Enter the data as given, on the sample Form 1040EZ below. (Do not enter dollar signs or commas.)
Enter a social security number. It is 039-29-7319.
Enter 000-00-0000 for Spouse's Social Security Number
On line 1 enter $5,000.00
On line 2 enter $50.00.
On line 4 enter the total of line 1 plus line 2.
On line 5 put an "x" at yes and enter one zero.
On line 6 enter the total from line 4
On line 7 enter $757.50
On line 10 enter $5,050 * 0.15 = 757.5
On line 11a enter line 7 minus line 10.
On line 12 enter line 7 minus line 10.
Type "John" in the signature box. (Your name would normally go here.)