Form
Form 1040 Overlay (Front)
1040
Align overlay with line item boxes. Please print your Form 1040 at 100% when using the PDF format.
2015
(99)
Department of the Treasury—Internal Revenue Service
U.S. Individual Income Tax Return
For the year Jan. 1–Dec. 31, 2015, or other tax year beginning
Your first name and initial
OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.
, 2015, ending
See separate instructions.
, 20
Your social security number
Last name
If a joint return, spouse’s first name and initial
Three
easy steps to reduce your tax Last
billname
Spouse’s social security number
1.Place the overlay on your completed tax return, lining up the boxes with the corresponding area on your Form 1040.
Apt. no.
Home address (number and street). If you have a P.O. box, see instructions.
c Make sure the SSN(s) above
2.Follow the boxes below to see how you may be able to reduce your tax bill.
and on line 6c are correct.
3.City,
Talk
to
your
financial
and
tax
advisors
to
see
which
suggestions
might
be
right
for
you.
town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).
Presidential Election Campaign
Check here if you, or your spouse if filing
jointly, want $3 to go to this fund. Checking
Foreign postal code
a box below will not change your tax or
refund.
You
Spouse
Note: Withdrawals from retirement plans prior to age 59½ may be subject to tax penalties.
Foreign country name
Filing Status
Check only one
box.
Foreign province/state/county
1
2
3
4
Single
Married filing jointly (even if only one had income)
Married filing separately. Enter spouse’s SSN above
and full name here. a
the qualifying person is a child but not your dependent, enter this
child’s name here. a
5
Are you saving for educational expenses?
Exemptions
Dependents
6a
b
c
Head of household (with qualifying person). (See instructions.) If
Qualifying widow(er) with dependent child
Yourself. If someone can claim you as a dependent, do not check box 6a . . . . .
Spouse
. . . . . . . . . . . . . . . . . . . . . . . .
(4) if child under age 17
(2) Dependent’s
(3) Dependent’s
Dependents:
(1) First name
Last name
social security number
If more than four
dependents, see
Tax-Exempt
Equivalent Yields for Various Tax Brackets
instructions and
check here a
Taxable Income
Tax-Exempt Yield of
d Total number
claimed
. .
Single
Joint of exemptions
3%
5%
7%
qualifying for child tax credit
relationship to you
Dependents on 6c
Certain individuals may be subject to the alternative
not enteredminimum
above
tax (AMT).
.
.
.
.
.
.
.
.
.
.
.
.
.
is equivalent to a taxable yield of:
7
Wages, salaries, tips,
etc. Attach Form(s) W-2
. . . . . . . . . . . .
– 18,450 interest. Attach
3.33%Schedule
5.56% B if 7.78%
8a $0Taxable
required . . . . . . . . . . . .
15%
$9,226 – 37,450
– 74,900 interest.
3.53
8.24
b $18,451
Tax-exempt
Do not5.88
include on
line 8a . . .
8b
Attach
Form(s)
25%
$37,451
– 90,750 9a $74,901
– 151,200
6.67
Ordinary
dividends. 4.00
Attach Schedule
B9.33
if required . . . . . . . . . . .
W-2 here.
Also
28%
$90,751
– 189,300
– 230,450
b $151,201
Qualified
dividends 4.17
. . 6.94
. . . 9.72
. . . . . .
9b
attach Forms
33%
$189,301 – 411,500
$230,451 – 411,500
4.48
7.46
10.45
10
Taxable refunds, credits, or offsets of state and local income taxes . . . . . .
W-2G and
35%
$411,501
– 464,850
4.62
7.69
10.77
1099-R
if tax – 413,20011 $411,501
Alimony received . . . . . . . . . . . . . . . . . . . . .
was withheld.
39.6%
$413,201 or more
$464,850 or more
4.97
8.28
11.59
12
Business income or (loss). Attach Schedule C or C-EZ
. . that
. . may
. be
. eligible
. . . .
Dividends
This table represents 2015
rates.
It doesAttach
not show
the taxable
13 marginal
Capitaltax
gain
or (loss).
Schedule
D if required.for
If not
required,
check
here
capital gain rates are a
equivalent
who are subject to federal AMT.
If you didyields
not for individuals
14
Other gains or (losses). Attach Form 4797 . . . reported
. . . in. box
. 1b
. of
. Form
. . . .
get a W-2,
1
1099-DIV.
15
a
IRA
distributions
.
15a
b
Taxable
amount
. . .
15a
Consider
converting to a Roth IRA if
see instructions.
Pensions
and
annuities
16a
b
Taxable
amount
. . .
16
a
you’re using a traditional IRA as an
If current interest rates are
income source. The converted
amount
17
Rental
real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E
lower than those on your
will be taxable, but future
18 distributions
Farm income or (loss). Attach Schedule F . . . rental
. . properties,
. . . . consider
. . . . .
will be tax free.
19
Unemployment compensation . . . . . . refinancing.
. . . . . . . . . . .
b Taxable amount
. . .
20a Social security benefits 20a
21
Other
income.
List
type
and
amount
Defer taxes on eligible distributions, including governmental
22by rolling
Combine
in the far
right column for lines 7 through 21. This is your total income a
457 plan distributions,
to the
an amounts
IRA or other
eligible
Income
$0 – 9,225
.
.
.
.
.
.
.
.
7
8a
9a
10
11
12
13
14
15b
16b
17
18
19
20b
21
22
23
Certain business expenses of reservists, performing artists, and
Gross
fee-basis government officials. Attach Form 2106 or 2106-EZ
Contributions
health savings account may
Income to a qualified
25
Health savings account deduction. Attach Form 8889
be deductible depending on your health insurance plan.
26
Moving
expenses.deduction.
Attach Form 3903 .
Use Form 8889 to calculate
your allowable
.
.
. . . .
27
Deductible part of self-employment tax. Attach Schedule SE .
If you’re self-employed,
you make contributions
to an
28 did Self-employed
SEP, SIMPLE,
and qualified plans
. .
employer-sponsored plan
your behalf?health insurance deduction . . . .
29 on
Self-employed
30
Penalty on early withdrawal of savings . . . . . .
IRAs offer a great way to save for retirement, and contributions
31a Alimony paid b Recipient’s SSN a
may be deductible depending on your income.
32
IRA deduction . . . . . . . . . . . . .
33
. . . . . . . .
Depending on your income, Student
student loan
loaninterest
interestdeduction
may be deductible.
34
Tuition and fees. Attach Form 8917 . . . . . . .
35
Domestic production activities deduction. Attach Form 8903
36
37
Boxes checked
on 6a and 6b
No. of children
on 6c who:
• lived with you
(see instructions)
live with
Interest and dividend income
may affect your• did
taxnot
burden.
you due to divorce
Consider a strategic approach to include tax-exempt
income or
or separation
(see instructions)
qualified dividends, which are eligible for a reduced
tax rate.
10%
retirement plan. Variable
offer an .opportunity
23 annuities
Educatoralso
expenses
. . . .
for
tax-deferred growth.
Adjusted
24
}
24
25
26
27
28
29
30
31a
32
33
34
35
Add lines 23 through 35 . . . . . . . . . . . . .
Subtract line 36 from line 22. This is your adjusted gross income
.
.
1 For
Talk Disclosure,
to your tax advisor
forAct,
more
information
on marginal
taxAct
rates.
Privacy
and
Paperwork
Reduction
Notice, see separate instructions.
.
.
.
.
.
.
.
.
.
a
Add numbers on
lines above a
Certain retirement
plans can help
business owners
save more. Also,
check with your
lender(s) about
lowering interest
rates on loans you
already have.
The maximum
long-term capital
gains rate is
23.8% for tax
payers whose
income exceeds a
certain threshold.1
When possible,
offset gains with
losses.
Retirees may
need to move
assets into more
tax-efficient
investments if
their income
has increased
to a taxable
amount because
of interest,
capital gains or
dividends.
36
37
Cat. No. 11320B
Form
1040
(2015)
Form 1040 Overlay (Back)
Tax and
Credits
Page 2
Align overlay with line item boxes.
Form 1040 (2015)
38
Amount from line 37 (adjusted gross income)
39a
Check
if:
{
.
.
.
.
.
You were born before January 2, 1951,
Spouse was born before January 2, 1951,
.
.
Blind.
Blind.
.
}
.
.
.
.
.
38
.
Total boxes
checked a 39a
spouse itemizes
on a separate
return
orfor
you were a dual-status alien, check here a
b If your
Personal and dependent
exemption
deductions
are phased
out
40
Itemized
deductions
(from
Schedule
A)
or
your
certain
high income tax payers. Talk to your tax advisor for more standard deduction (see left margin)
Standard
Deduction
information.
41
Subtract line 40 from line 38
. . . . . . . . . . . . . . . . .
for—
39b
.
.
40
41
42
.
.
Exemptions. If line 38 is $154,950 or less, multiply $4,000 by the number on line 6d. Otherwise, see instructions
• People who 42
check any
43
43
Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . .
box on line
39a or 39b or 44
Form 4972 c
Tax (see instructions). Check if any from: a
Form(s) 8814 b
44
who can be
claimed as a
45
Alternative minimum tax (see instructions). Attach Form 6251 . . . . . . . . .
45
dependent,
46
46
Excess
advance
premium
tax
credit
repayment.
Attach
Form
8962
.
.
.
.
.
.
.
.
see
instructions.
a
47
47
Add lines 44, 45, and 46
. . . . . . . . . . . . . . . . . . .
• All others:
48
48
Foreign
tax
credit.
Attach
Form
1116
if
required
.
.
.
.
48
Are
youortaking advantage of foreign tax credits?
Are you maximizing your
Single
49
Married filing
dependent care credits?
49
49
Credit for child and dependent care expenses. Attach Form 2441
separately,
50
50
Education
credits
from
Form
8863,
line
19
.
.
.
.
.
50
$6,300
Are
you taking advantage of improved educational incentives?
Married filing
51 Savings
Retirement
savings
contributions
credit.
Attach Form 8880
51
Coverdell
Education
Accounts
offer
tax-advantaged
savings.
jointly or
Child
tax
credit.
Attach
Schedule
8812,
if
required
.
.
.
52
52
Qualifying
widow(er),
53
Residential
energy
credits.
Attach
Form
5695
.
.
.
.
53
$12,600
3800
8801
54
Other
credits
from
Form:
a
54
b
c
Head of
Additional
be reported here if you:
household,tax will
55
Add
lines
48
through
54.
These
are
your
total
credits
.
.
.
.
. . . . . . . .
55
$9,250
•Received
a premature distribution from an IRA or qualified plan.
line 55
lineCoverdell
47. If lineaccount.
55 is more than line 47, enter -056 ofSubtract
•Received a return
excess from
anfrom
IRA or
57
Self-employment
tax.
Attach
Schedule
•Received a taxable distribution from a Coverdell account. SE . . . . . . . .
•Didn’t take a full
minimum
distribution.
58 required
Unreported
social
security and Medicare tax from Form: a
4137
.
.
.
.
.
.
.
.
.
.
.
.
8919
.
.
59
Review your distribution
strategies
to IRAs,
avoidother
penalties
in the
future.plans, etc. Attach Form 5329 if required
Additional
tax on
qualified
retirement
.
.
.
.
.
.
.
.
Health care: individual responsibility (see instructions) Full-year coverage
. . .
Form 8960 c
62
Taxes from: a
Form 8959 b
Instructions; enter code(s)
63
Add
56 through 62. This
is your total
tax . . . . . . . . . . . .
Consider participating
in alines
company-sponsored
retirement
plan
that
may
reduce
your
taxable
wages
(and,
thus,
your
tax
bill)
or and 1099 . .
64
64
Federal
income
tax
withheld
from
Forms
W-2
Payments
a Roth IRA that 65
will reduce
your investment
income.
Increased
2015 estimated
tax payments
and amount
applied from 2014 return
65
contribution
If you have a limits, especially for those 50 or older, can help you
66a Earned income credit (EIC) . . . . . . . . . . 66a
.
.
Other
Taxes
60a
Household employment taxes from Schedule H
b
61
First-time homebuyer credit repayment. Attach Form 5405 if required
.
qualifying tax-deferred retirement plans. You could also consider a
maximize
combat
pay election
66b
child, attach
variable
annuity asb anNontaxable
investment
option.
Schedule EIC.
67
68
69
70
71
72
73
74
.
.
.
.
.
.
.
.
.
.
67
American opportunity credit from Form 8863, line 8 .
Net premium tax credit. Attach Form 8962 . . . .
Amount paid with request for extension to file . . .
.
.
.
.
.
.
68
69
70
Additional child tax credit. Attach Schedule 8812 .
.
b
.
.
.
.
.
.
71
72
Credits from Form: a
2439 b
Reserved c
8885 d
73
Add lines 64, 65, 66a, and 67 through 73. These are your total payments .
Excess social security and tier 1 RRTA tax withheld
Credit for federal tax on fuels. Attach Form 4136
.
.
.
.
.
.
.
.
a
.
child and
56
57
58
59
60a
60b
.
a
.
a
61
62
63
.
.
.
.
.
If lineyou
74 is
more
line 63, subtract
line 63 from line 74. This is the amount you overpaid
75 much,
Refund
By
withholding too
give
thethan
government
an interest-free
loan and miss opportunities
dollars
torefunded
work for to
yourself.
76a Amounttoofput
linethe
75 you
want
you. If Form 8888 is attached, check here . a
74
75
76a
a
b
Routing
number
c
Type:
Checking
Savings
Direct deposit?
See
a d
Account
number
The
IRS may penalize
you for withholding
too little. Recalculate
instructions.
Amount
of
line 75 ifyou
want
applied to
your 2016 estimated tax a 77
77
your W-4 or estimated tax payments
you
anticipate
a significant
change
in your tax
Amount
78 liability.
Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions a 78
You Owe
79
Estimated tax penalty (see instructions) . . . . . . .
79
Do
you
want
to
allow
another
person
to
discuss
this
return
with
the
IRS
(see instructions)?
Yes. Complete below.
Third Party
a
No
Personal identification
a
number (PIN)
Phone
no. a
Designee
Designee’s
name a
Sign
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Keep a copy for
your records.
Paid
Preparer
Use Only
F
This
informationYour
is not
intended as tax advice and cannot
be used by
the taxpayer for the purposeDaytime
of avoiding
any penalties
Here
signature
Date
Your occupation
phone number
that
may See
be imposed on the taxpayer by any governmental taxing authority or agency. Consult your tax advisor about your
Joint return?
instructions. situation.
particular
Spouse’s signature. If a joint return, both must sign.
Print/Type preparer’s name
Firm’s name
Date
Spouse’s occupation
Preparer’s signature
Date
If the IRS sent you an Identity Protection
PIN, enter it
here (see inst.)
PTIN
Check
if
self-employed
a
Firm's EIN
Firm’s address a
Phone no.
www.irs.gov/form1040 1040-FLY-1 01/16
invesco.com/us
Invesco Distributors, Inc.
US687
a
Form 1040 (2015)