Form
Department of the Treasury-Internal Revenue Service
(99)
1040 U.S. Individual Income Tax Return
2020
OMB No. 1545-0074
IRS Use Only
Filing Status Single
Your first name and middle initial
Last name
Your social security number
123-45-6781
Denise Lopez
If joint return, spouse's first name and middle initial
Last name
Spouse's social security number
Presidential Election Campaign
Home address (number and street). If you have a P.O. box, see instructions.
Apt. no.
2020 Oakcrest Road
Check here if you, or your spouse if
City, town, or post office. If you have a foreign address, also complete
State
ZIP code
filing jointly, want $3 to go to this fund. Checking a box below will not
spaces below.
Boca Raton, FL 33431
change your tax or refund.
You
Foreign country name
Foreign province/state/county
Foreign postal code
At any time during 2020, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency?
No
Standard
Deduction
Someone can claim:
None
You: None
Age/Blindness
Spouse: None