formdata.png first name 88 65 332 94 last name 338 68 446 97 spouse first 91 98 338 127 spouse last 343 97 448 127 address 89 127 391 159 apt 394 129 448 159 citystatezip 87 159 441 189 soc num 464 80 700 116 spouse soc num 464 139 696 175 Pres Camp Yes 478 190 527 211 Pres Camp No 537 189 590 211 Spouse Pres Camp Yes 602 193 621 210 Spouse Pres Camp No 659 197 676 210 Line 1 : Wages Salary Tips 486 232 704 271 Line 2: Taxable Interest 486 276 704 316 Line 3: Unemployment 486 317 704 357 Line 4: Adjusted Gross Income 486 359 704 399 Line 5 Yes: Dependent? 117 423 155 452 Line 5 No: Dependent? 254 423 298 453 Line 5: Standard Deduction 486 402 704 442 Line 6: Taxable Income 486 445 704 485 Line7: Withheld 486 486 704 526 Line 8a EIC Type 119 539 319 582 Line 8a EIC Amt 320 538 434 579 Line 8a: EIC 486 528 704 568 Line 9: Total Pmts 486 573 704 613 Line 10: Tax 486 616 704 656 Line 11a: Refund 486 657 704 697 Line 11b: Routing No 486 699 704 739 Line 11c Checking 486 742 704 782 Line 11c Savings 486 742 704 782 Line 11d: Acct # 486 742 704 782 Line 12: Amt Owed 486 780 704 820 Signature 92 853 268 893 Date 92 891 163 924 Occupation 166 891 268 924 Spouse Signature 277 853 452 893 Spouse Date 277 891 341 924 Spouse Occupation 341 891 452 924 Discuss W/ Preparer: Yes 420 924 450 949 Discuss W/ Preparer: No 475 918 506 950