Form
Department of the Treasury - Internal Revenue Service
1040A
U.S. Individual Income Tax Return
Your first name and initial
(99)
2015
IRS Use Only - Do not write or staple in this space.
OMB No. 1545-0074
Last name
Your social security number
cammie j
manning
If a joint return, spouse's first name and initial
547-13-9896
Last name
Spouse's social security number
Home address (number and street). If you have a P.O. box, see instructions.
Apt. no.
526 walters trail
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).
traskwood, AR 72167
Foreign country name
Foreign province/state/county
Foreign postal code
You
Filing
status
Check only
one box.
1
2
3
6a
Exemptions
b
4
X
5
Yourself. If someone can claim you as a dependent, do not check
box 6a.
Spouse
c Dependents:
If more than six
dependents, see
instructions.
(1) First name
(2) Dependent's social
security number
(3) Dependent's
relationship to you
Last name
Aaron Stallman
Davina Manning
Christopher Griffith
Kamilla griffith
431-97-2844
431-83-1653
570-91-8404
678-10-0231
}
(4) X if child under
age 17 qualifying
for child tax credit
(see instructions)
Son
Daughter
Son
Grandchild
X
X
d Total number of exemptions claimed.
Income
Attach
Form(s) W-2
here. Also
attach
Form(s)
1099-R if tax
was withheld.
If you did not
get a W-2, see
instructions.
Adjusted
gross
income
7
7
Wages, salaries, tips, etc. Attach Form(s) W-2.
8a
b
9a
b
10
11a
Taxable interest. Attach Schedule B if required.
Tax-exempt interest. Do not include on line 8a.
Ordinary dividends. Attach Schedule B if required.
Qualified dividends (see instructions).
Capital gain distributions (see instructions).
IRA
11a
distributions.
12a Pensions and
12a
annuities.
Boxes
checked on
6a and 6b...