[PDF] 2019 Schedule 1 (Form 1040 or 1040-SR)





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2019 Schedule 1 (Form 1040 or 1040-SR)

SCHEDULE 1

(Form 1040 or 1040-SR)

Department of the Treasury

Internal Revenue Service

Additional Income and Adjustments to Income

Attach to Form 1040 or 1040-SR.

Go to www.irs.gov/Form1040 for instructions and the latest information.

OMB No. 1545-0074

20 19

Attachment

Sequence No.

01 Name(s) shown on Form 1040 or 1040-SRYour social security number

At any time during 2019, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any

virtual currency? ............................. ....YesNo

Part I Additional Income

1Taxable refunds, credits, or offsets of state and local income taxes ............ 1

2 aAlimony received ............................ 2a bDate of original divorce or separation agreement (see instructions)

3Business income or (loss). Attach Schedule C ........

........... 3

4Other gains or (losses). Attach Form 4797 .................... 4

5Rental real estate, royalties, partnerships, S corporations, trusts, etc

. Attach Schedule E .....5

6Farm income or (loss). Attach Schedule F .................... 6

7Unemployment compensation .............

........... 7

8Other income. List type and amount

8

9Combine lines 1 through 8. Enter here and on Form 1040 or 1040-SR, line

7a ........ 9

Part IIAdjustments to Income

10Educator expenses ........................... 10

11

Certain

business expenses of reservists, performing artists, and fee-basis government officials. Attach

Form 2106 ..............................11

12Health savings account deduction. Attach Form 8889 ................ 12

13Moving expenses for members of the Armed Forces. Attach Form 3903 ..........13

14Deductible part of self-employment tax. Attach Schedule SE ..............1415Self-employed SEP, SIMPLE, and qualified plans .................. 15

16Self-employed health insurance deduction .................... 16

17Penalty on early withdrawal of savings ..................... 17

18 aAlimony paid ...................... ........18a bRecipient's SSN ..................... cDate of original divorce or separation agreement (see instructions)

19IRA deduction ............................. 19

20Student loan interest deduction ................

....... 20

21Tuition and fees. Attach Form 8917 ...................... 21

22
Add lines 10 through 21. These are your adjustments to income. Enter here and on Form 1040 or

1040-SR, line 8a ............................

22

For Paperwork Reduction Act Notice, see your tax return instructions. Cat. No. 71479FSchedule 1 (Form 1040 or 1040-SR) 2019

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