| | 
         
             
               
               Form 2210 (2005) Page 4. Summary: This is an example of Form 2210 (2005), page 4, for Figure 4-C, Annualized Income Installment Method—Illustrated
                  (Betty Beige).
                  The completed line items are:
                
                  
                     | Under
                        “Part I: Annualized Income Installments”: |  
                     | 
                           
                              | “1. Enter your adjusted gross income for each period (see instructions). (Estates and trusts, enter your taxable income without
                                    your exemption
                                    for each period.)” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 5,250 |  
                                       | “(b) 1/1/05-5/31/05” field contains 13,025 |  
                                       | “(c) 1/1/05-8/31/05” field contains 21,993 |  
                                       | “(d) 1/1/05-12/31/05” field contains 36,427 |  |  
                              | “3. Annualized income. Multiply line 1 by line 2” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 21,000 |  
                                       | “(b) 1/1/05-5/31/05” field contains 31,260 |  
                                       | “(c) 1/1/05-8/31/05” field contains 32,990 |  
                                       | “(d) 1/1/05-12/31/05” field contains 36,427 |  |  
                              | “4. Enter your itemized deductions for the period shown in each column. If you do not itemize, enter 0 and skip to line 7.
                                    (Estates and trusts,
                                    enter 0, skip to line 9, and enter the amount from line 3 on line 9.)” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 1,500 |  
                                       | “(b) 1/1/05-5/31/05” field contains 2,500 |  
                                       | “(c) 1/1/05-8/31/05” field contains 4,000 |  
                                       | “(d) 1/1/05-12/31/05” field contains 6,000 |  |  
                              | “6. Multiply line 4 by line 5 (see instructions if line 3 is more than $72,975)” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 6,000 |  
                                       | “(b) 1/1/05-5/31/05” field contains 6,000 |  
                                       | “(c) 1/1/05-8/31/05” field contains 6,000 |  
                                       | “(d) 1/1/05-12/31/05” field contains 6,000 |  |  
                              | “7. In each column, enter the full amount of your standard deduction from Form 1040, line 40, or Form 1040A, line 24, (Form
                                    1040N.R. or
                                    1040N.R.-E.Z. filers, enter 0. Exception: Indian students and business apprentices, enter standard deduction from Form 1040N.R.,
                                    line 37, or Form
                                    1040N.R.-E.Z., line 11.)” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 5,000 |  
                                       | “(b) 1/1/05-5/31/05” field contains 5,000 |  
                                       | “(c) 1/1/05-8/31/05” field contains 5,000 |  
                                       | “(d) 1/1/05-12/31/05” field contains 5,000 |  |  
                              | “8. Enter the larger of line 6 or line 7” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 6,000 |  
                                       | “(b) 1/1/05-5/31/05” field contains 6,000 |  
                                       | “(c) 1/1/05-8/31/05” field contains 6,000 |  
                                       | “(d) 1/1/05-12/31/05” field contains 6,000 |  |  
                              | “9. Subtract line 8 from line 3” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 15,000 |  
                                       | “(b) 1/1/05-5/31/05” field contains 25,260 |  
                                       | “(c) 1/1/05-8/31/05” field contains 26,990 |  
                                       | “(d) 1/1/05-12/31/05” field contains 30,427 |  |  
                              | “10. In each column, multiply $3,200 by the total number of exemptions claimed (see instructions if line 3 is more than $109,475).
                                    (Estates and
                                    trusts and Form 1040N.R. or 1040N.R.-E.Z. filers, enter the exemption amount shown on your tax return.)” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 3,200 |  
                                       | “(b) 1/1/05-5/31/05” field contains 3,200 |  
                                       | “(c) 1/1/05-8/31/05” field contains 3,200 |  
                                       | “(d) 1/1/05-12/31/05” field contains 3,200 |  |  
                              | “11. Subtract line 10 from line 9” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 11,800 |  
                                       | “(b) 1/1/05-5/31/05” field contains 22,060 |  
                                       | “(c) 1/1/05-8/31/05” field contains 23,790 |  
                                       | “(d) 1/1/05-12/31/05” field contains 27,227 |  |  
                              | “12. Figure your tax on the amount on line 11 (see instructions)” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 1,409 |  
                                       | “(b) 1/1/05-5/31/05” field contains 2,946 |  
                                       | “(c) 1/1/05-8/31/05” field contains 3,201 |  
                                       | “(d) 1/1/05-12/31/05” field contains 3,719 |  |  
                              | “13. Self-employment tax from line 34 below (complete Part II)” |  
                              | 
                                    
                                       | “(b) 1/1/05-5/31/05” field contains 1,560 |  
                                       | “(c) 1/1/05-8/31/05” field contains 1,822 |  
                                       | “(d) 1/1/05-12/31/05” field contains 2,346 |  |  
                              | “15. Total tax. Add lines 12, 13, and 14” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 1,409 |  
                                       | “(b) 1/1/05-5/31/05” field contains 4,506 |  
                                       | “(c) 1/1/05-8/31/05” field contains 5,023 |  
                                       | “(d) 1/1/05-12/31/05” field contains 6,065 |  |  
                              | “17. Subtract line 16 from line 15. If zero or less, enter 0” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 1,409 |  
                                       | “(b) 1/1/05-5/31/05” field contains 4,506 |  
                                       | “(c) 1/1/05-8/31/05” field contains 5,023 |  
                                       | “(d) 1/1/05-12/31/05” field contains 6,065 |  |  
                              | “19. Multiply line 17 by line 18” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 317 |  
                                       | “(b) 1/1/05-5/31/05” field contains 2,028 |  
                                       | “(c) 1/1/05-8/31/05” field contains 3,391 |  
                                       | “(d) 1/1/05-12/31/05” field contains 5,459 |  |  
                              | “20. Add the amounts in all previous columns of line 25” |  
                              | 
                                    
                                       | “(b) 1/1/05-5/31/05” field contains 317 |  
                                       | “(c) 1/1/05-8/31/05” field contains 2,028 |  
                                       | “(d) 1/1/05-12/31/05” field contains 3,391 |  |  
                              | “21. Subtract line 20 from line 19. If zero or less, enter 0” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 317 |  
                                       | “(b) 1/1/05-5/31/05” field contains 1,711 |  
                                       | “(c) 1/1/05-8/31/05” field contains 1,363 |  
                                       | “(d) 1/1/05-12/31/05” field contains 2,068 |  |  
                              | “22. Enter 25% (.25) of line 9 on page 1 of Form 2210 in each column” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 1,370 |  
                                       | “(b) 1/1/05-5/31/05” field contains 1,370 |  
                                       | “(c) 1/1/05-8/31/05” field contains 1,370 |  
                                       | “(d) 1/1/05-12/31/05” field contains 1,370 |  |  
                              | “23. Subtract line 25 of the previous column from line 24 of that column” |  
                              | 
                                    
                                       | “(b) 1/1/05-5/31/05” field contains 1,053 |  
                                       | “(c) 1/1/05-8/31/05” field contains 712 |  
                                       | “(d) 1/1/05-12/31/05” field contains 719 |  |  
                              | “24. Add lines 22 and 23” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 1,370 |  
                                       | “(b) 1/1/05-5/31/05” field contains 2,423 |  
                                       | “(c) 1/1/05-8/31/05” field contains 2,082 |  
                                       | “(d) 1/1/05-12/31/05” field contains 2,089 |  |  
                              | “25. Enter the smaller of line 21 or line 24 here and on Form 2210, line 18” |  
                              | 
                                    
                                       | “(a) 1/1/05-3/31/05” field contains 317 |  
                                       | “(b) 1/1/05-5/31/05” field contains 1,711 |  
                                       | “(c) 1/1/05-8/31/05” field contains 1,363 |  
                                       | “(d) 1/1/05-12/31/05” field contains 2,068 |  |  |  
                     | Under
                        “Part II: Annualized Self-Employment Tax”: |  
                     | 
                           
                              | “26. Net earnings from self-employment for the period (see instructions)” |  
                              | 
                                    
                                       | “(b) 1/1/05-5/31/05” field contains 4,248 |  
                                       | “(c) 1/1/05-8/31/05” field contains 7,942 |  
                                       | “(d) 1/1/05-12/31/05” field contains 15,330 |  |  
                              | “28. Enter actual wages for the period subject to social security tax or the 6.2% portion of the 7.65% railroad retirement
                                    (tier 1)
                                    tax” |  
                              | 
                                    
                                       | “(b) 1/1/05-5/31/05” field contains 8,750 |  
                                       | “(c) 1/1/05-8/31/05” field contains 14,000 |  
                                       | “(d) 1/1/05-12/31/05” field contains 21,000 |  |  
                              | “29. Subtract line 28 from line 27. If zero or less, enter 0” |  
                              | 
                                    
                                       | “(b) 1/1/05-5/31/05” field contains 28,750 |  
                                       | “(c) 1/1/05-8/31/05” field contains 46,000 |  
                                       | “(d) 1/1/05-12/31/05” field contains 69,000 |  |  
                              | “31. Multiply line 30 by the smaller of line 26 or line 29” |  
                              | 
                                    
                                       | “(b) 1/1/05-5/31/05” field contains 1,264 |  
                                       | “(c) 1/1/05-8/31/05” field contains 1,477 |  
                                       | “(d) 1/1/05-12/31/05” field contains 1,901 |  |  
                              | “33. Multiply line 26 by line 32” |  
                              | 
                                    
                                       | “(b) 1/1/05-5/31/05” field contains 296 |  
                                       | “(c) 1/1/05-8/31/05” field contains 345 |  
                                       | “(d) 1/1/05-12/31/05” field contains 445 |  |  
                              | “34. Add lines 31 and 33. Enter the result here and on line 13 above” |  
                              | 
                                    
                                       | “(b) 1/1/05-5/31/05” field contains 1,560 |  
                                       | “(c) 1/1/05-8/31/05” field contains 1,822 |  
                                       | “(d) 1/1/05-12/31/05” field contains
                                          2,346 |  |  |  | 
 |