Form 1040 U.S. Individual Income Tax Return 2006. Summary: This is an example of a Form 1040 (2006) with items included as described in the text. Additionally, these line items are completed:

“DECEASED” and “John R. Smith--April 9, 2006” are written across the top of the form.

Under “Label”:

“Your first name and initial” field contains John R.

“Last name” field contains Smith

“Your social security number” field contains 234-00-7890

“If a joint return, spouse's first name and initial” field contains Mary L.

“Last name” field contains Smith

“Spouse's social security number” field contains 567-00-0123

“Home address (number and street). If you have a P.O. box, see page 19.” field contains 6406 Mayflower Street

“City, town or post office, state, and ZIP code. If you have a foreign address, see page 19.” field contains Juneville, Maine 00000

Under “Presidential Election Campaign”:

“Do you, or your spouse if filing a joint return, want $3 to go this fund?”

“You Yes” checkbox checked

“Spouse Yes” checkbox checked

Under “Filing Status”:

“2. Married filing jointly (even if only one had income)” checkbox checked

Under “Exemptions”:

“6a. Yourself. If your parent (or someone else) can claim you as a dependent on his or her tax return, do not check box 6a” checkbox checked

“6b. Spouse” checkbox checked

“Number of boxes checked on 6a and 6b” field contains 2

“d. Total number of exemptions claimed. Add numbers on lines above” field contains 2

Under “Income”:

“7. Wages, salaries, tips, etc. Attach Form(s) W-2” field contains 11,000

“8a. Taxable interest. Attach Schedule B if required” field contains 3,140

“17. Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E” field contains 8,183

“22. Add the amounts in the far right column for lines 7 through 21. This is your total income.” field contains 22,323

“37. Subtract line 36 from line 22. This is your adjusted gross income” field contains 22,323