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Tax Year *

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* Name(s) shown on Form 1040 * Social Security Number 1099-K amount included in error or for personal items sold at a loss

Part I — Additional Income

1. Taxable refunds, credits, or offsets of state and local income taxes 2a. Alimony received 2b. Date of original divorce or separation agreement 3. Business income or (loss) (Schedule C) 4. Other gains or (losses) from Form 4797 4. Other gains or (losses) from Form 4684 4. Other gains or (losses) 5. Rental real estate, royalties, partnerships, S corporations, trusts, etc. (Schedule E) 6. Farm income or (loss) (Schedule F) 7. Repaid unemployment overpayment (check if applicable) 7. Amount of unemployment overpayment repaid 7. Unemployment compensation

Part I — Other income (line 8)

8a. Net operating loss 8b. Gambling 8c. Cancellation of debt 8d. Foreign earned income exclusion from Form 2555 8e. Income from Form 8853 8f. Income from Form 8889 8g. Alaska Permanent Fund dividends 8h. Jury duty pay 8i. Prizes and awards 8j. Activity not engaged in for profit income 8k. Stock options 8l. Income from the rental of personal property 8m. Olympic and Paralympic medals and USOC prize money 8n. Section 951(a) inclusion 8o. Section 951A(a) inclusion 8p. Section 461(l) excess business loss adjustment 8q. Taxable distributions from an ABLE account 8r. Scholarship and fellowship grants not reported on Form W-2 8s. Nontaxable amount of Medicaid waiver payments 8t. Pension or annuity from a nonqualified deferred compensation plan 8u. Wages earned while incarcerated 8v. Digital assets received as ordinary income not reported elsewhere 8z. Other income — type 8z. Other income — PDF description (TY2024) 8z. Other income — amount 9. Total other income (add lines 8a through 8z) 10. Additional income (combine lines 1 through 7 and 9)

Part II — Adjustments to Income

11. Educator expenses 12. Certain business expenses of reservists, performing artists, and fee-basis government officials 13. Health savings account deduction (Form 8889) 14. Claiming only storage fees for moving expenses 14. Moving expenses for members of the Armed Forces (Form 3903) 15. Deductible part of self-employment tax (Schedule SE) 16. Self-employed SEP, SIMPLE, and qualified plans 17. Self-employed health insurance deduction 18. Penalty on early withdrawal of savings 19a. Alimony paid 19b. Recipient's SSN 19c. Date of original divorce or separation agreement 20. Married filing separately and lived apart from spouse all year 20. IRA deduction 21. Student loan interest deduction 22. Reserved for future use 23. Archer MSA deduction

Part II — Other adjustments (line 24)

24a. Jury duty pay 24b. Deductible expenses related to income on line 8l 24c. Nontaxable Olympic/Paralympic medals and USOC prize money from line 8m 24d. Reforestation amortization and expenses 24e. Repayment of supplemental unemployment benefits under the Trade Act of 1974 24f. Contributions to section 501(c)(18)(D) pension plans 24g. Contributions by certain chaplains to section 403(b) plans 24h. Attorney fees and court costs for certain unlawful discrimination claims 24i. Attorney fees and court costs for an IRS award 24j. Housing deduction from Form 2555 24k. Excess deductions of section 67(e) expenses from Schedule K-1 (Form 1041) 24z. Other adjustments — type 24z. Other adjustments — amount 25. Total other adjustments (add lines 24a through 24z) 26. Total adjustments to income (add lines 11 through 23 and 25)

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