| Source Field | Amount |
|---|---|
| Box 1: Gross Wages โ Line 1a | $0 |
| Box 2: Fed Tax Withheld โ Line 25a | $0 |
Select the appropriate Filing Status and Qualifiers on Form 1040. Refer to the Tax Reference / Help guide in the top bar for Standard Deduction amounts and Tax Brackets.
| First and Last Name | Social Security Number | Relationship to You | Child Tax Credit |
|---|---|---|---|
| Filing Status: |
| Qualifiers: Age 65 or older | Blind |
| 1a | Total amount from Form(s) W-2, box 1 | |
| 1z | Add lines 1a through 1h | |
| 2b | Taxable interest | |
| 3b | Ordinary dividends | |
| 9 | Total income. Add lines 1z, 2b, 3b | |
| 10 | Adjustments to income from Schedule 1 | |
| 11 | Adjusted Gross Income (AGI). Subtract line 10 from line 9 |
| 12 | Standard deduction or itemized deductions | |
| 13 | Qualified business income deduction (QBI) | |
| 14 | Add lines 12 and 13 | |
| 15 | Taxable income. Subtract line 14 from line 11 | |
| 16 | Tax (Calculated from 2025 Tax Brackets) | |
| 24 | Total tax. Add line 16 and other applicable taxes |
| 25a | Federal income tax withheld from Form(s) W-2 | |
| 33 | Total payments. Add lines 25a and other payments | |
| 34 | AMOUNT OVERPAID (If line 33 is more than line 24) | |
| 35a | AMOUNT REFUNDED TO YOU | |
| 37 | AMOUNT YOU OWE (If line 24 is more than line 33) |