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A00791946 SCHEDULEA (Form 1040) Department ol Ito Ramify internal Revenue Service DR) Itemized D

0. 9 LINE 7 MINUS LINE 8 213,317. 10 FORM 2555, LINE 45 ATTRIBUTABLE TO THE TRADE OR BUSINESS NAMED ABOVE 11 LINE 9 MINUS LINE 10 213,317. 12 SELF-EMPLOYED HEALTH INSURANCE DEDUCTION. LESSER OF LINE 1 OR LINE 11 1,828. FORM 1040 OTHER TAXES STATEMENT 2 DESCRIPTION AMOUNT FROM FORM 8959 FROM FORM 8960 68. 1. TOTAL TO F

and 67 through 73. These are your total payments Ito 74 547,000. Refund 75 If line 74 is more than

S ENTER WAGES RECEIVED 1,543,918. 10 FORM 2555, LINE 45 ATTRIBUTABLE TO THE TRADE OR BUSINESS NAMED ABOVE 11 LINE 9 MINUS LINE 10 1,543,918. 12 SELF-EMPLOYED HEALTH INSURANCE DEDUCTION. LESSER OF LINE 1 OR LINE 11 3,836. FORM 1040 OTHER TAXES STATEMENT 3 DESCRIPTION AMOUNT FROM FORM 8959 11,273. FROM FORM 8960 22. TOTAL

nce Ceherwee. enter .0- I )0arre closed all or Ito. Day Yr 10 11 a Enter the short-term portion of

TIONS ENTER WAGES RECEIVED 255,180. 10 FORM 2555, LINE 45 ATTRIBUTABLE TO THE TRADE OR BUSINESS NAMED ABOVE 11 LINE 9 MINUS LINE 10 255,180. 12 SELF-EMPLOYED HEALTH INSURANCE DEDUCTION. LESSER OF LINE 1 OR LINE 11 19,388. FORM 1040 CURRENT YEAR ESTIMATES AND STATEMENT 9 AMOUNT APPLIED FROM PREVIOUS YEAR DESCRIPTION AMOUNT 2