12 - Business income or loss. Attach Schedule C or C-EZ

13- Capital gain or loss. Attach Schedule D if required. 0

14- Other gains of losses. Attach Form 4797

18- Farm income or loss. Attach Schedule F

22 Add the amounts in the far right column for lines 7 through 21. This is your Total Income

Go to Step 2

or -----

7-Wages, Salaries, tips, etc. Attach Form(s) W-2

19-Unemployment compensation

20a -Social Security Benefits/20bTaxable amount

8a-Taxable interest. Attach Schedule B if required

8b- Tax Exempt Interest. Do Not include on line 8a

9 - Ordinary Dividends. Attach Schedule B if required

10 -Taxable refunds, credits, or offsets of state and local income taxes

11- Alimony Received

15a Total IRA distributions/15b Taxable amount

16a-Total pensions and annuities/16b Taxable amount

17-Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

21 Other income. List type and amount