August 18, 2020
DO NOT FILE
DRAFT AS OF
Form
1040-SR
Department of the Treasury—Internal Revenue Service
U.S. Tax Return for Seniors
2020
OMB No. 1545-0074
IRS Use Only—Do not write or staple in this space.
(99)
Filing
Status
Check only
one box.
Single Married filing jointly
Married filing separately (MFS)
Head of household (HOH)
Qualifying widow(er) (QW)
If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QW box, enter the child’s
name if the qualifying person is a child but not your dependent
▶
Your first name and middle initial Last name
Your social security number
If joint return, spouse’s first name and middle initial Last name
Spouse’s social security number
Home address (number and street). If you have a P.O. box, see instructions. Apt. no.
City, town, or post office. If you have a foreign address, also complete spaces below.
State ZIP code
Foreign country name Foreign province/state/county
Foreign postal code
Presidential Election Campaign
Check here if you, or your
spouse if filing jointly, want
$3 to go to this fund.
Checking a box below will
not change your tax or
refund.
You
Spouse
At any time during 2020, did you receive, sell, send, exchange, or otherwise acquire any
financial interest in any virtual currency? . . . . . . . . . . . . . . . . . . . .
▶
Yes
No
Standard
Deduction
Someone can claim:
You as a dependent
Your spouse as a dependent
Spouse itemizes on a separate return or you were a dual-status alien
Age/Blindness
{
You: Were born before January 2, 1956 Are blind
Spouse:
Was born before January 2, 1956 Is blind
Dependents
(see instructions):
If more than four
dependents, see
instructions and
check here
▶
(2) Social security number (3) Relationship to
you
(4) ✔ if qualifies for (see instructions):
(1) First name Last name
Child tax credit
Credit for other dependents
1 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . 1
Attach
Schedule B
if required.
2a
Tax-exempt interest .
2a b Taxable interest . . 2b
3a Qualified dividends . . 3a b Ordinary dividends . 3b
4a IRA distributions . . . 4a b Taxable amount . . 4b
5a Pensions and annuities 5a b Taxable amount . . 5b
6a
Social security benefits
. 6a b Taxable amount . . 6b
7
Capital gain or (loss). Attach Schedule D if required. If not required,
check here . . . . . . . . . . . . . . . . . . . . . . .
▶
7
8 Other income from Schedule 1, line 9 . . . . . . . . . . . . . . . 8
9 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . .
▶
9
10 Adjustments to income:
a From Schedule 1, line 22 . . . . . . . . . . .
10a
b
Charitable contributions if you take the standard
deduction. See instructions . . . . . . . . . . 10b
c Add lines 10a and 10b. These are your total adjustments to income
▶
10c
11 Subtract line 10c from line 9. This is your adjusted gross income . .
▶
11
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 71930F
Form 1040-SR (2020)