1040 U.S.

Individual Income Tax Return 2020 (99)

Form Department of the Treasury—Internal Revenue Service

OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space.

Filing Status Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying widow(er) (QW)
Check only If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QW box, enter the child’s name if the qualifying
one box.
person is a child but not your dependent a
Your first name and middle initial Last name Your social security number
Christopher B Gregory 431-85-7104
If joint return, spouse’s first name and middle initial Last name Spouse’s social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no. Presidential Election Campaign
289 Frost Rd 15 Check here if you, or your
spouse if filing jointly, want $3
City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code
to go to this fund. Checking a
Caddo Valley AR 719239508 box below will not change
Foreign country name Foreign province/state/county Foreign postal code your tax or refund.
You Spouse

At any time during 2020, did you receive, sell, send, exchange, or otherwise acquire any financial interest in any virtual currency? Yes No

Standard Someone can claim: You as a dependent Your spouse as a dependent

Deduction Spouse itemizes on a separate return or you were a dual-status alien

Age/Blindness You: Were born before January 2, 1956 Are blind Spouse: Was born before January 2, 1956 Is blind
Dependents (see instructions): (2) Social security (3) Relationship (4)  if qualifies for (see instructions):
(1) First name Last name number to you Child tax credit Credit for other dependents
If more
than four
dependents,
see instructions
and check
here a
1 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . 1 1,016.
Attach 2a Tax-exempt interest . . . 2a 2b
b Taxable interest . . . . .
Sch. B if
3a Qualified dividends . . . 3a b Ordinary dividends . . . . . 3b
required.
4a IRA distributions . . . . 4a b Taxable amount . . . . . . 4b
5a Pensions and annuities . . 5a b Taxable amount . . . . . . 5b
Standard 6a Social security benefits . . 6a b Taxable amount . . . . . . 6b
Deduction for— a
7 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . 7
• Single or
Married filing 8 Other income from Schedule 1, line 9 . . . . . . . . . . . . . . . . . . . 8
separately,
$12,400 9 Add lines 1, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income . . . . . . . . . a 9 1,016.
• Married filing 10 Adjustments to income:
jointly or
Qualifying a From Schedule 1, line 22 . . . . . . . . . . . . . . 10a
widow(er),
$24,800
b Charitable contributions if you take the standard deduction. See instructions 10b
• Head of c Add lines 10a and 10b. These are your total adjustments to income . . . . . . . . a 10c
household,
$18,650 11 Subtract line 10c from line 9. This is your adjusted gross income . . . . . . . . . a 11 1,016.
• If you checked 12 Standard deduction or itemized deductions (from Schedule A) . . . . . . . . . . 12 12,400.
any box under
Standard 13 Qualified business income deduction. Attach Form 8995 or Form 8995-A . . . . . . . . 13
Deduction,
see instructions.
14 Add lines 12 and 13 . . . . . . . . . . . . . . . . . . . . . . . . 14 12,400.
15 Taxable income. Subtract line 14 from line 11. If zero or less, enter -0- . . . . . . . . . 15 0.
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040 (2020)
Form 1040 (2020) Page 2
16 Tax (see instructions). Check if any from Form(s): 1 8814 2 4972 3 . . 16 0.
17 Amount from Schedule 2, line 3 . . . . . . . . . . . . . . . . . . . . 17
18 Add lines 16 and 17 . . . . . . . . . . . . . . . . . . . . . . . . 18 0.
19 Child tax credit or credit for other dependents . . . . . . . . . . . . . . . . 19
20 Amount from Schedule 3, line 7 . . . . . . . . . . . . . . . . . . . . 20
21 Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . 21
22 Subtract line 21 from line 18. If zero or less, enter -0- . . . . . . . . . . . . . . 22 0.
23 Other taxes, including self-employment tax, from Schedule 2, line 10 . . . . . . . . . 23 0.
24 Add lines 22 and 23. This is your total tax . . . . . . . . . . . . . . . . a 24 0.
25 Federal income tax withheld from:
a Form(s) W-2 . . . . . . . . . . . . . . . . . . 25a 41.
b Form(s) 1099 . . . . . . . . . . . . . . . . . . 25b
c Other forms (see instructions) . . . . . . . . . . . . . 25c
d Add lines 25a through 25c . . . . . . . . . . . . . . . . . . . . . . 25d 41.
• If you have a 26 2020 estimated tax payments and amount applied from 2019 return . . . . . . . . . . 26
qualifying child, 27 Earned income credit (EIC) . . . . . 0. . . PYEI
. .12,006.
. . . . . 27 290.
attach Sch. EIC.
• If you have 28 Additional child tax credit. Attach Schedule 8812 . . . . . . . 28
nontaxable 29 American opportunity credit from Form 8863, line 8 . . . . . . . 29
combat pay,
see instructions. 30 Recovery rebate credit. See instructions . . . . . . . . . . 30
31 Amount from Schedule 3, line 13 . . . . . . . . . . . . 31
32 Add lines 27 through 31. These are your total other payments and refundable credits . . . a 32 290.
33 Add lines 25d, 26, and 32. These are your total payments . . . . . . . . . . . a 33 331.
Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid . . 34 331.
35a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here . . . a 35a 331.
Direct deposit? ab Routing number 1 2 4 3 0 3 2 0 1 a c Type: Checking Savings
See instructions. a
d Account number 1 0 8 8 3 7 7 6
36 Amount of line 34 you want applied to your 2021 estimated tax . . a 36
Amount 37 Subtract line 33 from line 24. This is the amount you owe now . . . . . . . . . . a 37
You Owe Note: Schedule H and Schedule SE filers, line 37 may not represent all of the taxes you owe for
For details on 2020. See Schedule 3, line 12e, and its instructions for details.
how to pay, see
instructions. 38 Estimated tax penalty (see instructions) . . . . . . . . . a 38
Third Party Do you want to allow another person to discuss this return with the IRS? See
Designee instructions . . . . . . . . . . . . . . . . . . . . a Yes. Complete below. No
Designee’s Phone Personal identification
name a no. a number (PIN) a
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
Sign belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here Your signature Date Your occupation If the IRS sent you an Identity
Protection PIN, enter it here
F

Joint return? Peer Recovery Support Specialist (see inst.) a

See instructions. Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an
Keep a copy for Identity Protection PIN, enter it here
your records. (see inst.) a
Phone no. Email address
Preparer’s name Preparer’s signature Date PTIN Check if:
Paid Self-employed
Preparer Firm’s name a Self-Prepared Phone no.
Use Only Firm’s address a Firm’s EIN a

Go to [Link]/Form1040 for instructions and the latest information. BAA REV 03/13/21 [Link] Form 1040 (2020)
AR8453-OL 2020
ARKANSAS INDIVIDUAL INCOME TAX
DECLARATION FOR ELECTRONIC FILING

Primary’s Legal First Name and Middle Initial Last Name 3ULPDU\¶V6RFLDO6HFXULW\1XPEHU
CHRISTOPHER B GREGORY 431-85-7104
Spouse’s Legal First Name and Middle Initial Last Name 6SRXVH¶V6RFLDO6HFXULW\1XPEHU

Mailing Address (Number and Street, P.O. Box or Rural Route) Telephone
289 FROST RD, APT. 15 (870)403-3101
City State or Province ZIP &KHFNLIDGGUHVVLVRXWVLGH86
Foreign Country
CADDO VALLEY AR 719239508
PART I - TAX RETURN INFORMATION (Whole Dollars Only)
1. Total Income (Form AR1000F or AR1000NR, Line 23) .......................................................................................... 1 1,016. 00
2. Net Tax (Form AR1000F or AR1000NR, Line 38) .................................................................................................. 2 0. 00
3. State Income Tax Withheld (Form AR1000F or AR1000NR, Line 39) .................................................................... 3 11. 00
4. Refund (Form AR1000F or AR1000NR, Line 47) ................................................................................................... 4 11. 00
5. Tax Due (Form AR1000F or AR1000NR, Line 51) ................................................................................................. 5 00
PART II - DECLARATION OF TAXPAYER

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transmission of my tax return electronically.

Sign
Here
Primary’s Signature Date Spouse’s Signature Date

DO NOT MAIL THIS FORM

REV 03/16/21 [Link]

AR8453-OL (R 7/6/2020)
2020 AR1000F
ARKANSAS INDIVIDUAL
AR1
INCOME TAX RETURN CHECK BOX IF
Full Year Resident AMENDED RETURN Software ID
-DQ'HFRU¿VFDO\HDUHQGLQJ ____________  ____ TURBOTAX
3ULPDU\¶VOHJDO¿UVWQDPH MI /DVWQDPH 3ULPDU\¶VVRFLDOVHFXULW\QXPEHU
&KHFNLI
CHRISTOPHER B GREGORY 'HFHDVHG 431-85-7104
PRINT OR TYPE
USE LABEL OR

6SRXVH¶VOHJDO¿UVWQDPH MI /DVWQDPH 6SRXVH¶VVRFLDOVHFXULW\QXPEHU

&KHFNLI
'HFHDVHG
0DLOLQJDGGUHVV(number and street, P.O. box or rural route) &KHFNLIDGGUHVVLVRXWVLGH86
289 FROST RD, APT. 15
&LW\ 6WDWHRUSURYLQFH ZIP )RUHLJQFRXQWU\QDPH
CADDO VALLEY AR 719239508
Check Only One Box

1. X Single (Or widowed before 2020 or divorced at end of 2020)  0DUULHG¿OLQJVHSDUDWHO\RQWKHVDPHUHWXUQ
FILING STATUS

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Check here if you want a tax booklet mailed to you next year.
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or an automatic federal extension
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1 29. 00
PERSONAL TAX CREDITS

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7D. TOTAL PERSONAL TAX CREDITS: (Add lines 7A, 7B, and 7C. Enter total here and on line 34) ..................................7D 29. 00
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DIRECT DEPOSIT

Routing Number 1 Account Number 1 Direct deposit 1 Amt

1 2 4 3 0 3 2 0 1 1 0 8 8 3 7 7 6 11. 00

Routing Number 2 Account Number 2 &KHFNLQJRU 6DYLQJV Direct deposit 2 Amt

00

PLEASE SIGN HERE: Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my
knowledge and belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
We will no longer automatically mail 1099-G forms. Instead, we ask that you get this information from our website
SIGN HERE

([Link]). Check the box if you still want us to mail you a paper Form 1099-G next year.
PLEASE

3ULPDU\¶VVLJQDWXUH 'DWH 7HOHSKRQH

SIGN HERE
May the Arkansas Revenue
(870)403-3101 Agency discuss this return
with the preparer?
6SRXVH¶VVLJQDWXUH 'DWH 7HOHSKRQH
Yes X No
3DLGSUHSDUHU¶VVLJQDWXUH 37,1,'QXPEHU For Department Use Only
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Page AR1 (R 8/10/2020) REV 03/16/21 [Link]
 AR2
Primary SSN _____________________________
431-85-7104
(A) Primary/Joint (B) Spouse’s Income
ROUND ALL AMOUNTS TO WHOLE DOLLARS Income Status 4 Only

8. :DJHVVDODULHVWLSVHWF(Attach W-2s) .................................................................................................. 8 1,016. 00 00

Attach W-2(s)/1099(s) here / Attach check on top of W-2(s)/1099(s)

9. 0LOLWDU\SD\Primary 00 Spouse 00
10. ,QWHUHVWLQFRPH (If over $1,500, Attach AR4) ..............................................................................................10 00 00
11. 'LYLGHQGLQFRPH(If over $1,500, Attach AR4) ..........................................................................................11 00 00
12. $OLPRQ\DQGVHSDUDWHPDLQWHQDQFHUHFHLYHG 12 00 00
13. %XVLQHVVRUSURIHVVLRQDOLQFRPH(Attach federal Schedule C) ......................................................................13 00 00
14. &DSLWDOJDLQVORVVHVIURPVWRFNVERQGVHWF (See instructions, Attach federal Schedule D) ...........................14 00 00
15. 2WKHUJDLQVRUORVVHV(Attach federal Form 4797 and/or AR4684 if applicable) ............................................15 00 00
16. 1RQTXDOL¿HG,5$GLVWULEXWLRQVDQGWD[DEOHDQQXLWLHV(Attach All 1099Rs) ..................................................16 00 00
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18A. 3ULPDU\HPSOR\HUSHQVLRQSODQVTXDOL¿HG,5$V(See instructions, Attach all 1099Rs)
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Gross distribution 00 Taxable amount 00 $6,000 18A
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Gross distribution 00 Taxable amount 00 Less 18B 00 00
$6,000
19. 5HQWVUR\DOWLHVSDUWQHUVKLSVHVWDWHVWUXVWVHWF(Attach federal Schedule E) ..........................................19 00 00
20. )DUPLQFRPH(Attach federal Schedule F) ................................................................................................20 00 00
21. 8QHPSOR\PHQW Primary/Joint 00 Spouse 00 21 00 00
22. 2WKHULQFRPHGHSUHFLDWLRQGLႇHUHQFHV (Attach Form AR-OI) .................................................................. 22 00 00
23. TOTAL INCOME: (Add lines 8 through 22) .......................................................................................... 23 1,016. 00 00
24. TOTAL ADJUSTMENTS: (Attach Form AR1000ADJ) .......................................................................... 24 00 00
25. ADJUSTED GROSS INCOME: (Subtract line 24 from line 23) ...........................................................25 1,016. 00 00
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28. NET TAXABLE INCOME: (Subtract line 27 from line 25) ...................................................................28 1,016. 00 00
29. TAX: (Enter tax from tax table) ................................................................................................................ 29 0. 00 00
30. &RPELQHGWD[ (Add amounts from line 29, columns A and B) .......................................................................................................... 30 0. 00
31. (QWHUWD[IURP/XPS6XP'LVWULEXWLRQ$YHUDJLQJ6FKHGXOH (Attach AR1000TD) .......................................................................... 31 00
32. $GGLWLRQDOWD[RQ,5$DQGTXDOL¿HGSODQZLWKGUDZDODQGRYHUSD\PHQW (Attach federal Form 5329, if required) ................................. 32 00
33. TOTAL TAX: (Add lines 30 through 32) ...................................................................................................................................... 33 0. 00
34. 3HUVRQDOWD[FUHGLWV(Enter total from line 7D) .......................................................................................34 29. 00
TAX CREDITS

35. &KLOGFDUHFUHGLW(20% of federal credit allowed; attach federal Form 2441) .....................................................35 00
36. 2WKHUFUHGLWV(Attach AR1000TC) ............................................................................................................36 00
37. TOTAL CREDITS: (Add lines 34 through 36) .............................................................................................................................. 37 29. 00
38. NET TAX: (Subtract line 37 from line 33. If line 37 is greater than line 33, enter 0) .................................................................................. 38 0. 00
39. $UNDQVDVLQFRPHWD[ZLWKKHOG (Attach state copies of W-2 and/or 1099R, W2-G) ......................................39 11. 00
40. (VWLPDWHGWD[SDLGRUFUHGLWEURXJKWIRUZDUGIURP40 00
41. 3D\PHQWPDGHZLWKH[WHQVLRQ (See instructions) ...................................................................................41 00
PAYMENTS

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44. TOTAL PAYMENTS: (Add lines 39 through 43) ........................................................................................................................... 44 11. 00
45. AMENDED RETURNS ONLY3UHYLRXVUHIXQG(See instructions) ........................................................................................ 45 00
46. $GMXVWHGWRWDOSD\PHQWV(Subtract line 45 from line 44) ................................................................................................................. 46 11. 00
47. AMOUNT OF OVERPAYMENT/REFUND: ,IOLQHLVJUHDWHUWKDQOLQHHQWHUGLႇHUHQFH ................................................. 47 11. 00
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50. AMOUNT TO BE REFUNDED TO YOU: (Subtract lines 48 and 49 from line 47) ..................................................REFUND 50 - 11. 00
51. AMOUNT DUE: ,IOLQHLVOHVVWKDQOLQHHQWHUGLႇHUHQFH,IRYHUFRQWLQXHWR$ ...................................TAX DUE 51 / 00
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PAY BY CREDIT CARD: (See instructions) PAY BY MAIL: (See instructions)
Page AR2 (R 3/2/2021) REV 03/16/21 [Link]