Income Tax Return — Rubio, U.S. Internal Revenue Service, Form 1040 (2001)

Form 1040 Department of the Treasury—Internal Revenue Service U.S. Individual Income Tax Return 2001 (99) IRS Use Only—Do not write or staple in this space. Label (See instructions on page 19.) Use the IRS label. Otherwise, please print or type. Presidential Election Campaign (See page 19.) For the year Jan. 1-Dec. 31, 2001, or other tax year beginning , 2001, ending , 20 OMB No. 1545-0074 LABEL HERE Your first name and initial: MARCO A Last name: RUBIO If a joint return, spouse's first name and initial: JEANETTE C Last name: DOUSDEBES Home address (number and street). If you have a P.O. box, see page 19. [illegible] Apt. no. City, town or post office, state, and ZIP code. If you have a foreign address, see page 19. MIAMI FL 33144 Your social security number [illegible] Spouse's social security number [illegible] Important! You must enter your SSN(s) above. Note. Checking "Yes" will not change your tax or reduce your refund. Do you, or your spouse if filing a joint return, want $3 to go to this fund? . . . > You [X] Yes [ ] No Spouse [ ] Yes [X] No Filing Status Check only one box. 1 [X] Single 2 Married filing joint return (even if only one had income) 3 Married filing separate return. Enter spouse's social security no. above and full name here. > 4 Head of household (with qualifying person). (See page 19.) If the qualifying person is a child but not your dependent, enter this child's name here. > 5 Qualifying widow(er) with dependent child (year spouse died > ). (See page 19.) Exemptions 6a [X] Yourself. If your parent (or someone else) can claim you as a dependent on his or her tax return, do not check box 6a No. of boxes checked on 6a and 6b 2 b [X] Spouse 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 20) AMANDA RUBIO [illegible] DAUGHTER [X] If more than six dependents, see page 20. No. of your children on 6c who: lived with you 1 did not live with you due to divorce or separation (see page 20) Dependents on 6c not entered above Add numbers entered on lines above > 3 d Total number of exemptions claimed Income Attach Forms W-2 and W-2G here. Also attach Form(s) 1099-R if tax was withheld. 7 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... 7 86,065 8a Taxable interest. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......

Form 1040 (2001) Page 2 Tax and Credits Standard Deduction for— • People who checked any box on line 35a or 35b or who can be claimed as a dependent, see page 31. • All others: Single, $4,550 Head of household, $6,650 Married filing jointly or Qualifying widow(er), $7,600 Married filing separately, $3,800 34 Amount from line 33 (adjusted gross income) . . . . . . . . . . . . . . . . 34 89,879 35a Check if: [ ] You were 65 or older, [ ] Blind; [ ] Spouse was 65 or older, [ ] Blind. Add the number of boxes checked above and enter the total here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......► 35a b If you are married filing separately and your spouse itemizes deductions, or you were a dual-status alien, see page 31 and check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......