Income Tax Return — Rubio, U.S. Internal Revenue Service, Form 1040 (2004)

Form 1040 U.S. Individual Income Tax Return 2004 (95) IRS Use Only - Do not write or staple in this space For the year Jan. 1-Dec. 31, 2004, or other tax year beginning , 2004, ending 20 OMB No. 1545-0074 Label (See instructions on page 16.) Use the IRS label. Otherwise, please print or type. LABEL HERE Your first name and initial MARCO A. Last name RUBIO Your social security number [illegible] If a joint return, spouse's first name and initial JEANETTE C. Last name DOUSDEBES Spouse's social security number [illegible] Home address (number and street). If you have a P.O. box, see page 16. [illegible] Apt. no. Important! You must enter your SSN(s) above. City, town or post office, state, and ZIP code. If you have a foreign address, see page 16. MIAMI, FL 33144 Presidential Election Campaign (See page 16.) Note. Checking "Yes" will not change your tax or reduce your refund. You [ ] Yes [ ] No Spouse [ ] Yes [ ] No Do you, or your spouse if filing a joint return, want $3 to go to this fund? > [ ] Yes [ ] No [ ] Yes [ ] No Filing Status Check only one box. 1 [ ] Single 2 [X] Married filing jointly (even if only one had income) 3 [ ] Married filing separately. Enter spouse's SSN above and full name here. > 4 [ ] Head of household (with qualifying person). (See page 17.) If the qualifying person is a child but not your dependent, enter this child's name here. > 5 [ ] Qualifying widow(er) with dependent child (see page 17) Exemptions 6a [X] Yourself. If someone can claim you as a dependent, do not check box 6a b [X] Spouse Boxes checked on 6a and 6b 2 c Dependents: (1) First name Last name (2) Dependent's social security number (3) Dependent's relationship to you (4) If qualifying child for child tax credit (see page 13) DANIELLA RUBIO [illegible] DAUGHTER X AMANDA RUBIO [illegible] DAUGHTER X No. of children on 6c who: - lived with you 2 - did not live with you due to divorce or separation (see page 18) If more than four dependents, see page

Form 1040 (2004) MARCO A. RUBIO & JEANETTE C. DOUSDEBES Page 2 Tax and Credits Standard Deduction for - People who checked any box on line 38a or 38b or who can be claimed as a dependent. All others: Single or Married filing separately, $4,850. Married filing jointly or Qualifying widow(er), $9,700. Head of household, $7,150. 37 Amount from line 36 (adjusted gross income) ........................................................................................... 37 300,887. 38a Check { You were born before January 2, 1940, [ ] Blind. } Total boxes if: Spouse was born before January 2, 1940, [ ] Blind. } checked ► 38a [ ] b If your spouse itemizes on a separate return or you were a dual-status alien, see page 31 and check here ► 38b [ ] 39 Itemized deductions (from Schedule A) or your standard deduction (see left margin) ........................... 39 29,339. 40 Subtract line 39 from line 37 .................................................................................................................... 40 271,548. 41 If line 37 is $107,025 or less, multiply $3,100 by the total number of exemptions claimed on line 6d. If line 37 is over $107,025, see the worksheet on page 33 ....................................................................................... 41 3,720. 42 Taxable income. Subtract line 41 from line 40. If line 41 is more than line 40, enter -0- ................... 42 267,828. 43 Tax. Check if any tax is from: a [ ] Form(s) 8814 b [ ] Form 4972 ........................................................... 43 69,408. 44 Alternative minimum tax. Attach Form 6251 ............................................................................................ 44 45 Add lines 43 and 44 ................................................................................................................................... ► 45 69,408. 46 Foreign tax credit. Attach Form 1116 if required .................................................................................... 46 47 Credit for child and dependent care expenses. Attach Form 2441 .......................................................... 47 48 Credit for the elderly or the disabled. Attach Schedule R ...................................................................... 48 49 Education credits. Attach Form 8863 ........................................................................................................ 49 50 Retirement savings contributions credit. Attach Form 8880 ................................................................... 50 51 Child tax credit (see page 37) .................................................................................................................... 51 52 Adoption credit. Attach Form 8839 ......................................................................................................... 52 53 Credits from: a [ ] Form 8396 b [ ] Form 8859 ....................................................................................... 53 54 Other credits. Check applicable box(es): a [ ] Form 3800 b [ ] Form 8801 c [ ] Specify ................................................................................................... 54 55 Add lines 46 through 54. These are your total credits ........................................................................... 55 56 Subtract line 55 from line 45. If line 55 is more than line 45, enter -0- ............................................. ► 56 69,408. Other Taxes 57 Self-employment tax. Attach Schedule SE ............................................................................................... 57 1,953. 58 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 ............ 58 59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required ............... 59 60 Advance earned income credit payments from Form(s) W-2 ............................................................... 60 61 Household employment taxes. Attach Schedule H ................................................................................. 61 62 Add lines 56 through 61. This is your total tax ...................................................................................... ► 62 71,361. Payments If you have a qualifying child, attach Schedule EIC. 63 Federal income tax withheld from Forms W-2 and 1099 ...................................................................... 63 45,853. 64 2004 estimated tax payments and amount applied from 2003 return .................................................. 64 65a Earned income credit (EIC) .................................................................................................................... 65a b Nontaxable combat pay election ................................................................................................ ► 65b 66 Excess social security and tier 1 RRTA tax withheld (see page 54) STMT 3 ........................................ 66 4,854. 67 Additional child tax credit. Attach Form 8812 ....................................................................................... 67 68 Amount paid with request for extension to file (see page 54) ............................................................... 68 69 Other payments from: a [ ] Form 24