Form

1040

2014

(99)

Department of the Treasury—Internal Revenue Service

U.S. Individual Income Tax Return

For the year Jan. 1–Dec. 31, 2014, or other tax year beginning
Your first name and initial

, 2014, ending

MELISSA

IRS Use Only—Do not write or staple in this space.

See separate instructions.

Last name

DOWDY

If a joint return, spouse’s first name and initial

OMB No. 1545-0074

, 20

Last name

Your social security number

256 47 4410
Spouse’s social security number

Apt. no.

Home address (number and street). If you have a P.O. box, see instructions.

Make sure the SSN(s) above and on line 6c are correct.

12821 SNOWVIEW CT
City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions).

VICTORVILLE, CA

92392

Foreign country name

Filing Status
Check only one box. Exemptions

Foreign province/state/county

1
2
3
6a
b c Single
Married filing jointly (even if only one had income)

X

Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child’s name here.

5

Qualifying widow(er) with dependent child

Yourself. If someone can claim you as a dependent, do not check box 6a .

Spouse
.
Dependents:

.

.

.

.

.

.

.

.

.

.

.

(2) Dependent’s social security number

Last name

JUAN FERNANDEZ JR
MALLORY G FERNANDEZ
JOHNNY FERNANDEZ d X

4

Married filing separately. Enter spouse’s SSN above and full name here.

(1) First name

If more than four dependents, see instructions and check here

Presidential Election Campaign
Check here if you, or your spouse if filing jointly, want $3 to go to this fund. Checking
Foreign postal code a box below will not change your tax or