$1040 GS individual income Tax Retum [2024 Filing Status [) singe C) Married fing jinty ] Maried fing separately (MFS) [1] Headot household HOH) C) Qualiying widow(e) (QW) Check onty _ityou checked the MFS box, enter the name of your spouse. if you checked the HOH or QW box, enter the child's name fhe qualifying (OME No. 1545-0074 | Rs Use Oyo ot wie rst a pee oan person is a child but not your dependent > Yor bata ond ro Your soca sec raiber DERRICK E HOUSTON 21aio 6is3 at ot rota, spouse Wt pare and ideal last rare ‘Spouse's social seer rumor ome adress runbr and evet ypuhave a P.O bo ee matters ‘etn. | Presidential econ Campaign 438 IVANHOE STREET APT 101 See aera aes iy, tow, er posta, #younave afore adress ao compat spaces Bow ae wos Cee WASHINGTON oe 2008 box below wil not change Ferei couny name Foren povecolsateounty Feri posal ade |Your tax or etind Grou Li spouse A any time curing 2021, did you receive, sell exchange, or otherwise dispose of any financial interest in any virtual currency? C]Yes [No Standard Someone can claim: [] You asadependent L] Your spouse as a dependent Deduction C1 spouse itemizes on a separate return or you wore a dual-status alien, Age’Blindness You: C] Were bom before January 2, 1857] Are bind Spouse: [1] Was bom before January 2, 1957] Isbind Dependents (se insrctions): Gisocciomarty | )Rdetome | WY taniterle bee miicton io ee foe oer ‘oy Chat ret [wat rer penta ‘ranour o o sen ration o o cache o oO fore El o oO Wages, satan tips, te. Ata For) 2 a ase ssacn aa Tarexerpt terest - 2 Taxable rest, Es a Se 86 5a Qualified dvisende 3a Ordinary avidends - es aa RAGsirbvions [aa | bb Tecate rent [a | Sa Pensions and annuities Sa b Taxable amount ES Ga Social securty benafte [6a b Taxable amount a 7 Capital gain o oss). Attach Sched Difrered Wat equred,checkhere RCI LT {8 Other income rom Sched , ine 10 : re ry 8 Addtne 1, 2b, 2,4, Sb, 6,7, and 8. This is your total income > fe 588 40 Adjustments to income rom Sched 1, ine 26 So. Ge [11 suotract ine 10 rom ine 9. hss your acusted gross income co Ge ase ‘2a Standard seduction or temized deductions tom Scheaue A). | x28 ‘2.560 > Crartable contributes you take the standard deduction ee istrction) [126 4 © Ad ines 12a and 2b 20 12650 13 Quatied busnass income deducton rom FormesesorFomn soe. |. LAD 14 Aédines 120 and 18 16 12650 45 Taxable income. Subtract ing 1 rom in 1, #20 ors, enter 15 50.900 For Disclosure Prvacy Act and Paperwork Reduction Act Notice, see separate Instructions ‘oan Toe | ‘am 1040 ga)ow 1040 202%) Page 2 16 Tax (Gee isirucions). Check f any tom Forms 1 LJesia 2] 4972 3] 16 6.843 17 Amount from Schedule 2 ine 3 18 Add tines 16 and 17 19 Nonrefundable child tax creditor credit for other dependents from Schedule 8812 20 Amount from Schedule 3, ine 8 21 Add tines 19 and 20, 22 Subtract line 21 from line 18. I zero or ls, enter -0- 23 Othertaxes, including set-employment tax, rom Schedule 2, Ine 21 4 25 6m 628 is fs fos ffs fs fas | ‘Add lines 22 and 23. This is your total tax cee > Federal income tax withheld trom: 2 Forms) W-2 1b Formis) 1099. a 038 6,559] Hae (Other forms (see instructions). ‘Ad tines 25a through 25¢ 25 2021 estimated tax payments and amount apple rom 2020 ret a ‘qstvegchis, 27a Eamed income credit (10) 21a Check here if you were bom after January 1, 1098, and before January 2, 2004, and you satisty all the other requirements tor taxpayers who are at least age 18, to claim the EIC. See instructions ® (] 1b Nontaxahla combat pay elation 27 © Por year 2018) earned income... 20 Refundable cid tax cect or actionl chi tax cre tom Sched 6612 American opportunity credit trom Form 8863, line 8 Recovery rebate credit. See instructions. - 31 Amount from Schedule 3, ine 15 32 Add lines 27a and 28 through $1. These are your total other payments and refundable eredits > 33. Add lines 254, 26, and 32. These are your total payments oF {34 Ifne 3 is more than ne 24, subtract ine 24 rom ine 3. This isthe amount you overpaid 6559 AAS Refund 35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here. -oO Dect aepet?” mb Rostingmomber| | | | | | metype Clcheckng CO Sainge i Seeiainctons 4 Account mumber| ||| i Cr 36 _Amountof ine 54 you want applied to your 2022 estimated tax. | 98 ‘Amount 37 _ Amount you owe. Subiract ine 33 from ine 24 For deals on howto pay, se nsvactons > | 37 You Owe 98 _ Estimated tax penalty (see instructions) oa _. > |se Third Party Do yoy wat 10 alow acter person o dass his ein wh the RS? See Designee” —nstuctions = + Ces. complete below. Wo ss Prone Pena dniaon rs oc Saree TTI Sign Under peraliee fperay, decree ave eared fi eum and acconsanjngscheale and steve, nde bt of knowlege and o le! ey ae eo areca opie Deerston prep rh pve suse nal oration of which pare’ an seep. jere Your Sonate ate ‘Yur eccupaton Ifthe RS sent you an ety Protection PA ent t hae Seite goons TT TTT) Seeinsrscsons. IJ Spouse's sgnare. Wa ort eton bath masts | Dae ‘Spouses oacupaton Tite RS sent your spouse an Keep copy or dently rotation IN. eta there you record teenie) Phone no Ena aden Preparers same Propaersaaratie Dae Fin Gackt set empioyes Paid Preparer Use Only (Goto war gv FormtO40 for nsracions ar the tet neraon| Fem 1080 cz) Fame name > Phone ro.