Department of the Treasury - Internal Revenue Service
U.S. Individual Income Tax Return 2Â©14 OMB No. 1545-0074
IRS Use Only-Do not write or staple in this space.
For the year Jan. 1-Dec. 31, 2014, or other tax year beginning
. 2014. ending
See separate instructions.
Your first name and initial
Your social security number
If a joint return, spouse's first name and initial
Spouse's social security number
Home address (number and street). If you have a P.O.box see instructions.
Make sure the SSN(s) above
and on line 6c are correct.
City, 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 Ming
jointly, went $3 to go to this fund. checldng
a box below will not change your tax or
Foreign country name
Foreign postal code
Filing Status 1
Check only one
Married filing jointly (even if only one had income)
Married filing separately. Enter spouse's SSN above
Head of household (with
the qualifying person is
child's name here. â–º
qualifying person). (See instructions.) If
a child but not your dependent, enter this
and full name here. 110.
Qualifying widow(er) with dependent child
social security number
If more than four
d Total number of exemptions claimed
(1) First name
Yourself. If someone can claim you as a dependent, do not check box 6a
l Boxes checked
on 6a and 6b
No. of children
on 6c who:
(4) JO child under ege t?
â€¢ lived with you
qualifying for child tax credit
â€¢ did not live with
you due to divorce