1040
Form
2018
Department of the Treasury–Internal Revenue Service
U.S. Individual Income Tax Return OMB No. 1545-0074 IRS Use Only – Do not write or staple in this space.
Married filing separately Qualifying widow(er)Head of household
Your first name and initial Last name Your social security number
If joint return, spouse’s first name and initial Last name Spouse’s social security number
Your standard deduction:
Spouse standard deduction: Someone can claim your spouse as a dependent
Spouse is blind Spouse itemizes on a separate return or you were dual-status alien
Spouse was born before January 2, 1954
Someone can claim you as a dependent You were born before January 2, 1954 You are blind
Home address (number and street). If you have a P.O. box, see instructions.
City, town or post office, state, and ZIP code. If you have a foreign address, attach Schedule 6.
Apt. no.
If more than four dependents,
see inst. and check here
Presidential Election Campaign
(see inst.) You Spouse
Dependents (see instructions):
(1) First name Last name
(2) Social security number Relationship to you(3) (4) check if qualifies for (see inst.):
Child tax credit Credit for other dependents
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,
Full-year health care coverage
or exempt (see inst.)
Filing status: Single Married filing jointly
(99)
X
Larry K Zepp 433-45-6789
Cathy K Zepp 433-45-6788
X
1234 Elm Dr
Indianapolis, IN 46202