Head ofHouseholdItemizedDeductionsRefundableCreditsSignatureFederalIncomeTaxWithheldIncomeBalanceDueMarriedFilingSeparateRefundOtherTaxesDependentsSingleMarriedFilingJointTotalPaymentsHealthcareEICTotalTaxTaxableIncomeStandardDeductionsExemptionsxClaimToolCreditsAGIQualifyingwidow(er)Head ofHouseholdItemizedDeductionsRefundableCreditsSignatureFederalIncomeTaxWithheldIncomeBalanceDueMarriedFilingSeparateRefundOtherTaxesDependentsSingleMarriedFilingJointTotalPaymentsHealthcareEICTotalTaxTaxableIncomeStandardDeductionsExemptionsxClaimToolCreditsAGIQualifyingwidow(er)
G
B
O
B
I
G
B
I
I
B
O
O
B
G
O
G
I
N
O
I
N
G
N
N