Form
1040
2021
U.S. Individual Income Tax Return
Department of the Treasury—Internal Revenue Service
(99)
OMB No. 1545-0074
IRS Use Only—Do not write or staple in this space.
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 2021, did you receive, sell, exchange, or otherwise dispose of 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, 1957
Are blind Spouse:
Was born before January 2, 1957
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
Sch. 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 10 . . . . . . . . . . . . . . . . . . 8
9 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . . . . . . . . .
▶
9
10 Adjustments to income from Schedule 1, line 26 . . . . . . . . . . . . . . . 10
11 Subtract line 10 from line 9. This is your adjusted gross income . . . . . . . . .
▶
11
Standard
Deduction for—
• Single or
Married filing
separately,
$12,550
• Married filing
jointly or
Qualifying
widow(er),
$25,100
• Head of
household,
$18,800
•
If you checked
any box under
Standard
Deduction,
see instructions.
12a Standard deduction or itemized deductions (from Schedule A) . . 12a
b
Charitable contributions if you take the standard deduction (see instructions)
12b
c
Add lines 12a and 12b
. . . . . . . . . . . . . . . . . . . . . . . 12c
13 Qualified business income deduction from Form 8995 or Form 8995-A . . . . . . . . . 13
14 Add lines 12c and 13 . . . . . . . . . . . . . . . . . . . . . . . 14
15 Taxable income. Subtract line 14 from line 11. If zero or less, enter -0- . . . . . . . . .
15
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 11320B
Form 1040 (2021)
