Form 1040 U.S. Individual Income Tax Return 2005. Summary: This is an example of a Form 1040 (2005) with items included as described in the text. Additionally, these line items
                  are
                  completed:
               
               
                  
                     | “DECEASED” and
                        “John R. Smith--April 9, 2005” 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”: | 
                  
                     | 
                           
                              | “22. Add the amounts in the far right column for lines 7 through 21. This is your total income.” field contains
                                 22,323 |  |