Filing Jointly - Form 4334 and Schedules

	A	B	C	D	E	F	G	H	I	J	K	L	M	N
1	Form 4334			Debts and Returns in Long Term Relationships
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3	Filing Status:		Single, filing jointly		Couple, filing jointly		Separated, filing jointly		Family, filing jointly		Qualifying bereaved, filing jointly
4	(check one box)		Single, filing jointly		Couple, filing jointly		Separated, filing jointly		Family, filing jointly		Qualifying bereaved, filing jointly
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6	First name, middle initial:						Last name:					ID number:
7	If filing jointly,
8	Co-filer's first name and middle initial:						Co-filer's last name:					Co-filer's ID number:
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10	Home or usual meeting place address:						Other meeting places:					Check if you or your co-filer would like to increase the stock of happiness in the world.		You
11														Co-filer
12													Your choice will not affect your relationship status.
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14	City, town or post office:						State, country or province:
15	City, town or post office:						State, country or province:
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17	At any time during the last year, were you and your co-filer intimate?								Yes		No
18	Would you have liked to be more or less intimate in this time period?								More		Less
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20	Standard complications:	Someone can claim:			You as a dependent		Your co-filer as a dependent		You aren't real		Your co-filer isn't real
21	Standard complications:		Co-filer itemizes on a separate return				Romantic or hateful attachment				Generational gap
22	Dependents:	First name		Last name		ID number		Relationship to you		Relationship to co-filer		Check if qualifies for:
23	Dependents:	First name		Last name		ID number		Relationship to you		Relationship to co-filer		Material dependency	Emotional dependency
24	If more than four, check below:
25	If more than four, check below:
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27	then fill out Schedule 1
28			(estimate in words or, if possible, precise units)
29		1a	Time span of history together			1a		1b	Time span of history in current relationship configuration:				1b
30		2	First armed conflict that both of you can remember										2
31		3	Lean times			3a	Lean times spent together			3a
32						3b	Lean times spent separately			3b
33						3c	How much can you rely on each other in lean times?						3
34		4a	Mistakes made together			4a				4b	Mistakes made together (more honestly)		4b
35		5a	One word summary of your youth			5a				5b	One word summary of co-filer's youth		5b
36		6a	One word summary of your future			6a				6b	One word summary of co-filer's future		6b
37		7	Plans and promises idly made that you have not seriously thought about delivering on (attach Schedule 2 if necessary)										7
38		8	Things that remind you of one another			8
39		9	Average length of time you don't see each other for										9
40		10	Your expectations			10a	Initial expectations						10a
41						10b	Unfulfilled expectations						10b
42						10c	Adjusted expectations						10c
43		11a	Most common excuse for yourself			11a				11b	Most common excuse for co-filer		11b
44		12a	That thing the co-filer does (derogatory)			12a				12b	That thing the co-filer does (complimentary)		12b
45		13a	That thing you do (adorable)			13a				13b	That thing you do (self-effacing)		13b
46		14	Circumstances that have kept you together so far										14
47		15	One thing the two of you will never agree on										15
48		16	Images of you and co-filer			16a	In spring	16a
49						16b	In summer	16b
50						16c	In autumn	16c
51						16d	In winter	16d
52		17a	Transgressions you've forgiven					17a		17b	Transgressions you've forgotten (until now)		17b
53		18	Provable instances of feelings shown to co-filer and reciprocated							18
54		19	Unreciprocated feelings demonstrated and rejected, betrayed or ignored							19
55		20	Summary of overall zeitgeist during your relationship							20
56		21	Estimated quantity of years still left in this relationship							21
57		22	Space afforded			22a	Space given to you						22a
58						22b	Space given to co-filer						22b
59						22c	Space given by you and co-filer to others						22c
60						22d	Space needed but never given						22d
61		23	Things your co-filer needs from you			23a	Rarely	23a
62						23b	Regularly	23b
63						23c	Right now	23c
64		24	Things you need from your co-filer			24a	Too often	24a
65						24b	Sporadically	24b
66						24c	Never	24c
67		25a	Monetary costs incurred by you due to co-filer					25a		25b	Monetary costs incurred by co-filer due to you		25b
68		26	Difference in social status between you and co-filer					26
69		27	The perfect life for both of you			27
70		28	The difference between your co-filer's answer to the preceding question and yours							28
71		29a	Your shared responsibilities			29a				29b	Your unshared responsibilities		29b
72		30	The secrets you've kept from each other (attach Schedule 3 if necessary)							30
73		31	Your co-filer's total contribution to your personal development							31
74		32	Miscellaneous regrets not covered by the previous categories							32
75		33	Summary of relationship			33
76	What you are owed	34	Total of things you are entitled to			34
77	What you are owed	35	How do you intend to collect?			35
78	What you owe	36	Total of things the co-filer is entitled to			36
79	What you owe	37	How much do you intend to give?			37
80		38	Intentions for the next year			38
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82	Third Party Designation	I would like a third party to intervene in this relationship:							Yes		No
83	Third Party Designation	If yes, note down their necessary qualities:
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85	Your signature	Under penalty of desolation, I confirm that the above information is accurate:												(signature)
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87	Relationship preparer use only	I think these two might make it:					Yes		No		Prefer not to say
88		Preparer's first name, last name, ID number												(signature)
89		Preparer's first name, last name, ID number												(signature)
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