Form 1040 U.S. Individual Income Tax Return Department of the Treasury — Internal Revenue Service 2024 OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space. Filing Status Check only one box. Single Married filing jointly Married filing separately Head of household Qualifying surviving spouse Name and Address Your first name and middle initial Last name Your social security number If joint return, spouse's first name and middle initial Spouse's last name Spouse's social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. City, town, or post office State ALAKAZARCA COCTDEFLGA HIIDILINIA KSKYLAMEMD MAMIMNMSMO MTNENVNHNJ NMNYNCNDOH OKORPARISC SDTNTXUTVT VAWAWVWIWY DC ZIP code Foreign country name Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. 1a Wages, salaries, tips, etc. Attach Form(s) W-2 1a 1b Household employee income not on Form(s) W-2 1b 1c Tip income not on line 1a 1c 1d Medicaid waiver payments not included in income 1d 1z Add lines 1a through 1d 22 1z 2a Tax-exempt interest 2a 2b Taxable interest. Attach Sch. B if required 2b 3a Qualified dividends 3a 3b Ordinary dividends. Attach Sch. B if required 3b 9 Total income. Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8 9 Adjustments to Income 10 Adjustments to income from Schedule 1, line 26 10 11 Adjusted gross income. Subtract line 10 from line 9 11 12 Standard deduction or itemized deductions (from Schedule A) 12 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 11320B Form 1040 (2024) SAMPLE Page 1 Form 1040 (2024) Page 2 Tax and Credits 13 Qualified business income deduction from Form 8995 or 8995-A 13 14 Add lines 12 and 13 14 15 Taxable income. Subtract line 14 from line 11. If zero or less, enter -0- 15 16 Tax (see instructions). Check if any from: Form(s) 8814 4972 Other 16 17 Amount from Schedule 2, line 21 17 18 Add lines 16 and 17 18 19 Child tax credit or credit for other dependents from Schedule 8812 19 20 Amount from Schedule 3, line 8 20 21 Add lines 19 and 20 21 22 Subtract line 21 from line 18. If zero or less, enter -0- 22 Payments 24 Federal income tax withheld from: W-2s, 1099s 24 25 Estimated tax payments and amount applied from prior year return 25 26 Earned income credit (EIC) 26 27 Additional child tax credit from Schedule 8812 27 33 Total payments. Add lines 24 through 32 33 Refund Amount You Owe 34 If line 33 is more than line 22, subtract line 22 from line 33. This is the amount you overpaid 34 35a Amount of line 34 you want refunded to you 35a Direct deposit? See instructions. 35b Routing number 35c Account type: Checking Savings 35d Account number 37 Amount you owe. Subtract line 33 from line 22 37 38 Estimated tax penalty (see instructions) 38 Sign Here — Under penalties of perjury Your signature Date Your occupation Spouse's signature (if joint return, both must sign) Date Spouse's occupation Phone no. (optional) Email address (optional) Form 1040 (2024) SAMPLE Page 2 SCHEDULE 1 (Form 1040) Additional Income and Adjustments to Income Department of the Treasury — Internal Revenue Service 2024 Attach to Form 1040 or 1040-SR. Name(s) shown on Form 1040 Your social security number Part I — Additional Income 1 Taxable refunds, credits, or offsets of state and local income taxes 1 2a Alimony received 2a 3 Business income or (loss). Attach Schedule C 3 4 Other gains or (losses). Attach Form 4797 4 5 Rental real estate, royalties, partnerships, S corporations. Attach Schedule E 5 6 Farm income or (loss). Attach Schedule F 6 7 Unemployment compensation 7 8 Other income. List type and amount > 8 10 Total additional income. Add lines 1 through 8z 10 Part II — Adjustments to Income 11 Educator expenses 11 12 Certain business expenses of reservists, performing artists, etc. 12 13 HSA deduction. Attach Form 8889 13 14 Moving expenses for members of the Armed Forces. Attach Form 3903 14 15 Deductible part of self-employment tax. Attach Schedule SE 15 20 IRA deduction 20 26 Total adjustments to income. Add lines 11 through 25 26 For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71479F Schedule 1 (Form 1040) 2024 SAMPLE Page 3