This document provides instructions and a summary for an individual's 2005 U.S. federal income tax return. It shows the taxpayer's adjusted gross income as $68,628, taxable income as $60,428, total tax as $11,767, and total payments as $12,566 resulting in a refund of $799. It includes instructions for filing electronically or by mail and attachments to include with the filed return.
1. anjan bhushan
B226, Pocket-2, Kendriya Vihar II, Sector 82
Noida,UP, 201305, India
2005 U.S. INDIVIDUAL INCOME TAX RETURN SUMMARY
INSTRUCTIONS FOR FILING YOUR RETURN ELECTRONICALLY
KEEP THIS PAGE FOR YOUR RECORDS -- DO NOT MAIL.
Adjusted Gross Income $ 68,628
Taxable Income $ 60,428
Total Tax $ 11,767
Total Payments $ 12,566
Refund $ 799
Effective Tax Rate 17.15 %
If you file electronically, make sure to follow the Electronic Filing
Instructions to complete your tax return.
Come back to TurboTax in 24 to 48 hours to check the status of your
return. TurboTax will let you know if your return has been accepted or
rejected by the IRS.
If the IRS accepts your tax return, TurboTax will walk you through the
final steps of electronic filing. It may involve printing and mailing
some electronic filing forms.(DO NOT mail a printed copy of your tax return
to the IRS. They already received an electronic copy of your tax return.)
If your return is rejected due to an error, you have two options. You must
fix the error and retransmit your return electronically, or you can mail a
printed copy of your return to the IRS. To mail your printed return, follow
the mailing instructions below.
INSTRUCTIONS FOR FILING YOUR RETURN BY MAIL
Your federal Form 1040 shows a refund of $799.
Please mail your return to the following IRS address postmarked by
Monday, April 17, 2006.
Internal Revenue Service Center
Austin, TX 73301-0215
USA
Be sure to sign and date your return and include the proper amount
of postage on the envelope.
ATTACHMENTS
Attach the first copy or Copy B of Form(s) W-2 to the front of your
Form 1040.
2. 1 Single 4 Head of household (with qualifying person). (See
instructions.) If the qualifying person is a child
but not your dependent, enter this child’s
Filing Status
2 Married filing jointly (even if only one had income)
3 Married filing separately. Enter spouse’s SSN above & full name here
Check only
one box. name here 5 Qualifying widow(er) with dependent child (see instructions)
6a Yourself. If someone can claim you as a dependent, do not check box 6aExemptions
b Spouse
c Dependents:
(2) Dependent’s
social security
number
(3) Dependent’s
relationship
to you
(1) First name Last name
(4) bif
qualifying
child for child
tax credit
(see instrs)
If more than
four dependents,
see instructions.
d Total number of exemptions claimed
7 Wages, salaries, tips, etc. Attach Form(s) W-2 7
Income 8 a Taxable interest. Attach Schedule B if required 8 a
b Tax-exempt interest. Do not include on line 8a 8 b
9 a Ordinary dividends. Attach Schedule B if required 9a
b Qualfd divs
(see instrs) 9 b
10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) 10
11 Alimony received 11
Attach Form(s)
W-2 here. Also
attach Forms
W-2G and 1099-R
if tax was withheld.
12 Business income or (loss). Attach Schedule C or C-EZ 12
13 Capital gain or (loss). Att Sch D if reqd. If not reqd, ck here 13
BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. FDIA0112 11/07/05 Form 1040 (2005)
Boxes checked
on 6a and 6b
No. of children
on 6c who:
? lived
with you
? did not
live with you
due to divorce
or separation
(see instrs)
Dependents
on 6c not
entered above
Add numbers
on lines
above
Department of the Treasury ' Internal Revenue Service
Form 1040 U.S. Individual Income Tax Return 2005 (99) IRS Use Only ' Do not write or staple in this space.
For the year Jan 1 - Dec 31, 2005, or other tax year beginning , 2005, ending , 20 OMB No. 1545-0074
Your first name MI Last name Your social security number
Label
(See instructions.)
If a joint return, spouse’s first name MI Last name Spouse’s social security number
Home address (number and street). If you have a P.O. box, see instructions. Apartment no.
Use the
IRS label.
Otherwise,
please print
or type.
J JCity, town or post office. If you have a foreign address, see instructions. State ZIP code
You must enter your
social security
number(s) above.
Checking a box below will not
change your tax or refund.Presidential
Election
Campaign A
23 Educator expenses (see instructions) 23
24 Certain business expenses of reservists, performing artists, and fee-basis
government officials. Attach Form 2106 or 2106-EZ 24
Adjusted
Gross
Income 25 Health savings account deduction. Attach Form 8889 25
26 Moving expenses. Attach Form 3903 26
27 One-half of self-employment tax. Attach Schedule SE 27
28 Self-employed SEP, SIMPLE, and qualified plans 28
29 Self-employed health insurance deduction (see instructions) 29
30 Penalty on early withdrawal of savings 30
31a Alimony paid b Recipient’s SSN 31a
32 IRA deduction (see instructions) 32
33 Student loan interest deduction (see instructions) 33
34 Tuition and fees deduction (see instructions) 34
35 Domestic production activities deduction. Attach Form 8903 35
36 Add lines 23 - 31a and 32 - 35 36
37 Subtract line 36 from line 22. This is your adjusted gross income 37
If you did not
get a W-2,
see instructions. 14 Other gains or (losses). Attach Form 4797 14
15a IRA distributions 15a b Taxable amount (see instrs) 15b
16a Pensions and annuities 16a b Taxable amount (see instrs) 16b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17
18 Farm income or (loss). Attach Schedule F 18
19 Unemployment compensation 19
20a Social security benefits 20a b Taxable amount (see instrs) 20b
Enclose, but do
not attach, any
payment. Also,
please use
Form 1040-V. 21 Other income 21
22 Add the amounts in the far right column for lines 7 through 21. This is your total income 22
Check here if you, or your spouse if filing jointly, want $3 to go to this fund? (see instructions) You Spouse
anjan bhushan 355-96-6752
B226, Pocket-2, Kendriya Vihar II, Sector 82
Noida,UP, 201305, India
X
X 1
1
70,056.
1,522.
50.
50.
-3,000.
68,628.
68,628.
3. Form 1040 (2005) Page 2
38 Amount from line 37 (adjusted gross income) 38
39a You were born before January 2, 1941, Blind. Total boxes
Tax and
Credits Check
if: Spouse was born before January 2, 1941, Blind. checked 39a
Standard
Deduction
for '
? People who
checked any box
on line 39a or
39b or who can
be claimed as a
dependent, see
instructions.
? All others:
Single or Married
filing separately,
$5,000
Married filing
jointly or
Qualifying
widow(er),
$10,000
Head of
household,
$7,300
b If your spouse itemizes on a separate return, or you were a dual-status
alien, see instructions and check here 39b
40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) 40
41 Subtract line 40 from line 38 41
If line 38 is over $109,475, or you provided housing to a person displaced by Hurricane Katrina, see42
instructions. Otherwise, multiply $3,200 by the total number of exemptions claimed on line 6d 42
43 Taxable income. Subtract line 42 from line 41.
If line 42 is more than line 41, enter -0- 43
44 Tax (see instrs). Check if any tax is from: a Form(s) 8814 b Form 4972 44
45 Alternative minimum tax (see instructions). Attach Form 6251 45
46 Add lines 44 and 45 46
Payments 64 Federal income tax withheld from Forms W-2 and 1099 64
65 2005 estimated tax payments and amount applied from 2004 return 65
66a Earned income credit (EIC) 66a
b Nontaxable combat pay election 66b
67 Excess social security and tier 1 RRTA tax withheld (see instructions) 67
68 Additional child tax credit. Attach Form 8812 68
69 Amount paid with request for extension to file (see instructions) 69
70 Payments from: a Form 2439 b Form 4136 c Form 8885 70
71 Add lines 64, 65, 66a, and 67 through 70.
These are your total payments 71
72 If line 71 is more than line 63, subtract line 63 from line 71. This is the amount you overpaid 72Refund
73a Amount of line 72 you want refunded to you 73a
G b Routing number G c Type: Checking Savings
G d Account number
Direct deposit?
See instructions
and fill in 73b,
73c, and 73d.
74 Amount of line 72 you want applied to your 2006 estimated tax 74
75 Amount you owe. Subtract line 71 from line 63. For details on how to pay, see instructions 75Amount
You Owe 76 Estimated tax penalty (see instructions) 76
If you have a
qualifying
child, attach
Schedule EIC.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.Sign
Here Your signature Date Your occupation Daytime phone number
Joint return?
See instructions. A
Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation
Keep a copy
for your records. A
Preparer’s
signature
Date Preparer’s SSN or PTIN
A Check if self-employed
Paid
Preparer’s
Use Only A EIN
Firm’s name
(or yours if
self-employed),
address, and
ZIP code Phone no.
Form 1040 (2005)
Do you want to allow another person to discuss this return with the IRS (see instructions)? Yes. Complete the following. No
Third Party
Designee
Designee’s
name G
Phone
no. G
Personal identification
number (PIN) G
FDIA0112 11/07/05
47 Foreign tax credit. Attach Form 1116 if required 47
48 Credit for child and dependent care expenses. Attach Form 2441 48
49 Credit for the elderly or the disabled. Attach Schedule R 49
50 Education credits. Attach Form 8863 50
51 Retirement savings contributions credit. Attach Form 8880 51
52 Child tax credit (see instructions). Attach Form 8901 if required 52
53 Adoption credit. Attach Form 8839 53
54 Credits from: a Form 8396 b Form 8859 54
55 Other credits. Check applicable box(es): a Form 3800
b Form
8801
c Form 55
56 Add lines 47 through 55. These are your total credits 56
57 Subtract line 56 from line 46. If line 56 is more than line 46, enter -0- 57
58 Self-employment tax. Attach Schedule SE 58
59 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 59Other
Taxes 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required 60
61 Advance earned income credit payments from Form(s) W-2 61
62 Household employment taxes. Attach Schedule H 62
63 Add lines 57-62. This is your total tax 63
anjan bhushan 355-96-6752
68,628.
5,000.
63,628.
3,200.
60,428.
11,767.
11,767.
11,767.
11,767.
12,566.
12,566.
799.
799.
021205871 X
1326635
X
Software Professional
Self-Prepared
4. Schedule B (Form 1040) 2005 OMB No. 1545-0074 Page 2
Name(s) shown on Form 1040. Your social security number
Schedule B ' Interest and Ordinary Dividends Attachment
Sequence No. 08
Amount
Part III
Foreign
Accounts
and
Trusts
You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; or (b) had a
foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Yes No
7 a At any time during 2005, did you have an interest in or a signature or other authority over a financial account
in a foreign country, such as a bank account, securities account, or other financial account? See instructions
for exceptions and filing requirements for Form TD F 90-22.1
b If ’Yes,’ enter the name of the foreign country(See
instructions.)
8 During 2005, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust?
If ’Yes,’ you may have to file Form 3520. See instructions
BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIA0401 07/29/05 Schedule B (Form 1040) 2005
Part I
Interest
1 List name of payer. If any interest is from a seller-financed mortgage and the buyer used
the property as a personal residence, see the instructions and list this interest first. Also,
show that buyer’s social security number and address
(See instructions
for Form 1040,
line 8a.)
1
Note. If you
received a Form
1099-INT, Form
1099-OID, or
substitute statement
from a brokerage
firm, list the firm’s
name as the payer
and enter the total
interest shown on
that form.
2 Add the amounts on line 1 2
3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.
Attach Form 8815 3
4 Subtract line 3 from line 2. Enter the result here and on Form 1040, line 8a 4
Note. If line 4 is over $1,500, you must complete Part III. Amount
5 List name of payer
Part II
Ordinary
Dividends
(See
instructions for
Form 1040,
line 9a.)
5
Note. If you
received a Form
1099-DIV or
substitute statement
from a brokerage
firm, list the firm’s
name as the payer
and enter the
ordinary dividends
shown on that form.
6 Add the amounts on line 5. Enter the total here and on Form 1040, line 9a 6
Note. If line 6 is over $1,500, you must complete Part III.
anjan bhushan 355-96-6752
1,522.15
1,522.15
50.00
X
X
Interchange Bank 1,522.15
Ameritrade 50.00
5. Name(s) shown on Form 1040 Your social security number
Part I Short-Term Capital Gains and Losses ' Assets Held One Year or Less
(a) Description of
property (Example:
100 shares XYZ Co)
(b) Date acquired
(Mo, day, yr)
(c) Date sold
(Mo, day, yr)
(d) Sales price
(see instructions)
(e) Cost or other basis
(see instructions)
(f) Gain or (loss)
Subtract (e) from (d)
1
2 Enter your short-term totals, if any, from Schedule D-1, line 2 2
3 Total short-term sales price amounts. Add lines 1 and 2 in
column (d) 3
4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 4
5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 5
6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover
Worksheet in the instructions 6
7 Net short-term capital gain or (loss). Combine lines 1 through 6 in column (f) 7
Part II Long-Term Capital Gains and Losses ' Assets Held More Than One Year
(a) Description of
property (Example:
100 shares XYZ Co)
(b) Date acquired
(Mo, day, yr)
(c) Date sold
(Mo, day, yr)
(d) Sales price
(see instructions)
(e) Cost or other basis
(see instructions)
(f) Gain or (loss)
Subtract (e) from (d)
8
9 Enter your long-term totals, if any, from Schedule D-1, line 9 9
10 Total long-term sales price amounts. Add lines 8 and 9 in
column (d) 10
11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from
Forms 4684, 6781, and 8824 11
12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 12
13 Capital gain distributions. See instrs 13
14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover
Worksheet in the instructions 14
15 Net long-term capital gain or (loss). Combine lines 8 through 14 in column (f). Then go to Part III on
page 2 15
BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. Schedule D (Form 1040) 2005
FDIA0612 05/18/05
SCHEDULE D OMB No. 1545-0074
(Form 1040) Capital Gains and Losses
G Attach to Form 1040. G See Instructions for Schedule D (Form 1040). 2005Department of the Treasury
Internal Revenue Service (99) G Use Schedule D-1 to list additional transactions for lines 1 and 8.
Attachment
Sequence No. 12
anjan bhushan 355-96-6752
20,291.
-3,905.
Ford Motor co com
Novell Inc COM
$FZM: NEXTEL COMMUNICATIONS
Nortel Networks corporation COM
sun microsystem inc com
09/08/02
08/22/02
11/08/03
various
various
07/26/05
07/26/05
07/26/05
07/26/05
07/26/05
2,671.39
1,843.53
9,792.63
2,878.21
3,104.87
2,797.50
811.00
7,602.29
8,063.00
4,921.90
-126.11
1,032.53
2,190.34
-5,184.79
-1,817.03
6. Schedule D (Form 1040) 2005 Page 2
FDIA0612 05/18/05
Part III Summary
16 Combine lines 7 and 15 and enter the result. If line 16 is a loss, skip lines 17 through 20, and go to line 21.
If a gain, enter the gain on Form 1040, line 13, and then go to line 17 below 16
17 Are lines 15 and 16 both gains?
Yes. Go to line 18.
No. Skip lines 18 through 21, and go to line 22.
18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions 18
19 Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in
the instructions 19
20 Are lines 18 and 19 both zero or blank?
Yes. Complete Form 1040 through line 43, and then complete the Qualified Dividends and Capital Gain
Tax Worksheet in the Instructions for Form 1040. Do not complete lines 21 and 22 below.
No. Complete Form 1040 through line 43, and then complete the Schedule D Tax Worksheet in the
instructions. Do not complete lines 21 and 22 below.
21 If line 16 is a loss, enter here and on Form 1040, line 13, the smaller of:
? The loss on line 16 or 21
? ($3,000), or if married filing separately, ($1,500)
Note. When figuring which amount is smaller, treat both amounts as positive numbers.
22 Do you have qualified dividends on Form 1040, line 9b?
Yes. Complete Form 1040 through line 43, and then complete the Qualified Dividends and Capital Gain
Tax Worksheet in the Instructions for Form 1040.
No. Complete the rest of Form 1040.
Schedule D (Form 1040) 2005
anjan bhushan 355-96-6752
-3,905.
-3,000.
X
7. Page 1 KEEP THIS PAGE FOR YOUR RECORDS -- DO NOT MAIL.
anjan bhushan
Pocket-2,Kendriya Vihar I, Apt. B226
Noida,UP, 201305, UP 20130-5
2005 NEW JERSEY INDIVIDUAL INCOME TAX RETURN SUMMARY
Taxable Income $ 68,684.00
Total Tax $ 2,302.00
Total Payments/Credits $ 2,749.00
Amount to be Refunded $ 447.00
INSTRUCTIONS FOR ELECTRONICALLY FILING YOUR RETURN
If you are filing your return electronically, make sure you come
back to TurboTax in 24 to 48 hours to check the status of your
return. You will receive instructions at that time on how to
complete the electronic filing process. Follow those instructions.
IMPORTANT: DO NOT mail a copy of your tax return to the state
taxing authority. They already received an electronic copy of your
tax return.
INSTRUCTIONS FOR MAILING YOUR RETURN (NOT FOR USERS WHO FILE ELECTRONICALLY)
Your New Jersey Form NJ-1040 shows a refund of $447.00.
Please mail your return to the following address by April 17, 2006:
NEW JERSEY DIVISION OF TAXATION
REVENUE PROCESSING CENTER
P.O. BOX 555
TRENTON, NJ 08647-0555
Be sure to sign and date your return and include the proper amount
of postage on the envelope.
INSTRUCTIONS FOR SPECIAL FORMATTING
Your printed state tax forms may look different than what you’re
used to seeing. Some states require us to include special formatting,
such as bar codes, on computer-printed tax forms. This special
formatting allows your state to process your return much more quickly
and efficiently.
If your state return has this special formatting, don’t worry. Your
forms are completely approved by your state taxing authority.
Simply mail your state return to the address shown above.
8. STATE OF NEW JERSEY INCOME TAX ' RESIDENT RETURN
FAIR REBATE APPLICATION (FOR TENANTS)
For Privacy Act Notification, See Instructions
For Tax Year January - December 2005 or Other Tax Year
Beginning , 2005 Month Ending ,
On-line Federal Extension Confirmation #
NJ-1040/
TR-1040
2005
Under the penalties of perjury, I declare that I have examined this income tax return and FAIR Tenant Rebate Application, including
accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. If prepared by a person
other than taxpayer, this declaration is based on all information of which the preparer has any knowledge.
G G
Pay amount on line 52 in full. Write
Social Security # on check or money
order and make payable to:
STATE OF NEW JERSEY ' TGI
If you have an amount due, enclose
your check and NJ-1040-V payment
voucher and your return to:
NJ Division of Taxation, Revenue
Processing Center, PO Box 111,
Trenton, NJ 08645-0111
If REFUND:
NJ Division of Taxation, Revenue
Processing Center, PO Box 555,
Trenton, NJ 08647-0555
NJIA0101 01/03/06
PAGE 1
Paid Preparer’s Signature Federal Identification Number
Firm’s Name Federal Employer Identification Number
Your Signature Date Spouse’s Signature (If filing jointly, BOTH must sign)
BHUSHAN ANJAN
POCKET2KENDRIYA VIHAR I APT B226 NOIDA,UP, 201305 UP 20130-5
001 00 014 70056 038 2302 SS# 355966752
EXT 0 15A 1522 039 0 SP# 0
FS 1 15B 0 042 0 SS1 0
DP 0 016 50 043 0 BY1 0
006 1 017 0 044 2302 SS2 0
007 0 018 0 045 2749 BY2 0
008 0 19A 0 046 0 SS3 0
009 0 19B 0 047 0 BY3 0
010 0 19C 0 048 0 SS4 0
011 0 020 0 049 0 BY4 0
12A 1 021 0 050 0 007 1
12B 0 022 0 051 2749 008 3
RSF 000000 023 0 052 0 MS 0
RST 000000 024 0 053 447 011 71628
GEF 0 025 0 054 0 013 10800
DNM 1 026 71628 055 0 014 365
22C 0 027 0 056 0 015 2
PA 0 29C 1000 057 0 15A 0
VC 1030 030 0 058 0 15C 0
CTY 1225 031 0 059 0 EI1 0
PDR 0 032 0 060 0 EI2 0
NAB 1037 033 0 60C 0 EI3 0
CDV 6681 036 1944 061 0 PID 0
037 68684 062 447 FID 0
SELF PREPARED
9. 27 Other Retirement Income Exclusion (See Worksheet and instructions) 27
28 New Jersey Gross Income (Subtract Line 27 from Line 26). See instructions 28
29a Exemptions: From Line 12a x $1,000 =
29b From Line 12b x $1,500 =
29c Total Exemption Amount (Add Line 29a and Line 29b). Part Year Residents see instructions 29c
30 Medical Expenses (See Worksheet and instructions) 30
31 Alimony and Separate Maintenance Payments 31
32 Qualified Conservation Contribution 32
33 Health Enterprise Zone Deduction 33
34 Total Exemptions and Deductions (Add Lines 29c, 30, 31, 32 and 33) 34
35 Taxable Income (Subtract Line 34 from Line 28). If zero or less, MAKE NO ENTRY 35
36 Property Tax Deduction (See instructions) 36
37 NEW JERSEY TAXABLE INCOME (Subtract Line 36 from Line 35). If zero or less, MAKE NO ENTRY 37
38 Tax (From Tax Tables in the instructions) 38
39 Credit for Income Taxes Paid to Other Jurisdictions (See instructions) 39
40 Balance of Tax (Subtract Line 39 from Line 38) 40
41 THIS LINE IS NOT USED ON COMPUTER GENERATED RETURNS 41
42 Use Tax Due on Out-of-State Purchases (See instructions). If no Use Tax, enter ZERO 42
From ToRESIDENCY
STATUS
If you were a New Jersey resident for ONLY part of the taxable
year, give the period of New Jersey residency: MONTH DAY YEAR MONTH DAY YEAR
14 Wages, salaries, tips, and other employee compensation (Enclose W-2) 14
15a Taxable interest income 15a
15b Tax exempt interest income. DO NOT include on Line 15a 15b
16 Dividends 16
17 Net profits from business (Enclose copy of Federal Schedule C, Form 1040) 17
18 Net gains or income from disposition of property (Schedule B, Line 4) 18
a Taxable Amount Received 19a19 Pensions, Annuities,
and IRA Withdrawals
b Less New Jersey Pension Exclusion 19b
c Subtract Line 19b from Line 19a 19c
20 Distributive Share of Partnership Income (See instructions) 20
21 Net pro rata share of S Corporation Income (See instructions) 21
22 Net gain or income from rents, royalties, patents and copyrights (Schedule C, Line 3) 22
23 Net Gambling Winnings 23
24 Alimony and separate maintenance payments received 24
25 Other (See instructions) 25
26 Total income (Add Lines 14, 15a, 16, 17, 18, 19c, 20, 21, 22, 23, 24 and 25) 26
PAGE 2 AND PAGE 3 MUST BE ENCLOSED WITH PAGE 1 OF YOUR 2005 NJ-1040/TR-1040
Form NJ-1040/TR-1040 (2005) Page 2
Name Social Security Number
FILING STATUS 1 Single 2 Married, filing joint return 3 Married, filing separate return 4 Head of Household 5 Qualifying Widow(er)
Do you wish to designate $1 of your taxes for this fund? Yes NoGUBERNATORIAL
ELECTIONS FUND If joint return, does your spouse wish to designate $1? Yes No NJIA0123 11/22/05
43 Penalty for Underpayment of Est Tax. Check if Form 2210 enclosed 43
44 Total Tax and Penalty (Add Lines 40, 42 and 43) 44
13 Dependent’s information from Lines 9 and 10. (ATTACH RIDER IF MORE THAN FOUR)
LAST NAME, FIRST NAME, MIDDLE INITIAL SOCIAL SECURITY # BIRTH YEAR
a
b
c
d
EXEMPTIONS 6 Regular 10 Number of other dependents
7 Age 65 or over 11 Dependents attending colleges
8 Blind or disabled 12 Totals (Line 12a ' Add Lines 6, 7, 8 and 11)
9 Number of qualified dependent children (Line 12b ' Add Lines 9 and 10)
bhushan, anjan 355-96-6752
X
1
1
X
70,056.
1,522.
50.
0.
71,628.
71,628.
1 1,000.
1,000.
0.
1,000.
70,628.
1,944.
68,684.
2,302.
2,302.
0.
2,302.
10. Form NJ-1040/TR-1040 (2005) Page 3
Name Social Security Number
PAGE 2 AND PAGE 3 MUST BE ENCLOSED WITH PAGE 1 OF YOUR 2005 NJ-1040/TR-1040
2005 FAIR TENANT REBATE APPLICATION (NOT FOR HOMEOWNERS)
7 On October 1, 2005, I rented and occupied an apartment or other rental dwelling in New Jersey as my principal residence
Yes No If ’No,’ STOP. You are not eligible for a rebate as a tenant and you should not file this application. See instructions.
8 On December 31, 2005 I (and/or my spouse) was: Age 65 or older Blind or disabled Not 65 or blind or disabled Fill in only one box. See instr
9 Enter the GROSS INCOME you reported on Line 28, Form NJ-1040 or see instructions 9
10 If your filing status is MARRIED, FILING SEPARATE RETURN and you and your spouse
MAINTAIN THE SAME PRINCIPAL RESIDENCE enter the gross income reported on your
spouse’s return (Line 28, Form NJ-1040) and check this box 10
11 TOTAL GROSS INCOME (Add Line 9 and Line 10) 11
STOP ' IF LINE 11 IS MORE THAN $100,000, YOU ARE NOT ELIGIBLE FOR A FAIR TENANT REBATE.
12 Enter the address of the rental property in New Jersey that was your principal residence on October 1, 2005
Street Address Municipality
13 Enter the total rent you (and your spouse) paid during 2005 for the rental property indicated at Line 12 13
14 Enter the number of days during 2005 that you (and your spouse) occupied the rental property indicated at Line 12 14
(If you lived there for all of 2005, enter 365)
15 Did anyone, other than your spouse, occupy and share rent with you for the rental property indicated at line 12? Yes No
(If yes, you must complete Lines 15a, b and c)
15a Enter the total number of tenants (including yourself) who shared rent during the period indicated at Line 14.
(For this purpose, husband and wife are considered one tenant.) 15a
15b Enter the name(s) and social security number(s) of all other tenants (other than your spouse) who shared the rent.
Name SS#
Name SS#
Name SS#
15c Enter the total rent paid by all tenants during the period indicated at Line 14 15c
I authorize the Division of Taxation to discuss my return and enclosures with my preparer
Deductions from Overpayment on Line 53 which you elect to credit to:
54 Your 2006 tax 54
55 NJ Endangered Wildlife Fund $10 $20 Other 55
56 NJ Children’s Trust Fund $10 $20 Other 56
57 NJ Vietnam Veterans’ Memorial Fund $10 $20 Other 57
58 NJ Breast Cancer Research Fund $10 $20 Other 58
59 U.S.S. New Jersey Educational Museum Fund $10 $20 Other 59
60 Other Designated Contribution (See instructions) $10 $20 Other 60
61 Total Deductions from Overpayment (Add Lines 54 through 60) 61
62 REFUND (Amount to be sent to you. Subtract Line 61 from Line 53) 62
DIRECT DEPOSIT INFORMATION (ONLY FOR RETURNS WITH 2-D BARCODES)
’1’ for Refund only, ’2’ for FAIR rebate only, ’3’ for both and ’4’ for no. Type of account (’C’ for Checking, ’S’ for Savings)
52 If Line 51 is LESS THAN Line 44, enter AMOUNT YOU OWE 52
If you owe tax, you may make a donation by entering an amt on Ln 55, 56, 57, 58, 59 and/or 60 and adding this to your payment amt.
53 If Line 51 is MORE THAN Line 44, enter OVERPAYMENT 53
Check Routing Number Account Number
EARNED INCOME TAX CREDIT (See instructions)
1 Did you file a 2005 Federal Schedule EIC, on which you listed at least one ’qualified child’? Yes No
2 Fill in the box if you had the IRS figure your Federal Earned Income Credit
3 Enter the amount of Federal Earned Income Credit from your 2005 Federal Form 1040 or 1040A 3
4 Enter 20% of amount of Line 3 and on Line 48 4
NJIA0123 11/22/05
45 Total New Jersey Income Tax Withheld (Enclose forms W-2 and 1099-R) 45
46 Property Tax Credit (See instructions) 46
47 New Jersey Estimated Tax Payments/Credit from 2004 tax return 47
48 New Jersey Earned Income Tax Credit 48
49 EXCESS New Jersey UI/HC/WD Withheld (See inst) (Enclose Form NJ-2450) 49
50 EXCESS New Jersey Disability Insurance Withheld (See inst) (Enclose Form NJ-2450) 50
51 Total Payments/Credits (Add Lines 45 through 50) 51
2,749.
2,749.
bhushan, anjan 355-96-6752
447.
0.
0.
447.
X
X
71,628.
71,628.
7 Tulip dr apt 1G woodbridge
10,800.
365
X
11. Name(s) as shown on Form NJ-1040 Your Social Security Number
Schedule A CREDIT FOR INCOME OR WAGE TAXES
PAID TO OTHER JURISDICTION
If you are claiming a credit for income taxes paid to more than one jurisdiction,
a separate Schedule A must be enclosed for each. See instructions.
A COPY OF OTHER STATE OR POLITICAL SUBDIVISION TAX RETURN MUST BE RETAINED WITH YOUR RECORDS
1 Income actually taxed by other jurisdiction during tax year (indicate name
).
(DO NOT combine the same income taxed by more than one jurisdiction)
(The amount on Line 1 cannot exceed the amount shown on Line 2) 1
2 Income subject to tax by New Jersey (From Line 28, Form NJ-1040) 2
3 Maximum Allowable Credit Percentage 1
(Divide Line 2 into Line 1) 2 3 %
IF YOU ARE NOT ELIGIBLE FOR A PROPERTY TAX BENEFIT ONLY COMPLETE COLUMN B. COLUMN A COLUMN B
4 Taxable Income (after Exemptions and Deductions) from Line 35, Form NJ-1040 4 4
Enter property tax or 18% of rent due
and paid in 2005. See instructions 5a
5 Property
Tax and
Deduction
Eligible amount (Box 5a or $10,000, whichever is less). See instructions 5 5 -0-
Schedule B NET GAINS OR INCOME FROM
DISPOSITION OF PROPERTY
List the net gains or income, less net loss, derived from the sale, exchange, or other
disposition of property including real or personal whether tangible or intangible.
1 a Kind of property and
description
b Date
acquired
(Month,
day, year)
c Date sold
(Month,
day, year)
d Gross sales price e Cost or other basis
as adjusted (see
instructions) and
expense of sale
f Gain or (loss)
(d less e)
2 Capital Gains Distributions 2
3 Other Net Gains 3
4 Net Gains (Add Lines 1, 2, and 3) (Enter here and on Line 18. If loss enter ZERO here and make no
entry on Line 18) 4
Schedule C NET GAIN OR INCOME FROM RENTS,
ROYALTIES, PATENTS AND COPYRIGHTS
List the net gains or net income, less net loss, derived from or in the form of
rents, royalties, patents, and copyrights as reported on your Federal Income
Tax Return. If you have passive losses for Federal purposes, see instructions.
1 a Kind of Property b Net Rental
Income (loss)
c Net Income
from Royalties
d Net Income
from Patents
e Net Income
from Copyrights
2 Totals b c d e
3 Net Income (Combine Columns b, c, d, and e). (Enter here and on Line 22. If loss enter ZERO here and
make no entry on Line 22) 3
NJIA1401 12/08/05 Rev 10-05
6 New Jersey Taxable Income (Line 4 minus Line 5) 6 6
7 Tax on Line 6 amount (From Tax Table or Tax Rate Schedules) 7 7
8 Allowable Credit (Line 3 times Line 7) 8 8
Credit for
Taxes
Paid to
Other
Jurisdiction
Enter in Box 9a the income
or wage tax paid to other
jurisdiction during tax year
on income shown on Line
1. See instructions 9a
9
Credit allowed. (Enter lesser of Line 8 or Box 9a). (The
credit may not exceed your New Jersey tax on Line 38) 9 9
?If you are not eligible for a property tax benefit, enter the amount from Line 9, Column B, on Line 39, Form NJ-1040. Make no entry on Lines 36 or 46, Form NJ-1040.
?If you are eligible for a property tax benefit, you must complete Worksheet F in the instructions to determine whether you receive a greater benefit by claiming a property tax
deduction or taking the property tax credit.
bhushan, anjan 355-96-6752
0.
Ford Motor co com
Novell Inc COM
$FZM: NEXTEL COMMUNICATIONS
Nortel Networks corporation COM
sun microsystem inc com
09/08/02
08/22/02
11/08/03
various
various
07/26/05
07/26/05
07/26/05
07/26/05
07/26/05
2,671.
1,844.
9,793.
2,878.
3,105.
2,798.
811.
7,602.
8,063.
4,922.
-127.
1,033.
2,191.
-5,185.
-1,817.
12. Schedule B (Form 1040) 2005 OMB No. 1545-0074 Page 2
Name(s) shown on Form 1040. Your social security number
Schedule B ' Interest and Ordinary Dividends Attachment
Sequence No. 08
Amount
Part III
Foreign
Accounts
and
Trusts
You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; or (b) had a
foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Yes No
7 a At any time during 2005, did you have an interest in or a signature or other authority over a financial account
in a foreign country, such as a bank account, securities account, or other financial account? See instructions
for exceptions and filing requirements for Form TD F 90-22.1
b If ’Yes,’ enter the name of the foreign country(See
instructions.)
8 During 2005, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust?
If ’Yes,’ you may have to file Form 3520. See instructions
BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIA0401 07/29/05 Schedule B (Form 1040) 2005
Part I
Interest
1 List name of payer. If any interest is from a seller-financed mortgage and the buyer used
the property as a personal residence, see the instructions and list this interest first. Also,
show that buyer’s social security number and address
(See instructions
for Form 1040,
line 8a.)
1
Note. If you
received a Form
1099-INT, Form
1099-OID, or
substitute statement
from a brokerage
firm, list the firm’s
name as the payer
and enter the total
interest shown on
that form.
2 Add the amounts on line 1 2
3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.
Attach Form 8815 3
4 Subtract line 3 from line 2. Enter the result here and on Form 1040, line 8a 4
Note. If line 4 is over $1,500, you must complete Part III. Amount
5 List name of payer
Part II
Ordinary
Dividends
(See
instructions for
Form 1040,
line 9a.)
5
Note. If you
received a Form
1099-DIV or
substitute statement
from a brokerage
firm, list the firm’s
name as the payer
and enter the
ordinary dividends
shown on that form.
6 Add the amounts on line 5. Enter the total here and on Form 1040, line 9a 6
Note. If line 6 is over $1,500, you must complete Part III.
anjan bhushan 355-96-6752
1,522.15
1,522.15
50.00
X
X
Interchange Bank 1,522.15
Ameritrade 50.00