SAMPLE TAX RETURN (FORM 1040) - NOT A REAL TAX DOCUMENT Taxpayer Name: Ma Barker Social Security: See Rabies Tag Filing Status: Single Tax Year: 1972 Income Summary Wages, salaries, tips, etc.: Prize/ Award Income (illustrative): Total Income: Tax Calculation (illustrative): $0.00 $5,000,000.00 $5,000,000.00 Taxable Income (after deductions - illustrative): Total Tax (illustrative): Total Payments & Credits: $5,000,000.00 $4,999,990.00 $4,999,980.00 IMPORTANT NOTICE: This is a SAMPLE tax return created for novelty/illustrative purposes only. It is NOT a real IRS form, not a legal or filed tax document. and should not be used for any official or financial purpose. Document intentionally redacted and sample-only.