xslt translator from adobe's xfa to xform?
Larry Evans <[email protected]> Sat, 18 Jan 2014 13:41:59 -0600
| Newsgroups | gmane.comp.web.xforms |
|---|---|
| Message-ID | <[email protected]> |
This is a multi-part message in MIME format.
--------------060108000308010308030307
Content-Type: text/plain; charset=ISO-8859-1; format=flowed
Content-Transfer-Encoding: 7bit
The 2012 f1040.pdf file that was here:
www.irs.gov/pub/irs-pdf/
has some xfa:
http://en.wikipedia.org/wiki/XFA
parts. Those parts are extractable with the help of:
http://api.itextpdf.com/itext/com/itextpdf/text/pdf/XfaForm.html
However, I've no viewer for the extracted .xml files.
Is there some translator, using, possibly, XSLT, to
some sort of xform files that can be viewed by, for example,
the firefox web browser?
TIA.
-regards,
Larry
BTW, Attached are two of the extractions from the xfa file
(after modification by xmllint).
The first looks like it specified the layout, the 2nd looks
like it specified the data.
--------------060108000308010308030307
Content-Type: text/xml;
name="f1040.xfa.template.xmllint.xml"
Content-Transfer-Encoding: 8bit
Content-Disposition: attachment;
filename="f1040.xfa.template.xmllint.xml"
<XfaToXml_template>
<template xmlns="http://www.xfa.org/schema/xfa-template/2.8/">
<?formServer defaultPDFRenderFormat acrobat9.0static?>
<?formServer allowRenderCaching 0?>
<?formServer formModel both?>
<subform layout="tb" locale="en_US" name="topmostSubform">
<pageSet>
<pageArea id="PageArea1" name="PageArea1">
<contentArea h="792pt" name="ContentArea1" w="612pt" x="0pt" y="0pt"/>
<draw h="258.233mm" name="Rectangle1" w="167.64mm" x="38.1mm" y="8.467mm">
<value>
<rectangle>
<edge presence="hidden"/>
<fill>
<color value="220,255,251"/>
</fill>
<corner presence="hidden" radius="5.08mm"/>
</rectangle>
</value>
</draw>
<draw h="8.467mm" name="Rectangle4" w="195.58mm" x="10.16mm" y="266.7mm">
<value>
<rectangle>
<edge presence="hidden"/>
<fill>
<color value="220,255,251"/>
</fill>
<corner presence="hidden" radius="5.08mm"/>
</rectangle>
</value>
</draw>
<draw h="5.2331mm" name="VersionCycle" presence="hidden" w="29.2864mm" x="173.989mm" y="8.467mm">
<ui>
<textEdit/>
</ui>
<value>
<text>Version A, Cycle 5</text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<margin bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm" topInset="0.5mm"/>
<para hAlign="right" vAlign="middle"/>
<traversal>
<traverse ref="DraftAsOf[0]"/>
</traversal>
</draw>
<draw h="58.861mm" name="DraftAsOf" presence="hidden" w="172.72mm" x="12.7mm" y="118.533mm">
<ui>
<textEdit/>
</ui>
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xfa:APIVersion="2.7.0.0">
<p style="letter-spacing:0in">Internal Use Only</p>
<p style="letter-spacing:0in">DRAFT AS OF</p>
<p style="letter-spacing:0in">July 3, 2012</p>
</body>
</exData>
</value>
<font baselineShift="0pt" size="48pt" typeface="HelveticaNeueLT Std" weight="bold">
<fill>
<color value="192,192,192"/>
</fill>
</font>
<margin bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm" topInset="0.5mm"/>
<para hAlign="center" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
</draw>
<medium long="792pt" short="612pt" stock="custom"/>
<?templateDesigner expand 0?>
</pageArea>
<pageArea id="Page3_ID" name="Page3">
<medium long="792pt" short="612pt" stock="custom"/>
<contentArea h="792pt" name="ContentArea1" w="612pt" x="0pt" y="0pt"/>
<draw h="8.467mm" name="Rectangle4" w="195.58mm" x="10.16mm" y="8.467mm">
<value>
<rectangle>
<edge presence="hidden"/>
<fill>
<color value="220,255,251"/>
</fill>
<corner presence="hidden" radius="5.08mm"/>
</rectangle>
</value>
<?templateDesigner expand 1?>
</draw>
<draw h="254mm" name="Rectangle1" w="172.72mm" x="30.48mm" y="12.7mm">
<value>
<rectangle>
<edge presence="hidden"/>
<fill>
<color value="220,255,251"/>
</fill>
<corner presence="hidden" radius="5.08mm"/>
</rectangle>
</value>
</draw>
<draw h="4.234mm" name="Rectangle4" w="195.58mm" x="10.16mm" y="266.7mm">
<value>
<rectangle>
<edge presence="hidden"/>
<fill>
<color value="220,255,251"/>
</fill>
<corner presence="hidden" radius="5.08mm"/>
</rectangle>
</value>
<?templateDesigner expand 1?>
</draw>
<draw h="5.2331mm" name="VersionCycle" presence="hidden" w="29.2864mm" x="173.989mm" y="8.467mm">
<ui>
<textEdit/>
</ui>
<value>
<text>Version A, Cycle 5</text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<margin bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm" topInset="0.5mm"/>
<para hAlign="right" vAlign="middle"/>
<traversal>
<traverse ref="DraftAsOf[0]"/>
</traversal>
</draw>
<draw h="58.861mm" name="DraftAsOf" presence="hidden" w="185.42mm" x="12.7mm" y="63.5mm">
<ui>
<textEdit/>
</ui>
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xfa:APIVersion="2.7.0.0">
<p style="text-decoration:none;letter-spacing:0in">Internal Use Only</p>
<p style="text-decoration:none;letter-spacing:0in">DRAFT AS OF</p>
<p style="text-decoration:none;letter-spacing:0in">July 3, 2012</p>
</body>
</exData>
</value>
<font baselineShift="0pt" size="48pt" typeface="HelveticaNeueLT Std" weight="bold">
<fill>
<color value="192,192,192"/>
</fill>
</font>
<margin bottomInset="0.5mm" leftInset="0.5mm" rightInset="0.5mm" topInset="0.5mm"/>
<para hAlign="center" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
</draw>
<draw h="4.233mm" name="Rectangle5" w="45.72mm" x="66.04mm" y="190.5mm">
<value>
<rectangle>
<edge presence="hidden"/>
<fill/>
<corner presence="hidden" radius="5.08mm"/>
</rectangle>
</value>
</draw>
<draw h="3.88mm" name="Rectangle5" w="86.36mm" x="66.04mm" y="194.733mm">
<value>
<rectangle>
<edge presence="hidden"/>
<fill/>
<corner presence="hidden" radius="5.08mm"/>
</rectangle>
</value>
</draw>
<?templateDesigner expand 0?>
</pageArea>
<?templateDesigner expand 0?>
</pageSet>
<desc>
<text name="title">2012 Form 1040</text>
<text name="creator">SE:W:CAR:MP</text>
<text name="description">U.S. Individual Income Tax Return</text>
</desc>
<subform h="792pt" name="Page1" w="612pt">
<bind match="none"/>
<subform minH="12.7mm" name="HeaderPg1" w="190.5mm" x="12.7mm" y="12.7mm">
<draw h="5.08mm" name="Form" rotate="90" w="8.466mm" y="8.466mm">
<value>
<text>Form</text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="center" vAlign="middle"/>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<margin bottomInset="0mm" rightInset="0mm"/>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge thickness="0.3528mm"/>
<edge presence="hidden"/>
<corner/>
<corner/>
<corner thickness="0.353mm"/>
<corner/>
</border>
<traversal>
<traverse ref="TenForty[0]"/>
</traversal>
<assist role="H2"/>
<?renderCache.bounds 14400 23998 0 0 0 -23998 0 0?>
<?renderCache.textRun 4 Form 0 8698 20168 0 0 0 "HelveticaNeueLT Std" 0 0 7000 ISO-8859-1?>
</draw>
<draw h="8.467mm" name="TenForty" w="17.78mm" x="5.08mm">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="font-family:'HelveticaNeueLT Std Blk Cn';letter-spacing:0in">1040<span style="xfa-spacerun:yes"> </span></p>
</body>
</exData>
</value>
<ui>
<textEdit/>
</ui>
<para lineHeight="24pt"/>
<font size="24pt" typeface="HelveticaNeueLT Std Blk Cn"/>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge thickness="0.3528mm"/>
<edge presence="hidden"/>
<corner/>
<corner/>
<corner thickness="0.353mm"/>
<corner/>
</border>
<assist role="H1"/>
</draw>
<draw h="4.233mm" name="DeptTreasuryIRS" w="58.42mm" x="22.86mm">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="font-family:HelveticaNeueLT Std;letter-spacing:0in">Department of the Treasury—Internal Revenue Service<span style="xfa-spacerun:yes"> </span></p>
</body>
</exData>
</value>
<ui>
<textEdit/>
</ui>
<para lineHeight="6pt" marginLeft="8pt" vAlign="middle"/>
<font size="6pt" typeface="HelveticaNeueLT Std"/>
</draw>
<draw h="8.466mm" name="OMBNo" w="25.4mm" x="114.3mm">
<value>
<text>OMB No. 1545-0074</text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="center" spaceBelow="2pt" vAlign="bottom"/>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<border>
<edge presence="hidden"/>
<edge/>
<edge thickness="0.1764mm"/>
<edge presence="hidden"/>
<corner/>
<corner/>
<corner thickness="0.176mm"/>
<corner/>
</border>
<assist>
<speak disable="1">O M B number 1545-0074. For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. </speak>
</assist>
<?renderCache.bounds 72000 23998 0 0 0 0 0 0?>
<?renderCache.textRun 17 OMB No. 1545-0074 0 3510 19996 0 0 0 "HelveticaNeueLT Std" 0 0 7000 ISO-8859-1?>
</draw>
<draw h="4.233mm" name="SourceCode99" w="12.7mm" x="81.28mm">
<value>
<text>(99)</text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="center" spaceBelow="2pt" vAlign="bottom"/>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge presence="hidden" thickness="0.3528mm"/>
<edge presence="hidden"/>
<corner/>
<corner presence="hidden"/>
<corner presence="hidden" thickness="0.353mm"/>
<corner/>
</border>
<?renderCache.bounds 36000 11999 0 0 0 0 0 0?>
<?renderCache.textRun 4 (99) 0 12295 7997 0 0 0 "HelveticaNeueLT Std" 0 0 7000 ISO-8859-1?>
</draw>
<draw h="4.234mm" name="IRSUseOnly" w="50.8mm" x="139.7mm" y="4.233mm">
<value>
<text>IRS Use Only—Do not write or staple in this space. </text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="center" vAlign="middle"/>
<font size="6pt" typeface="HelveticaNeueLT Std"/>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge thickness="0.3528mm"/>
<edge presence="hidden"/>
<corner/>
<corner/>
<corner thickness="0.353mm"/>
<corner/>
</border>
<?renderCache.bounds 144000 12002 0 0 0 0 0 0?>
<?renderCache.textRun 53 IRS Use Only—Do not write or staple in this space. 0 3772 7336 0 0 0 "HelveticaNeueLT Std" 0 0 6000 ISO-8859-1?>
</draw>
<draw h="4.234mm" name="USIndividualIncomeTax" w="71.12mm" x="22.86mm" y="4.233mm">
<value>
<text>U.S. Individual Income Tax Return </text>
</value>
<ui>
<textEdit/>
</ui>
<para lineHeight="12pt" marginLeft="8pt"/>
<font size="12pt" typeface="ITC Franklin Gothic Std Book" weight="bold"/>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge thickness="0.3528mm"/>
<edge presence="hidden"/>
<corner/>
<corner/>
<corner thickness="0.353mm"/>
<corner/>
</border>
<assist role="H1"/>
<?renderCache.bounds 201600 12002 0 0 0 0 0 0?>
<?renderCache.textRun 34 U.S. Individual Income Tax Return 0 8000 8232 0 0 0 "ITC Franklin Gothic Std Book" 1 0 12000 ISO-8859-1?>
</draw>
<draw h="8.467mm" name="Year" w="20.193mm" x="93.98mm">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xfa:APIVersion="2.7.0.0">
<p style="font-family:'HelveticaNeueLT Std Bold Outln';font-weight:normal;text-decoration:none;letter-spacing:0in">20<span style="font-family:'HelveticaNeueLT Std Blk'">12</span></p>
</body>
</exData>
</value>
<ui>
<textEdit>
<margin/>
</textEdit>
</ui>
<para hAlign="center" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="bottom"/>
<font baselineShift="0pt" size="20pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<border>
<edge presence="hidden"/>
<edge/>
<edge thickness="0.3528mm"/>
<edge/>
<corner/>
<corner/>
<corner thickness="0.353mm"/>
<corner/>
</border>
<assist>
<speak disable="1">2011. Catalog Number 11320B.</speak>
</assist>
</draw>
<field h="4.233mm" name="p1-t1" w="99.06mm" y="8.467mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Page 1. For the year January 1 through December 31, 2012, or other tax year beginning (enter date), 2012, ending (date), 20(two digit year).</speak>
</assist>
<caption reserve="66.9172mm">
<value>
<text>For the year Jan. 1–Dec. 31, 2012, or other tax year beginning </text>
</value>
<font baselineShift="0pt" fontHorizontalScale="88%" size="7pt" typeface="HelveticaNeueLT Std"/>
<para lineHeight="7pt" marginLeft="4pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
</caption>
<border>
<edge thickness="0.3528mm"/>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge presence="hidden"/>
<corner thickness="0.353mm"/>
<corner/>
<corner presence="hidden"/>
<corner/>
<fill/>
</border>
</field>
<field h="4.233mm" name="p1-t2" w="30.48mm" x="99.06mm" y="8.467mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para hAlign="center" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">For the year January 1 through December 31, 2012, or other tax year beginning (date), 2012, ending (enter date), 20(two digit year).</speak>
</assist>
<caption reserve="14.5649mm">
<value>
<text>, 2012, ending </text>
</value>
<font baselineShift="0pt" fontHorizontalScale="88%" size="7pt" typeface="HelveticaNeueLT Std"/>
<para lineHeight="7pt" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
</caption>
<border>
<edge thickness="0.3528mm"/>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge presence="hidden"/>
<corner thickness="0.353mm"/>
<corner/>
<corner presence="hidden"/>
<corner/>
<fill/>
</border>
</field>
<field h="4.233mm" name="p1-t3" w="22.86mm" x="129.54mm" y="8.467mm">
<ui>
<textEdit>
<margin/>
</textEdit>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">For the year January 1 through December 31, 2012, or other tax year beginning (date), 2012, ending (date), 20(enter two digit year).</speak>
</assist>
<caption reserve="4.2333mm">
<value>
<text>, 20 </text>
</value>
<font baselineShift="0pt" fontHorizontalScale="90%" size="7pt" typeface="HelveticaNeueLT Std"/>
<para lineHeight="7pt" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
</caption>
<border>
<edge thickness="0.3528mm"/>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge presence="hidden"/>
<corner thickness="0.353mm"/>
<corner/>
<corner presence="hidden"/>
<corner/>
<fill/>
</border>
<value>
<text maxChars="2"/>
</value>
</field>
<traversal>
<traverse operation="first" ref="Form[0]"/>
</traversal>
<draw h="4.233mm" name="SeeSeparateInstructions" w="38.1mm" x="152.4mm" y="8.467mm">
<value>
<text>See separate instructions.</text>
</value>
<ui>
<textEdit/>
</ui>
<para marginLeft="4pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
<font baselineShift="0pt" size="8pt" typeface="HelveticaNeueLT Std"/>
<border>
<edge thickness="0.3528mm"/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner thickness="0.353mm"/>
<corner/>
<corner/>
<corner/>
<fill/>
</border>
<?renderCache.bounds 108000 11999 0 0 0 0 0 0?>
<?renderCache.textRun 26 See separate instructions. 0 4000 7779 0 0 0 "HelveticaNeueLT Std" 0 0 8000 ISO-8859-1?>
</draw>
<?templateDesigner expand 0?>
</subform>
<field h="8.467mm" name="p1-t4" w="63.5mm" x="12.7mm" y="25.4mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Your first name and initial.</speak>
</assist>
<caption placement="top" reserve="3.6583mm">
<value>
<text>Your first name and initial </text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<para marginLeft="4pt" vAlign="middle"/>
</caption>
<border>
<edge thickness="0.1764mm"/>
<edge/>
<edge/>
<edge presence="hidden"/>
<corner thickness="0.176mm"/>
<corner/>
<corner/>
<corner/>
<fill/>
</border>
</field>
<field h="8.467mm" name="p1-t5" w="88.9mm" x="76.2mm" y="25.4mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Last name.</speak>
</assist>
<caption placement="top" reserve="3.6576mm">
<value>
<text>Last name </text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<para marginLeft="4pt" vAlign="middle"/>
</caption>
<border>
<edge thickness="0.1764mm"/>
<corner thickness="0.176mm"/>
<corner thickness="0.176mm"/>
<corner/>
<corner/>
<fill/>
</border>
</field>
<field h="8.467mm" name="p1-t11" w="38.1mm" x="165.1mm" y="25.4mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
<border hand="right">
<edge presence="hidden"/>
<corner presence="hidden"/>
</border>
<comb numberOfCells="9"/>
</textEdit>
</ui>
<para marginLeft="12pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Your social security number. 9 digits.</speak>
</assist>
<caption placement="top" reserve="3.6886mm">
<value>
<text>Your social security number </text>
</value>
<font baselineShift="0pt" size="7pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<para marginLeft="4pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
</caption>
<border>
<edge presence="hidden" thickness="0.3528mm"/>
<edge presence="hidden"/>
<edge presence="hidden" thickness="0.3528mm"/>
<edge/>
<corner presence="hidden" thickness="0.353mm"/>
<corner/>
<corner presence="hidden" thickness="0.353mm"/>
<corner/>
<fill/>
</border>
</field>
<draw h="3.528mm" name="dottedline_PaidPreparerEIN" w="0in" x="177.02mm" y="29.633mm">
<value>
<line>
<edge stroke="dotted"/>
</line>
</value>
</draw>
<draw h="3.528mm" name="dottedline_PaidPreparerEIN" w="0in" x="184.64mm" y="29.633mm">
<value>
<line>
<edge stroke="dotted"/>
</line>
</value>
</draw>
<field h="8.467mm" name="p1-t6" w="63.5mm" x="12.7mm" y="33.866mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">If a joint return, spouse's first name and initial.</speak>
</assist>
<caption placement="top" reserve="3.5251mm">
<value>
<text>If a joint return, spouse’s first name and initial </text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<para marginLeft="4pt" vAlign="middle"/>
</caption>
<border>
<edge/>
<edge/>
<edge/>
<edge presence="hidden"/>
<corner/>
<fill/>
</border>
</field>
<field h="8.467mm" name="p1-t7" w="88.9mm" x="76.2mm" y="33.866mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Spouse's Last name.</speak>
</assist>
<caption placement="top" reserve="3.5251mm">
<value>
<text>Last name </text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<para marginLeft="4pt" vAlign="middle"/>
</caption>
<border>
<edge/>
<corner/>
<corner thickness="0.176mm"/>
<corner/>
<corner/>
<fill/>
</border>
</field>
<subform minH="16.934mm" name="SpouseSSN" w="38.1mm" x="165.1mm" y="33.866mm">
<field h="8.467mm" name="p1-t14" w="38.1mm" y="0mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
<border hand="right">
<edge presence="hidden"/>
<corner presence="hidden"/>
</border>
<comb numberOfCells="9"/>
</textEdit>
</ui>
<para marginLeft="12pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Spouse's social Security Number. 9 digits.</speak>
</assist>
<caption placement="top" reserve="3.5257mm">
<value>
<text>Spouse’s social security number </text>
</value>
<font baselineShift="0pt" fontHorizontalScale="90%" size="7pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<para marginLeft="4pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
</caption>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<fill/>
</border>
</field>
<draw h="3.528mm" name="dottedline_PaidPreparerEIN" w="0in" x="11.92mm" y="4.234mm">
<value>
<line>
<edge stroke="dotted"/>
</line>
</value>
</draw>
<draw h="3.528mm" name="dottedline_PaidPreparerEIN" w="0in" x="19.54mm" y="4.234mm">
<value>
<line>
<edge stroke="dotted"/>
</line>
</value>
</draw>
<draw h="8.467mm" name="UpDingbat" w="5.08mm" y="8.467mm">
<value>
<text>▲</text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="center" lineHeight="13pt" marginLeft="0pt" marginRight="0pt" spaceAbove="5pt" spaceBelow="0pt" textIndent="0pt"/>
<font baselineShift="0pt" typeface="Universal Std News w Comm Pi"/>
<assist>
<speak disable="1"> </speak>
</assist>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
<corner/>
</border>
</draw>
<draw h="8.467mm" name="Makesurethe" w="33.02mm" x="5.08mm" y="8.467mm">
<value>
<text>Make sure the SSN(s) above and on line 6c are correct.</text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="center" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
<font baselineShift="0pt" size="7pt" typeface="HelveticaNeueLT Std"/>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
<corner/>
</border>
<traversal>
<traverse ref="#subform[2]"/>
</traversal>
<?renderCache.bounds 93600 24001 0 0 0 0 0 0?>
<?renderCache.textRun 27 Make sure the SSN(s) above 0 2396 9358 0 0 0 "HelveticaNeueLT Std" 0 0 7000 ISO-8859-1?>
<?renderCache.textRun 27 and on line 6c are correct. 0 5896 17758 0 0 0 "HelveticaNeueLT Std" 0 0 7000 ISO-8859-1?>
</draw>
<?templateDesigner expand 0?>
</subform>
<subform minH="25.4mm" name="Address" w="152.4mm" x="12.7mm" y="42.333mm">
<field h="8.467mm" name="p1-t8" w="134.62mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Home address (number and street). If you have a Post Office Box, see instructions.</speak>
</assist>
<caption placement="top" reserve="3.5257mm">
<value>
<text>Home address (number and street). If you have a P.O. box, see instructions. </text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<para marginLeft="4pt" vAlign="middle"/>
</caption>
<border>
<edge/>
<edge/>
<edge/>
<edge presence="hidden"/>
<corner/>
<fill/>
</border>
<traversal>
<traverse ref="p1-t9[0]"/>
</traversal>
</field>
<field h="8.467mm" name="p1-t9" w="17.78mm" x="134.62mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para hAlign="center" marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Apartment number.</speak>
</assist>
<caption placement="top" reserve="3.5257mm">
<value>
<text>Apt. no. </text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<para hAlign="center" marginLeft="4pt" vAlign="middle"/>
</caption>
<border>
<edge/>
<corner/>
<corner thickness="0.176mm"/>
<corner/>
<corner/>
<fill/>
</border>
</field>
<field h="8.467mm" name="p1-t10" w="152.4mm" y="8.467mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).</speak>
</assist>
<caption placement="top" reserve="0.133181in">
<value>
<text>City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). </text>
</value>
<font fontHorizontalScale="90%" size="7pt" typeface="HelveticaNeueLT Std"/>
<para marginLeft="4pt" vAlign="middle"/>
</caption>
<border>
<edge/>
<edge/>
<edge/>
<edge presence="hidden"/>
<corner/>
<fill/>
</border>
</field>
<field h="8.466mm" name="f1_011" w="78.74mm" y="16.934mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Foreign country name. </speak>
</assist>
<caption placement="top" reserve="3.8597mm">
<value>
<text>Foreign country name </text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<para marginLeft="4pt" vAlign="middle"/>
</caption>
<border>
<edge/>
<edge/>
<edge/>
<edge presence="hidden"/>
<corner/>
<fill/>
</border>
</field>
<field h="8.466mm" name="f1_012" w="50.8mm" x="78.74mm" y="16.934mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Foreign province or state or county. </speak>
</assist>
<caption placement="top" reserve="3.8597mm">
<value>
<text>Foreign province/state/county </text>
</value>
<font size="7pt" typeface="HelveticaNeueLT Std"/>
<para marginLeft="4pt" vAlign="middle"/>
</caption>
<border>
<edge/>
<corner/>
<fill/>
</border>
</field>
<field h="8.466mm" name="f1_013" w="22.86mm" x="129.54mm" y="16.934mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para marginLeft="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Foreign postal code. </speak>
</assist>
<caption placement="top" reserve="3.8597mm">
<value>
<text>Foreign postal code </text>
</value>
<font baselineShift="0pt" fontHorizontalScale="90%" size="7pt" typeface="HelveticaNeueLT Std"/>
<para marginLeft="4pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
</caption>
<border>
<edge/>
<corner/>
<fill/>
</border>
</field>
<traversal>
<traverse operation="first" ref="p1-t8[0]"/>
</traversal>
<?templateDesigner expand 0?>
</subform>
<draw h="4.233mm" name="PresidentialElectionCampaign" w="38.1mm" x="165.1mm" y="50.8mm">
<value>
<text>Presidential Election Campaign</text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="center" marginLeft="4pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
<font baselineShift="0pt" fontHorizontalScale="90%" size="7pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<border>
<edge thickness="0.1764mm"/>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge presence="hidden"/>
<corner thickness="0.176mm"/>
<corner/>
<corner/>
<corner/>
</border>
</draw>
<draw h="12.701mm" name="CheckingBoxBelow" w="38.1mm" x="165.1mm" y="55.033mm">
<value>
<text>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. </text>
</value>
<ui>
<textEdit/>
</ui>
<para lineHeight="8pt" marginLeft="2pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="2pt" textIndent="0pt" vAlign="middle"/>
<font baselineShift="0pt" fontHorizontalScale="80%" size="6.8pt" typeface="HelveticaNeueLT Std"/>
<border>
<edge presence="hidden" thickness="0.1764mm"/>
<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
<corner presence="hidden" thickness="0.176mm"/>
<corner/>
<corner/>
<corner/>
</border>
</draw>
<field h="4.233mm" name="c1_02_0_" w="10.16mm" x="180.34mm" y="63.5mm">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>1</text>
<text>0</text>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
 fld.checkThisBox (0, true);
}
else {
 fld.checkThisBox (0, false);
}
MainCalculation();
</script>
</event>
<margin bottomInset="0.7056mm" leftInset="0.7056mm" rightInset="0.7056mm" topInset="0.7056mm"/>
<caption placement="right" reserve="4.718mm">
<value>
<text>You </text>
</value>
<font baselineShift="0pt" fontHorizontalScale="90%" fontVerticalScale="90%" size="7pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="bottom"/>
</caption>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge presence="hidden" thickness="0.2646mm"/>
<edge presence="hidden"/>
<corner/>
<corner/>
<corner presence="hidden" thickness="0.265mm"/>
<corner/>
</border>
<assist>
<speak disable="1">Presidential Election Campaign. 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.</speak>
</assist>
</field>
<field h="4.233mm" name="c1_03" w="12.7mm" x="190.5mm" y="63.5mm">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>1</text>
<text>0</text>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
 fld.checkThisBox (0, true);
}
else {
 fld.checkThisBox (0, false);
}
MainCalculation();
</script>
</event>
<margin bottomInset="0.7056mm" leftInset="0.7056mm" rightInset="0.7056mm" topInset="0.7056mm"/>
<caption placement="right" reserve="7.552mm">
<value>
<text>Spouse </text>
</value>
<font baselineShift="0pt" fontHorizontalScale="87%" fontVerticalScale="90%" size="7pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<para marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="bottom"/>
</caption>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge presence="hidden" thickness="0.2646mm"/>
<edge presence="hidden"/>
<corner/>
<corner/>
<corner presence="hidden" thickness="0.265mm"/>
<corner/>
</border>
<assist>
<speak disable="1">Presidential Election Campaign. Your spouse.</speak>
</assist>
<traversal>
<traverse ref="#subform[3]"/>
</traversal>
</field>
<subform h="16.933mm" name="FilingStatus" w="22.86mm" x="12.7mm" y="67.733mm">
<draw h="8.467mm" name="FilingStatus" w="22.86mm">
<value>
<text>Filing Status </text>
</value>
<ui>
<textEdit/>
</ui>
<para vAlign="middle"/>
<font typeface="HelveticaNeueLT Std" weight="bold"/>
<traversal>
<traverse ref="CheckOnlyOne[0]"/>
</traversal>
<assist role="H2"/>
<?renderCache.bounds 64800 24001 0 0 0 0 0 0?>
<?renderCache.textRun 14 Filing Status 0 0 14225 0 0 0 "HelveticaNeueLT Std" 1 0 10000 ISO-8859-1?>
</draw>
<draw h="8.466mm" name="CheckOnlyOne" w="22.86mm" y="8.467mm">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="font-family:HelveticaNeueLT Std;letter-spacing:0in">Check only one box.<span style="xfa-spacerun:yes"> </span></p>
</body>
</exData>
</value>
<ui>
<textEdit/>
</ui>
<para vAlign="middle"/>
<font size="8pt" typeface="HelveticaNeueLT Std"/>
<traversal>
<traverse ref="#subform[4]"/>
</traversal>
</draw>
<traversal>
<traverse operation="first" ref="FilingStatus[0]"/>
</traversal>
<?templateDesigner expand 0?>
</subform>
<subform minH="16.933mm" name="Lines1-3" w="78.74mm" x="38.1mm" y="67.733mm">
<draw minH="4.233mm" name="Line1" w="5.08mm">
<value>
<text>1 </text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="right" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<traversal>
<traverse ref="c1_04[0]"/>
</traversal>
</draw>
<field h="4.233mm" name="c1_04" w="4.233mm" x="7.62mm">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>S</text>
<text/>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
 fld.checkThisBox (0, true);
}
else {
 fld.checkThisBox (0, false);
}
MainCalculation();
</script>
</event>
<margin bottomInset="0.7056mm" leftInset="0.7056mm" rightInset="0.7056mm" topInset="0.7056mm"/>
<assist>
<speak disable="1">Filing Status. Check only one box. Line 1. Single.</speak>
</assist>
<bind match="global"/>
</field>
<draw minH="4.233mm" name="Single" w="66.04mm" x="12.7mm">
<value>
<text>Single </text>
</value>
<ui>
<textEdit/>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std"/>
</draw>
<draw minH="4.233mm" name="Line2" w="5.08mm" y="4.233mm">
<value>
<text>2 </text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="right" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
</draw>
<field h="4.233mm" name="c1_04" w="4.233mm" x="7.62mm" y="4.233mm">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>MJ</text>
<text/>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
 fld.checkThisBox (0, true);
}
else {
 fld.checkThisBox (0, false);
}
MainCalculation();
</script>
</event>
<margin bottomInset="0.7056mm" leftInset="0.7056mm" rightInset="0.7056mm" topInset="0.7056mm"/>
<assist>
<speak disable="1">Line 2. Married filing jointly (even if only one had income).</speak>
</assist>
<bind match="global"/>
</field>
<draw minH="4.233mm" name="MarriedJoint" w="66.04mm" x="12.7mm" y="4.233mm">
<value>
<text>Married filing jointly (even if only one had income) </text>
</value>
<ui>
<textEdit/>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std"/>
</draw>
<draw minH="4.233mm" name="Line3" w="5.08mm" y="8.467mm">
<value>
<text>3 </text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="right" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
</draw>
<field h="4.233mm" name="c1_04" w="4.233mm" x="7.62mm" y="8.467mm">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>MS</text>
<text/>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
 fld.checkThisBox (0, true);
}
else {
 fld.checkThisBox (0, false);
}
MainCalculation();
</script>
</event>
<margin bottomInset="0.7056mm" leftInset="0.7056mm" rightInset="0.7056mm" topInset="0.7056mm"/>
<assist>
<speak disable="1">Line 3. Married filing separately. Enter spouse’s S S N above and full name here.</speak>
</assist>
<bind match="global"/>
</field>
<draw h="8.466mm" name="MarriedSeparately" w="66.04mm" x="12.7mm" y="8.467mm">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xfa:APIVersion="2.7.0.0">
<p style="letter-spacing:0in">Married filing separately. Enter spouse’s SSN above and full name here.<span style="xfa-spacerun:yes"> </span><span style="vertical-align:1pt;font-family:'Universal Std News w Comm Pi';font-size:6pt">▶</span></p>
</body>
</exData>
</value>
<ui>
<textEdit/>
</ui>
<para lineHeight="10pt" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std"/>
<margin bottomInset="0.7056mm"/>
</draw>
<field h="4.233mm" name="p1-t17" w="38.1mm" x="40.64mm" y="12.7mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Line 3. Enter spouse's Social Security Number (S S N) above and full name here.</speak>
</assist>
<border>
<edge presence="hidden"/>
<corner/>
<corner/>
<corner presence="hidden"/>
<corner/>
<fill/>
</border>
</field>
<traversal>
<traverse operation="first" ref="Line1[0]"/>
</traversal>
<?templateDesigner expand 0?>
</subform>
<draw minH="4.233mm" name="Line4" w="5.08mm" x="119.38mm" y="67.733mm">
<value>
<text>4 </text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="right" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
</draw>
<field h="4.233mm" name="c1_04" w="4.233mm" x="127mm" y="67.733mm">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>HoH</text>
<text/>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
 fld.checkThisBox (0, true);
}
else {
 fld.checkThisBox (0, false);
}
MainCalculation();
</script>
</event>
<margin bottomInset="0.7056mm" leftInset="0.7056mm" rightInset="0.7056mm" topInset="0.7056mm"/>
<assist>
<speak disable="1">Line 4. Head of household (with qualifying person). (See instructions.)</speak>
</assist>
<bind match="global"/>
</field>
<draw h="12.7mm" name="HeadHousehold" w="71.12mm" x="132.08mm" y="67.733mm">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xfa:APIVersion="2.7.0.0">
<p style="text-decoration:none;letter-spacing:0in">Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child’s name here.<span style="xfa-spacerun:yes">  </span><span style="vertical-align:1pt;font-family:'Universal Std News w Comm Pi';font-size:6pt">▶</span></p>
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<field h="4.233mm" name="p1-t18" w="45.72mm" x="157.48mm" y="76.2mm">
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</textEdit>
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<para vAlign="bottom"/>
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</fill>
</font>
<assist>
<speak disable="1">Line 4. If the qualifying person is a child but not your dependent, enter this child’s name here.</speak>
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<edge presence="hidden"/>
<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
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<fill/>
</border>
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<draw minH="4.233mm" name="Line5" w="5.08mm" x="119.38mm" y="80.433mm">
<value>
<text>5 </text>
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<ui>
<textEdit/>
</ui>
<para hAlign="right" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<margin bottomInset="0.7056mm"/>
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<field h="4.233mm" name="c1_04" w="4.233mm" x="127mm" y="80.433mm">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>QW</text>
<text/>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
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else {
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</event>
<margin bottomInset="0.7056mm" leftInset="0.7056mm" rightInset="0.7056mm" topInset="0.7056mm"/>
<assist>
<speak disable="1">Line 5. Qualifying widow(er) with dependent child (see instructions).</speak>
</assist>
<bind match="global"/>
</field>
<draw h="4.233mm" name="QualifyingWidow" w="71.12mm" x="132.08mm" y="80.433mm">
<value>
<text>Qualifying widow(er) with dependent child </text>
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<textEdit/>
</ui>
<para vAlign="bottom"/>
<font size="7.5pt" typeface="HelveticaNeueLT Std"/>
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<?renderCache.textRun 42 Qualifying widow(er) with dependent child 0 0 7854 0 0 0 "HelveticaNeueLT Std" 0 0 7500 ISO-8859-1?>
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<draw h="0mm" name="L139" w="190.5mm" x="12.7mm" y="84.666mm">
<value>
<line slope="/">
<edge cap="butt" thickness="0.8pt">
<color value="34,31,32"/>
</edge>
</line>
</value>
</draw>
<draw h="8.467mm" name="Exemptions" w="22.86mm" x="12.7mm" y="84.666mm">
<value>
<text>Exemptions </text>
</value>
<ui>
<textEdit/>
</ui>
<para vAlign="middle"/>
<font typeface="HelveticaNeueLT Std" weight="bold"/>
<traversal>
<traverse ref="#subform[5]"/>
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<assist role="H2"/>
<?renderCache.bounds 64800 24001 0 0 0 0 0 0?>
<?renderCache.textRun 11 Exemptions 0 0 14140 0 0 0 "HelveticaNeueLT Std" 1 0 10000 ISO-8859-1?>
</draw>
<subform name="Lines6a-d" x="12.7mm" y="84.666mm">
<subform minH="8.915mm" name="Lines6a-5BoxesChecked" x="25.4mm">
<subform minH="8.467mm" name="Lines6a-b" w="129.823mm" y="0mm">
<draw minH="4.233mm" name="Line6" w="5.08mm" y="0mm">
<value>
<text>6</text>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="right" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<traversal>
<traverse ref="Line6a[0]"/>
</traversal>
</draw>
<draw minH="4.233mm" name="Line6a" w="2.54mm" x="5.08mm" y="0mm">
<value>
<text>a</text>
</value>
<ui>
<textEdit/>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
</draw>
<field h="4.233mm" name="c1_05" w="4.233mm" x="10.16mm" y="0mm">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>1</text>
<text>0</text>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
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<margin bottomInset="0.7056mm" leftInset="0.7056mm" rightInset="0.7056mm" topInset="0.7056mm"/>
<assist>
<speak disable="1">Exemptions. 6. a. Yourself. If someone can claim you as a dependent, do not check box 6 a.</speak>
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<draw h="4.233mm" name="Yourself" w="114.583mm" x="15.24mm" y="0mm">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.511in;letter-spacing:0in">Yourself.<span style="xfa-spacerun:yes"> </span><span style="font-weight:normal">If someone can claim you as a dependent,</span> do not<span style="xfa-spacerun:yes"> </span><span style="font-weight:normal">check box 6a <span style="xfa-tab-count:1">         </span></span></p>
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<ui>
<textEdit/>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
</draw>
<draw minH="4.233mm" name="Line6b" w="2.54mm" x="5.08mm" y="4.234mm">
<value>
<text>b </text>
</value>
<ui>
<textEdit/>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
</draw>
<field h="4.233mm" name="c1_06" w="4.233mm" x="10.16mm" y="4.234mm">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>1</text>
<text>0</text>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
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else {
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</event>
<margin bottomInset="0.7056mm" leftInset="0.7056mm" rightInset="0.7056mm" topInset="0.7056mm"/>
<assist>
<speak disable="1">Line 6. b. Spouse.</speak>
</assist>
</field>
<draw minH="4.233mm" name="Spouse" w="114.583mm" x="15.24mm" y="4.234mm">
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<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.511in;letter-spacing:0in">Spouse<span style="xfa-spacerun:yes">  </span><span style="font-weight:normal"><span style="xfa-tab-count:1">         </span></span></p>
</body>
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</value>
<ui>
<textEdit/>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
</draw>
<traversal>
<traverse operation="first" ref="Line6[0]"/>
</traversal>
<?templateDesigner expand 0?>
</subform>
<draw minH="0.351in" minW="0.055in" name="Brace" x="129.54mm" y="0mm">
<value>
<text>}</text>
</value>
<ui>
<textEdit/>
</ui>
<para vAlign="middle"/>
<font fontHorizontalScale="50%" size="24pt" typeface="Times LT Std"/>
<assist>
<speak disable="1"> </speak>
</assist>
</draw>
<draw minH="4.233mm" name="Line6c" w="2.54mm" x="5.08mm" y="8.467mm">
<value>
<text>c</text>
</value>
<ui>
<textEdit/>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
</draw>
<?templateDesigner expand 0?>
</subform>
<subform columnWidths="45.783mm 29.694mm 22.764mm 1.198153in" layout="table" name="Line6cTable" x="25.4mm" y="8.467mm">
<bind match="none"/>
<subform layout="row">
<bind match="none"/>
<draw h="8.467mm" name="FirstName">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="margin-bottom:0pt;margin-left:28.8pt;font-family:'HelveticaNeueLT Std';font-size:8pt;letter-spacing:0in">Dependents:<span style="xfa-spacerun:yes"> </span></p>
<p style="margin-bottom:0pt;letter-spacing:0in">(1)<span style="xfa-spacerun:yes"> </span><span style="font-weight:normal"> First name<span style="xfa-spacerun:yes"> </span></span><span style="xfa-spacerun:yes">                        </span><span style="font-weight:normal">Last name<span style="xfa-spacerun:yes"> </span></span></p>
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<ui>
<textEdit/>
</ui>
<para lineHeight="11pt" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="3pt" textIndent="0pt" vAlign="bottom"/>
<font baselineShift="0pt" size="7pt" typeface="HelveticaNeueLT Std Cn" weight="bold"/>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
<corner/>
</border>
<assist role="H"/>
<margin bottomInset="0.3528mm"/>
</draw>
<draw h="8.467mm" name="DependentsSSN">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="letter-spacing:0in">(2)<span style="xfa-spacerun:yes"> </span><span style="font-weight:normal">Dependent’s</span></p>
<p style="font-weight:normal;letter-spacing:0in">social security number<span style="xfa-spacerun:yes"> </span></p>
</body>
</exData>
</value>
<ui>
<textEdit/>
</ui>
<para hAlign="center" vAlign="middle"/>
<font size="7pt" typeface="HelveticaNeueLT Std Cn" weight="bold"/>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
</border>
<assist role="H"/>
</draw>
<draw h="8.467mm" name="DependentsRelationship">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="letter-spacing:0in">(3)<span style="font-weight:normal"> Dependent’s<span style="xfa-spacerun:yes"> </span></span><span style="xfa-spacerun:yes"> </span><span style="font-weight:normal">relationship to<span style="xfa-spacerun:yes"> </span></span><span style="xfa-spacerun:yes"> </span><span style="font-weight:normal">you<span style="xfa-spacerun:yes"> </span></span></p>
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<ui>
<textEdit/>
</ui>
<para hAlign="center" vAlign="middle"/>
<font size="7pt" typeface="HelveticaNeueLT Std Cn" weight="bold"/>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<corner/>
</border>
<assist role="H"/>
</draw>
<draw h="8.467mm" name="IfQualifyingChild">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xfa:APIVersion="2.7.0.0">
<p style="text-decoration:none;letter-spacing:0in">(4)<span style="xfa-spacerun:yes">  </span><span style="font-family:'ITC Zapf Dingbats Std';font-weight:normal">✓</span><span style="xfa-spacerun:yes"> </span><span style="font-weight:normal">if child under age 17 qualifying for child tax credit<span style="xfa-spacerun:yes"> </span></span></p>
<p style="font-weight:normal;text-decoration:none;letter-spacing:0in">(see instructions)<span style="xfa-spacerun:yes"> </span></p>
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<ui>
<textEdit/>
</ui>
<para hAlign="center" lineHeight="7pt" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="middle"/>
<font baselineShift="0pt" size="7pt" typeface="HelveticaNeueLT Std Cn" weight="bold"/>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
</border>
<margin leftInset="0.3528mm"/>
<assist role="H">
<speak disable="1">(4) Check if qualifying child for child tax credit (see page 17). </speak>
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<assist role="TH"/>
<?templateDesigner expand 0?>
</subform>
<subform layout="row">
<bind match="none"/>
<field h="4.077mm" name="p1-t20">
<ui>
<textEdit>
<margin/>
</textEdit>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Line 6. c. Dependents: Dependent 1. (1) First name. Last name.</speak>
</assist>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
<corner/>
<fill/>
</border>
<value>
<text maxChars="28"/>
</value>
</field>
<field h="4.077mm" name="p1-t21">
<ui>
<textEdit>
<margin/>
<border hand="right">
<edge presence="hidden"/>
<corner presence="hidden"/>
</border>
<comb numberOfCells="9"/>
</textEdit>
</ui>
<para marginLeft="6pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Line 6. c. Dependent 1. (2) Dependent's Social Security Number. 9 digits.</speak>
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<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<fill/>
</border>
</field>
<field h="4.077mm" name="p1-t24">
<ui>
<textEdit>
<margin/>
</textEdit>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Line 6. c. Dependent 1. (3) Dependent's relationship to you.</speak>
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<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<fill/>
</border>
<margin leftInset="0.7056mm" rightInset="0.7056mm"/>
<value>
<text maxChars="13"/>
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</field>
<field h="4.077mm" name="c1_07">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
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<items>
<text>1</text>
<text>0</text>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
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else {
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MainCalculation();
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</event>
<margin bottomInset="0.7056mm" leftInset="2.8222mm" rightInset="14.1111mm" topInset="0.7056mm"/>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<fill/>
</border>
<assist>
<speak disable="1">Line 6. c. Dependent 1. (4) Check if child under age 17 qualifying for child tax credit (see instructions). </speak>
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<assist role="TR"/>
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<subform layout="row">
<bind match="none"/>
<field h="4.233mm" name="p1-t25">
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<textEdit>
<margin/>
</textEdit>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Line 6. c. Dependent 2. (1).</speak>
</assist>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
<corner/>
<fill/>
</border>
<value>
<text maxChars="28"/>
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</field>
<field h="4.233mm" name="p1-t26">
<ui>
<textEdit>
<margin/>
<border hand="right">
<edge presence="hidden"/>
<corner presence="hidden"/>
</border>
<comb numberOfCells="9"/>
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</ui>
<para marginLeft="6pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
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</font>
<assist>
<speak disable="1">Line 6. c. Dependent 2. (2).</speak>
</assist>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<fill/>
</border>
</field>
<field h="4.233mm" name="p1-t30">
<ui>
<textEdit>
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<para vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
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<color value="0,0,128"/>
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</font>
<assist>
<speak disable="1">Line 6. c. Dependent 2. (3).</speak>
</assist>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<fill/>
</border>
<margin leftInset="0.7056mm" rightInset="0.7056mm"/>
<value>
<text maxChars="13"/>
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</field>
<field h="4.233mm" name="c1_08">
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<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
<fill>
<color value="255, 255, 255"/>
</fill>
</border>
<margin/>
</checkButton>
</ui>
<items>
<text>1</text>
<text>0</text>
</items>
<para vAlign="middle"/>
<event activity="mouseUp">
<script contentType="application/x-javascript">comment();
var fld = this.getField ("c1_01(0)");
if (fld.isBoxChecked(0)) {
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else {
 fld.checkThisBox (0, false);
}
MainCalculation();
</script>
</event>
<margin bottomInset="0.7056mm" leftInset="2.8222mm" rightInset="14.1111mm" topInset="0.7056mm"/>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<fill/>
</border>
<assist>
<speak disable="1">Line 6. c. Dependent 2. (4).</speak>
</assist>
</field>
<?templateDesigner expand 0?>
<assist role="TR"/>
</subform>
<subform layout="row">
<bind match="none"/>
<field h="4.233mm" name="p1-t31">
<ui>
<textEdit>
<margin/>
</textEdit>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Line 6. c. Dependent 3. (1).</speak>
</assist>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
<corner/>
<fill/>
</border>
<value>
<text maxChars="28"/>
</value>
</field>
<field h="4.233mm" name="p1-t32">
<ui>
<textEdit>
<margin/>
<border hand="right">
<edge presence="hidden"/>
<corner presence="hidden"/>
</border>
<comb numberOfCells="9"/>
</textEdit>
</ui>
<para marginLeft="6pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Line 6. c. Dependent 3. (2).</speak>
</assist>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<fill/>
</border>
</field>
<field h="4.233mm" name="p1-t35">
<ui>
<textEdit>
<margin/>
</textEdit>
</ui>
<para vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
</fill>
</font>
<assist>
<speak disable="1">Line 6. c. Dependent 3. (3).</speak>
</assist>
<border>
<edge/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
<fill/>
</border>
<margin leftInset="0.7056mm" rightInset="0.7056mm"/>
<value>
<text maxChars="13"/>
</value>
</field>
<field h="4.233mm" name="c1_09">
<ui>
<checkButton mark="check" size="2.8222mm">
<border>
<?templateDesigner StyleID apcb1?>
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<speak disable="1">Line 6. c. Dependent 4. (1).</speak>
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<ui>
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<speak disable="1">Line 6. c. Dependent 4. (2).</speak>
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<speak disable="1">Line 6. c. Dependent 4. (3).</speak>
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<speak disable="1">Line 6. c. Dependent 4. (4).</speak>
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<draw h="21.166mm" name="IfMoreThanFour" w="0.9in" y="16.934mm">
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<p style="text-decoration:none;letter-spacing:0in">If more than four<span style="xfa-spacerun:yes">  </span>dependents, see<span style="xfa-spacerun:yes">  </span>instructions and check here<span style="xfa-spacerun:yes"> </span><span style="letter-spacing:0em"><span style="xfa-spacerun:yes"> </span></span><span style="vertical-align:1.5pt;font-family:'Universal Std News w Comm Pi';font-size:6pt">▶</span></p>
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<field h="4.233mm" name="c1_01_0_" w="4.233mm" x="17.78mm" y="29.634mm">
<ui>
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<margin/>
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<items>
<text>Yes</text>
<text/>
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<para vAlign="middle"/>
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<speak disable="1">Exemptions. If more than four dependents, see instructions and check here. </speak>
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<edge presence="hidden"/>
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<font size="8pt" typeface="HelveticaNeueLT Std"/>
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<draw minH="4.233mm" name="Line6d" w="2.54mm" x="30.48mm" y="33.867mm">
<value>
<text>d </text>
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<textEdit/>
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<draw h="4.233mm" name="TotalNumberExemptions" w="119.414mm" x="35.56mm" y="33.867mm">
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.701in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Total number of exemptions claimed <span style="xfa-tab-count:1">         </span></p>
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<draw h="6.35mm" name="BoxesChecked" w="21.167mm" x="172.72mm" y="84.666mm">
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<text>Boxes checked on 6a and 6b</text>
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<ui>
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<font size="8pt" typeface="Helvetica LT Std" weight="bold">
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<assist>
<speak disable="1">Line 6d. Total number of exemptions claimed. Boxes checked on 6a and 6b.</speak>
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<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
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<p style="text-decoration:none;letter-spacing:0in">No. of children<span style="xfa-spacerun:yes">  </span>on 6c who:</p>
<p style="font-weight:normal;text-decoration:none;letter-spacing:0in">•<span style="xfa-spacerun:yes"> </span><span style="font-weight:bold">lived with you<span style="xfa-spacerun:yes"> </span></span></p>
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<textEdit hScrollPolicy="off">
<margin/>
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<para hAlign="center" vAlign="bottom"/>
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<speak disable="1">Line 6d. Number of children on 6 c who: Lived with you.</speak>
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<edge presence="hidden"/>
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<p style="letter-spacing:0in">•<span style="xfa-spacerun:yes"> </span><span style="font-weight:bold">did not live with<span style="xfa-spacerun:yes"> </span></span><span style="xfa-spacerun:yes"> </span><span style="font-weight:bold">you due to divorce<span style="xfa-spacerun:yes"> </span></span><span style="xfa-spacerun:yes"> </span><span style="font-weight:bold">or separation</span><span style="xfa-spacerun:yes"> </span></p>
<p style="font-weight:bold;letter-spacing:0in">(see instructions)</p>
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<textEdit hScrollPolicy="off">
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<para hAlign="center" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
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<color value="0,0,128"/>
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<assist>
<speak disable="1">Line 6d. Number of children on 6 c who: Did not live with you due to divorce or separation (see instructions).</speak>
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<edge presence="hidden"/>
<edge/>
<edge presence="hidden"/>
<corner/>
<fill/>
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<value>
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<?renderCache.textRun 18 not entered above 0 0 15443 0 0 0 "HelveticaNeueLT Std" 1 0 6500 ISO-8859-1?>
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<field h="4.234mm" name="p1-t44" w="7.62mm" x="195.58mm" y="110.066mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
</textEdit>
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<font size="8pt" typeface="Helvetica LT Std" weight="bold">
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<assist>
<speak disable="1">Line 6d. Dependents on 6 c not entered above.</speak>
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<edge presence="hidden"/>
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<corner/>
<fill/>
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<draw h="8.466mm" name="AddNumbersAbove" w="21.167mm" x="172.72mm" y="114.3mm">
<value>
<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xfa:APIVersion="2.7.0.0">
<p style="text-decoration:none;letter-spacing:0in">Add numbers on<span style="xfa-spacerun:yes">  </span>lines above<span style="xfa-spacerun:yes">  </span><span style="vertical-align:1pt;font-family:'Universal Std News w Comm Pi';font-size:6pt;font-weight:normal;text-decoration:none">▶</span></p>
</body>
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<textEdit/>
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<para lineHeight="7pt" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="bottom"/>
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<margin bottomInset="1.0583mm"/>
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<field h="6.35mm" name="p1-t45" w="7.62mm" x="195.58mm" y="115.358mm">
<ui>
<textEdit hScrollPolicy="off">
<margin/>
<border>
<edge thickness="0.5292mm"/>
<corner thickness="0.529mm"/>
</border>
</textEdit>
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<para hAlign="center" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
<fill>
<color value="0,0,128"/>
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<assist>
<speak disable="1">Line 6d. Add numbers on lines above.</speak>
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<border>
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<draw h="0mm" name="L37" w="190.5mm" x="12.7mm" y="122.766mm">
<value>
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<subform h="71.403mm" w="22.86mm" x="12.7mm" y="122.766mm">
<draw h="8.467mm" name="Income" w="22.86mm" y="0mm">
<value>
<text>Income </text>
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<ui>
<textEdit/>
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<para vAlign="middle"/>
<font size="12pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<assist role="H2"/>
<traversal>
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<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="letter-spacing:0in">Attach Form(s)<span style="xfa-spacerun:yes">  </span>W-2 here. Also<span style="xfa-spacerun:yes">  </span>attach Forms<span style="xfa-spacerun:yes">  </span>W-2G and<span style="xfa-spacerun:yes">  </span></p>
<p style="letter-spacing:0in">1099-R if tax<span style="xfa-spacerun:yes">  </span>was withheld.<span style="xfa-spacerun:yes"> </span></p>
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<draw h="0.379in" name="IfYouDidNotGet" w="22.86mm" y="38.1mm">
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<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/" xfa:APIVersion="2.7.0.0">
<p style="text-decoration:none;letter-spacing:0in">If you did not<span style="xfa-spacerun:yes"> </span></p>
<p style="text-decoration:none;letter-spacing:0in">get a W-2,<span style="xfa-spacerun:yes">  </span></p>
<p style="text-decoration:none;letter-spacing:0in">see instructions.<span style="xfa-spacerun:yes"> </span></p>
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<draw minH="16.053mm" name="EncloseButNotAttach" w="22.86mm" y="55.034mm">
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<exData contentType="text/html">
<body xmlns="http://www.w3.org/1999/xhtml" xmlns:xfa="http://www.xfa.org/schema/xfa-data/1.0/">
<p style="font-family:HelveticaNeueLT Std;letter-spacing:0in">Enclose, but do<span style="xfa-spacerun:yes">  </span>not attach, any<span style="xfa-spacerun:yes">  </span>payment. Also,<span style="xfa-spacerun:yes">  </span>please use<span style="xfa-spacerun:yes">  </span></p>
<p style="font-family:HelveticaNeueLT Std;font-weight:bold;letter-spacing:0in">Form 1040-V.<span style="xfa-spacerun:yes"> </span></p>
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<para vAlign="middle"/>
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<?templateDesigner expand 1?>
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<draw minH="4.233mm" name="Line7" w="5.08mm" x="38.1mm" y="122.766mm">
<value>
<text>7 </text>
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<ui>
<textEdit/>
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<para hAlign="right" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
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<draw minH="4.233mm" name="WagesSalariesTips" w="111.863mm" x="48.26mm" y="122.766mm">
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.404in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Wages, salaries, tips, etc. Attach Form(s) W-2 <span style="xfa-tab-count:1">         </span></p>
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<font size="8pt" typeface="HelveticaNeueLT Std"/>
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<draw minH="4.233mm" name="Ln7" w="7.62mm" x="162.56mm" y="122.766mm">
<value>
<text>7 </text>
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<ui>
<textEdit/>
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<para hAlign="center" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
<border>
<edge presence="hidden"/>
<edge presence="hidden"/>
<edge/>
<edge/>
<corner/>
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<assist>
<speak disable="1"> </speak>
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</draw>
<field h="4.233mm" name="p1-t46" w="25.4mm" x="170.18mm" y="122.766mm">
<ui>
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<para hAlign="right" marginRight="2pt" vAlign="bottom"/>
<font size="8pt" typeface="Helvetica LT Std" weight="bold">
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<color value="0,0,128"/>
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<speak disable="1">Income. 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. Enclose, but do not attach, any payment. Also, please use Form 1040-V. Line 7. Wages, salaries, tips, etcetera. Attach Form(s) W-2. Dollars.</speak>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 2.805in;text-decoration:none;letter-spacing:0in">Qualified dividends <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.404in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Business income or (loss). Attach Schedule C or C-EZ <span style="xfa-tab-count:1">         </span></p>
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<assist>
<speak disable="1">Line 12. Business income or (loss). Attach Schedule C or C-E Z. Dollars.</speak>
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<speak disable="1">Line 12. Cents.</speak>
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<p style="letter-spacing:0in">Capital gain or (loss). Attach Schedule D if required. If not required, check here<span style="xfa-spacerun:yes">  </span><span style="vertical-align:1.5pt;font-family:'Universal Std News w Comm Pi';font-size:6pt">▶</span></p>
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<speak disable="1">Line 13. Capital gain or (loss). Attach Schedule D if required. If not required, check here.</speak>
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<speak disable="1">Line 13. Cents.</speak>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.404in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Other gains or (losses). Attach Form 4797 <span style="xfa-tab-count:1">         </span></p>
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<assist>
<speak disable="1">Line 14. Other gains or (losses). Attach Form 4797. Dollars.</speak>
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<assist>
<speak disable="1">Line 14. Cents.</speak>
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<value>
<text>15 </text>
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<textEdit/>
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<draw minH="4.233mm" name="Line15a" w="2.54mm" x="43.18mm" y="165.1mm">
<value>
<text>a</text>
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<textEdit/>
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<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
</draw>
<draw minH="4.233mm" name="IRADistributions" w="27.966mm" x="48.26mm" y="165.1mm">
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 1.101in;font-family:HelveticaNeueLT Std;letter-spacing:0in">IRA distributions <span style="xfa-tab-count:1">         </span></p>
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<assist>
<speak disable="1">Line 15. a. I R A distributions. Dollars.</speak>
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<assist>
<speak disable="1">Line 15. a. Cents.</speak>
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<edge/>
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<corner/>
<fill/>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 1.505in;text-decoration:none;letter-spacing:0in">b<span style="xfa-spacerun:yes">  </span><span style="xfa-font-horizontal-scale:92%;font-weight:normal">Taxable amount <span style="xfa-tab-count:1">         </span></span></p>
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<assist>
<speak disable="1">Line 15. b. Taxable amount. Dollars.</speak>
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<edge/>
<edge/>
<corner/>
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<assist>
<speak disable="1">Line 15. b. Cents.</speak>
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<border>
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<edge presence="hidden"/>
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<edge/>
<corner/>
<fill/>
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<draw minH="4.233mm" name="Line16a" w="2.54mm" x="43.18mm" y="169.333mm">
<value>
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<p style="font-family:HelveticaNeueLT Std;letter-spacing:0in">Pensions and annuities<span style="xfa-spacerun:yes"> </span></p>
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<speak disable="1">Line 16. a. Pensions and annuities. Dollars.</speak>
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<speak disable="1">Line 16. a. Cents.</speak>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 1.505in;text-decoration:none;letter-spacing:0in">b<span style="xfa-spacerun:yes">  </span><span style="xfa-font-horizontal-scale:92%;font-weight:normal">Taxable amount <span style="xfa-tab-count:1">         </span></span></p>
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<assist>
<speak disable="1">Line 16. b. Taxable amount. Dollars.</speak>
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<value>
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<assist>
<speak disable="1">Line 16. b. Cents.</speak>
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<para hAlign="right" vAlign="bottom"/>
<font size="8pt" typeface="HelveticaNeueLT Std" weight="bold"/>
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<p style="font-family:HelveticaNeueLT Std;letter-spacing:0in">Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E<span style="xfa-spacerun:yes"> </span></p>
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<para hAlign="justify" lineHeight="11pt" marginLeft="0pt" marginRight="0pt" spaceAbove="0pt" spaceBelow="0pt" textIndent="0pt" vAlign="bottom"/>
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<text>17 </text>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.404in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Farm income or (loss). Attach Schedule F <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.404in;letter-spacing:0in">Unemployment compensation<span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 1.505in;text-decoration:none;letter-spacing:0in">b<span style="xfa-spacerun:yes">  </span><span style="xfa-font-horizontal-scale:92%;font-weight:normal">Taxable amount <span style="xfa-tab-count:1">         </span></span></p>
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<p style="letter-spacing:0in">Combine the amounts in the far right column for lines 7 through 21. This is your<span style="xfa-spacerun:yes"> </span><span style="font-weight:bold">total income<span style="xfa-spacerun:yes"> </span></span><span style="xfa-spacerun:yes"> </span><span style="vertical-align:1.5pt;font-family:'Universal Std News w Comm Pi';font-size:6pt">▶</span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 2.805in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Health savings account deduction. Attach Form 8889 <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 2.805in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Moving expenses. Attach Form 3903 <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 2.805in;letter-spacing:0in">Deductible part of self-employment tax. Attach Schedule SE <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 2.805in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Self-employed SEP, SIMPLE, and qualified plans <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 2.798in;text-decoration:none;letter-spacing:0in">Self-employed health insurance deduction <span style="xfa-tab-count:1">         </span></p>
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<p style="font-size:8pt;letter-spacing:0in">b<span style="xfa-spacerun:yes">  </span><span style="font-weight:normal">Recipient’s SSN<span style="xfa-spacerun:yes"> </span></span><span style="font-size:7pt"><span style="xfa-spacerun:yes"> </span></span><span style="vertical-align:1.5pt;font-family:'Universal Std News w Comm Pi';font-size:6pt;font-weight:normal">▶</span></p>
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<p style="letter-spacing:0in">If your spouse itemizes on a separate return or you were a dual-status alien,<span style="xfa-spacerun:yes">  </span>check here<span style="font-size:6pt;letter-spacing:0em"><span style="xfa-spacerun:yes"> </span></span><span style="vertical-align:1.5pt;font-family:'Universal Std News w Comm Pi';font-size:6pt">▶</span></p>
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<p style="text-decoration:none;letter-spacing:0in">Standard<span style="xfa-spacerun:yes">  </span>Deduction<span style="xfa-spacerun:yes">  </span>for—</p>
<p style="margin-top:3pt;font-weight:normal;text-decoration:none;letter-spacing:0in">• People who<span style="xfa-spacerun:yes">  </span>check any<span style="xfa-spacerun:yes">  </span>box on line<span style="xfa-spacerun:yes">  </span>39a or 39b<span style="xfa-spacerun:yes"> </span><span style="font-weight:bold">or<span style="xfa-spacerun:yes"> </span></span>who<span style="xfa-spacerun:yes">  </span>can be claimed as a<span style="xfa-spacerun:yes">  </span>dependent,<span style="xfa-spacerun:yes">  </span>see instructions.</p>
<p style="margin-top:3pt;font-weight:normal;text-decoration:none;letter-spacing:0in">• All others:</p>
<p style="margin-top:3pt;font-weight:normal;text-decoration:none;letter-spacing:0in">Single or<span style="xfa-spacerun:yes">  </span>Married filing<span style="xfa-spacerun:yes">  </span>separately,<span style="xfa-spacerun:yes">  </span>$5,950</p>
<p style="margin-top:3pt;font-weight:normal;text-decoration:none;letter-spacing:0in">Married filing<span style="xfa-spacerun:yes">  </span>jointly or<span style="xfa-spacerun:yes">  </span>Qualifying<span style="xfa-spacerun:yes">  </span>widow(er),<span style="xfa-spacerun:yes">  </span>$11,900<span style="xfa-spacerun:yes"> </span></p>
<p style="margin-top:3pt;font-weight:normal;text-decoration:none;letter-spacing:0in">Head of<span style="xfa-spacerun:yes">  </span>household,<span style="xfa-spacerun:yes">  </span>$8,700<span style="xfa-spacerun:yes"> </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.696in;text-decoration:none;letter-spacing:0in">Subtract line 40 from line 38 <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:left leader (dots page 12pt) 4.696in;font-weight:bold;letter-spacing:0in">Exemptions.<span style="font-weight:normal"> Multiply $3,800 by the number on line 6d<span style="xfa-tab-count:1">         </span></span></p>
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<p style="text-decoration:none;letter-spacing:0in">Tax<span style="xfa-spacerun:yes">  </span><span style="font-weight:normal">(see instructions). Check if any from:<span style="xfa-spacerun:yes"> </span></span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 0.654in;text-decoration:none;letter-spacing:0in">962 election</p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.581in;letter-spacing:0in">Add lines 44 and 45 <span style="xfa-tab-count:1">         </span><span style="xfa-spacerun:yes"> </span><span style="vertical-align:1.5pt;font-family:'Universal Std News w Comm Pi';font-size:6pt">▶</span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 3.094in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Foreign tax credit. Attach Form 1116 if required <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 3.094in;letter-spacing:0in">Education credits from Form 8863, line 19 <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 3.094in;font-family:HelveticaNeueLT Std;letter-spacing:0in">Retirement savings contributions credit. Attach Form 8880</p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 3.096in;xfa-font-horizontal-scale:103%;letter-spacing:0in">Child tax credit. Attach Schedule 8812, if required<span style="xfa-font-horizontal-scale:105%"><span style="xfa-tab-count:1">         </span></span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 2.959in;text-decoration:none;letter-spacing:0in">Residential energy credit. Attach Form 5695<span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:left leader (dots page 12pt) 4.703in;letter-spacing:0in">Household employment taxes from Schedule H <span style="xfa-tab-count:1">         </span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 3.104in;letter-spacing:0in">American opportunity credit from Form 8863, line 8 <span style="xfa-tab-count:1">         </span></p>
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<p style="xfa-font-horizontal-scale:94%;letter-spacing:0in">Amount of line 73 you want<span style="xfa-spacerun:yes"> </span><span style="font-weight:bold">applied to your 2013 estimated tax</span><span style="xfa-font-horizontal-scale:100%"><span style="xfa-spacerun:yes"> </span></span><span style="vertical-align:1.5pt;font-family:'Universal Std News w Comm Pi';font-size:6pt;xfa-font-horizontal-scale:100%">▶</span></p>
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<p style="tab-interval:0.5in;xfa-tab-stops:after leader (dots page 12pt) 4.511in;letter-spacing:0in">Amount you owe.<span style="font-weight:normal"> Subtract line 72 from line 61. For details on how to pay, see instructions<span style="xfa-spacerun:yes">   </span></span><span style="xfa-spacerun:yes"> </span><span style="vertical-align:1.5pt;font-family:'Universal Std News w Comm Pi';font-size:6pt;font-weight:normal">▶</span></p>
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<p1-t82>#20b</p1-t82>
<p1-t83>b20</p1-t83>
<p1-t84>otherIncomeType</p1-t84>
<p1-t85>#21</p1-t85>
<p1-t86>.21</p1-t86>
<p1-t87>#22</p1-t87>
<p1-t88>.22</p1-t88>
<p1-t89/>
<p1-t90/>
<p1-t91>#24</p1-t91>
<p1-t92>.24</p1-t92>
<p1-t93>#25</p1-t93>
<p1-t94>.25</p1-t94>
<p1-t95>#26</p1-t95>
<p1-t96>.26</p1-t96>
<p1-t97>#27</p1-t97>
<p1-t98>.27</p1-t98>
<p1-t99>#28</p1-t99>
<p1-t100>.28</p1-t100>
<p1-t101>#29</p1-t101>
<p1-t102>.29</p1-t102>
<p1-t103>#30</p1-t103>
<p1-t104>.30</p1-t104>
<p1-t105>alimonyss</p1-t105>
<p1-t108>#31</p1-t108>
<p1-t109>.31</p1-t109>
<p1-t110>#32</p1-t110>
<p1-t111>.32</p1-t111>
<p1-t112>#33</p1-t112>
<p1-t113>.33</p1-t113>
<p1-t114/>
<p1-t115/>
<p1-t116>#35</p1-t116>
<p1-t117>.35</p1-t117>
<p1-t118>#36</p1-t118>
<p1-t119>.36</p1-t119>
<p1-t120>#37</p1-t120>
<p1-t121>.37</p1-t121>
<p2-t1>#38</p2-t1>
<p2-t2>.38</p2-t2>
<c2_01>Yes</c2_01>
<c2_03/>
<c2_04/>
<c2_05/>
<p2-t3>39a</p2-t3>
<c2_06>Yes</c2_06>
<p2-t4>#40</p2-t4>
<p2-t5>.40</p2-t5>
<p2-t6>#41</p2-t6>
<p2-t7>.41</p2-t7>
<p2-t8>#42</p2-t8>
<p2-t9>.42</p2-t9>
<p2-t10>#43</p2-t10>
<p2-t11>.43</p2-t11>
<c2_08>Yes</c2_08>
<c2_09/>
<c2_10/>
<p2-t12>#44</p2-t12>
<p2-t13>.44</p2-t13>
<p2-t14>#45</p2-t14>
<p2-t15>.45</p2-t15>
<p2-t16>#46</p2-t16>
<p2-t17>.46</p2-t17>
<p2-t18>#47</p2-t18>
<p2-t19>.47</p2-t19>
<p2-t20>#48</p2-t20>
<p2-t21>.48</p2-t21>
<p2-t24>#49</p2-t24>
<p2-t25>.49</p2-t25>
<p2-t26>#50</p2-t26>
<p2-t27>.50</p2-t27>
<p2-t28>#51</p2-t28>
<p2-t29>.51</p2-t29>
<p2-t30>#52</p2-t30>
<p2-t31>.52</p2-t31>
<c2_13>Yes</c2_13>
<c2_14>Yes</c2_14>
<c2_15>Yes</c2_15>
<p2-t34>?53</p2-t34>
<p2-t32>#53</p2-t32>
<p2-t33>.53</p2-t33>
<p2-t37>#54</p2-t37>
<p2-t38>.54</p2-t38>
<p2-t39>#55</p2-t39>
<p2-t40>.55</p2-t40>
<p2-t41>#56</p2-t41>
<p2-t42>.56</p2-t42>
<c2_16>1</c2_16>
<c2_17>1</c2_17>
<p2-t43>#57</p2-t43>
<p2-t44>.57</p2-t44>
<p2-t45>#58</p2-t45>
<p2-t46>.58</p2-t46>
<p2-t45>#59a</p2-t45>
<p2-t46>a59</p2-t46>
<p2-t45>#59b</p2-t45>
<p2-t46>b59</p2-t46>
<p1-t84>lin60:OtherTaxes</p1-t84>
<p2-t47>#60</p2-t47>
<p2-t48>.60</p2-t48>
<p2-t49>#61</p2-t49>
<p2-t50>.61</p2-t50>
<p2-t53>#62</p2-t53>
<p2-t54>.62</p2-t54>
<p2-t55>#63</p2-t55>
<p2-t56>.63</p2-t56>
<p2-t57>#64a</p2-t57>
<p2-t58>a64</p2-t58>
<p2-t59>#64b</p2-t59>
<p2-t60>b64</p2-t60>
<p2-t61>#65</p2-t61>
<p2-t62>.65</p2-t62>
<p2-t63>#66</p2-t63>
<p2-t64>.66</p2-t64>
<p2-t65/>
<p2-t66/>
<p2-t67>#68</p2-t67>
<p2-t68>.68</p2-t68>
<p2-t69>#69</p2-t69>
<p2-t70>.69</p2-t70>
<p2-t69>#70</p2-t69>
<p2-t70>.70</p2-t70>
<c2_20>1</c2_20>
<c2_21/>
<c2_22>1</c2_22>
<c2_23>1</c2_23>
<p2-t71>#71</p2-t71>
<p2-t72>.71</p2-t72>
<p2-t73>#72</p2-t73>
<p2-t74>.72</p2-t74>
<p2-t75>#73</p2-t75>
<p2-t76>.73</p2-t76>
<c2_24>1</c2_24>
<p2-t77>#74a</p2-t77>
<p2-t78>a74</p2-t78>
<RoutingNoRules>
<f1_040_0_>routeNumb</f1_040_0_>
</RoutingNoRules>
<c2_25/>
<c2_26/>
<Accountnumber>
<f1_040_0_>accountNumber0000</f1_040_0_>
</Accountnumber>
<p2-t105>#75</p2-t105>
<p2-t106>.75</p2-t106>
<p2-t107>#76</p2-t107>
<p2-t108>.76</p2-t108>
<p2-t109>#77</p2-t109>
<p2-t110>.77</p2-t110>
<p2-t111>NoOne</p2-t111>
<p2-t113>000-000-0000</p2-t113>
<p2-t114>pinNo</p2-t114>
<p2-t119>YourOccupation</p2-t119>
<p2-t121>DaytimePhoneNumber</p2-t121>
<p2-t122>SpouseOccupation</p2-t122>
<f2_130>MyPinN</f2_130>
<p2-t130>PreparerName</p2-t130>
<c1_01_0_>Yes</c1_01_0_>
<p2-t123>PreparePTIN</p2-t123>
<p2-t125>PreparerFirm</p2-t125>
<p2-t124>PreparerAddress</p2-t124>
<p2-t127>PrepareEIN</p2-t127>
<p2-t129>PreparerPhoneNumber</p2-t129>
<c1_04>S</c1_04>
<c2_27>Yes</c2_27>
</topmostSubform>
</xfa:data>
</xfa:datasets>
</XfaToXml_datasets>
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