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Russell Long 2013 Tax Return T13 For Filing

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Russell Long 2013 Tax Return T13 For Filing
F o r m (99)

1040 U.S. Individual Income Tax Return 2013
Department of the Treasury—Internal Revenue Service

For the year Jan. 1–Dec. 31, 2013, or other tax year beginning

Your first name and initial

OMB No. 1545-0074

, 2013, ending

IRS Use Only—Do not write or staple in this space.

See separate instructions.
Your social security number

,20

Last name

Russell

Long

If a joint return, spouse's first name and initial

Linda

664-98-5678

Last name

Spouse's social security number

Long

554-98-3946
Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

Make sure the SSN(s) above and on line 6c are correct.

1234 Katy Rd.
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

Katy

TX

Foreign country name

Filing Status

Foreign province/state/county

Single

1

X

2
3

Exemptions

6a b c

X
X

Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking a box below will not change your tax or refund
You
Spouse

4

Head of household (with qualifying person). (See instr.) If the qualifying person is a child but not your dependent, enter this child's name here.

5

Qualifying widow(er) with dependent child

Yourself. If someone can claim you as a dependent, do not check box 6a

Boxes checked on 6a and 6b

. . . . . . .

Bill
Martha

Last name

Long
Long

social security number

relationship to you




lived with you did not live with you due to divorce or separation
(see instructions)

(see instructions)

123-23-7654 Son
345-67-8654 Daughter

Attach Form(s)
W-2 here. Also attach Forms
W-2G and
1099-R if tax was withheld.
If you did not get a W-2, see instructions.

Adjusted
Gross
Income

KIA

2

Dependents on 6c not entered above
Add numbers on lines above

d Total number of exemptions claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Income

2

No. of children on 6c who:

Spouse . . . . . . . . . . . . .

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