E 1040 U.S. Individual Income Tax Return'99 1201 4 1Oa48 No. 1545.0074 nti use Only -Do nd ‘Wite 0, SUPIO in fhb space For me0 I-IN00 31. 2014, d otM. la. year bQonnno 2014. ending 20 See separate Instructions. Your first name and initial ANASTASIYA Last name pIROOCHENKO If a joint return, spouse's first name and initial Last name Sliders social security invent Nome address number and street . It ou have a P.O. ox, see instructions. t. no. agee sure me ss, m) e A and on In. 6c are correct . • - P . treign Meas. also corrairewros below. Chalk e en hwao d you.°n or younr sixwe 111010 jointly. wanl $3 lo go to mist nd Chiadil g a box below Foreign country name Foreign province/state/county Foreign postal code win not change your tax ct rotund. You C Spouse Filing Status Check only one box. Exemptions 6a LX.I Yourself. If someone can claim you as a dependent, do not check box 6a b I LX.I Single 2 Q Married filing jointly (even if onl one had income) 3 Q Married filing separately. Enter spouse's SSN above and full name here. No 4 LJ Head of household (with qualifying person). If the qualifying person i a child but not your d pendent, enter this child's name he e. ► 5 [Ti Qualifying widow(er) with dependent child If more than four dependents, see instructions and Q check here Ils• d Total number of exemptions claimed Income 7 Wages, salaries, bps, etc. Attach Form(s) W-2 7 8a 8a Taxable interest Attach Schedule B if required b Tax-exempt interest. Do not include on line 8a 8 Attach Form(s) W-2 here. Also attach Forms 9a b Ordinary dividends. Attach Schedule Bid required Qualified dividends I 9a gb W-2G and 10 Taxable refunds, credits, or offsets of slate and local income taxes 10 1099-R if tax was withheld. 11 Alimony received 11 12 Business income or (loss). Attach Schedule C or C-E 12 If you did not get a W-2, see instructions. 13 14 15a Capital gain or (loss). Attach Sc