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Department of the TreasuryInternal Revenue Service
Form                            Income Tax Return for Single and
1040EZ                          Joint Filers With No Dependents (99)                                       2010                                                  OMB No. 1545-0074
                        P        Your first name and initial                          Last name                                                         Your social security number
Name,                   R
                                Pierce                                                Findlay
Address,                I
                        N        If a joint return, spouses first name and initial   Last name                                                         Spouses social security number
and SSN                 T

See separate            C        Home address (number and street). If you have a P.O. box, see instructions.                        Apt. no.                  Make sure the SSN(s)
instructions.           L                                                                                                                                     above are correct.      
                        E
                        A        City, town or post office, state, and ZIP code. If you have a foreign address, see instructions.
                        R                                                                                                                               Checking a box below will not
Presidential            L       Des Moines, Iowa 50301                                                                                                  change your tax or refund.
Election                Y
                




Campaign
(see page 9)                            Check here if you, or your spouse if a joint return, want $3 to go to this fund .                .               You                 Spouse

Income                          1       Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2.
                                        Attach your Form(s) W-2.                                                                                         1                 50,000      00
Attach
Form(s) W-2
here.                           2       Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ.                                       2                         0   00

Enclose, but do
not attach, any                 3       Unemployment compensation and Alaska Permanent Fund dividends (see page 11).                                     3                         0   00
payment.
                                4       Add lines 1, 2, and 3. This is your adjusted gross income.                                                       4                 50,000      00
You may be
                                5       If someone can claim you (or your spouse if a joint return) as a dependent, check
entitled to a larger
deduction if you                        the applicable box(es) below and enter the amount from the worksheet on back.
file Form 1040A or                          You                Spouse
1040. See Before
                                        If no one can claim you (or your spouse if a joint return), enter $9,350 if single;
You Begin on
page 4.                                 $18,700 if married filing jointly. See back for explanation.                                                     5                  9,350      00
                                6       Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-.
                                        This is your taxable income.                                                                                    6                  40650      00
                              7         Federal income tax withheld from Form(s) W-2 and 1099.                                                           7                         0   00
Payments,                     8         Making work pay credit (see worksheet on back).                                                                  8                         0   00
Credits,                      9a        Earned income credit (EIC) (see page 13).                                                                        9a                        0   00
and Tax                         b       Nontaxable combat pay election.                                9b                   0                  00
                             10         Add lines 7, 8, and 9a. These are your total payments and credits.                                            10                          0   00
                             11         Tax. Use the amount on line 6 above to find your tax in the tax table on pages 27
                                        through 35 of the instructions. Then, enter the tax from the table on this line.                               11                    6350      00
Refund                       12a        If line 10 is larger than line 11, subtract line 11 from line 10. This is your refund.
                                        If Form 8888 is attached, check here                                                                          12a                         0   00
Have it directly
deposited! See
page 18 and fill in                b   Routing number                                                      c   Type:         Checking             Savings
12b, 12c,
and 12d or
Form 8888.                         d   Account number

Amount                       13         If line 11 is larger than line 10, subtract line 10 from line 11. This is
You Owe                                 the amount you owe. For details on how to pay, see page 19.                                                   13                    6350      00
                            Do you want to allow another person to discuss this return with the IRS (see page 20)?                             Yes. Complete the following.            No
Third Party
Designee                    Designees                                                      Phone                                      Personal identification
                            name                                                           no.                                       number (PIN)              

Sign                        Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct, and
                            accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based
Here                        on all information of which the preparer has any knowledge.
                            Your signature                                               Date            Your occupation                            Daytime phone number
                    




Joint return? See
page 6.                                                                                                     Homeland Security Officer
Keep a copy for             Spouses signature. If a joint return, both must sign.              Date         Spouses occupation
your records.
                       Print/Type preparers name                             Preparers signature                              Date                                        PTIN
Paid                                                                                                                                                     Check       if
                                                                                                                                                         self-employed
Preparer
                       Firms name                                                                                                                      Firm's EIN 
Use Only               Firms address                                                                                                                   Phone no.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 36.                                        Cat. No. 11329W                                 Form 1040EZ (2010)
Form 1040EZ (2010)                                                                                                                               Page 2

Worksheet            Use this worksheet to figure the amount to enter on line 5 if someone can claim you (or your spouse if married
                     filing jointly) as a dependent, even if that person chooses not to do so. To find out if someone can claim you as a
for Line 5          dependent, see Pub. 501.
Dependents
Who Checked          A. Amount, if any, from line 1 on front .    .   .   .   .   .
                                                                                        +                                           A.
One or Both                                                                                        300.00 Enter total 
                     B. Minimum standard deduction . . . . . . . . . . . . . . . . . . . .                                      .   B.         950.00
Boxes
                     C. Enter the larger of line A or line B here . . . . . . . . . . . . . . . . .                             .   C.
                     D. Maximum standard deduction. If single, enter $5,700; if married filing jointly, enter $11,400           .   D.
                     E. Enter the smaller of line C or line D here. This is your standard deduction . . . . . . .               .   E.



                                                                                                                                }
                     F. Exemption amount.
                         If single, enter -0-.
                         If married filing jointly and                                                                            F.
                           both you and your spouse can be claimed as dependents, enter -0-.
                          only one of you can be claimed as a dependent, enter $3,650.
                     G. Add lines E and F. Enter the total here and on line 5 on the front . .      .   .   .   .   .   .   .   . G.

(keep a copy for     If you did not check any boxes on line 5, enter on line 5 the amount shown below that applies to you.
your records)         Single, enter $9,350. This is the total of your standard deduction ($5,700) and your exemption ($3,650).
                      Married filing jointly, enter $18,700. This is the total of your standard deduction ($11,400), your exemption ($3,650), and
                     your spouse's exemption ($3,650).



Worksheet            Before you begin:  If you can be claimed as a dependent on someone else's return, you do not qualify for this credit.
for Line 8                                If married filing jointly, include your spouse's amounts with yours when completing this worksheet.
Making Work
Pay Credit             1a. Important. See the instructions on page 12 if (a) you received a taxable scholarship or fellowship grant not reported on
                           a Form W-2, (b) your wages include pay for work performed while an inmate in a penal institution, or (c) you received
                           a pension or annuity from a nonqualified deferred compensation plan or a nongovernmental section 457 plan.
                           Do you (and your spouse if filing jointly) have 2010 wages of more than $6,451 ($12,903 if married filing jointly)?
                               Yes. Skip lines 1a through 3. Enter $400 ($800 if married filing jointly) on line 4 and go to line 5.
                               No. Enter your earned income (see instructions) . . . . . 1a.
Use this                b. Nontaxable combat pay included on line la (see
worksheet to               instructions) . . . . . . . . . . . 1b.
figure the amount     2. Multiply line 1a by 6.2% (.062) . . . . . . . . . . . . 2.
to enter on line 8    3. Enter $400 ($800 if married filing jointly) . . . . . . . . . 3.
if you cannot be      4. Enter the smaller of line 2 or line 3 (unless you checked "Yes" on line 1a) . . . . . . 4.
claimed as a          5. Enter amount from Form 1040EZ, line 4 (on front) . . . . . . 5.
dependent on          6. Enter $75,000 ($150,000 if married filing jointly) . . . . . . 6.
another person's      7. Is the amount on line 5 more than the amount on line 6?
return.
                               No. Skip line 8. Enter the amount from line 4 on line 9 below.
                               Yes. Subtract line 6 from line 5 . . . . . . . . . . . 7.
                      8. Multiply line 7 by 2% (.02) . . . . . . . . . . . . . . . . . . . . 8.
(keep a copy for      9. Subtract line 8 from line 4. If zero or less, enter -0- . . . . . . . . . . . . . 9.
your records)        10. Did you (or your spouse, if filing jointly) receive an economic recovery payment in 2010? You may have received this
                           payment in 2010 if you did not receive an economic recovery payment in 2009 but you received social security
                           benefits, supplemental security income, railroad retirement benefits, or veterans disability compensation or pension
                           benefits in November 2008, December 2008, or January 2009 (see instructions).
                                No. Enter -0- on line 10 and go to line 11.
                                Yes. Enter the total of the payments you (and your spouse, if filing
                                       jointly) received in 2010. Do not enter more than $250 ($500
                                       if married filing jointly).                                   10.
                     11.     Making work pay credit. Subtract line 10 from line 9. If zero or less, enter -0-. Enter the result
                             here and on Form 1040EZ, line 8. . . . . . . . . . . . . . . . . . . 11.


Mailing              Mail your return by April 18, 2011. Mail it to the address shown on the last page of the instructions.
Return
                                                                                                                                     Form 1040EZ (2010)

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1040 ez

  • 1. Department of the TreasuryInternal Revenue Service Form Income Tax Return for Single and 1040EZ Joint Filers With No Dependents (99) 2010 OMB No. 1545-0074 P Your first name and initial Last name Your social security number Name, R Pierce Findlay Address, I N If a joint return, spouses first name and initial Last name Spouses social security number and SSN T See separate C Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Make sure the SSN(s) instructions. L above are correct. E A City, town or post office, state, and ZIP code. If you have a foreign address, see instructions. R Checking a box below will not Presidential L Des Moines, Iowa 50301 change your tax or refund. Election Y Campaign (see page 9) Check here if you, or your spouse if a joint return, want $3 to go to this fund . . You Spouse Income 1 Wages, salaries, and tips. This should be shown in box 1 of your Form(s) W-2. Attach your Form(s) W-2. 1 50,000 00 Attach Form(s) W-2 here. 2 Taxable interest. If the total is over $1,500, you cannot use Form 1040EZ. 2 0 00 Enclose, but do not attach, any 3 Unemployment compensation and Alaska Permanent Fund dividends (see page 11). 3 0 00 payment. 4 Add lines 1, 2, and 3. This is your adjusted gross income. 4 50,000 00 You may be 5 If someone can claim you (or your spouse if a joint return) as a dependent, check entitled to a larger deduction if you the applicable box(es) below and enter the amount from the worksheet on back. file Form 1040A or You Spouse 1040. See Before If no one can claim you (or your spouse if a joint return), enter $9,350 if single; You Begin on page 4. $18,700 if married filing jointly. See back for explanation. 5 9,350 00 6 Subtract line 5 from line 4. If line 5 is larger than line 4, enter -0-. This is your taxable income. 6 40650 00 7 Federal income tax withheld from Form(s) W-2 and 1099. 7 0 00 Payments, 8 Making work pay credit (see worksheet on back). 8 0 00 Credits, 9a Earned income credit (EIC) (see page 13). 9a 0 00 and Tax b Nontaxable combat pay election. 9b 0 00 10 Add lines 7, 8, and 9a. These are your total payments and credits. 10 0 00 11 Tax. Use the amount on line 6 above to find your tax in the tax table on pages 27 through 35 of the instructions. Then, enter the tax from the table on this line. 11 6350 00 Refund 12a If line 10 is larger than line 11, subtract line 11 from line 10. This is your refund. If Form 8888 is attached, check here 12a 0 00 Have it directly deposited! See page 18 and fill in b Routing number c Type: Checking Savings 12b, 12c, and 12d or Form 8888. d Account number Amount 13 If line 11 is larger than line 10, subtract line 10 from line 11. This is You Owe the amount you owe. For details on how to pay, see page 19. 13 6350 00 Do you want to allow another person to discuss this return with the IRS (see page 20)? Yes. Complete the following. No Third Party Designee Designees Phone Personal identification name no. number (PIN) Sign Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) is based Here on all information of which the preparer has any knowledge. Your signature Date Your occupation Daytime phone number Joint return? See page 6. Homeland Security Officer Keep a copy for Spouses signature. If a joint return, both must sign. Date Spouses occupation your records. Print/Type preparers name Preparers signature Date PTIN Paid Check if self-employed Preparer Firms name Firm's EIN Use Only Firms address Phone no. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 36. Cat. No. 11329W Form 1040EZ (2010)
  • 2. Form 1040EZ (2010) Page 2 Worksheet Use this worksheet to figure the amount to enter on line 5 if someone can claim you (or your spouse if married filing jointly) as a dependent, even if that person chooses not to do so. To find out if someone can claim you as a for Line 5 dependent, see Pub. 501. Dependents Who Checked A. Amount, if any, from line 1 on front . . . . . . + A. One or Both 300.00 Enter total B. Minimum standard deduction . . . . . . . . . . . . . . . . . . . . . B. 950.00 Boxes C. Enter the larger of line A or line B here . . . . . . . . . . . . . . . . . . C. D. Maximum standard deduction. If single, enter $5,700; if married filing jointly, enter $11,400 . D. E. Enter the smaller of line C or line D here. This is your standard deduction . . . . . . . . E. } F. Exemption amount. If single, enter -0-. If married filing jointly and F. both you and your spouse can be claimed as dependents, enter -0-. only one of you can be claimed as a dependent, enter $3,650. G. Add lines E and F. Enter the total here and on line 5 on the front . . . . . . . . . . G. (keep a copy for If you did not check any boxes on line 5, enter on line 5 the amount shown below that applies to you. your records) Single, enter $9,350. This is the total of your standard deduction ($5,700) and your exemption ($3,650). Married filing jointly, enter $18,700. This is the total of your standard deduction ($11,400), your exemption ($3,650), and your spouse's exemption ($3,650). Worksheet Before you begin: If you can be claimed as a dependent on someone else's return, you do not qualify for this credit. for Line 8 If married filing jointly, include your spouse's amounts with yours when completing this worksheet. Making Work Pay Credit 1a. Important. See the instructions on page 12 if (a) you received a taxable scholarship or fellowship grant not reported on a Form W-2, (b) your wages include pay for work performed while an inmate in a penal institution, or (c) you received a pension or annuity from a nonqualified deferred compensation plan or a nongovernmental section 457 plan. Do you (and your spouse if filing jointly) have 2010 wages of more than $6,451 ($12,903 if married filing jointly)? Yes. Skip lines 1a through 3. Enter $400 ($800 if married filing jointly) on line 4 and go to line 5. No. Enter your earned income (see instructions) . . . . . 1a. Use this b. Nontaxable combat pay included on line la (see worksheet to instructions) . . . . . . . . . . . 1b. figure the amount 2. Multiply line 1a by 6.2% (.062) . . . . . . . . . . . . 2. to enter on line 8 3. Enter $400 ($800 if married filing jointly) . . . . . . . . . 3. if you cannot be 4. Enter the smaller of line 2 or line 3 (unless you checked "Yes" on line 1a) . . . . . . 4. claimed as a 5. Enter amount from Form 1040EZ, line 4 (on front) . . . . . . 5. dependent on 6. Enter $75,000 ($150,000 if married filing jointly) . . . . . . 6. another person's 7. Is the amount on line 5 more than the amount on line 6? return. No. Skip line 8. Enter the amount from line 4 on line 9 below. Yes. Subtract line 6 from line 5 . . . . . . . . . . . 7. 8. Multiply line 7 by 2% (.02) . . . . . . . . . . . . . . . . . . . . 8. (keep a copy for 9. Subtract line 8 from line 4. If zero or less, enter -0- . . . . . . . . . . . . . 9. your records) 10. Did you (or your spouse, if filing jointly) receive an economic recovery payment in 2010? You may have received this payment in 2010 if you did not receive an economic recovery payment in 2009 but you received social security benefits, supplemental security income, railroad retirement benefits, or veterans disability compensation or pension benefits in November 2008, December 2008, or January 2009 (see instructions). No. Enter -0- on line 10 and go to line 11. Yes. Enter the total of the payments you (and your spouse, if filing jointly) received in 2010. Do not enter more than $250 ($500 if married filing jointly). 10. 11. Making work pay credit. Subtract line 10 from line 9. If zero or less, enter -0-. Enter the result here and on Form 1040EZ, line 8. . . . . . . . . . . . . . . . . . . 11. Mailing Mail your return by April 18, 2011. Mail it to the address shown on the last page of the instructions. Return Form 1040EZ (2010)