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First name and initial Last name
LASER T. DOG
Home Address
SUN SPOT, COUCH
City
ANN ARBOR, MICHIGAN
Filing status
1. [x] Single
2. [ ] Stud
3. [x] Dog
4. [ ] Husky - use 1040-WOLF
5. [ ] Miniature poodle - use 1040-RAT
Exemptions
6a. [x] Furriness
b. [x] Tail
c. [x] Floppy ear
d. [x] Another floppy ear
Add number of boxes checked ............................ 4
Income
Attach copy of form WAG-2
7. Bowls of pellets .............................. 430
8. Rawhide chews ................................. 180
9. Paper towels .................................. 21
10. Wooden spoons and spatulas .................... 5
11. Measuring cups ............................... 3
12. Cats (attach 1040-CAT) ........................ 0
13. Slippers ...................................... 0
14. Toothbrushes .................................. 3
15. Cookies ....................................... 8
16. Add the amounts in the right column.
This is your total income ..................... 650
Adjusted gross income
17. Robbers repelled (multiply number by 100) ..... 0
18. Heartworm tablets eaten ....................... 3
19. Slippers/newspapers fetched ................... 0
20. Add the amounts in the right column .......... 3
21. Subtract line 20 from line from line 16.
If less than zero, write zero ................ 647
This is your adusted gross income.
Tax and Credits
22. Amount from line 21 ........................... 647
23. Check if 65 or older (dog years) [ ]
See page 816 of the instructions if checked
24. Enter standard deductions .................... 50
25. Enter 10 multiplied by number of boxes checked
on line 6 ..................................... 40
26. Taxable income (line 25 - line 22) ............ 557
Payments
27. Thousands of tail wags ........................ 360
28. Hundreds of appreciative gazes ................ 150
29. Tens of bouncy, appreciative greetings ........ 72
30. Add lines 27-29 ............................... 582
Refund.
31. If line 30 is greater than line 26, subtract
line 26 from line 30 .......................... 25
This is the amount you overpaid. You will be
refunded in chews or belly rubs.
32. Amount you owe. If line 26 is greater than line
30, subtract line 26 from line 30 .............
This is the amount you owe.
You must pay in tail wags or appreciative gazes.
33. Paw print Date Your occupation
____________ 4-15-02 HIGHER CANINE OFFICER
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