<!DOCTYPE f1040ez SYSTEM "f1040ez.dtd">
<f1040ez


	FirstNameInitials="John Q." 
	LastName="Public" 
	SpouseFirstNameInitials="Jane W." 
	SpouseLastName="Public-Smith" 
	StreetAddress="10 Main Str." 
	AptNo="1100" 
	StateZip="Sonoma, CA 91112" 
	SocSecNum="111 22 3333" 
	SpousesSocSecNum="444 55 6666" 
	RoutingNumber="123456789" 
	AccountNumber="12345678912345678" 
	Designee="Jacob T. Designee" 
	DesigneePhone="111 111 2222" 
	DesigneePIN="12345" 
	Occupation="Occupant" 
	SpousesOccupation="Occupant's Spouse" 
	PreparerSelfEmployed="X" 
	PreparerSocSecNum="777 88 9999" 
	PreparerFirmName="Scrooge and Marley" 
	PreparerAddress="1 Big Building, New York, NY 10001" 
	PreparerEIN="66-66666" 
	PreparerPhone="222 222 3333" 

	Wages="100.00" 
	Interest="100.01" 
	Unemployment="100.02" 
	AdjustedGross="1.03" 
	StandardDeduction="100.04" 
	TaxableIncome="100.05" 
	RateReductionCredit="100.06" 
	FederalIncomeTaxWithheld="100.07" 
	EarnedIncomeCredit="100.08" 
	NontaxedEarned="100.09" 
	CreditsPayments="100.10" 
	Tax="100.10" 
	Refund="100.11" 
	Owed="100.12" 
	Line1Amount="100.13" 
	Line1Plus250="100.14" 
	LargerAorB="100.15" 
	MaxDeduction="100.16" 
	SmallerCorD="100.17" 
	Exemption="100.18" 
	SumEandF="100.19" 

	CampaignContribution="yes" 
	SpouseCampaignContribution="no" 
	YouAreClaimed="yes" 
	CheckingSavings="no" 
	LetOtherDiscuss="yes" 
/>
