 1,145 0 334 1,650 2,397
45,600 45,650 0 0 386 1,133 0 326 1,640 2,387
45,650 45,700 0 0 376 1,123 0 318 1,628 2,376
45,700 45,750 0 0 365 1,112 0 310 1,618 2,366
45,750 45,800 0 0 355 1,102 0 302 1,607 2,355
45,800 45,850 0 0 343 1,091 0 294 1,597 2,345
45,850 45,900 0 0 333 1,081 0 286 1,586 2,334
45,900 45,950 0 0 322 1,070 0 278 1,576 2,323
45,950 46,000 0 0 312 1,060 0 270 1,565 2,312
46,000 46,050 0 0 301 1,049 0 262 1,554 2,301
46,050 46,100 0 0 291 1,038 0 254 1,544 2,291
46,100 46,150 0 0 280 1,027 0 245 1,532 2,280
46,150 46,200 0 0 269 1,016 0 237 1,522 2,270
46,200 46,250 0 0 259 1,006 0 229 1,511 2,259
46,250 46,300 0 0 248 995 0 221 1,501 2,249
46,300 46,350 0 0 237 985 0 213 1,490 2,238
46,350 46,400 0 0 226 974 0 205 1,480 2,228
46,400 46,450 0 0 216 964 0 197 1,469 2,216
46,450 46,500 0 0 205 953 0 189 1,459 2,206
46,500 46,550 0 0 195 943 0 181 1,448 2,195
46,550 46,600 0 0 184 931 0 173 1,438 2,185
46,600 46,650 0 0 174 921 0 165 1,426 2,174
46,650 46,700 0 0 163 910 0 157 1,416 2,164
46,700 46,750 0 0 153 900 0 149 1,405 2,153
46,750 46,800 0 0 141 889 0 140 1,395 2,143
46,800 46,850 0 0 131 879 0 132 1,384 2,132
46,850 46,900 0 0 120 868 0 124 1,373 2,120
46,900 46,950 0 0 109 857 0 116 1,363 2,110
46,950 47,000 0 0 99 847 0 108 1,352 2,099
47,000 47,050 0 0 88 835 0 100 1,342 2,089
47,050 47,100 0 0 78 825 0 92 1,330 2,078
47,100 47,150 0 0 67 814 0 84 1,320 2,068
47,150 47,200 0 0 57 804 0 76 1,309 2,057
47,200 47,250 0 0 45 793 0 68 1,299 2,047
47,250 47,300 0 0 35 783 0 60 1,288 2,036
47,300 47,350 0 0 24 772 0 52 1,278 2,025
47,350 47,400 0 0 14 762 0 43 1,267 2,014
47,400 47,440 0 0 4 751 0 35 1,257 2,004
47,440 47,450 0 0 0 751 0 35 1,257 2,004
47,450 47,500 0 0 0 740 0 27 1,246 1,993
47,500 47,550 0 0 0 729 0 19 1,235 1,983
47,550 47,600 0 0 0 719 0 11 1,224 1,972
47,600 47,646 0 0 0 708 0 4 1,214 1,962
47,646 47,650 0 0 0 708 0 0 1,214 1,962
47,650 47,700 0 0 0 698 0 0 1,203 1,951
47,700 47,750 0 0 0 687 0 0 1,192 1,940
47,750 47,800 0 0 0 676 0 0 1,182 1,930
47,800 47,850 0 0 0 666 0 0 1,171 1,918
47,850 47,900 0 0 0 655 0 0 1,161 1,908
47,900 47,950 0 0 0 645 0 0 1,150 1,897
47,950 48,000 0 0 0 633 0 0 1,140 1,887
48,000 48,050 0 0 0 623 0 0 1,128 1,876
48,050 48,100 0 0 0 612 0 0 1,118 1,866
48,100 48,150 0 0 0 602 0 0 1,107 1,855
48,150 48,200 0 0 0 591 0 0 1,097 1,845
48,200 48,250 0 0 0 581 0 0 1,086 1,834
48,250 48,300 0 0 0 570 0 0 1,076 1,823
48,300 48,350 0 0 0 560 0 0 1,065 1,812
48,350 48,400 0 0 0 549 0 0 1,055 1,802
48,400 48,450 0 0 0 538 0 0 1,044 1,791
48,450 48,500 0 0 0 527 0 0 1,032 1,780
48,500 48,550 0 0 0 517 0 0 1,022 1,770
48,550 48,600 0 0 0 506 0 0 1,011 1,759
48,600 48,650 0 0 0 495 0 0 1,001 1,749
48,650 48,700 0 0 0 485 0 0 990 1,738
48,700 48,750 0 0 0 474 0 0 980 1,727
48,750 48,800 0 0 0 464 0 0 969 1,716
48,800 48,850 0 0 0 453 0 0 959 1,706
48,850 48,900 0 0 0 442 0 0 948 1,695
48,900 48,950 0 0 0 431 0 0 937 1,685
48,950 49,000 0 0 0 421 0 0 926 1,674
49,000 49,050 0 0 0 410 0 0 916 1,664
49,050 49,100 0 0 0 400 0 0 905 1,653
49,100 49,150 0 0 0 389 0 0 895 1,643
49,150 49,200 0 0 0 379 0 0 884 1,631
49,200 49,250 0 0 0 368 0 0 874 1,621
49,250 49,300 0 0 0 358 0 0 863 1,610
49,300 49,350 0 0 0 347 0 0 852 1,599
49,350 49,400 0 0 0 336 0 0 842 1,589
49,400 49,450 0 0 0 325 0 0 830 1,578
49,450 49,500 0 0 0 314 0 0 820 1,568
49,500 49,550 0 0 0 304 0 0 809 1,557
49,550 49,600 0 0 0 293 0 0 799 1,547
49,600 49,650 0 0 0 283 0 0 788 1,536
49,650 49,700 0 0 0 272 0 0 778 1,525
49,700 49,750 0 0 0 262 0 0 767 1,514
49,750 49,800 0 0 0 251 0 0 757 1,504
49,800 49,850 0 0 0 240 0 0 746 1,493
49,850 49,900 0 0 0 229 0 0 735 1,483
49,900 49,950 0 0 0 219 0 0 724 1,472
49,950 50,000 0 0 0 208 0 0 714 1,462
50,000 50,050 0 0 0 198 0 0 703 1,451
50,050 50,100 0 0 0 187 0 0 693 1,441
50,100 50,150 0 0 0 177 0 0 682 1,429
50,150 50,200 0 0 0 166 0 0 671 1,418
50,200 50,250 0 0 0 156 0 0 661 1,408
50,250 50,300 0 0 0 144 0 0 650 1,397
50,300 50,350 0 0 0 133 0 0 639 1,387
50,350 50,400 0 0 0 123 0 0 628 1,376
50,400 50,450 0 0 0 112 0 0 618 1,366
50,450 50,500 0 0 0 102 0 0 607 1,355
50,500 50,550 0 0 0 91 0 0 597 1,345
50,550 50,600 0 0 0 81 0 0 586 1,333
50,600 50,650 0 0 0 70 0 0 576 1,323
50,650 50,700 0 0 0 60 0 0 565 1,312
50,700 50,750 0 0 0 48 0 0 555 1,302
50,750 50,800 0 0 0 38 0 0 543 1,291
50,800 50,850 0 0 0 27 0 0 533 1,281
50,850 50,900 0 0 0 17 0 0 522 1,270
50,900 50,950 0 0 0 6 0 0 512 1,260
50,950 50,954 0 0 0 0 0 0 501 1,249
50,954 51,000 0 0 0 0 0 0 501 1,249
51,000 51,050 0 0 0 0 0 0 490 1,238
51,050 51,100 0 0 0 0 0 0 480 1,227
51,100 51,150 0 0 0 0 0 0 469 1,216
51,150 51,200 0 0 0 0 0 0 459 1,206
51,200 51,250 0 0 0 0 0 0 448 1,195
51,250 51,300 0 0 0 0 0 0 437 1,185
51,300 51,350 0 0 0 0 0 0 426 1,174
51,350 51,400 0 0 0 0 0 0 416 1,164
51,400 51,450 0 0 0 0 0 0 405 1,153
51,450 51,500 0 0 0 0 0 0 395 1,143
51,500 51,550 0 0 0 0 0 0 384 1,131
51,550 51,600 0 0 0 0 0 0 374 1,121
51,600 51,650 0 0 0 0 0 0 363 1,110
51,650 51,700 0 0 0 0 0 0 353 1,100
51,700 51,750 0 0 0 0 0 0 341 1,089
51,750 51,800 0 0 0 0 0 0 331 1,079
51,800 51,850 0 0 0 0 0 0 320 1,068
51,850 51,900 0 0 0 0 0 0 309 1,057
51,900 51,950 0 0 0 0 0 0 299 1,047
51,950 52,000 0 0 0 0 0 0 288 1,035
52,000 52,050 0 0 0 0 0 0 278 1,025
52,050 52,100 0 0 0 0 0 0 267 1,014
52,100 52,150 0 0 0 0 0 0 257 1,004
52,150 52,200 0 0 0 0 0 0 245 993
52,200 52,250 0 0 0 0 0 0 235 983
52,250 52,300 0 0 0 0 0 0 224 972
52,300 52,350 0 0 0 0 0 0 214 962
52,350 52,400 0 0 0 0 0 0 203 951
52,400 52,450 0 0 0 0 0 0 193 941
52,450 52,500 0 0 0 0 0 0 182 929
52,500 52,550 0 0 0 0 0 0 172 919
52,550 52,600 0 0 0 0 0 0 161 908
52,600 52,650 0 0 0 0 0 0 151 898
52,650 52,700 0 0 0 0 0 0 139 887
52,700 52,750 0 0 0 0 0 0 128 876
52,750 52,800 0 0 0 0 0 0 118 866
52,800 52,850 0 0 0 0 0 0 107 855
52,850 52,900 0 0 0 0 0 0 97 845
52,900 52,950 0 0 0 0 0 0 86 833
52,950 53,000 0 0 0 0 0 0 76 823
53,000 53,050 0 0 0 0 0 0 65 812
53,050 53,100 0 0 0 0 0 0 55 802
53,100 53,150 0 0 0 0 0 0 43 791
53,150 53,200 0 0 0 0 0 0 33 781
53,200 53,250 0 0 0 0 0 0 22 770
53,250 53,300 0 0 0 0 0 0 12 760
53,300 53,330 0 0 0 0 0 0 3 749
53,330 53,350 0 0 0 0 0 0 0 749
53,350 53,400 0 0 0 0 0 0 0 738
53,400 53,450 0 0 0 0 0 0 0 727
53,450 53,500 0 0 0 0 0 0 0 716
53,500 53,550 0 0 0 0 0 0 0 706
53,550 53,600 0 0 0 0 0 0 0 695
53,600 53,650 0 0 0 0 0 0 0 685
53,650 53,700 0 0 0 0 0 0 0 674
53,700 53,750 0 0 0 0 0 0 0 664
53,750 53,800 0 0 0 0 0 0 0 653
53,800 53,850 0 0 0 0 0 0 0 642
53,850 53,900 0 0 0 0 0 0 0 631
53,900 53,950 0 0 0 0 0 0 0 621
53,950 54,000 0 0 0 0 0 0 0 610
54,000 54,050 0 0 0 0 0 0 0 600
54,050 54,100 0 0 0 0 0 0 0 589
54,100 54,150 0 0 0 0 0 0 0 579
54,150 54,200 0 0 0 0 0 0 0 568
54,200 54,250 0 0 0 0 0 0 0 558
54,250 54,300 0 0 0 0 0 0 0 547
54,300 54,350 0 0 0 0 0 0 0 535
54,350 54,400 0 0 0 0 0 0 0 525
54,400 54,450 0 0 0 0 0 0 0 514
54,450 54,500 0 0 0 0 0 0 0 504
54,500 54,550 0 0 0 0 0 0 0 493
54,550 54,600 0 0 0 0 0 0 0 483
54,600 54,650 0 0 0 0 0 0 0 472
54,650 54,700 0 0 0 0 0 0 0 462
54,700 54,750 0 0 0 0 0 0 0 451
54,750 54,800 0 0 0 0 0 0 0 440
54,800 54,850 0 0 0 0 0 0 0 429
54,850 54,900 0 0 0 0 0 0 0 419
54,900 54,950 0 0 0 0 0 0 0 408
54,950 55,000 0 0 0 0 0 0 0 398
55,000 55,050 0 0 0 0 0 0 0 387
55,050 55,100 0 0 0 0 0 0 0 377
55,100 55,150 0 0 0 0 0 0 0 366
55,150 55,200 0 0 0 0 0 0 0 355
55,200 55,250 0 0 0 0 0 0 0 344
55,250 55,300 0 0 0 0 0 0 0 333
55,300 55,350 0 0 0 0 0 0 0 323
55,350 55,400 0 0 0 0 0 0 0 312
55,400 55,450 0 0 0 0 0 0 0 302
55,450 55,500 0 0 0 0 0 0 0 291
55,500 55,550 0 0 0 0 0 0 0 281
55,550 55,600 0 0 0 0 0 0 0 270
55,600 55,650 0 0 0 0 0 0 0 260
55,650 55,700 0 0 0 0 0 0 0 249
55,700 55,750 0 0 0 0 0 0 0 238
55,750 55,800 0 0 0 0 0 0 0 227
55,800 55,850 0 0 0 0 0 0 0 217
55,850 55,900 0 0 0 0 0 0 0 206
55,900 55,950 0 0 0 0 0 0 0 196
55,950 56,000 0 0 0 0 0 0 0 185
56,000 56,050 0 0 0 0 0 0 0 174
56,050 56,100 0 0 0 0 0 0 0 164
56,100 56,150 0 0 0 0 0 0 0 153
56,150 56,200 0 0 0 0 0 0 0 142
56,200 56,250 0 0 0 0 0 0 0 131
56,250 56,300 0 0 0 0 0 0 0 121
56,300 56,350 0 0 0 0 0 0 0 110
56,350 56,400 0 0 0 0 0 0 0 100
56,400 56,450 0 0 0 0 0 0 0 89
56,450 56,500 0 0 0 0 0 0 0 79
56,500 56,550 0 0 0 0 0 0 0 68
56,550 56,600 0 0 0 0 0 0 0 58
56,600 56,650 0 0 0 0 0 0 0 46
56,650 56,700 0 0 0 0 0 0 0 36
56,700 56,750 0 0 0 0 0 0 0 25
56,750 56,800 0 0 0 0 0 0 0 15
56,800 56,844 0 0 0 0 0 0 0 5
56,844 57,000 0 0 0 0 0 0 0 0
Married
Married filing
But Less filing Head of
At Least Than Single jointly separately household
0 5 0 0 0 0
5 15 1 1 1 1
15 25 2 2 2 2
25 50 4 4 4 4
50 75 6 6 6 6
75 100 9 9 9 9
100 125 11 11 11 11
125 150 14 14 14 14
150 175 16 16 16 16
175 200 19 19 19 19
200 225 21 21 21 21
225 250 24 24 24 24
250 275 26 26 26 26
275 300 29 29 29 29
300 325 31 31 31 31
325 350 34 34 34 34
350 375 36 36 36 36
375 400 39 39 39 39
400 425 41 41 41 41
425 450 44 44 44 44
450 475 46 46 46 46
475 500 49 49 49 49
500 525 51 51 51 51
525 550 54 54 54 54
550 575 56 56 56 56
575 600 59 59 59 59
600 625 61 61 61 61
625 650 64 64 64 64
650 675 66 66 66 66
675 700 69 69 69 69
700 725 71 71 71 71
725 750 74 74 74 74
750 775 76 76 76 76
775 800 79 79 79 79
800 825 81 81 81 81
825 850 84 84 84 84
850 875 86 86 86 86
875 900 89 89 89 89
900 925 91 91 91 91
925 950 94 94 94 94
950 975 96 96 96 96
975 1,000 99 99 99 99
1,000 1,025 101 101 101 101
1,025 1,050 104 104 104 104
1,050 1,075 106 106 106 106
1,075 1,100 109 109 109 109
1,100 1,125 111 111 111 111
1,125 1,150 114 114 114 114
1,150 1,175 116 116 116 116
1,175 1,200 119 119 119 119
1,200 1,225 121 121 121 121
1,225 1,250 124 124 124 124
1,250 1,275 126 126 126 126
1,275 1,300 129 129 129 129
1,300 1,325 131 131 131 131
1,325 1,350 134 134 134 134
1,350 1,375 136 136 136 136
1,375 1,400 139 139 139 139
1,400 1,425 141 141 141 141
1,425 1,450 144 144 144 144
1,450 1,475 146 146 146 146
1,475 1,500 149 149 149 149
1,500 1,525 151 151 151 151
1,525 1,550 154 154 154 154
1,550 1,575 156 156 156 156
1,575 1,600 159 159 159 159
1,600 1,625 161 161 161 161
1,625 1,650 164 164 164 164
1,650 1,675 166 166 166 166
1,675 1,700 169 169 169 169
1,700 1,725 171 171 171 171
1,725 1,750 174 174 174 174
1,750 1,775 176 176 176 176
1,775 1,800 179 179 179 179
1,800 1,825 181 181 181 181
1,825 1,850 184 184 184 184
1,850 1,875 186 186 186 186
1,875 1,900 189 189 189 189
1,900 1,925 191 191 191 191
1,925 1,950 194 194 194 194
1,950 1,975 196 196 196 196
1,975 2,000 199 199 199 199
2,000 2,025 201 201 201 201
2,025 2,050 204 204 204 204
2,050 2,075 206 206 206 206
2,075 2,100 209 209 209 209
2,100 2,125 211 211 211 211
2,125 2,150 214 214 214 214
2,150 2,175 216 216 216 216
2,175 2,200 219 219 219 219
2,200 2,225 221 221 221 221
2,225 2,250 224 224 224 224
2,250 2,275 226 226 226 226
2,275 2,300 229 229 229 229
2,300 2,325 231 231 231 231
2,325 2,350 234 234 234 234
2,350 2,375 236 236 236 236
2,375 2,400 239 239 239 239
2,400 2,425 241 241 241 241
2,425 2,450 244 244 244 244
2,450 2,475 246 246 246 246
2,475 2,500 249 249 249 249
2,500 2,525 251 251 251 251
2,525 2,550 254 254 254 254
2,550 2,575 256 256 256 256
2,575 2,600 259 259 259 259
2,600 2,625 261 261 261 261
2,625 2,650 264 264 264 264
2,650 2,675 266 266 266 266
2,675 2,700 269 269 269 269
2,700 2,725 271 271 271 271
2,725 2,750 274 274 274 274
2,750 2,775 276 276 276 276
2,775 2,800 279 279 279 279
2,800 2,825 281 281 281 281
2,825 2,850 284 284 284 284
2,850 2,875 286 286 286 286
2,875 2,900 289 289 289 289
2,900 2,925 291 291 291 291
2,925 2,950 294 294 294 294
2,950 2,975 296 296 296 296
2,975 3,000 299 299 299 299
3,000 3,050 303 303 303 303
3,050 3,100 308 308 308 308
3,100 3,150 313 313 313 313
3,150 3,200 318 318 318 318
3,200 3,250 323 323 323 323
3,250 3,300 328 328 328 328
3,300 3,350 333 333 333 333
3,350 3,400 338 338 338 338
3,400 3,450 343 343 343 343
3,450 3,500 348 348 348 348
3,500 3,550 353 353 353 353
3,550 3,600 358 358 358 358
3,600 3,650 363 363 363 363
3,650 3,700 368 368 368 368
3,700 3,750 373 373 373 373
3,750 3,800 378 378 378 378
3,800 3,850 383 383 383 383
3,850 3,900 388 388 388 388
3,900 3,950 393 393 393 393
3,950 4,000 398 398 398 398
4,000 4,050 403 403 403 403
4,050 4,100 408 408 408 408
4,100 4,150 413 413 413 413
4,150 4,200 418 418 418 418
4,200 4,250 423 423 423 423
4,250 4,300 428 428 428 428
4,300 4,350 433 433 433 433
4,350 4,400 438 438 438 438
4,400 4,450 443 443 443 443
4,450 4,500 448 448 448 448
4,500 4,550 453 453 453 453
4,550 4,600 458 458 458 458
4,600 4,650 463 463 463 463
4,650 4,700 468 468 468 468
4,700 4,750 473 473 473 473
4,750 4,800 478 478 478 478
4,800 4,850 483 483 483 483
4,850 4,900 488 488 488 488
4,900 4,950 493 493 493 493
4,950 5,000 498 498 498 498
5,000 5,050 503 503 503 503
5,050 5,100 508 508 508 508
5,100 5,150 513 513 513 513
5,150 5,200 518 518 518 518
5,200 5,250 523 523 523 523
5,250 5,300 528 528 528 528
5,300 5,350 533 533 533 533
5,350 5,400 538 538 538 538
5,400 5,450 543 543 543 543
5,450 5,500 548 548 548 548
5,500 5,550 553 553 553 553
5,550 5,600 558 558 558 558
5,600 5,650 563 563 563 563
5,650 5,700 568 568 568 568
5,700 5,750 573 573 573 573
5,750 5,800 578 578 578 578
5,800 5,850 583 583 583 583
5,850 5,900 588 588 588 588
5,900 5,950 593 593 593 593
5,950 6,000 598 598 598 598
6,000 6,050 603 603 603 603
6,050 6,100 608 608 608 608
6,100 6,150 613 613 613 613
6,150 6,200 618 618 618 618
6,200 6,250 623 623 623 623
6,250 6,300 628 628 628 628
6,300 6,350 633 633 633 633
6,350 6,400 638 638 638 638
6,400 6,450 643 643 643 643
6,450 6,500 648 648 648 648
6,500 6,550 653 653 653 653
6,550 6,600 658 658 658 658
6,600 6,650 663 663 663 663
6,650 6,700 668 668 668 668
6,700 6,750 673 673 673 673
6,750 6,800 678 678 678 678
6,800 6,850 683 683 683 683
6,850 6,900 688 688 688 688
6,900 6,950 693 693 693 693
6,950 7,000 698 698 698 698
7,000 7,050 703 703 703 703
7,050 7,100 708 708 708 708
7,100 7,150 713 713 713 713
7,150 7,200 718 718 718 718
7,200 7,250 723 723 723 723
7,250 7,300 728 728 728 728
7,300 7,350 733 733 733 733
7,350 7,400 738 738 738 738
7,400 7,450 743 743 743 743
7,450 7,500 748 748 748 748
7,500 7,550 753 753 753 753
7,550 7,600 758 758 758 758
7,600 7,650 763 763 763 763
7,650 7,700 768 768 768 768
7,700 7,750 773 773 773 773
7,750 7,800 778 778 778 778
7,800 7,850 783 783 783 783
7,850 7,900 788 788 788 788
7,900 7,950 793 793 793 793
7,950 8,000 798 798 798 798
8,000 8,050 803 803 803 803
8,050 8,100 808 808 808 808
8,100 8,150 813 813 813 813
8,150 8,200 818 818 818 818
8,200 8,250 823 823 823 823
8,250 8,300 828 828 828 828
8,300 8,350 833 833 833 833
8,350 8,400 838 838 838 838
8,400 8,450 843 843 843 843
8,450 8,500 848 848 848 848
8,500 8,550 853 853 853 853
8,550 8,600 858 858 858 858
8,600 8,650 863 863 863 863
8,650 8,700 868 868 868 868
8,700 8,750 873 873 873 873
8,750 8,800 878 878 878 878
8,800 8,850 883 883 883 883
8,850 8,900 888 888 888 888
8,900 8,950 893 893 893 893
8,950 9,000 898 898 898 898
9,000 9,050 903 903 903 903
9,050 9,100 908 908 908 908
9,100 9,150 913 913 913 913
9,150 9,200 918 918 918 918
9,200 9,250 923 923 923 923
9,250 9,300 928 928 928 928
9,300 9,350 933 933 933 933
9,350 9,400 938 938 938 938
9,400 9,450 943 943 943 943
9,450 9,500 948 948 948 948
9,500 9,550 953 953 953 953
9,550 9,600 958 958 958 958
9,600 9,650 963 963 963 963
9,650 9,700 968 968 968 968
9,700 9,750 973 973 973 973
9,750 9,800 978 978 978 978
9,800 9,850 983 983 983 983
9,850 9,900 988 988 988 988
9,900 9,950 993 993 993 993
9,950 10,000 998 998 998 998
10,000 10,050 1,004 1,003 1,004 1,003
10,050 10,100 1,010 1,008 1,010 1,008
10,100 10,150 1,016 1,013 1,016 1,013
10,150 10,200 1,022 1,018 1,022 1,018
10,200 10,250 1,028 1,023 1,028 1,023
10,250 10,300 1,034 1,028 1,034 1,028
10,300 10,350 1,040 1,033 1,040 1,033
10,350 10,400 1,046 1,038 1,046 1,038
10,400 10,450 1,052 1,043 1,052 1,043
10,450 10,500 1,058 1,048 1,058 1,048
10,500 10,550 1,064 1,053 1,064 1,053
10,550 10,600 1,070 1,058 1,070 1,058
10,600 10,650 1,076 1,063 1,076 1,063
10,650 10,700 1,082 1,068 1,082 1,068
10,700 10,750 1,088 1,073 1,088 1,073
10,750 10,800 1,094 1,078 1,094 1,078
10,800 10,850 1,100 1,083 1,100 1,083
Married
Married filing
10,850 10,900 1,106 1,088 1,106 1,088
10,900 10,950 1,112 1,093 1,112 1,093
10,950 11,000 1,118 1,098 1,118 1,098
11,000 11,050 1,124 1,103 1,124 1,103
11,050 11,100 1,130 1,108 1,130 1,108
11,100 11,150 1,136 1,113 1,136 1,113
11,150 11,200 1,142 1,118 1,142 1,118
11,200 11,250 1,148 1,123 1,148 1,123
11,250 11,300 1,154 1,128 1,154 1,128
11,300 11,350 1,160 1,133 1,160 1,133
11,350 11,400 1,166 1,138 1,166 1,138
11,400 11,450 1,172 1,143 1,172 1,143
11,450 11,500 1,178 1,148 1,178 1,148
11,500 11,550 1,184 1,153 1,184 1,153
11,550 11,600 1,190 1,158 1,190 1,158
11,600 11,650 1,196 1,163 1,196 1,163
11,650 11,700 1,202 1,168 1,202 1,168
11,700 11,750 1,208 1,173 1,208 1,173
11,750 11,800 1,214 1,178 1,214 1,178
11,800 11,850 1,220 1,183 1,220 1,183
11,850 11,900 1,226 1,188 1,226 1,188
11,900 11,950 1,232 1,193 1,232 1,193
11,950 12,000 1,238 1,198 1,238 1,198
12,000 12,050 1,244 1,203 1,244 1,203
12,050 12,100 1,250 1,208 1,250 1,208
12,100 12,150 1,256 1,213 1,256 1,213
12,150 12,200 1,262 1,218 1,262 1,218
12,200 12,250 1,268 1,223 1,268 1,223
12,250 12,300 1,274 1,228 1,274 1,228
12,300 12,350 1,280 1,233 1,280 1,233
12,350 12,400 1,286 1,238 1,286 1,238
12,400 12,450 1,292 1,243 1,292 1,243
12,450 12,500 1,298 1,248 1,298 1,248
12,500 12,550 1,304 1,253 1,304 1,253
12,550 12,600 1,310 1,258 1,310 1,258
12,600 12,650 1,316 1,263 1,316 1,263
12,650 12,700 1,322 1,268 1,322 1,268
12,700 12,750 1,328 1,273 1,328 1,273
12,750 12,800 1,334 1,278 1,334 1,278
12,800 12,850 1,340 1,283 1,340 1,283
12,850 12,900 1,346 1,288 1,346 1,288
12,900 12,950 1,352 1,293 1,352 1,293
12,950 13,000 1,358 1,298 1,358 1,298
13,000 13,050 1,364 1,303 1,364 1,303
13,050 13,100 1,370 1,308 1,370 1,308
13,100 13,150 1,376 1,313 1,376 1,313
13,150 13,200 1,382 1,318 1,382 1,318
13,200 13,250 1,388 1,323 1,388 1,323
13,250 13,300 1,394 1,328 1,394 1,328
13,300 13,350 1,400 1,333 1,400 1,333
13,350 13,400 1,406 1,338 1,406 1,338
13,400 13,450 1,412 1,343 1,412 1,343
13,450 13,500 1,418 1,348 1,418 1,348
13,500 13,550 1,424 1,353 1,424 1,353
13,550 13,600 1,430 1,358 1,430 1,358
13,600 13,650 1,436 1,363 1,436 1,363
13,650 13,700 1,442 1,368 1,442 1,368
13,700 13,750 1,448 1,373 1,448 1,373
13,750 13,800 1,454 1,378 1,454 1,378
13,800 13,850 1,460 1,383 1,460 1,383
13,850 13,900 1,466 1,388 1,466 1,388
13,900 13,950 1,472 1,393 1,472 1,393
13,950 14,000 1,478 1,398 1,478 1,398
14,000 14,050 1,484 1,403 1,484 1,403
14,050 14,100 1,490 1,408 1,490 1,408
14,100 14,150 1,496 1,413 1,496 1,413
14,150 14,200 1,502 1,418 1,502 1,418
14,200 14,250 1,508 1,423 1,508 1,423
14,250 14,300 1,514 1,428 1,514 1,429
14,300 14,350 1,520 1,433 1,520 1,435
14,350 14,400 1,526 1,438 1,526 1,441
14,400 14,450 1,532 1,443 1,532 1,447
14,450 14,500 1,538 1,448 1,538 1,453
14,500 14,550 1,544 1,453 1,544 1,459
14,550 14,600 1,550 1,458 1,550 1,465
14,600 14,650 1,556 1,463 1,556 1,471
14,650 14,700 1,562 1,468 1,562 1,477
14,700 14,750 1,568 1,473 1,568 1,483
14,750 14,800 1,574 1,478 1,574 1,489
14,800 14,850 1,580 1,483 1,580 1,495
14,850 14,900 1,586 1,488 1,586 1,501
14,900 14,950 1,592 1,493 1,592 1,507
14,950 15,000 1,598 1,498 1,598 1,513
15,000 15,050 1,604 1,503 1,604 1,519
15,050 15,100 1,610 1,508 1,610 1,525
15,100 15,150 1,616 1,513 1,616 1,531
15,150 15,200 1,622 1,518 1,622 1,537
15,200 15,250 1,628 1,523 1,628 1,543
15,250 15,300 1,634 1,528 1,634 1,549
15,300 15,350 1,640 1,533 1,640 1,555
15,350 15,400 1,646 1,538 1,646 1,561
15,400 15,450 1,652 1,543 1,652 1,567
15,450 15,500 1,658 1,548 1,658 1,573
15,500 15,550 1,664 1,553 1,664 1,579
15,550 15,600 1,670 1,558 1,670 1,585
15,600 15,650 1,676 1,563 1,676 1,591
15,650 15,700 1,682 1,568 1,682 1,597
15,700 15,750 1,688 1,573 1,688 1,603
15,750 15,800 1,694 1,578 1,694 1,609
15,800 15,850 1,700 1,583 1,700 1,615
15,850 15,900 1,706 1,588 1,706 1,621
15,900 15,950 1,712 1,593 1,712 1,627
15,950 16,000 1,718 1,598 1,718 1,633
16,000 16,050 1,724 1,603 1,724 1,639
16,050 16,100 1,730 1,608 1,730 1,645
16,100 16,150 1,736 1,613 1,736 1,651
16,150 16,200 1,742 1,618 1,742 1,657
16,200 16,250 1,748 1,623 1,748 1,663
16,250 16,300 1,754 1,628 1,754 1,669
16,300 16,350 1,760 1,633 1,760 1,675
16,350 16,400 1,766 1,638 1,766 1,681
16,400 16,450 1,772 1,643 1,772 1,687
16,450 16,500 1,778 1,648 1,778 1,693
16,500 16,550 1,784 1,653 1,784 1,699
16,550 16,600 1,790 1,658 1,790 1,705
16,600 16,650 1,796 1,663 1,796 1,711
16,650 16,700 1,802 1,668 1,802 1,717
16,700 16,750 1,808 1,673 1,808 1,723
16,750 16,800 1,814 1,678 1,814 1,729
16,800 16,850 1,820 1,683 1,820 1,735
16,850 16,900 1,826 1,688 1,826 1,741
16,900 16,950 1,832 1,693 1,832 1,747
16,950 17,000 1,838 1,698 1,838 1,753
17,000 17,050 1,844 1,703 1,844 1,759
17,050 17,100 1,850 1,708 1,850 1,765
17,100 17,150 1,856 1,713 1,856 1,771
17,150 17,200 1,862 1,718 1,862 1,777
17,200 17,250 1,868 1,723 1,868 1,783
17,250 17,300 1,874 1,728 1,874 1,789
17,300 17,350 1,880 1,733 1,880 1,795
17,350 17,400 1,886 1,738 1,886 1,801
17,400 17,450 1,892 1,743 1,892 1,807
17,450 17,500 1,898 1,748 1,898 1,813
17,500 17,550 1,904 1,753 1,904 1,819
17,550 17,600 1,910 1,758 1,910 1,825
17,600 17,650 1,916 1,763 1,916 1,831
17,650 17,700 1,922 1,768 1,922 1,837
17,700 17,750 1,928 1,773 1,928 1,843
17,750 17,800 1,934 1,778 1,934 1,849
17,800 17,850 1,940 1,783 1,940 1,855
17,850 17,900 1,946 1,788 1,946 1,861
17,900 17,950 1,952 1,793 1,952 1,867
17,950 18,000 1,958 1,798 1,958 1,873
18,000 18,050 1,964 1,803 1,964 1,879
18,050 18,100 1,970 1,808 1,970 1,885
18,100 18,150 1,976 1,813 1,976 1,891
18,150 18,200 1,982 1,818 1,982 1,897
18,200 18,250 1,988 1,823 1,988 1,903
18,250 18,300 1,994 1,828 1,994 1,909
18,300 18,350 2,000 1,833 2,000 1,915
18,350 18,400 2,006 1,838 2,006 1,921
18,400 18,450 2,012 1,843 2,012 1,927
18,450 18,500 2,018 1,848 2,018 1,933
18,500 18,550 2,024 1,853 2,024 1,939
18,550 18,600 2,030 1,858 2,030 1,945
18,600 18,650 2,036 1,863 2,036 1,951
18,650 18,700 2,042 1,868 2,042 1,957
18,700 18,750 2,048 1,873 2,048 1,963
18,750 18,800 2,054 1,878 2,054 1,969
18,800 18,850 2,060 1,883 2,060 1,975
18,850 18,900 2,066 1,888 2,066 1,981
18,900 18,950 2,072 1,893 2,072 1,987
18,950 19,000 2,078 1,898 2,078 1,993
19,000 19,050 2,084 1,903 2,084 1,999
19,050 19,100 2,090 1,908 2,090 2,005
19,100 19,150 2,096 1,913 2,096 2,011
19,150 19,200 2,102 1,918 2,102 2,017
19,200 19,250 2,108 1,923 2,108 2,023
19,250 19,300 2,114 1,928 2,114 2,029
19,300 19,350 2,120 1,933 2,120 2,035
19,350 19,400 2,126 1,938 2,126 2,041
19,400 19,450 2,132 1,943 2,132 2,047
19,450 19,500 2,138 1,948 2,138 2,053
19,500 19,550 2,144 1,953 2,144 2,059
19,550 19,600 2,150 1,958 2,150 2,065
19,600 19,650 2,156 1,963 2,156 2,071
19,650 19,700 2,162 1,968 2,162 2,077
19,700 19,750 2,168 1,973 2,168 2,083
19,750 19,800 2,174 1,978 2,174 2,089
19,800 19,850 2,180 1,983 2,180 2,095
19,850 19,900 2,186 1,988 2,186 2,101
19,900 19,950 2,192 1,993 2,192 2,107
19,950 20,000 2,198 1,999 2,198 2,113
20,000 20,050 2,204 2,005 2,204 2,119
20,050 20,100 2,210 2,011 2,210 2,125
20,100 20,150 2,216 2,017 2,216 2,131
20,150 20,200 2,222 2,023 2,222 2,137
20,200 20,250 2,228 2,029 2,228 2,143
20,250 20,300 2,234 2,035 2,234 2,149
20,300 20,350 2,240 2,041 2,240 2,155
20,350 20,400 2,246 2,047 2,246 2,161
20,400 20,450 2,252 2,053 2,252 2,167
20,450 20,500 2,258 2,059 2,258 2,173
20,500 20,550 2,264 2,065 2,264 2,179
20,550 20,600 2,270 2,071 2,270 2,185
20,600 20,650 2,276 2,077 2,276 2,191
20,650 20,700 2,282 2,083 2,282 2,197
20,700 20,750 2,288 2,089 2,288 2,203
20,750 20,800 2,294 2,095 2,294 2,209
20,800 20,850 2,300 2,101 2,300 2,215
20,850 20,900 2,306 2,107 2,306 2,221
20,900 20,950 2,312 2,113 2,312 2,227
20,950 21,000 2,318 2,119 2,318 2,233
21,000 21,050 2,324 2,125 2,324 2,239
21,050 21,100 2,330 2,131 2,330 2,245
21,100 21,150 2,336 2,137 2,336 2,251
21,150 21,200 2,342 2,143 2,342 2,257
21,200 21,250 2,348 2,149 2,348 2,263
21,250 21,300 2,354 2,155 2,354 2,269
21,300 21,350 2,360 2,161 2,360 2,275
21,350 21,400 2,366 2,167 2,366 2,281
21,400 21,450 2,372 2,173 2,372 2,287
21,450 21,500 2,378 2,179 2,378 2,293
21,500 21,550 2,384 2,185 2,384 2,299
21,550 21,600 2,390 2,191 2,390 2,305
21,600 21,650 2,396 2,197 2,396 2,311
21,650 21,700 2,402 2,203 2,402 2,317
21,700 21,750 2,408 2,209 2,408 2,323
21,750 21,800 2,414 2,215 2,414 2,329
21,800 21,850 2,420 2,221 2,420 2,335
21,850 21,900 2,426 2,227 2,426 2,341
21,900 21,950 2,432 2,233 2,432 2,347
21,950 22,000 2,438 2,239 2,438 2,353
22,000 22,050 2,444 2,245 2,444 2,359
22,050 22,100 2,450 2,251 2,450 2,365
22,100 22,150 2,456 2,257 2,456 2,371
22,150 22,200 2,462 2,263 2,462 2,377
22,200 22,250 2,468 2,269 2,468 2,383
22,250 22,300 2,474 2,275 2,474 2,389
22,300 22,350 2,480 2,281 2,480 2,395
22,350 22,400 2,486 2,287 2,486 2,401
22,400 22,450 2,492 2,293 2,492 2,407
22,450 22,500 2,498 2,299 2,498 2,413
22,500 22,550 2,504 2,305 2,504 2,419
22,550 22,600 2,510 2,311 2,510 2,425
22,600 22,650 2,516 2,317 2,516 2,431
22,650 22,700 2,522 2,323 2,522 2,437
22,700 22,750 2,528 2,329 2,528 2,443
22,750 22,800 2,534 2,335 2,534 2,449
22,800 22,850 2,540 2,341 2,540 2,455
22,850 22,900 2,546 2,347 2,546 2,461
22,900 22,950 2,552 2,353 2,552 2,467
22,950 23,000 2,558 2,359 2,558 2,473
23,000 23,050 2,564 2,365 2,564 2,479
23,050 23,100 2,570 2,371 2,570 2,485
23,100 23,150 2,576 2,377 2,576 2,491
23,150 23,200 2,582 2,383 2,582 2,497
23,200 23,250 2,588 2,389 2,588 2,503
23,250 23,300 2,594 2,395 2,594 2,509
23,300 23,350 2,600 2,401 2,600 2,515
23,350 23,400 2,606 2,407 2,606 2,521
23,400 23,450 2,612 2,413 2,612 2,527
23,450 23,500 2,618 2,419 2,618 2,533
23,500 23,550 2,624 2,425 2,624 2,539
23,550 23,600 2,630 2,431 2,630 2,545
23,600 23,650 2,636 2,437 2,636 2,551
23,650 23,700 2,642 2,443 2,642 2,557
23,700 23,750 2,648 2,449 2,648 2,563
23,750 23,800 2,654 2,455 2,654 2,569
23,800 23,850 2,660 2,461 2,660 2,575
23,850 23,900 2,666 2,467 2,666 2,581
23,900 23,950 2,672 2,473 2,672 2,587
23,950 24,000 2,678 2,479 2,678 2,593
24,000 24,050 2,684 2,485 2,684 2,599
24,050 24,100 2,690 2,491 2,690 2,605
24,100 24,150 2,696 2,497 2,696 2,611
24,150 24,200 2,702 2,503 2,702 2,617
24,200 24,250 2,708 2,509 2,708 2,623
24,250 24,300 2,714 2,515 2,714 2,629
24,300 24,350 2,720 2,521 2,720 2,635
24,350 24,400 2,726 2,527 2,726 2,641
24,400 24,450 2,732 2,533 2,732 2,647
24,450 24,500 2,738 2,539 2,738 2,653
24,500 24,550 2,744 2,545 2,744 2,659
24,550 24,600 2,750 2,551 2,750 2,665
24,600 24,650 2,756 2,557 2,756 2,671
24,650 24,700 2,762 2,563 2,762 2,677
24,700 24,750 2,768 2,569 2,768 2,683
24,750 24,800 2,774 2,575 2,774 2,689
24,800 24,850 2,780 2,581 2,780 2,695
24,850 24,900 2,786 2,587 2,786 2,701
Married
Married filing
24,900 24,950 2,792 2,593 2,792 2,707
24,950 25,000 2,798 2,599 2,798 2,713
25,000 25,050 2,804 2,605 2,804 2,719
25,050 25,100 2,810 2,611 2,810 2,725
25,100 25,150 2,816 2,617 2,816 2,731
25,150 25,200 2,822 2,623 2,822 2,737
25,200 25,250 2,828 2,629 2,828 2,743
25,250 25,300 2,834 2,635 2,834 2,749
25,300 25,350 2,840 2,641 2,840 2,755
25,350 25,400 2,846 2,647 2,846 2,761
25,400 25,450 2,852 2,653 2,852 2,767
25,450 25,500 2,858 2,659 2,858 2,773
25,500 25,550 2,864 2,665 2,864 2,779
25,550 25,600 2,870 2,671 2,870 2,785
25,600 25,650 2,876 2,677 2,876 2,791
25,650 25,700 2,882 2,683 2,882 2,797
25,700 25,750 2,888 2,689 2,888 2,803
25,750 25,800 2,894 2,695 2,894 2,809
25,800 25,850 2,900 2,701 2,900 2,815
25,850 25,900 2,906 2,707 2,906 2,821
25,900 25,950 2,912 2,713 2,912 2,827
25,950 26,000 2,918 2,719 2,918 2,833
26,000 26,050 2,924 2,725 2,924 2,839
26,050 26,100 2,930 2,731 2,930 2,845
26,100 26,150 2,936 2,737 2,936 2,851
26,150 26,200 2,942 2,743 2,942 2,857
26,200 26,250 2,948 2,749 2,948 2,863
26,250 26,300 2,954 2,755 2,954 2,869
26,300 26,350 2,960 2,761 2,960 2,875
26,350 26,400 2,966 2,767 2,966 2,881
26,400 26,450 2,972 2,773 2,972 2,887
26,450 26,500 2,978 2,779 2,978 2,893
26,500 26,550 2,984 2,785 2,984 2,899
26,550 26,600 2,990 2,791 2,990 2,905
26,600 26,650 2,996 2,797 2,996 2,911
26,650 26,700 3,002 2,803 3,002 2,917
26,700 26,750 3,008 2,809 3,008 2,923
26,750 26,800 3,014 2,815 3,014 2,929
26,800 26,850 3,020 2,821 3,020 2,935
26,850 26,900 3,026 2,827 3,026 2,941
26,900 26,950 3,032 2,833 3,032 2,947
26,950 27,000 3,038 2,839 3,038 2,953
27,000 27,050 3,044 2,845 3,044 2,959
27,050 27,100 3,050 2,851 3,050 2,965
27,100 27,150 3,056 2,857 3,056 2,971
27,150 27,200 3,062 2,863 3,062 2,977
27,200 27,250 3,068 2,869 3,068 2,983
27,250 27,300 3,074 2,875 3,074 2,989
27,300 27,350 3,080 2,881 3,080 2,995
27,350 27,400 3,086 2,887 3,086 3,001
27,400 27,450 3,092 2,893 3,092 3,007
27,450 27,500 3,098 2,899 3,098 3,013
27,500 27,550 3,104 2,905 3,104 3,019
27,550 27,600 3,110 2,911 3,110 3,025
27,600 27,650 3,116 2,917 3,116 3,031
27,650 27,700 3,122 2,923 3,122 3,037
27,700 27,750 3,128 2,929 3,128 3,043
27,750 27,800 3,134 2,935 3,134 3,049
27,800 27,850 3,140 2,941 3,140 3,055
27,850 27,900 3,146 2,947 3,146 3,061
27,900 27,950 3,152 2,953 3,152 3,067
27,950 28,000 3,158 2,959 3,158 3,073
28,000 28,050 3,164 2,965 3,164 3,079
28,050 28,100 3,170 2,971 3,170 3,085
28,100 28,150 3,176 2,977 3,176 3,091
28,150 28,200 3,182 2,983 3,182 3,097
28,200 28,250 3,188 2,989 3,188 3,103
28,250 28,300 3,194 2,995 3,194 3,109
28,300 28,350 3,200 3,001 3,200 3,115
28,350 28,400 3,206 3,007 3,206 3,121
28,400 28,450 3,212 3,013 3,212 3,127
28,450 28,500 3,218 3,019 3,218 3,133
28,500 28,550 3,224 3,025 3,224 3,139
28,550 28,600 3,230 3,031 3,230 3,145
28,600 28,650 3,236 3,037 3,236 3,151
28,650 28,700 3,242 3,043 3,242 3,157
28,700 28,750 3,248 3,049 3,248 3,163
28,750 28,800 3,254 3,055 3,254 3,169
28,800 28,850 3,260 3,061 3,260 3,175
28,850 28,900 3,266 3,067 3,266 3,181
28,900 28,950 3,272 3,073 3,272 3,187
28,950 29,000 3,278 3,079 3,278 3,193
29,000 29,050 3,284 3,085 3,284 3,199
29,050 29,100 3,290 3,091 3,290 3,205
29,100 29,150 3,296 3,097 3,296 3,211
29,150 29,200 3,302 3,103 3,302 3,217
29,200 29,250 3,308 3,109 3,308 3,223
29,250 29,300 3,314 3,115 3,314 3,229
29,300 29,350 3,320 3,121 3,320 3,235
29,350 29,400 3,326 3,127 3,326 3,241
29,400 29,450 3,332 3,133 3,332 3,247
29,450 29,500 3,338 3,139 3,338 3,253
29,500 29,550 3,344 3,145 3,344 3,259
29,550 29,600 3,350 3,151 3,350 3,265
29,600 29,650 3,356 3,157 3,356 3,271
29,650 29,700 3,362 3,163 3,362 3,277
29,700 29,750 3,368 3,169 3,368 3,283
29,750 29,800 3,374 3,175 3,374 3,289
29,800 29,850 3,380 3,181 3,380 3,295
29,850 29,900 3,386 3,187 3,386 3,301
29,900 29,950 3,392 3,193 3,392 3,307
29,950 30,000 3,398 3,199 3,398 3,313
30,000 30,050 3,404 3,205 3,404 3,319
30,050 30,100 3,410 3,211 3,410 3,325
30,100 30,150 3,416 3,217 3,416 3,331
30,150 30,200 3,422 3,223 3,422 3,337
30,200 30,250 3,428 3,229 3,428 3,343
30,250 30,300 3,434 3,235 3,434 3,349
30,300 30,350 3,440 3,241 3,440 3,355
30,350 30,400 3,446 3,247 3,446 3,361
30,400 30,450 3,452 3,253 3,452 3,367
30,450 30,500 3,458 3,259 3,458 3,373
30,500 30,550 3,464 3,265 3,464 3,379
30,550 30,600 3,470 3,271 3,470 3,385
30,600 30,650 3,476 3,277 3,476 3,391
30,650 30,700 3,482 3,283 3,482 3,397
30,700 30,750 3,488 3,289 3,488 3,403
30,750 30,800 3,494 3,295 3,494 3,409
30,800 30,850 3,500 3,301 3,500 3,415
30,850 30,900 3,506 3,307 3,506 3,421
30,900 30,950 3,512 3,313 3,512 3,427
30,950 31,000 3,518 3,319 3,518 3,433
31,000 31,050 3,524 3,325 3,524 3,439
31,050 31,100 3,530 3,331 3,530 3,445
31,100 31,150 3,536 3,337 3,536 3,451
31,150 31,200 3,542 3,343 3,542 3,457
31,200 31,250 3,548 3,349 3,548 3,463
31,250 31,300 3,554 3,355 3,554 3,469
31,300 31,350 3,560 3,361 3,560 3,475
31,350 31,400 3,566 3,367 3,566 3,481
31,400 31,450 3,572 3,373 3,572 3,487
31,450 31,500 3,578 3,379 3,578 3,493
31,500 31,550 3,584 3,385 3,584 3,499
31,550 31,600 3,590 3,391 3,590 3,505
31,600 31,650 3,596 3,397 3,596 3,511
31,650 31,700 3,602 3,403 3,602 3,517
31,700 31,750 3,608 3,409 3,608 3,523
31,750 31,800 3,614 3,415 3,614 3,529
31,800 31,850 3,620 3,421 3,620 3,535
31,850 31,900 3,626 3,427 3,626 3,541
31,900 31,950 3,632 3,433 3,632 3,547
31,950 32,000 3,638 3,439 3,638 3,553
32,000 32,050 3,644 3,445 3,644 3,559
32,050 32,100 3,650 3,451 3,650 3,565
32,100 32,150 3,656 3,457 3,656 3,571
32,150 32,200 3,662 3,463 3,662 3,577
32,200 32,250 3,668 3,469 3,668 3,583
32,250 32,300 3,674 3,475 3,674 3,589
32,300 32,350 3,680 3,481 3,680 3,595
32,350 32,400 3,686 3,487 3,686 3,601
32,400 32,450 3,692 3,493 3,692 3,607
32,450 32,500 3,698 3,499 3,698 3,613
32,500 32,550 3,704 3,505 3,704 3,619
32,550 32,600 3,710 3,511 3,710 3,625
32,600 32,650 3,716 3,517 3,716 3,631
32,650 32,700 3,722 3,523 3,722 3,637
32,700 32,750 3,728 3,529 3,728 3,643
32,750 32,800 3,734 3,535 3,734 3,649
32,800 32,850 3,740 3,541 3,740 3,655
32,850 32,900 3,746 3,547 3,746 3,661
32,900 32,950 3,752 3,553 3,752 3,667
32,950 33,000 3,758 3,559 3,758 3,673
33,000 33,050 3,764 3,565 3,764 3,679
33,050 33,100 3,770 3,571 3,770 3,685
33,100 33,150 3,776 3,577 3,776 3,691
33,150 33,200 3,782 3,583 3,782 3,697
33,200 33,250 3,788 3,589 3,788 3,703
33,250 33,300 3,794 3,595 3,794 3,709
33,300 33,350 3,800 3,601 3,800 3,715
33,350 33,400 3,806 3,607 3,806 3,721
33,400 33,450 3,812 3,613 3,812 3,727
33,450 33,500 3,818 3,619 3,818 3,733
33,500 33,550 3,824 3,625 3,824 3,739
33,550 33,600 3,830 3,631 3,830 3,745
33,600 33,650 3,836 3,637 3,836 3,751
33,650 33,700 3,842 3,643 3,842 3,757
33,700 33,750 3,848 3,649 3,848 3,763
33,750 33,800 3,854 3,655 3,854 3,769
33,800 33,850 3,860 3,661 3,860 3,775
33,850 33,900 3,866 3,667 3,866 3,781
33,900 33,950 3,872 3,673 3,872 3,787
33,950 34,000 3,878 3,679 3,878 3,793
34,000 34,050 3,884 3,685 3,884 3,799
34,050 34,100 3,890 3,691 3,890 3,805
34,100 34,150 3,896 3,697 3,896 3,811
34,150 34,200 3,902 3,703 3,902 3,817
34,200 34,250 3,908 3,709 3,908 3,823
34,250 34,300 3,914 3,715 3,914 3,829
34,300 34,350 3,920 3,721 3,920 3,835
34,350 34,400 3,926 3,727 3,926 3,841
34,400 34,450 3,932 3,733 3,932 3,847
34,450 34,500 3,938 3,739 3,938 3,853
34,500 34,550 3,944 3,745 3,944 3,859
34,550 34,600 3,950 3,751 3,950 3,865
34,600 34,650 3,956 3,757 3,956 3,871
34,650 34,700 3,962 3,763 3,962 3,877
34,700 34,750 3,968 3,769 3,968 3,883
34,750 34,800 3,974 3,775 3,974 3,889
34,800 34,850 3,980 3,781 3,980 3,895
34,850 34,900 3,986 3,787 3,986 3,901
34,900 34,950 3,992 3,793 3,992 3,907
34,950 35,000 3,998 3,799 3,998 3,913
35,000 35,050 4,004 3,805 4,004 3,919
35,050 35,100 4,010 3,811 4,010 3,925
35,100 35,150 4,016 3,817 4,016 3,931
35,150 35,200 4,022 3,823 4,022 3,937
35,200 35,250 4,028 3,829 4,028 3,943
35,250 35,300 4,034 3,835 4,034 3,949
35,300 35,350 4,040 3,841 4,040 3,955
35,350 35,400 4,046 3,847 4,046 3,961
35,400 35,450 4,052 3,853 4,052 3,967
35,450 35,500 4,058 3,859 4,058 3,973
35,500 35,550 4,064 3,865 4,064 3,979
35,550 35,600 4,070 3,871 4,070 3,985
35,600 35,650 4,076 3,877 4,076 3,991
35,650 35,700 4,082 3,883 4,082 3,997
35,700 35,750 4,088 3,889 4,088 4,003
35,750 35,800 4,094 3,895 4,094 4,009
35,800 35,850 4,100 3,901 4,100 4,015
35,850 35,900 4,106 3,907 4,106 4,021
35,900 35,950 4,112 3,913 4,112 4,027
35,950 36,000 4,118 3,919 4,118 4,033
36,000 36,050 4,124 3,925 4,124 4,039
36,050 36,100 4,130 3,931 4,130 4,045
36,100 36,150 4,136 3,937 4,136 4,051
36,150 36,200 4,142 3,943 4,142 4,057
36,200 36,250 4,148 3,949 4,148 4,063
36,250 36,300 4,154 3,955 4,154 4,069
36,300 36,350 4,160 3,961 4,160 4,075
36,350 36,400 4,166 3,967 4,166 4,081
36,400 36,450 4,172 3,973 4,172 4,087
36,450 36,500 4,178 3,979 4,178 4,093
36,500 36,550 4,184 3,985 4,184 4,099
36,550 36,600 4,190 3,991 4,190 4,105
36,600 36,650 4,196 3,997 4,196 4,111
36,650 36,700 4,202 4,003 4,202 4,117
36,700 36,750 4,208 4,009 4,208 4,123
36,750 36,800 4,214 4,015 4,214 4,129
36,800 36,850 4,220 4,021 4,220 4,135
36,850 36,900 4,226 4,027 4,226 4,141
36,900 36,950 4,232 4,033 4,232 4,147
36,950 37,000 4,238 4,039 4,238 4,153
37,000 37,050 4,244 4,045 4,244 4,159
37,050 37,100 4,250 4,051 4,250 4,165
37,100 37,150 4,256 4,057 4,256 4,171
37,150 37,200 4,262 4,063 4,262 4,177
37,200 37,250 4,268 4,069 4,268 4,183
37,250 37,300 4,274 4,075 4,274 4,189
37,300 37,350 4,280 4,081 4,280 4,195
37,350 37,400 4,286 4,087 4,286 4,201
37,400 37,450 4,292 4,093 4,292 4,207
37,450 37,500 4,298 4,099 4,298 4,213
37,500 37,550 4,304 4,105 4,304 4,219
37,550 37,600 4,310 4,111 4,310 4,225
37,600 37,650 4,316 4,117 4,316 4,231
37,650 37,700 4,322 4,123 4,322 4,237
37,700 37,750 4,328 4,129 4,328 4,243
37,750 37,800 4,334 4,135 4,334 4,249
37,800 37,850 4,340 4,141 4,340 4,255
37,850 37,900 4,346 4,147 4,346 4,261
37,900 37,950 4,352 4,153 4,352 4,267
37,950 38,000 4,358 4,159 4,358 4,273
38,000 38,050 4,364 4,165 4,364 4,279
38,050 38,100 4,370 4,171 4,370 4,285
38,100 38,150 4,376 4,177 4,376 4,291
38,150 38,200 4,382 4,183 4,382 4,297
38,200 38,250 4,388 4,189 4,388 4,303
38,250 38,300 4,394 4,195 4,394 4,309
38,300 38,350 4,400 4,201 4,400 4,315
38,350 38,400 4,406 4,207 4,406 4,321
38,400 38,450 4,412 4,213 4,412 4,327
38,450 38,500 4,418 4,219 4,418 4,333
38,500 38,550 4,424 4,225 4,424 4,339
38,550 38,600 4,430 4,231 4,430 4,345
38,600 38,650 4,436 4,237 4,436 4,351
38,650 38,700 4,442 4,243 4,442 4,357
38,700 38,750 4,448 4,249 4,448 4,363
38,750 38,800 4,454 4,255 4,454 4,369
38,800 38,850 4,460 4,261 4,460 4,375
38,850 38,900 4,466 4,267 4,466 4,381
38,900 38,950 4,472 4,273 4,472 4,387
Married
Married filing
38,950 39,000 4,478 4,279 4,478 4,393
39,000 39,050 4,484 4,285 4,484 4,399
39,050 39,100 4,490 4,291 4,490 4,405
39,100 39,150 4,496 4,297 4,496 4,411
39,150 39,200 4,502 4,303 4,502 4,417
39,200 39,250 4,508 4,309 4,508 4,423
39,250 39,300 4,514 4,315 4,514 4,429
39,300 39,350 4,520 4,321 4,520 4,435
39,350 39,400 4,526 4,327 4,526 4,441
39,400 39,450 4,532 4,333 4,532 4,447
39,450 39,500 4,538 4,339 4,538 4,453
39,500 39,550 4,544 4,345 4,544 4,459
39,550 39,600 4,550 4,351 4,550 4,465
39,600 39,650 4,556 4,357 4,556 4,471
39,650 39,700 4,562 4,363 4,562 4,477
39,700 39,750 4,568 4,369 4,568 4,483
39,750 39,800 4,574 4,375 4,574 4,489
39,800 39,850 4,580 4,381 4,580 4,495
39,850 39,900 4,586 4,387 4,586 4,501
39,900 39,950 4,592 4,393 4,592 4,507
39,950 40,000 4,598 4,399 4,598 4,513
40,000 40,050 4,604 4,405 4,604 4,519
40,050 40,100 4,610 4,411 4,610 4,525
40,100 40,150 4,616 4,417 4,616 4,531
40,150 40,200 4,622 4,423 4,622 4,537
40,200 40,250 4,628 4,429 4,628 4,543
40,250 40,300 4,634 4,435 4,634 4,549
40,300 40,350 4,640 4,441 4,640 4,555
40,350 40,400 4,646 4,447 4,646 4,561
40,400 40,450 4,652 4,453 4,652 4,567
40,450 40,500 4,658 4,459 4,658 4,573
40,500 40,550 4,664 4,465 4,664 4,579
40,550 40,600 4,675 4,471 4,675 4,585
40,600 40,650 4,686 4,477 4,686 4,591
40,650 40,700 4,697 4,483 4,697 4,597
40,700 40,750 4,708 4,489 4,708 4,603
40,750 40,800 4,719 4,495 4,719 4,609
40,800 40,850 4,730 4,501 4,730 4,615
40,850 40,900 4,741 4,507 4,741 4,621
40,900 40,950 4,752 4,513 4,752 4,627
40,950 41,000 4,763 4,519 4,763 4,633
41,000 41,050 4,774 4,525 4,774 4,639
41,050 41,100 4,785 4,531 4,785 4,645
41,100 41,150 4,796 4,537 4,796 4,651
41,150 41,200 4,807 4,543 4,807 4,657
41,200 41,250 4,818 4,549 4,818 4,663
41,250 41,300 4,829 4,555 4,829 4,669
41,300 41,350 4,840 4,561 4,840 4,675
41,350 41,400 4,851 4,567 4,851 4,681
41,400 41,450 4,862 4,573 4,862 4,687
41,450 41,500 4,873 4,579 4,873 4,693
41,500 41,550 4,884 4,585 4,884 4,699
41,550 41,600 4,895 4,591 4,895 4,705
41,600 41,650 4,906 4,597 4,906 4,711
41,650 41,700 4,917 4,603 4,917 4,717
41,700 41,750 4,928 4,609 4,928 4,723
41,750 41,800 4,939 4,615 4,939 4,729
41,800 41,850 4,950 4,621 4,950 4,735
41,850 41,900 4,961 4,627 4,961 4,741
41,900 41,950 4,972 4,633 4,972 4,747
41,950 42,000 4,983 4,639 4,983 4,753
42,000 42,050 4,994 4,645 4,994 4,759
42,050 42,100 5,005 4,651 5,005 4,765
42,100 42,150 5,016 4,657 5,016 4,771
42,150 42,200 5,027 4,663 5,027 4,777
42,200 42,250 5,038 4,669 5,038 4,783
42,250 42,300 5,049 4,675 5,049 4,789
42,300 42,350 5,060 4,681 5,060 4,795
42,350 42,400 5,071 4,687 5,071 4,801
42,400 42,450 5,082 4,693 5,082 4,807
42,450 42,500 5,093 4,699 5,093 4,813
42,500 42,550 5,104 4,705 5,104 4,819
42,550 42,600 5,115 4,711 5,115 4,825
42,600 42,650 5,126 4,717 5,126 4,831
42,650 42,700 5,137 4,723 5,137 4,837
42,700 42,750 5,148 4,729 5,148 4,843
42,750 42,800 5,159 4,735 5,159 4,849
42,800 42,850 5,170 4,741 5,170 4,855
42,850 42,900 5,181 4,747 5,181 4,861
42,900 42,950 5,192 4,753 5,192 4,867
42,950 43,000 5,203 4,759 5,203 4,873
43,000 43,050 5,214 4,765 5,214 4,879
43,050 43,100 5,225 4,771 5,225 4,885
43,100 43,150 5,236 4,777 5,236 4,891
43,150 43,200 5,247 4,783 5,247 4,897
43,200 43,250 5,258 4,789 5,258 4,903
43,250 43,300 5,269 4,795 5,269 4,909
43,300 43,350 5,280 4,801 5,280 4,915
43,350 43,400 5,291 4,807 5,291 4,921
43,400 43,450 5,302 4,813 5,302 4,927
43,450 43,500 5,313 4,819 5,313 4,933
43,500 43,550 5,324 4,825 5,324 4,939
43,550 43,600 5,335 4,831 5,335 4,945
43,600 43,650 5,346 4,837 5,346 4,951
43,650 43,700 5,357 4,843 5,357 4,957
43,700 43,750 5,368 4,849 5,368 4,963
43,750 43,800 5,379 4,855 5,379 4,969
43,800 43,850 5,390 4,861 5,390 4,975
43,850 43,900 5,401 4,867 5,401 4,981
43,900 43,950 5,412 4,873 5,412 4,987
43,950 44,000 5,423 4,879 5,423 4,993
44,000 44,050 5,434 4,885 5,434 4,999
44,050 44,100 5,445 4,891 5,445 5,005
44,100 44,150 5,456 4,897 5,456 5,011
44,150 44,200 5,467 4,903 5,467 5,017
44,200 44,250 5,478 4,909 5,478 5,023
44,250 44,300 5,489 4,915 5,489 5,029
44,300 44,350 5,500 4,921 5,500 5,035
44,350 44,400 5,511 4,927 5,511 5,041
44,400 44,450 5,522 4,933 5,522 5,047
44,450 44,500 5,533 4,939 5,533 5,053
44,500 44,550 5,544 4,945 5,544 5,059
44,550 44,600 5,555 4,951 5,555 5,065
44,600 44,650 5,566 4,957 5,566 5,071
44,650 44,700 5,577 4,963 5,577 5,077
44,700 44,750 5,588 4,969 5,588 5,083
44,750 44,800 5,599 4,975 5,599 5,089
44,800 44,850 5,610 4,981 5,610 5,095
44,850 44,900 5,621 4,987 5,621 5,101
44,900 44,950 5,632 4,993 5,632 5,107
44,950 45,000 5,643 4,999 5,643 5,113
45,000 45,050 5,654 5,005 5,654 5,119
45,050 45,100 5,665 5,011 5,665 5,125
45,100 45,150 5,676 5,017 5,676 5,131
45,150 45,200 5,687 5,023 5,687 5,137
45,200 45,250 5,698 5,029 5,698 5,143
45,250 45,300 5,709 5,035 5,709 5,149
45,300 45,350 5,720 5,041 5,720 5,155
45,350 45,400 5,731 5,047 5,731 5,161
45,400 45,450 5,742 5,053 5,742 5,167
45,450 45,500 5,753 5,059 5,753 5,173
45,500 45,550 5,764 5,065 5,764 5,179
45,550 45,600 5,775 5,071 5,775 5,185
45,600 45,650 5,786 5,077 5,786 5,191
45,650 45,700 5,797 5,083 5,797 5,197
45,700 45,750 5,808 5,089 5,808 5,203
45,750 45,800 5,819 5,095 5,819 5,209
45,800 45,850 5,830 5,101 5,830 5,215
45,850 45,900 5,841 5,107 5,841 5,221
45,900 45,950 5,852 5,113 5,852 5,227
45,950 46,000 5,863 5,119 5,863 5,233
46,000 46,050 5,874 5,125 5,874 5,239
46,050 46,100 5,885 5,131 5,885 5,245
46,100 46,150 5,896 5,137 5,896 5,251
46,150 46,200 5,907 5,143 5,907 5,257
46,200 46,250 5,918 5,149 5,918 5,263
46,250 46,300 5,929 5,155 5,929 5,269
46,300 46,350 5,940 5,161 5,940 5,275
46,350 46,400 5,951 5,167 5,951 5,281
46,400 46,450 5,962 5,173 5,962 5,287
46,450 46,500 5,973 5,179 5,973 5,293
46,500 46,550 5,984 5,185 5,984 5,299
46,550 46,600 5,995 5,191 5,995 5,305
46,600 46,650 6,006 5,197 6,006 5,311
46,650 46,700 6,017 5,203 6,017 5,317
46,700 46,750 6,028 5,209 6,028 5,323
46,750 46,800 6,039 5,215 6,039 5,329
46,800 46,850 6,050 5,221 6,050 5,335
46,850 46,900 6,061 5,227 6,061 5,341
46,900 46,950 6,072 5,233 6,072 5,347
46,950 47,000 6,083 5,239 6,083 5,353
47,000 47,050 6,094 5,245 6,094 5,359
47,050 47,100 6,105 5,251 6,105 5,365
47,100 47,150 6,116 5,257 6,116 5,371
47,150 47,200 6,127 5,263 6,127 5,377
47,200 47,250 6,138 5,269 6,138 5,383
47,250 47,300 6,149 5,275 6,149 5,389
47,300 47,350 6,160 5,281 6,160 5,395
47,350 47,400 6,171 5,287 6,171 5,401
47,400 47,450 6,182 5,293 6,182 5,407
47,450 47,500 6,193 5,299 6,193 5,413
47,500 47,550 6,204 5,305 6,204 5,419
47,550 47,600 6,215 5,311 6,215 5,425
47,600 47,650 6,226 5,317 6,226 5,431
47,650 47,700 6,237 5,323 6,237 5,437
47,700 47,750 6,248 5,329 6,248 5,443
47,750 47,800 6,259 5,335 6,259 5,449
47,800 47,850 6,270 5,341 6,270 5,455
47,850 47,900 6,281 5,347 6,281 5,461
47,900 47,950 6,292 5,353 6,292 5,467
47,950 48,000 6,303 5,359 6,303 5,473
48,000 48,050 6,314 5,365 6,314 5,479
48,050 48,100 6,325 5,371 6,325 5,485
48,100 48,150 6,336 5,377 6,336 5,491
48,150 48,200 6,347 5,383 6,347 5,497
48,200 48,250 6,358 5,389 6,358 5,503
48,250 48,300 6,369 5,395 6,369 5,509
48,300 48,350 6,380 5,401 6,380 5,515
48,350 48,400 6,391 5,407 6,391 5,521
48,400 48,450 6,402 5,413 6,402 5,527
48,450 48,500 6,413 5,419 6,413 5,533
48,500 48,550 6,424 5,425 6,424 5,539
48,550 48,600 6,435 5,431 6,435 5,545
48,600 48,650 6,446 5,437 6,446 5,551
48,650 48,700 6,457 5,443 6,457 5,557
48,700 48,750 6,468 5,449 6,468 5,563
48,750 48,800 6,479 5,455 6,479 5,569
48,800 48,850 6,490 5,461 6,490 5,575
48,850 48,900 6,501 5,467 6,501 5,581
48,900 48,950 6,512 5,473 6,512 5,587
48,950 49,000 6,523 5,479 6,523 5,593
49,000 49,050 6,534 5,485 6,534 5,599
49,050 49,100 6,545 5,491 6,545 5,605
49,100 49,150 6,556 5,497 6,556 5,611
49,150 49,200 6,567 5,503 6,567 5,617
49,200 49,250 6,578 5,509 6,578 5,623
49,250 49,300 6,589 5,515 6,589 5,629
49,300 49,350 6,600 5,521 6,600 5,635
49,350 49,400 6,611 5,527 6,611 5,641
49,400 49,450 6,622 5,533 6,622 5,647
49,450 49,500 6,633 5,539 6,633 5,653
49,500 49,550 6,644 5,545 6,644 5,659
49,550 49,600 6,655 5,551 6,655 5,665
49,600 49,650 6,666 5,557 6,666 5,671
49,650 49,700 6,677 5,563 6,677 5,677
49,700 49,750 6,688 5,569 6,688 5,683
49,750 49,800 6,699 5,575 6,699 5,689
49,800 49,850 6,710 5,581 6,710 5,695
49,850 49,900 6,721 5,587 6,721 5,701
49,900 49,950 6,732 5,593 6,732 5,707
49,950 50,000 6,743 5,599 6,743 5,713
50,000 50,050 6,754 5,605 6,754 5,719
50,050 50,100 6,765 5,611 6,765 5,725
50,100 50,150 6,776 5,617 6,776 5,731
50,150 50,200 6,787 5,623 6,787 5,737
50,200 50,250 6,798 5,629 6,798 5,743
50,250 50,300 6,809 5,635 6,809 5,749
50,300 50,350 6,820 5,641 6,820 5,755
50,350 50,400 6,831 5,647 6,831 5,761
50,400 50,450 6,842 5,653 6,842 5,767
50,450 50,500 6,853 5,659 6,853 5,773
50,500 50,550 6,864 5,665 6,864 5,779
50,550 50,600 6,875 5,671 6,875 5,785
50,600 50,650 6,886 5,677 6,886 5,791
50,650 50,700 6,897 5,683 6,897 5,797
50,700 50,750 6,908 5,689 6,908 5,803
50,750 50,800 6,919 5,695 6,919 5,809
50,800 50,850 6,930 5,701 6,930 5,815
50,850 50,900 6,941 5,707 6,941 5,821
50,900 50,950 6,952 5,713 6,952 5,827
50,950 51,000 6,963 5,719 6,963 5,833
51,000 51,050 6,974 5,725 6,974 5,839
51,050 51,100 6,985 5,731 6,985 5,845
51,100 51,150 6,996 5,737 6,996 5,851
51,150 51,200 7,007 5,743 7,007 5,857
51,200 51,250 7,018 5,749 7,018 5,863
51,250 51,300 7,029 5,755 7,029 5,869
51,300 51,350 7,040 5,761 7,040 5,875
51,350 51,400 7,051 5,767 7,051 5,881
51,400 51,450 7,062 5,773 7,062 5,887
51,450 51,500 7,073 5,779 7,073 5,893
51,500 51,550 7,084 5,785 7,084 5,899
51,550 51,600 7,095 5,791 7,095 5,905
51,600 51,650 7,106 5,797 7,106 5,911
51,650 51,700 7,117 5,803 7,117 5,917
51,700 51,750 7,128 5,809 7,128 5,923
51,750 51,800 7,139 5,815 7,139 5,929
51,800 51,850 7,150 5,821 7,150 5,935
51,850 51,900 7,161 5,827 7,161 5,941
51,900 51,950 7,172 5,833 7,172 5,947
51,950 52,000 7,183 5,839 7,183 5,953
52,000 52,050 7,194 5,845 7,194 5,959
52,050 52,100 7,205 5,851 7,205 5,965
52,100 52,150 7,216 5,857 7,216 5,971
52,150 52,200 7,227 5,863 7,227 5,977
52,200 52,250 7,238 5,869 7,238 5,983
52,250 52,300 7,249 5,875 7,249 5,989
52,300 52,350 7,260 5,881 7,260 5,995
52,350 52,400 7,271 5,887 7,271 6,001
52,400 52,450 7,282 5,893 7,282 6,007
52,450 52,500 7,293 5,899 7,293 6,013
52,500 52,550 7,304 5,905 7,304 6,019
52,550 52,600 7,315 5,911 7,315 6,025
52,600 52,650 7,326 5,917 7,326 6,031
52,650 52,700 7,337 5,923 7,337 6,037
52,700 52,750 7,348 5,929 7,348 6,043
52,750 52,800 7,359 5,935 7,359 6,049
52,800 52,850 7,370 5,941 7,370 6,055
52,850 52,900 7,381 5,947 7,381 6,061
52,900 52,950 7,392 5,953 7,392 6,067
52,950 53,000 7,403 5,959 7,403 6,073
Married
Married filing
53,000 53,050 7,414 5,965 7,414 6,079
53,050 53,100 7,425 5,971 7,425 6,085
53,100 53,150 7,436 5,977 7,436 6,091
53,150 53,200 7,447 5,983 7,447 6,097
53,200 53,250 7,458 5,989 7,458 6,103
53,250 53,300 7,469 5,995 7,469 6,109
53,300 53,350 7,480 6,001 7,480 6,115
53,350 53,400 7,491 6,007 7,491 6,121
53,400 53,450 7,502 6,013 7,502 6,127
53,450 53,500 7,513 6,019 7,513 6,133
53,500 53,550 7,524 6,025 7,524 6,139
53,550 53,600 7,535 6,031 7,535 6,145
53,600 53,650 7,546 6,037 7,546 6,151
53,650 53,700 7,557 6,043 7,557 6,157
53,700 53,750 7,568 6,049 7,568 6,163
53,750 53,800 7,579 6,055 7,579 6,169
53,800 53,850 7,590 6,061 7,590 6,175
53,850 53,900 7,601 6,067 7,601 6,181
53,900 53,950 7,612 6,073 7,612 6,187
53,950 54,000 7,623 6,079 7,623 6,193
54,000 54,050 7,634 6,085 7,634 6,199
54,050 54,100 7,645 6,091 7,645 6,205
54,100 54,150 7,656 6,097 7,656 6,211
54,150 54,200 7,667 6,103 7,667 6,217
54,200 54,250 7,678 6,109 7,678 6,226
54,250 54,300 7,689 6,115 7,689 6,237
54,300 54,350 7,700 6,121 7,700 6,248
54,350 54,400 7,711 6,127 7,711 6,259
54,400 54,450 7,722 6,133 7,722 6,270
54,450 54,500 7,733 6,139 7,733 6,281
54,500 54,550 7,744 6,145 7,744 6,292
54,550 54,600 7,755 6,151 7,755 6,303
54,600 54,650 7,766 6,157 7,766 6,314
54,650 54,700 7,777 6,163 7,777 6,325
54,700 54,750 7,788 6,169 7,788 6,336
54,750 54,800 7,799 6,175 7,799 6,347
54,800 54,850 7,810 6,181 7,810 6,358
54,850 54,900 7,821 6,187 7,821 6,369
54,900 54,950 7,832 6,193 7,832 6,380
54,950 55,000 7,843 6,199 7,843 6,391
55,000 55,050 7,854 6,205 7,854 6,402
55,050 55,100 7,865 6,211 7,865 6,413
55,100 55,150 7,876 6,217 7,876 6,424
55,150 55,200 7,887 6,223 7,887 6,435
55,200 55,250 7,898 6,229 7,898 6,446
55,250 55,300 7,909 6,235 7,909 6,457
55,300 55,350 7,920 6,241 7,920 6,468
55,350 55,400 7,931 6,247 7,931 6,479
55,400 55,450 7,942 6,253 7,942 6,490
55,450 55,500 7,953 6,259 7,953 6,501
55,500 55,550 7,964 6,265 7,964 6,512
55,550 55,600 7,975 6,271 7,975 6,523
55,600 55,650 7,986 6,277 7,986 6,534
55,650 55,700 7,997 6,283 7,997 6,545
55,700 55,750 8,008 6,289 8,008 6,556
55,750 55,800 8,019 6,295 8,019 6,567
55,800 55,850 8,030 6,301 8,030 6,578
55,850 55,900 8,041 6,307 8,041 6,589
55,900 55,950 8,052 6,313 8,052 6,600
55,950 56,000 8,063 6,319 8,063 6,611
56,000 56,050 8,074 6,325 8,074 6,622
56,050 56,100 8,085 6,331 8,085 6,633
56,100 56,150 8,096 6,337 8,096 6,644
56,150 56,200 8,107 6,343 8,107 6,655
56,200 56,250 8,118 6,349 8,118 6,666
56,250 56,300 8,129 6,355 8,129 6,677
56,300 56,350 8,140 6,361 8,140 6,688
56,350 56,400 8,151 6,367 8,151 6,699
56,400 56,450 8,162 6,373 8,162 6,710
56,450 56,500 8,173 6,379 8,173 6,721
56,500 56,550 8,184 6,385 8,184 6,732
56,550 56,600 8,195 6,391 8,195 6,743
56,600 56,650 8,206 6,397 8,206 6,754
56,650 56,700 8,217 6,403 8,217 6,765
56,700 56,750 8,228 6,409 8,228 6,776
56,750 56,800 8,239 6,415 8,239 6,787
56,800 56,850 8,250 6,421 8,250 6,798
56,850 56,900 8,261 6,427 8,261 6,809
56,900 56,950 8,272 6,433 8,272 6,820
56,950 57,000 8,283 6,439 8,283 6,831
57,000 57,050 8,294 6,445 8,294 6,842
57,050 57,100 8,305 6,451 8,305 6,853
57,100 57,150 8,316 6,457 8,316 6,864
57,150 57,200 8,327 6,463 8,327 6,875
57,200 57,250 8,338 6,469 8,338 6,886
57,250 57,300 8,349 6,475 8,349 6,897
57,300 57,350 8,360 6,481 8,360 6,908
57,350 57,400 8,371 6,487 8,371 6,919
57,400 57,450 8,382 6,493 8,382 6,930
57,450 57,500 8,393 6,499 8,393 6,941
57,500 57,550 8,404 6,505 8,404 6,952
57,550 57,600 8,415 6,511 8,415 6,963
57,600 57,650 8,426 6,517 8,426 6,974
57,650 57,700 8,437 6,523 8,437 6,985
57,700 57,750 8,448 6,529 8,448 6,996
57,750 57,800 8,459 6,535 8,459 7,007
57,800 57,850 8,470 6,541 8,470 7,018
57,850 57,900 8,481 6,547 8,481 7,029
57,900 57,950 8,492 6,553 8,492 7,040
57,950 58,000 8,503 6,559 8,503 7,051
58,000 58,050 8,514 6,565 8,514 7,062
58,050 58,100 8,525 6,571 8,525 7,073
58,100 58,150 8,536 6,577 8,536 7,084
58,150 58,200 8,547 6,583 8,547 7,095
58,200 58,250 8,558 6,589 8,558 7,106
58,250 58,300 8,569 6,595 8,569 7,117
58,300 58,350 8,580 6,601 8,580 7,128
58,350 58,400 8,591 6,607 8,591 7,139
58,400 58,450 8,602 6,613 8,602 7,150
58,450 58,500 8,613 6,619 8,613 7,161
58,500 58,550 8,624 6,625 8,624 7,172
58,550 58,600 8,635 6,631 8,635 7,183
58,600 58,650 8,646 6,637 8,646 7,194
58,650 58,700 8,657 6,643 8,657 7,205
58,700 58,750 8,668 6,649 8,668 7,216
58,750 58,800 8,679 6,655 8,679 7,227
58,800 58,850 8,690 6,661 8,690 7,238
58,850 58,900 8,701 6,667 8,701 7,249
58,900 58,950 8,712 6,673 8,712 7,260
58,950 59,000 8,723 6,679 8,723 7,271
59,000 59,050 8,734 6,685 8,734 7,282
59,050 59,100 8,745 6,691 8,745 7,293
59,100 59,150 8,756 6,697 8,756 7,304
59,150 59,200 8,767 6,703 8,767 7,315
59,200 59,250 8,778 6,709 8,778 7,326
59,250 59,300 8,789 6,715 8,789 7,337
59,300 59,350 8,800 6,721 8,800 7,348
59,350 59,400 8,811 6,727 8,811 7,359
59,400 59,450 8,822 6,733 8,822 7,370
59,450 59,500 8,833 6,739 8,833 7,381
59,500 59,550 8,844 6,745 8,844 7,392
59,550 59,600 8,855 6,751 8,855 7,403
59,600 59,650 8,866 6,757 8,866 7,414
59,650 59,700 8,877 6,763 8,877 7,425
59,700 59,750 8,888 6,769 8,888 7,436
59,750 59,800 8,899 6,775 8,899 7,447
59,800 59,850 8,910 6,781 8,910 7,458
59,850 59,900 8,921 6,787 8,921 7,469
59,900 59,950 8,932 6,793 8,932 7,480
59,950 60,000 8,943 6,799 8,943 7,491
60,000 60,050 8,954 6,805 8,954 7,502
60,050 60,100 8,965 6,811 8,965 7,513
60,100 60,150 8,976 6,817 8,976 7,524
60,150 60,200 8,987 6,823 8,987 7,535
60,200 60,250 8,998 6,829 8,998 7,546
60,250 60,300 9,009 6,835 9,009 7,557
60,300 60,350 9,020 6,841 9,020 7,568
60,350 60,400 9,031 6,847 9,031 7,579
60,400 60,450 9,042 6,853 9,042 7,590
60,450 60,500 9,053 6,859 9,053 7,601
60,500 60,550 9,064 6,865 9,064 7,612
60,550 60,600 9,075 6,871 9,075 7,623
60,600 60,650 9,086 6,877 9,086 7,634
60,650 60,700 9,097 6,883 9,097 7,645
60,700 60,750 9,108 6,889 9,108 7,656
60,750 60,800 9,119 6,895 9,119 7,667
60,800 60,850 9,130 6,901 9,130 7,678
60,850 60,900 9,141 6,907 9,141 7,689
60,900 60,950 9,152 6,913 9,152 7,700
60,950 61,000 9,163 6,919 9,163 7,711
61,000 61,050 9,174 6,925 9,174 7,722
61,050 61,100 9,185 6,931 9,185 7,733
61,100 61,150 9,196 6,937 9,196 7,744
61,150 61,200 9,207 6,943 9,207 7,755
61,200 61,250 9,218 6,949 9,218 7,766
61,250 61,300 9,229 6,955 9,229 7,777
61,300 61,350 9,240 6,961 9,240 7,788
61,350 61,400 9,251 6,967 9,251 7,799
61,400 61,450 9,262 6,973 9,262 7,810
61,450 61,500 9,273 6,979 9,273 7,821
61,500 61,550 9,284 6,985 9,284 7,832
61,550 61,600 9,295 6,991 9,295 7,843
61,600 61,650 9,306 6,997 9,306 7,854
61,650 61,700 9,317 7,003 9,317 7,865
61,700 61,750 9,328 7,009 9,328 7,876
61,750 61,800 9,339 7,015 9,339 7,887
61,800 61,850 9,350 7,021 9,350 7,898
61,850 61,900 9,361 7,027 9,361 7,909
61,900 61,950 9,372 7,033 9,372 7,920
61,950 62,000 9,383 7,039 9,383 7,931
62,000 62,050 9,394 7,045 9,394 7,942
62,050 62,100 9,405 7,051 9,405 7,953
62,100 62,150 9,416 7,057 9,416 7,964
62,150 62,200 9,427 7,063 9,427 7,975
62,200 62,250 9,438 7,069 9,438 7,986
62,250 62,300 9,449 7,075 9,449 7,997
62,300 62,350 9,460 7,081 9,460 8,008
62,350 62,400 9,471 7,087 9,471 8,019
62,400 62,450 9,482 7,093 9,482 8,030
62,450 62,500 9,493 7,099 9,493 8,041
62,500 62,550 9,504 7,105 9,504 8,052
62,550 62,600 9,515 7,111 9,515 8,063
62,600 62,650 9,526 7,117 9,526 8,074
62,650 62,700 9,537 7,123 9,537 8,085
62,700 62,750 9,548 7,129 9,548 8,096
62,750 62,800 9,559 7,135 9,559 8,107
62,800 62,850 9,570 7,141 9,570 8,118
62,850 62,900 9,581 7,147 9,581 8,129
62,900 62,950 9,592 7,153 9,592 8,140
62,950 63,000 9,603 7,159 9,603 8,151
63,000 63,050 9,614 7,165 9,614 8,162
63,050 63,100 9,625 7,171 9,625 8,173
63,100 63,150 9,636 7,177 9,636 8,184
63,150 63,200 9,647 7,183 9,647 8,195
63,200 63,250 9,658 7,189 9,658 8,206
63,250 63,300 9,669 7,195 9,669 8,217
63,300 63,350 9,680 7,201 9,680 8,228
63,350 63,400 9,691 7,207 9,691 8,239
63,400 63,450 9,702 7,213 9,702 8,250
63,450 63,500 9,713 7,219 9,713 8,261
63,500 63,550 9,724 7,225 9,724 8,272
63,550 63,600 9,735 7,231 9,735 8,283
63,600 63,650 9,746 7,237 9,746 8,294
63,650 63,700 9,757 7,243 9,757 8,305
63,700 63,750 9,768 7,249 9,768 8,316
63,750 63,800 9,779 7,255 9,779 8,327
63,800 63,850 9,790 7,261 9,790 8,338
63,850 63,900 9,801 7,267 9,801 8,349
63,900 63,950 9,812 7,273 9,812 8,360
63,950 64,000 9,823 7,279 9,823 8,371
64,000 64,050 9,834 7,285 9,834 8,382
64,050 64,100 9,845 7,291 9,845 8,393
64,100 64,150 9,856 7,297 9,856 8,404
64,150 64,200 9,867 7,303 9,867 8,415
64,200 64,250 9,878 7,309 9,878 8,426
64,250 64,300 9,889 7,315 9,889 8,437
64,300 64,350 9,900 7,321 9,900 8,448
64,350 64,400 9,911 7,327 9,911 8,459
64,400 64,450 9,922 7,333 9,922 8,470
64,450 64,500 9,933 7,339 9,933 8,481
64,500 64,550 9,944 7,345 9,944 8,492
64,550 64,600 9,955 7,351 9,955 8,503
64,600 64,650 9,966 7,357 9,966 8,514
64,650 64,700 9,977 7,363 9,977 8,525
64,700 64,750 9,988 7,369 9,988 8,536
64,750 64,800 9,999 7,375 9,999 8,547
64,800 64,850 10,010 7,381 10,010 8,558
64,850 64,900 10,021 7,387 10,021 8,569
64,900 64,950 10,032 7,393 10,032 8,580
64,950 65,000 10,043 7,399 10,043 8,591
65,000 65,050 10,054 7,405 10,054 8,602
65,050 65,100 10,065 7,411 10,065 8,613
65,100 65,150 10,076 7,417 10,076 8,624
65,150 65,200 10,087 7,423 10,087 8,635
65,200 65,250 10,098 7,429 10,098 8,646
65,250 65,300 10,109 7,435 10,109 8,657
65,300 65,350 10,120 7,441 10,120 8,668
65,350 65,400 10,131 7,447 10,131 8,679
65,400 65,450 10,142 7,453 10,142 8,690
65,450 65,500 10,153 7,459 10,153 8,701
65,500 65,550 10,164 7,465 10,164 8,712
65,550 65,600 10,175 7,471 10,175 8,723
65,600 65,650 10,186 7,477 10,186 8,734
65,650 65,700 10,197 7,483 10,197 8,745
65,700 65,750 10,208 7,489 10,208 8,756
65,750 65,800 10,219 7,495 10,219 8,767
65,800 65,850 10,230 7,501 10,230 8,778
65,850 65,900 10,241 7,507 10,241 8,789
65,900 65,950 10,252 7,513 10,252 8,800
65,950 66,000 10,263 7,519 10,263 8,811
66,000 66,050 10,274 7,525 10,274 8,822
66,050 66,100 10,285 7,531 10,285 8,833
66,100 66,150 10,296 7,537 10,296 8,844
66,150 66,200 10,307 7,543 10,307 8,855
66,200 66,250 10,318 7,549 10,318 8,866
66,250 66,300 10,329 7,555 10,329 8,877
66,300 66,350 10,340 7,561 10,340 8,888
66,350 66,400 10,351 7,567 10,351 8,899
66,400 66,450 10,362 7,573 10,362 8,910
66,450 66,500 10,373 7,579 10,373 8,921
66,500 66,550 10,384 7,585 10,384 8,932
66,550 66,600 10,395 7,591 10,395 8,943
66,600 66,650 10,406 7,597 10,406 8,954
66,650 66,700 10,417 7,603 10,417 8,965
66,700 66,750 10,428 7,609 10,428 8,976
66,750 66,800 10,439 7,615 10,439 8,987
66,800 66,850 10,450 7,621 10,450 8,998
66,850 66,900 10,461 7,627 10,461 9,009
66,900 66,950 10,472 7,633 10,472 9,020
66,950 67,000 10,483 7,639 10,483 9,031
67,000 67,050 10,494 7,645 10,494 9,042
Married
Married filing
67,050 67,100 10,505 7,651 10,505 9,053
67,100 67,150 10,516 7,657 10,516 9,064
67,150 67,200 10,527 7,663 10,527 9,075
67,200 67,250 10,538 7,669 10,538 9,086
67,250 67,300 10,549 7,675 10,549 9,097
67,300 67,350 10,560 7,681 10,560 9,108
67,350 67,400 10,571 7,687 10,571 9,119
67,400 67,450 10,582 7,693 10,582 9,130
67,450 67,500 10,593 7,699 10,593 9,141
67,500 67,550 10,604 7,705 10,604 9,152
67,550 67,600 10,615 7,711 10,615 9,163
67,600 67,650 10,626 7,717 10,626 9,174
67,650 67,700 10,637 7,723 10,637 9,185
67,700 67,750 10,648 7,729 10,648 9,196
67,750 67,800 10,659 7,735 10,659 9,207
67,800 67,850 10,670 7,741 10,670 9,218
67,850 67,900 10,681 7,747 10,681 9,229
67,900 67,950 10,692 7,753 10,692 9,240
67,950 68,000 10,703 7,759 10,703 9,251
68,000 68,050 10,714 7,765 10,714 9,262
68,050 68,100 10,725 7,771 10,725 9,273
68,100 68,150 10,736 7,777 10,736 9,284
68,150 68,200 10,747 7,783 10,747 9,295
68,200 68,250 10,758 7,789 10,758 9,306
68,250 68,300 10,769 7,795 10,769 9,317
68,300 68,350 10,780 7,801 10,780 9,328
68,350 68,400 10,791 7,807 10,791 9,339
68,400 68,450 10,802 7,813 10,802 9,350
68,450 68,500 10,813 7,819 10,813 9,361
68,500 68,550 10,824 7,825 10,824 9,372
68,550 68,600 10,835 7,831 10,835 9,383
68,600 68,650 10,846 7,837 10,846 9,394
68,650 68,700 10,857 7,843 10,857 9,405
68,700 68,750 10,868 7,849 10,868 9,416
68,750 68,800 10,879 7,855 10,879 9,427
68,800 68,850 10,890 7,861 10,890 9,438
68,850 68,900 10,901 7,867 10,901 9,449
68,900 68,950 10,912 7,873 10,912 9,460
68,950 69,000 10,923 7,879 10,923 9,471
69,000 69,050 10,934 7,885 10,934 9,482
69,050 69,100 10,945 7,891 10,945 9,493
69,100 69,150 10,956 7,897 10,956 9,504
69,150 69,200 10,967 7,903 10,967 9,515
69,200 69,250 10,978 7,909 10,978 9,526
69,250 69,300 10,989 7,915 10,989 9,537
69,300 69,350 11,000 7,921 11,000 9,548
69,350 69,400 11,011 7,927 11,011 9,559
69,400 69,450 11,022 7,933 11,022 9,570
69,450 69,500 11,033 7,939 11,033 9,581
69,500 69,550 11,044 7,945 11,044 9,592
69,550 69,600 11,055 7,951 11,055 9,603
69,600 69,650 11,066 7,957 11,066 9,614
69,650 69,700 11,077 7,963 11,077 9,625
69,700 69,750 11,088 7,969 11,088 9,636
69,750 69,800 11,099 7,975 11,099 9,647
69,800 69,850 11,110 7,981 11,110 9,658
69,850 69,900 11,121 7,987 11,121 9,669
69,900 69,950 11,132 7,993 11,132 9,680
69,950 70,000 11,143 7,999 11,143 9,691
70,000 70,050 11,154 8,005 11,154 9,702
70,050 70,100 11,165 8,011 11,165 9,713
70,100 70,150 11,176 8,017 11,176 9,724
70,150 70,200 11,187 8,023 11,187 9,735
70,200 70,250 11,198 8,029 11,198 9,746
70,250 70,300 11,209 8,035 11,209 9,757
70,300 70,350 11,220 8,041 11,220 9,768
70,350 70,400 11,231 8,047 11,231 9,779
70,400 70,450 11,242 8,053 11,242 9,790
70,450 70,500 11,253 8,059 11,253 9,801
70,500 70,550 11,264 8,065 11,264 9,812
70,550 70,600 11,275 8,071 11,275 9,823
70,600 70,650 11,286 8,077 11,286 9,834
70,650 70,700 11,297 8,083 11,297 9,845
70,700 70,750 11,308 8,089 11,308 9,856
70,750 70,800 11,319 8,095 11,319 9,867
70,800 70,850 11,330 8,101 11,330 9,878
70,850 70,900 11,341 8,107 11,341 9,889
70,900 70,950 11,352 8,113 11,352 9,900
70,950 71,000 11,363 8,119 11,363 9,911
71,000 71,050 11,374 8,125 11,374 9,922
71,050 71,100 11,385 8,131 11,385 9,933
71,100 71,150 11,396 8,137 11,396 9,944
71,150 71,200 11,407 8,143 11,407 9,955
71,200 71,250 11,418 8,149 11,418 9,966
71,250 71,300 11,429 8,155 11,429 9,977
71,300 71,350 11,440 8,161 11,440 9,988
71,350 71,400 11,451 8,167 11,451 9,999
71,400 71,450 11,462 8,173 11,462 10,010
71,450 71,500 11,473 8,179 11,473 10,021
71,500 71,550 11,484 8,185 11,484 10,032
71,550 71,600 11,495 8,191 11,495 10,043
71,600 71,650 11,506 8,197 11,506 10,054
71,650 71,700 11,517 8,203 11,517 10,065
71,700 71,750 11,528 8,209 11,528 10,076
71,750 71,800 11,539 8,215 11,539 10,087
71,800 71,850 11,550 8,221 11,550 10,098
71,850 71,900 11,561 8,227 11,561 10,109
71,900 71,950 11,572 8,233 11,572 10,120
71,950 72,000 11,583 8,239 11,583 10,131
72,000 72,050 11,594 8,245 11,594 10,142
72,050 72,100 11,605 8,251 11,605 10,153
72,100 72,150 11,616 8,257 11,616 10,164
72,150 72,200 11,627 8,263 11,627 10,175
72,200 72,250 11,638 8,269 11,638 10,186
72,250 72,300 11,649 8,275 11,649 10,197
72,300 72,350 11,660 8,281 11,660 10,208
72,350 72,400 11,671 8,287 11,671 10,219
72,400 72,450 11,682 8,293 11,682 10,230
72,450 72,500 11,693 8,299 11,693 10,241
72,500 72,550 11,704 8,305 11,704 10,252
72,550 72,600 11,715 8,311 11,715 10,263
72,600 72,650 11,726 8,317 11,726 10,274
72,650 72,700 11,737 8,323 11,737 10,285
72,700 72,750 11,748 8,329 11,748 10,296
72,750 72,800 11,759 8,335 11,759 10,307
72,800 72,850 11,770 8,341 11,770 10,318
72,850 72,900 11,781 8,347 11,781 10,329
72,900 72,950 11,792 8,353 11,792 10,340
72,950 73,000 11,803 8,359 11,803 10,351
73,000 73,050 11,814 8,365 11,814 10,362
73,050 73,100 11,825 8,371 11,825 10,373
73,100 73,150 11,836 8,377 11,836 10,384
73,150 73,200 11,847 8,383 11,847 10,395
73,200 73,250 11,858 8,389 11,858 10,406
73,250 73,300 11,869 8,395 11,869 10,417
73,300 73,350 11,880 8,401 11,880 10,428
73,350 73,400 11,891 8,407 11,891 10,439
73,400 73,450 11,902 8,413 11,902 10,450
73,450 73,500 11,913 8,419 11,913 10,461
73,500 73,550 11,924 8,425 11,924 10,472
73,550 73,600 11,935 8,431 11,935 10,483
73,600 73,650 11,946 8,437 11,946 10,494
73,650 73,700 11,957 8,443 11,957 10,505
73,700 73,750 11,968 8,449 11,968 10,516
73,750 73,800 11,979 8,455 11,979 10,527
73,800 73,850 11,990 8,461 11,990 10,538
73,850 73,900 12,001 8,467 12,001 10,549
73,900 73,950 12,012 8,473 12,012 10,560
73,950 74,000 12,023 8,479 12,023 10,571
74,000 74,050 12,034 8,485 12,034 10,582
74,050 74,100 12,045 8,491 12,045 10,593
74,100 74,150 12,056 8,497 12,056 10,604
74,150 74,200 12,067 8,503 12,067 10,615
74,200 74,250 12,078 8,509 12,078 10,626
74,250 74,300 12,089 8,515 12,089 10,637
74,300 74,350 12,100 8,521 12,100 10,648
74,350 74,400 12,111 8,527 12,111 10,659
74,400 74,450 12,122 8,533 12,122 10,670
74,450 74,500 12,133 8,539 12,133 10,681
74,500 74,550 12,144 8,545 12,144 10,692
74,550 74,600 12,155 8,551 12,155 10,703
74,600 74,650 12,166 8,557 12,166 10,714
74,650 74,700 12,177 8,563 12,177 10,725
74,700 74,750 12,188 8,569 12,188 10,736
74,750 74,800 12,199 8,575 12,199 10,747
74,800 74,850 12,210 8,581 12,210 10,758
74,850 74,900 12,221 8,587 12,221 10,769
74,900 74,950 12,232 8,593 12,232 10,780
74,950 75,000 12,243 8,599 12,243 10,791
75,000 75,050 12,254 8,605 12,254 10,802
75,050 75,100 12,265 8,611 12,265 10,813
75,100 75,150 12,276 8,617 12,276 10,824
75,150 75,200 12,287 8,623 12,287 10,835
75,200 75,250 12,298 8,629 12,298 10,846
75,250 75,300 12,309 8,635 12,309 10,857
75,300 75,350 12,320 8,641 12,320 10,868
75,350 75,400 12,331 8,647 12,331 10,879
75,400 75,450 12,342 8,653 12,342 10,890
75,450 75,500 12,353 8,659 12,353 10,901
75,500 75,550 12,364 8,665 12,364 10,912
75,550 75,600 12,375 8,671 12,375 10,923
75,600 75,650 12,386 8,677 12,386 10,934
75,650 75,700 12,397 8,683 12,397 10,945
75,700 75,750 12,408 8,689 12,408 10,956
75,750 75,800 12,419 8,695 12,419 10,967
75,800 75,850 12,430 8,701 12,430 10,978
75,850 75,900 12,441 8,707 12,441 10,989
75,900 75,950 12,452 8,713 12,452 11,000
75,950 76,000 12,463 8,719 12,463 11,011
76,000 76,050 12,474 8,725 12,474 11,022
76,050 76,100 12,485 8,731 12,485 11,033
76,100 76,150 12,496 8,737 12,496 11,044
76,150 76,200 12,507 8,743 12,507 11,055
76,200 76,250 12,518 8,749 12,518 11,066
76,250 76,300 12,529 8,755 12,529 11,077
76,300 76,350 12,540 8,761 12,540 11,088
76,350 76,400 12,551 8,767 12,551 11,099
76,400 76,450 12,562 8,773 12,562 11,110
76,450 76,500 12,573 8,779 12,573 11,121
76,500 76,550 12,584 8,785 12,584 11,132
76,550 76,600 12,595 8,791 12,595 11,143
76,600 76,650 12,606 8,797 12,606 11,154
76,650 76,700 12,617 8,803 12,617 11,165
76,700 76,750 12,628 8,809 12,628 11,176
76,750 76,800 12,639 8,815 12,639 11,187
76,800 76,850 12,650 8,821 12,650 11,198
76,850 76,900 12,661 8,827 12,661 11,209
76,900 76,950 12,672 8,833 12,672 11,220
76,950 77,000 12,683 8,839 12,683 11,231
77,000 77,050 12,694 8,845 12,694 11,242
77,050 77,100 12,705 8,851 12,705 11,253
77,100 77,150 12,716 8,857 12,716 11,264
77,150 77,200 12,727 8,863 12,727 11,275
77,200 77,250 12,738 8,869 12,738 11,286
77,250 77,300 12,749 8,875 12,749 11,297
77,300 77,350 12,760 8,881 12,760 11,308
77,350 77,400 12,771 8,887 12,771 11,319
77,400 77,450 12,782 8,893 12,782 11,330
77,450 77,500 12,793 8,899 12,793 11,341
77,500 77,550 12,804 8,905 12,804 11,352
77,550 77,600 12,815 8,911 12,815 11,363
77,600 77,650 12,826 8,917 12,826 11,374
77,650 77,700 12,837 8,923 12,837 11,385
77,700 77,750 12,848 8,929 12,848 11,396
77,750 77,800 12,859 8,935 12,859 11,407
77,800 77,850 12,870 8,941 12,870 11,418
77,850 77,900 12,881 8,947 12,881 11,429
77,900 77,950 12,892 8,953 12,892 11,440
77,950 78,000 12,903 8,959 12,903 11,451
78,000 78,050 12,914 8,965 12,914 11,462
78,050 78,100 12,925 8,971 12,925 11,473
78,100 78,150 12,936 8,977 12,936 11,484
78,150 78,200 12,947 8,983 12,947 11,495
78,200 78,250 12,958 8,989 12,958 11,506
78,250 78,300 12,969 8,995 12,969 11,517
78,300 78,350 12,980 9,001 12,980 11,528
78,350 78,400 12,991 9,007 12,991 11,539
78,400 78,450 13,002 9,013 13,002 11,550
78,450 78,500 13,013 9,019 13,013 11,561
78,500 78,550 13,024 9,025 13,024 11,572
78,550 78,600 13,035 9,031 13,035 11,583
78,600 78,650 13,046 9,037 13,046 11,594
78,650 78,700 13,057 9,043 13,057 11,605
78,700 78,750 13,068 9,049 13,068 11,616
78,750 78,800 13,079 9,055 13,079 11,627
78,800 78,850 13,090 9,061 13,090 11,638
78,850 78,900 13,101 9,067 13,101 11,649
78,900 78,950 13,112 9,073 13,112 11,660
78,950 79,000 13,123 9,079 13,123 11,671
79,000 79,050 13,134 9,085 13,134 11,682
79,050 79,100 13,145 9,091 13,145 11,693
79,100 79,150 13,156 9,097 13,156 11,704
79,150 79,200 13,167 9,103 13,167 11,715
79,200 79,250 13,178 9,109 13,178 11,726
79,250 79,300 13,189 9,115 13,189 11,737
79,300 79,350 13,200 9,121 13,200 11,748
79,350 79,400 13,211 9,127 13,211 11,759
79,400 79,450 13,222 9,133 13,222 11,770
79,450 79,500 13,233 9,139 13,233 11,781
79,500 79,550 13,244 9,145 13,244 11,792
79,550 79,600 13,255 9,151 13,255 11,803
79,600 79,650 13,266 9,157 13,266 11,814
79,650 79,700 13,277 9,163 13,277 11,825
79,700 79,750 13,288 9,169 13,288 11,836
79,750 79,800 13,299 9,175 13,299 11,847
79,800 79,850 13,310 9,181 13,310 11,858
79,850 79,900 13,321 9,187 13,321 11,869
79,900 79,950 13,332 9,193 13,332 11,880
79,950 80,000 13,343 9,199 13,343 11,891
80,000 80,050 13,354 9,205 13,354 11,902
80,050 80,100 13,365 9,211 13,365 11,913
80,100 80,150 13,376 9,217 13,376 11,924
80,150 80,200 13,387 9,223 13,387 11,935
80,200 80,250 13,398 9,229 13,398 11,946
80,250 80,300 13,409 9,235 13,409 11,957
80,300 80,350 13,420 9,241 13,420 11,968
80,350 80,400 13,431 9,247 13,431 11,979
80,400 80,450 13,442 9,253 13,442 11,990
80,450 80,500 13,453 9,259 13,453 12,001
80,500 80,550 13,464 9,265 13,464 12,012
80,550 80,600 13,475 9,271 13,475 12,023
80,600 80,650 13,486 9,277 13,486 12,034
80,650 80,700 13,497 9,283 13,497 12,045
80,700 80,750 13,508 9,289 13,508 12,056
80,750 80,800 13,519 9,295 13,519 12,067
80,800 80,850 13,530 9,301 13,530 12,078
80,850 80,900 13,541 9,307 13,541 12,089
80,900 80,950 13,552 9,313 13,552 12,100
80,950 81,000 13,563 9,319 13,563 12,111
81,000 81,050 13,574 9,325 13,574 12,122
81,050 81,100 13,585 9,334 13,585 12,133
Married
Married filing
81,100 81,150 13,596 9,345 13,596 12,144
81,150 81,200 13,607 9,356 13,607 12,155
81,200 81,250 13,618 9,367 13,618 12,166
81,250 81,300 13,629 9,378 13,629 12,177
81,300 81,350 13,640 9,389 13,640 12,188
81,350 81,400 13,651 9,400 13,651 12,199
81,400 81,450 13,662 9,411 13,662 12,210
81,450 81,500 13,673 9,422 13,673 12,221
81,500 81,550 13,684 9,433 13,684 12,232
81,550 81,600 13,695 9,444 13,695 12,243
81,600 81,650 13,706 9,455 13,706 12,254
81,650 81,700 13,717 9,466 13,717 12,265
81,700 81,750 13,728 9,477 13,728 12,276
81,750 81,800 13,739 9,488 13,739 12,287
81,800 81,850 13,750 9,499 13,750 12,298
81,850 81,900 13,761 9,510 13,761 12,309
81,900 81,950 13,772 9,521 13,772 12,320
81,950 82,000 13,783 9,532 13,783 12,331
82,000 82,050 13,794 9,543 13,794 12,342
82,050 82,100 13,805 9,554 13,805 12,353
82,100 82,150 13,816 9,565 13,816 12,364
82,150 82,200 13,827 9,576 13,827 12,375
82,200 82,250 13,838 9,587 13,838 12,386
82,250 82,300 13,849 9,598 13,849 12,397
82,300 82,350 13,860 9,609 13,860 12,408
82,350 82,400 13,871 9,620 13,871 12,419
82,400 82,450 13,882 9,631 13,882 12,430
82,450 82,500 13,893 9,642 13,893 12,441
82,500 82,550 13,904 9,653 13,904 12,452
82,550 82,600 13,915 9,664 13,915 12,463
82,600 82,650 13,926 9,675 13,926 12,474
82,650 82,700 13,937 9,686 13,937 12,485
82,700 82,750 13,948 9,697 13,948 12,496
82,750 82,800 13,959 9,708 13,959 12,507
82,800 82,850 13,970 9,719 13,970 12,518
82,850 82,900 13,981 9,730 13,981 12,529
82,900 82,950 13,992 9,741 13,992 12,540
82,950 83,000 14,003 9,752 14,003 12,551
83,000 83,050 14,014 9,763 14,014 12,562
83,050 83,100 14,025 9,774 14,025 12,573
83,100 83,150 14,036 9,785 14,036 12,584
83,150 83,200 14,047 9,796 14,047 12,595
83,200 83,250 14,058 9,807 14,058 12,606
83,250 83,300 14,069 9,818 14,069 12,617
83,300 83,350 14,080 9,829 14,080 12,628
83,350 83,400 14,091 9,840 14,091 12,639
83,400 83,450 14,102 9,851 14,102 12,650
83,450 83,500 14,113 9,862 14,113 12,661
83,500 83,550 14,124 9,873 14,124 12,672
83,550 83,600 14,135 9,884 14,135 12,683
83,600 83,650 14,146 9,895 14,146 12,694
83,650 83,700 14,157 9,906 14,157 12,705
83,700 83,750 14,168 9,917 14,168 12,716
83,750 83,800 14,179 9,928 14,179 12,727
83,800 83,850 14,190 9,939 14,190 12,738
83,850 83,900 14,201 9,950 14,201 12,749
83,900 83,950 14,212 9,961 14,212 12,760
83,950 84,000 14,223 9,972 14,223 12,771
84,000 84,050 14,234 9,983 14,234 12,782
84,050 84,100 14,245 9,994 14,245 12,793
84,100 84,150 14,256 10,005 14,256 12,804
84,150 84,200 14,267 10,016 14,267 12,815
84,200 84,250 14,278 10,027 14,278 12,826
84,250 84,300 14,289 10,038 14,289 12,837
84,300 84,350 14,300 10,049 14,300 12,848
84,350 84,400 14,311 10,060 14,311 12,859
84,400 84,450 14,322 10,071 14,322 12,870
84,450 84,500 14,333 10,082 14,333 12,881
84,500 84,550 14,344 10,093 14,344 12,892
84,550 84,600 14,355 10,104 14,355 12,903
84,600 84,650 14,366 10,115 14,366 12,914
84,650 84,700 14,377 10,126 14,377 12,925
84,700 84,750 14,388 10,137 14,388 12,936
84,750 84,800 14,399 10,148 14,399 12,947
84,800 84,850 14,410 10,159 14,410 12,958
84,850 84,900 14,421 10,170 14,421 12,969
84,900 84,950 14,432 10,181 14,432 12,980
84,950 85,000 14,443 10,192 14,443 12,991
85,000 85,050 14,454 10,203 14,454 13,002
85,050 85,100 14,465 10,214 14,465 13,013
85,100 85,150 14,476 10,225 14,476 13,024
85,150 85,200 14,487 10,236 14,487 13,035
85,200 85,250 14,498 10,247 14,498 13,046
85,250 85,300 14,509 10,258 14,509 13,057
85,300 85,350 14,520 10,269 14,520 13,068
85,350 85,400 14,531 10,280 14,531 13,079
85,400 85,450 14,542 10,291 14,542 13,090
85,450 85,500 14,553 10,302 14,553 13,101
85,500 85,550 14,564 10,313 14,564 13,112
85,550 85,600 14,575 10,324 14,575 13,123
85,600 85,650 14,586 10,335 14,586 13,134
85,650 85,700 14,597 10,346 14,597 13,145
85,700 85,750 14,608 10,357 14,608 13,156
85,750 85,800 14,619 10,368 14,619 13,167
85,800 85,850 14,630 10,379 14,630 13,178
85,850 85,900 14,641 10,390 14,641 13,189
85,900 85,950 14,652 10,401 14,652 13,200
85,950 86,000 14,663 10,412 14,663 13,211
86,000 86,050 14,674 10,423 14,674 13,222
86,050 86,100 14,685 10,434 14,685 13,233
86,100 86,150 14,696 10,445 14,696 13,244
86,150 86,200 14,707 10,456 14,707 13,255
86,200 86,250 14,718 10,467 14,718 13,266
86,250 86,300 14,729 10,478 14,729 13,277
86,300 86,350 14,740 10,489 14,740 13,288
86,350 86,400 14,751 10,500 14,751 13,299
86,400 86,450 14,763 10,511 14,763 13,311
86,450 86,500 14,775 10,522 14,775 13,323
86,500 86,550 14,787 10,533 14,787 13,335
86,550 86,600 14,799 10,544 14,799 13,347
86,600 86,650 14,811 10,555 14,811 13,359
86,650 86,700 14,823 10,566 14,823 13,371
86,700 86,750 14,835 10,577 14,835 13,383
86,750 86,800 14,847 10,588 14,847 13,395
86,800 86,850 14,859 10,599 14,859 13,407
86,850 86,900 14,871 10,610 14,871 13,419
86,900 86,950 14,883 10,621 14,883 13,431
86,950 87,000 14,895 10,632 14,895 13,443
87,000 87,050 14,907 10,643 14,907 13,455
87,050 87,100 14,919 10,654 14,919 13,467
87,100 87,150 14,931 10,665 14,931 13,479
87,150 87,200 14,943 10,676 14,943 13,491
87,200 87,250 14,955 10,687 14,955 13,503
87,250 87,300 14,967 10,698 14,967 13,515
87,300 87,350 14,979 10,709 14,979 13,527
87,350 87,400 14,991 10,720 14,991 13,539
87,400 87,450 15,003 10,731 15,003 13,551
87,450 87,500 15,015 10,742 15,015 13,563
87,500 87,550 15,027 10,753 15,027 13,575
87,550 87,600 15,039 10,764 15,039 13,587
87,600 87,650 15,051 10,775 15,051 13,599
87,650 87,700 15,063 10,786 15,063 13,611
87,700 87,750 15,075 10,797 15,075 13,623
87,750 87,800 15,087 10,808 15,087 13,635
87,800 87,850 15,099 10,819 15,099 13,647
87,850 87,900 15,111 10,830 15,111 13,659
87,900 87,950 15,123 10,841 15,123 13,671
87,950 88,000 15,135 10,852 15,135 13,683
88,000 88,050 15,147 10,863 15,147 13,695
88,050 88,100 15,159 10,874 15,159 13,707
88,100 88,150 15,171 10,885 15,171 13,719
88,150 88,200 15,183 10,896 15,183 13,731
88,200 88,250 15,195 10,907 15,195 13,743
88,250 88,300 15,207 10,918 15,207 13,755
88,300 88,350 15,219 10,929 15,219 13,767
88,350 88,400 15,231 10,940 15,231 13,779
88,400 88,450 15,243 10,951 15,243 13,791
88,450 88,500 15,255 10,962 15,255 13,803
88,500 88,550 15,267 10,973 15,267 13,815
88,550 88,600 15,279 10,984 15,279 13,827
88,600 88,650 15,291 10,995 15,291 13,839
88,650 88,700 15,303 11,006 15,303 13,851
88,700 88,750 15,315 11,017 15,315 13,863
88,750 88,800 15,327 11,028 15,327 13,875
88,800 88,850 15,339 11,039 15,339 13,887
88,850 88,900 15,351 11,050 15,351 13,899
88,900 88,950 15,363 11,061 15,363 13,911
88,950 89,000 15,375 11,072 15,375 13,923
89,000 89,050 15,387 11,083 15,387 13,935
89,050 89,100 15,399 11,094 15,399 13,947
89,100 89,150 15,411 11,105 15,411 13,959
89,150 89,200 15,423 11,116 15,423 13,971
89,200 89,250 15,435 11,127 15,435 13,983
89,250 89,300 15,447 11,138 15,447 13,995
89,300 89,350 15,459 11,149 15,459 14,007
89,350 89,400 15,471 11,160 15,471 14,019
89,400 89,450 15,483 11,171 15,483 14,031
89,450 89,500 15,495 11,182 15,495 14,043
89,500 89,550 15,507 11,193 15,507 14,055
89,550 89,600 15,519 11,204 15,519 14,067
89,600 89,650 15,531 11,215 15,531 14,079
89,650 89,700 15,543 11,226 15,543 14,091
89,700 89,750 15,555 11,237 15,555 14,103
89,750 89,800 15,567 11,248 15,567 14,115
89,800 89,850 15,579 11,259 15,579 14,127
89,850 89,900 15,591 11,270 15,591 14,139
89,900 89,950 15,603 11,281 15,603 14,151
89,950 90,000 15,615 11,292 15,615 14,163
90,000 90,050 15,627 11,303 15,627 14,175
90,050 90,100 15,639 11,314 15,639 14,187
90,100 90,150 15,651 11,325 15,651 14,199
90,150 90,200 15,663 11,336 15,663 14,211
90,200 90,250 15,675 11,347 15,675 14,223
90,250 90,300 15,687 11,358 15,687 14,235
90,300 90,350 15,699 11,369 15,699 14,247
90,350 90,400 15,711 11,380 15,711 14,259
90,400 90,450 15,723 11,391 15,723 14,271
90,450 90,500 15,735 11,402 15,735 14,283
90,500 90,550 15,747 11,413 15,747 14,295
90,550 90,600 15,759 11,424 15,759 14,307
90,600 90,650 15,771 11,435 15,771 14,319
90,650 90,700 15,783 11,446 15,783 14,331
90,700 90,750 15,795 11,457 15,795 14,343
90,750 90,800 15,807 11,468 15,807 14,355
90,800 90,850 15,819 11,479 15,819 14,367
90,850 90,900 15,831 11,490 15,831 14,379
90,900 90,950 15,843 11,501 15,843 14,391
90,950 91,000 15,855 11,512 15,855 14,403
91,000 91,050 15,867 11,523 15,867 14,415
91,050 91,100 15,879 11,534 15,879 14,427
91,100 91,150 15,891 11,545 15,891 14,439
91,150 91,200 15,903 11,556 15,903 14,451
91,200 91,250 15,915 11,567 15,915 14,463
91,250 91,300 15,927 11,578 15,927 14,475
91,300 91,350 15,939 11,589 15,939 14,487
91,350 91,400 15,951 11,600 15,951 14,499
91,400 91,450 15,963 11,611 15,963 14,511
91,450 91,500 15,975 11,622 15,975 14,523
91,500 91,550 15,987 11,633 15,987 14,535
91,550 91,600 15,999 11,644 15,999 14,547
91,600 91,650 16,011 11,655 16,011 14,559
91,650 91,700 16,023 11,666 16,023 14,571
91,700 91,750 16,035 11,677 16,035 14,583
91,750 91,800 16,047 11,688 16,047 14,595
91,800 91,850 16,059 11,699 16,059 14,607
91,850 91,900 16,071 11,710 16,071 14,619
91,900 91,950 16,083 11,721 16,083 14,631
91,950 92,000 16,095 11,732 16,095 14,643
92,000 92,050 16,107 11,743 16,107 14,655
92,050 92,100 16,119 11,754 16,119 14,667
92,100 92,150 16,131 11,765 16,131 14,679
92,150 92,200 16,143 11,776 16,143 14,691
92,200 92,250 16,155 11,787 16,155 14,703
92,250 92,300 16,167 11,798 16,167 14,715
92,300 92,350 16,179 11,809 16,179 14,727
92,350 92,400 16,191 11,820 16,191 14,739
92,400 92,450 16,203 11,831 16,203 14,751
92,450 92,500 16,215 11,842 16,215 14,763
92,500 92,550 16,227 11,853 16,227 14,775
92,550 92,600 16,239 11,864 16,239 14,787
92,600 92,650 16,251 11,875 16,251 14,799
92,650 92,700 16,263 11,886 16,263 14,811
92,700 92,750 16,275 11,897 16,275 14,823
92,750 92,800 16,287 11,908 16,287 14,835
92,800 92,850 16,299 11,919 16,299 14,847
92,850 92,900 16,311 11,930 16,311 14,859
92,900 92,950 16,323 11,941 16,323 14,871
92,950 93,000 16,335 11,952 16,335 14,883
93,000 93,050 16,347 11,963 16,347 14,895
93,050 93,100 16,359 11,974 16,359 14,907
93,100 93,150 16,371 11,985 16,371 14,919
93,150 93,200 16,383 11,996 16,383 14,931
93,200 93,250 16,395 12,007 16,395 14,943
93,250 93,300 16,407 12,018 16,407 14,955
93,300 93,350 16,419 12,029 16,419 14,967
93,350 93,400 16,431 12,040 16,431 14,979
93,400 93,450 16,443 12,051 16,443 14,991
93,450 93,500 16,455 12,062 16,455 15,003
93,500 93,550 16,467 12,073 16,467 15,015
93,550 93,600 16,479 12,084 16,479 15,027
93,600 93,650 16,491 12,095 16,491 15,039
93,650 93,700 16,503 12,106 16,503 15,051
93,700 93,750 16,515 12,117 16,515 15,063
93,750 93,800 16,527 12,128 16,527 15,075
93,800 93,850 16,539 12,139 16,539 15,087
93,850 93,900 16,551 12,150 16,551 15,099
93,900 93,950 16,563 12,161 16,563 15,111
93,950 94,000 16,575 12,172 16,575 15,123
94,000 94,050 16,587 12,183 16,587 15,135
94,050 94,100 16,599 12,194 16,599 15,147
94,100 94,150 16,611 12,205 16,611 15,159
94,150 94,200 16,623 12,216 16,623 15,171
94,200 94,250 16,635 12,227 16,635 15,183
94,250 94,300 16,647 12,238 16,647 15,195
94,300 94,350 16,659 12,249 16,659 15,207
94,350 94,400 16,671 12,260 16,671 15,219
94,400 94,450 16,683 12,271 16,683 15,231
94,450 94,500 16,695 12,282 16,695 15,243
94,500 94,550 16,707 12,293 16,707 15,255
94,550 94,600 16,719 12,304 16,719 15,267
94,600 94,650 16,731 12,315 16,731 15,279
94,650 94,700 16,743 12,326 16,743 15,291
94,700 94,750 16,755 12,337 16,755 15,303
94,750 94,800 16,767 12,348 16,767 15,315
94,800 94,850 16,779 12,359 16,779 15,327
94,850 94,900 16,791 12,370 16,791 15,339
94,900 94,950 16,803 12,381 16,803 15,351
94,950 95,000 16,815 12,392 16,815 15,363
95,000 95,050 16,827 12,403 16,827 15,375
95,050 95,100 16,839 12,414 16,839 15,387
95,100 95,150 16,851 12,425 16,851 15,399
Married
Married filing
95,150 95,200 16,863 12,436 16,863 15,411
95,200 95,250 16,875 12,447 16,875 15,423
95,250 95,300 16,887 12,458 16,887 15,435
95,300 95,350 16,899 12,469 16,899 15,447
95,350 95,400 16,911 12,480 16,911 15,459
95,400 95,450 16,923 12,491 16,923 15,471
95,450 95,500 16,935 12,502 16,935 15,483
95,500 95,550 16,947 12,513 16,947 15,495
95,550 95,600 16,959 12,524 16,959 15,507
95,600 95,650 16,971 12,535 16,971 15,519
95,650 95,700 16,983 12,546 16,983 15,531
95,700 95,750 16,995 12,557 16,995 15,543
95,750 95,800 17,007 12,568 17,007 15,555
95,800 95,850 17,019 12,579 17,019 15,567
95,850 95,900 17,031 12,590 17,031 15,579
95,900 95,950 17,043 12,601 17,043 15,591
95,950 96,000 17,055 12,612 17,055 15,603
96,000 96,050 17,067 12,623 17,067 15,615
96,050 96,100 17,079 12,634 17,079 15,627
96,100 96,150 17,091 12,645 17,091 15,639
96,150 96,200 17,103 12,656 17,103 15,651
96,200 96,250 17,115 12,667 17,115 15,663
96,250 96,300 17,127 12,678 17,127 15,675
96,300 96,350 17,139 12,689 17,139 15,687
96,350 96,400 17,151 12,700 17,151 15,699
96,400 96,450 17,163 12,711 17,163 15,711
96,450 96,500 17,175 12,722 17,175 15,723
96,500 96,550 17,187 12,733 17,187 15,735
96,550 96,600 17,199 12,744 17,199 15,747
96,600 96,650 17,211 12,755 17,211 15,759
96,650 96,700 17,223 12,766 17,223 15,771
96,700 96,750 17,235 12,777 17,235 15,783
96,750 96,800 17,247 12,788 17,247 15,795
96,800 96,850 17,259 12,799 17,259 15,807
96,850 96,900 17,271 12,810 17,271 15,819
96,900 96,950 17,283 12,821 17,283 15,831
96,950 97,000 17,295 12,832 17,295 15,843
97,000 97,050 17,307 12,843 17,307 15,855
97,050 97,100 17,319 12,854 17,319 15,867
97,100 97,150 17,331 12,865 17,331 15,879
97,150 97,200 17,343 12,876 17,343 15,891
97,200 97,250 17,355 12,887 17,355 15,903
97,250 97,300 17,367 12,898 17,367 15,915
97,300 97,350 17,379 12,909 17,379 15,927
97,350 97,400 17,391 12,920 17,391 15,939
97,400 97,450 17,403 12,931 17,403 15,951
97,450 97,500 17,415 12,942 17,415 15,963
97,500 97,550 17,427 12,953 17,427 15,975
97,550 97,600 17,439 12,964 17,439 15,987
97,600 97,650 17,451 12,975 17,451 15,999
97,650 97,700 17,463 12,986 17,463 16,011
97,700 97,750 17,475 12,997 17,475 16,023
97,750 97,800 17,487 13,008 17,487 16,035
97,800 97,850 17,499 13,019 17,499 16,047
97,850 97,900 17,511 13,030 17,511 16,059
97,900 97,950 17,523 13,041 17,523 16,071
97,950 98,000 17,535 13,052 17,535 16,083
98,000 98,050 17,547 13,063 17,547 16,095
98,050 98,100 17,559 13,074 17,559 16,107
98,100 98,150 17,571 13,085 17,571 16,119
98,150 98,200 17,583 13,096 17,583 16,131
98,200 98,250 17,595 13,107 17,595 16,143
98,250 98,300 17,607 13,118 17,607 16,155
98,300 98,350 17,619 13,129 17,619 16,167
98,350 98,400 17,631 13,140 17,631 16,179
98,400 98,450 17,643 13,151 17,643 16,191
98,450 98,500 17,655 13,162 17,655 16,203
98,500 98,550 17,667 13,173 17,667 16,215
98,550 98,600 17,679 13,184 17,679 16,227
98,600 98,650 17,691 13,195 17,691 16,239
98,650 98,700 17,703 13,206 17,703 16,251
98,700 98,750 17,715 13,217 17,715 16,263
98,750 98,800 17,727 13,228 17,727 16,275
98,800 98,850 17,739 13,239 17,739 16,287
98,850 98,900 17,751 13,250 17,751 16,299
98,900 98,950 17,763 13,261 17,763 16,311
98,950 99,000 17,775 13,272 17,775 16,323
99,000 99,050 17,787 13,283 17,787 16,335
99,050 99,100 17,799 13,294 17,799 16,347
99,100 99,150 17,811 13,305 17,811 16,359
99,150 99,200 17,823 13,316 17,823 16,371
99,200 99,250 17,835 13,327 17,835 16,383
99,250 99,300 17,847 13,338 17,847 16,395
99,300 99,350 17,859 13,349 17,859 16,407
99,350 99,400 17,871 13,360 17,871 16,419
99,400 99,450 17,883 13,371 17,883 16,431
99,450 99,500 17,895 13,382 17,895 16,443
99,500 99,550 17,907 13,393 17,907 16,455
99,550 99,600 17,919 13,404 17,919 16,467
99,600 99,650 17,931 13,415 17,931 16,479
99,650 99,700 17,943 13,426 17,943 16,491
99,700 99,750 17,955 13,437 17,955 16,503
99,750 99,800 17,967 13,448 17,967 16,515
99,800 99,850 17,979 13,459 17,979 16,527
99,850 99,900 17,991 13,470 17,991 16,539
99,900 99,950 18,003 13,481 18,003 16,551
99,950 100,000 18,015 13,492 18,015 16,563
Date & Time Affected Sheet
19-Feb-2021 4:30 PM Tax Table
19-Feb-2021 4:30 PM 1040
19-Feb-2021 4:30 PM Line 12 (SD Depnts)
19-Feb-2021 4:30 PM Line 16 (QDCG Tax)
19-Feb-2021 4:30 PM 6251
19-Feb-2021 4:30 PM 8962
19-Feb-2021 4:30 PM EIC Table
19-Feb-2021 4:30 PM W-2
19-Feb-2021 4:30 PM Sch. A
19-Feb-2021 4:30 PM 8889
19-Feb-2021 4:30 PM Line 27 (EIC)
19-Feb-2021 4:30 PM 2210
20-Feb-2021 4:45 PM 2210
21-Feb-2021 6:40 AM 8606
23-Feb-2021 12:15 AM 8949A, B, C, D
24-Feb-2021 9:50 PM 8606
26-Feb-2021 6:00 AM Form 1040
04-Mar-2021 3:30 PM 1040
04-Mar-2021 3:30 PM Sch. A
05-Mar-2021 8:30 AM 8962
06-Mar-2021 11:15 PM Form 1040
07-Mar-2021 12:30 AM Form 1040
07-Mar-2021 1:00 AM 6251

07-Mar-2021 3:00 PM 8863
21-Mar-2021 8:30 AM 8995
03-Apr-2021 12:45 PM Line 19 (CTC)

03-Apr-2021 12:45 PM Line 30 (Rebate Credit)
15-May-2021 1:50 PM 8606
15-May-2021 1:50 PM 8606
16-Jul-2021 3:33 PM 8995
16-Jul-2021 3:33 PM 8995

16-Jul-2021 3:33 PM 8995
11-Nov-2021 9:35 AM Line 19 (CTC)
11-Nov-2021 6:37 PM Sch. A
Changes Made http://www.excel1040.com
Updated Tax Table for 2021 Tax Year.
Updated Standard Deduction amounts.
No additional changes needed
Updated capital gains tax rate for 2021.
Updated tax rates and thresholds for 2021.
Updated Tables 1-1, 1-2 & 1-3 Federal Poverty Line amounts for 2021.
Increased amounts by 1.021% based on maximum EIC increasing from $6,660 to $6,728 for 2021.
Incresed Social Security wage cap amount for 2021. The cap is now $142,800. Rate stays at 6.2%.
Medical and Dental expense threshold remains at 7.5% for 2021.
Updated Health Savings Accounts (HAS) deduction limits for 2021. Self only = $3,600 Family $7,200.
Updated maximum AGI limit (based on filing status and number of children) for 2021.
Updated Schedule AI, line 29, to 2021 values. (0.25, 0.41667, 0.66667,1.0) x MaxSSTaxEarnings
Updated forms and equations for 2020 tax year.
Revised line 4 to automatically bring over IRA and Roth IRA distributions.
Corrected how information was being handled. Column (h) was affected most. Thank you, Dick C.
Revised line 4 to be manual entry. Thank you, Seay Anne.
Unhid cells AJ33 and AJ34 when number of dependent names entered equals four. These cells are used to
adjust the number of dependents when greater than four. Thank you, Andrew R.
Corrected line 25b, Federal Income Tax Withheld from Form(s) 1099, to include amount of Federal tax paid for
IRA conversions to ROTH IRAs. Thank you, Tony E.
Corrected line 5a, State and local income taxes, to include amount of State and Local taxes paid for IRA
conversions to ROTH IRAs. Thank you, Tony E.
Updated Tables 1-1, 1-2 & 1-3 Federal Poverty Line amounts for 2020. (IRS uses previous years' amounts.)
Thank you, Bill D.
Added error warning to line 13, Qualified Business Income Credit, that appears if the filer's income exceeds that
allowed by Form 8995 and credit is being taken. Thank you, Lynn S.
Corrected line 13, Tax, for when the user adds tax from Form 8814, Form 8972, or other. The amount should be
added to the total tax. Thank you, Nizam A.
Updated Capital Gains Tax Rate Income Thresholds for 2021
Prior to line 27, added a box that allows forces the spreadsheet to use the Lifetime Learning Credit versus the
American Opportunity Credit. Thank you, Tu N.
Corrected form to not produce results or error messages unless qualified business income (QBID) has been
entered. Thank you, Igor S.
Updated for American Rescue Act child tax credits. (Best guess.)
Updated for American Rescue Act rebates.
Corrected Part I and Part II to properly handle IRA conversions to Roth IRAs.
Improved 'default value' for line 17 to provide the difference between the total amount of the conversion less the
taxable amount. Thank you, Doris T.
Corrected the form so that it will 'activate' upon entry of REIT dividends or PTP income. Thank you, Brian S. and
Ward K.
Made improvements to form to eliminate unnecessary zeros. Thanks, Frank C.
Corrected line 16 response for cases where line 4 is '0'. Thank you, Ted K.
Corrected line 22 to use line 21 (not line 20). Thank you, Jim F.
Deleted test entries. Thank you, Richard K.
11-Nov-2021 6:37 PM << Current Revision Date & Time

21 - 1040 (Forecast)

Uploaded by

Copyright:

Available Formats

21 - 1040 (Forecast)

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

21 - 1040 (Forecast)

Uploaded by

Copyright:

Available Formats

What is the purpose of the document?

What is the purpose of the document?

What forms does the document discuss?

What forms does the document discuss?

-- DISCLAIMER --

These spreadsheets are provided "as is",

Glenn Reeves specifically disclaims the role of tax adviser.

The user must assume responsibility as to the correctness and

Tax Bracket ---

This spreadsheet is free.

PayPal Zelle (App)

Google Pay Popmoney

INSTRUCTIONS for LibreOffice Users:

Enter your name on the

Information from Form W-2, Wage and Tax Statement

Information from Form 1099-INT, Interest Income

Enter your name(s) on the

Information from Form 1099-INT, Interest Income

Information from Form 1099-DIV, Dividends and Distributions

Enter your name(s) on the

Enter your name(s) on the

Enter your name(s) on the

Form 1099-G, Certain Government Payments

Only bolded amounts are used in this spreadsheet.

Enter your name(s) on the

5 RTAA Payments 0.00 Sch. 1, line 8

Instructions for Form 1099-MISC may be downloaded from the IRS:

Form 1099-MISC may be downloaded from the IRS:

Information from Form SSA-1099, Social Security Benefit Statement

Enter your name on sheet labeled

Enter your spouse's name on the

Notice 703 Department of the Treasury

Part of your social security benefits may be taxable. 0

IRS.gov Catalog No. 61879N

You as a dependent Your spouse as a dependent

Designee's Phone Personal identification

c Date of original divorce or separation agreement (see instructions)

2 Excess advance premium tax credit repayment. Attach Form 8962 . . . . . . . . . . . 2

Attach Form 5329 if required . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7a Household employment taxes. Attach Schedule H . . . . . . . . . . . . . . . . . 7a

8 Taxes from: a Form 8959 b Form 8960

c Instructions; enter code(s) 8 0

1040-SR, line 23, or Form 1040-NR, line 23b . . . . . . . . . . . . . . . . . . . 10 0

4 Retirement savings contributions credit. Attach Form 8880 . . . . . . . . . . 4

5 Residential energy credit. Attach Form 5695 . . . . . . . . . . . . . . . 5

6 Other credits from Form: a 3800 b 8801 c 6

9 Amount paid with request for extension to file (see instructions) . . . . . . . . . . 9

10 Excess social security and tier 1 RRTA tax withheld . . . . . . . . . . . . . . 10 0

12 Other payments or refundable credits:

b Qualified sick and family leave credits from Schedule(s) H and

c Health coverage tax credit from Form 8885 . . . . . . . . . . 12c

e Deferral for certain Schedule H or SE filers (see instructions) 12e 0

Before you begin:

b. Enter the amount of any nontaxable combat pay received.

6. Add lines 4a, 4b, 4c, 4d, and 5 6. 0

7. Earned Income. Subtract line 6 from line 3 7. 0

Page 10 Publication 972 (2019)

Before you begin:

Yes. STOP Do not complete the rest of this worksheet.