PDF-SCHEDULE A Form Department of the Treasury Internal Rev

irsgovschedulea Attach to Form 1040 OMB No 15450074 20 13 Attachment Sequence No 07 Names shown on Form 1040 Your social security number Medical and Dental Expenses Caution Do not include expenses reimbursed or paid by others 1 Medical and dental exp. Information about Schedule H and its separate instructions is at wwwirsgovform1040 OMB No 15451971 20 13 Attachment Sequence No 44 Name of employer Social security number Employer identification number Calendar year taxpayers having no household emp generally must file Form 1065 or 1065B Attach to Form 1040 1040NR or 1041 See instructions on page 2 OMB No 15450074 20 13 Attachment Sequence No 09A Name of proprietor Social security number SSN Part I General Information You May Use Schedule CEZ I Use a separate Form 8829 for each home you used for business during the year Information about Form 8829 and its separate instructions is at wwwirsgovform8829 OMB No 15450074 20 14 Attachment Sequence No 176 Names of proprietors Your social security Provide descriptions explanations and any additional information in Part VI Attach to Form 990 Information about Schedule K Form 990 and its instructions is at wwwirsgovform990 OMB No 15450047 20 14 Open to Public Inspection Name of the organization Attach to Form 990 or Form 990EZ Information about Schedule L Form 990 or 990EZ and its instructions is at wwwirsgovform990 OMB No 15450047 20 14 Open To Public Inspection Name of the organization Employer identification number Part I Excess Benefit Attach to Form 990 Information about Schedule R Form 990 and its instructions is at wwwirsgovform990 OMB No 15450047 20 14 Open to Public Inspection Name of the organization Employer identification number Part I Identification of Disregarded Entitie Information about Schedule 8812 and its separate instructions is at wwwirsgovschedule8812 OMB No 15450074 Attachment Sequence No 47 1040A 1040 8812 1040NR Names shown on return Your social security number Part I Filers Who Have Certain Child Depende Information about Schedule J and its separate instructions is at wwwirsgovschedulej OMB No 15450074 20 14 Attachment Sequence No 20 Names shown on return Social security number SSN 1 Enter the taxable income from your 2014 Form 1040 line 43 or Form Attach to Form 990 Information about Schedule J Form 990 and its instructions is at wwwirsgovform990 OMB No 15450047 20 14 Open to Public Inspection Name of the organization Employer identification number Part I Questions Regarding Compensation Yes Attach to Form 990 or 990EZ Information about Schedule O Form 990 or 990EZ and its instructions is at wwwirsgovform990 OMB No 15450047 20 14 Open to Public Inspection Name of the organization Employer identification number For Paperwork Reduction Ac Information about Schedule D Form 1120 and its separate instructions is at wwwirsgovform1120 OMB No 15450123 20 14 Name Employer identification number Part I ShortTerm Capital Gains and LossesAssets Held One Year or Less See instructions for how to Recapture of Low-Income Housing Credit Attach to your return. Note: Complete a separate Form 8611 for each building to which recapture applies. OMB No. 1545-1035 Attachment Sequence No. 90 Informa Tax TypeHealth Insurance Claims Assessment Quarterly Payment Health Insurance Claims Assessment Annual Payment Tax Type CodeEFT DEBIT OR CREDIT AUTHORIZATIONPlease be aware of of�cer, membe US House ofRepresentatives Washington DC 20515 amounts credited cc The Honorable Richard E Neal Chairman House Committee on Ways and Means The Honorable Kevin Brady Ranking Member House Committee on W