At any time during $2022,$ did you: $($a$)$ receive $($as a reward, award, or payment for property or services$)$; or $($b$)$ sell, exchange, gift, or otherwise dispose of a digital asset $($or a financial interest in a digital asset$)?($See instructions.$)$ Yes No Standard Deduction Someone can claim: You as a dependent Your spouse as a dependent Spouse itemizes on a separate return or you were a dual$-$status alien Age$/$Blindness You: Were born before January $2,1958$ Are blind Spouse: Was born before January $2,1958$ Is blind Dependents $($see instructions$)$: If more than four dependents, see instructions and check here $..(2)$ Social security number $(3)$ Relationship to you $(4)$ Check the box if qualifies for $($see instructions$)$: $(1)$ First name Last name Child tax credit Credit for other dependents Income Attach Form$($s$)$ W$-2$ here. Also attach Forms W$-2$G and $1099-$R if tax was withheld. If you did not get a Form W$-2,$ see instructions. $1$ a Total amount from Form$($s$)$ W$-2,$ box $1($see instructions$).............1$a b Household employee wages not reported on Form$($s$)$ W$-2.............1$b c Tip income not reported on line $1$a $($see instructions$)..............1$c d Medicaid waiver payments not reported on Form$($s$)$ W$-2($see instructions$)........1$d e Taxable dependent care benefits from Form $2441,$ line $26............1$e f Employer$-$provided adoption benefits from Form $8839,$ line $29...........1$f g Wages from Form $8919,$ line $6.....................1$g h Other earned income $($see instructions$)..................1$h i Nontaxable combat pay election $($see instructions$).......1$i z Add lines $1$a through $1$h $......................1$z Attach Sch$.$ B if required. $2$a Tax$-$exempt interest $...2$a b Taxable interest $.....2$b $3$a Qualified dividends $...3$a b Ordinary dividends $.....3$b $4$a IRA distributions $....4$a b Taxable amount $......4$b $5$a Pensions and annuities $..5$a b Taxable amount $......5$b $6$a Social security benefits $..6$a b Taxable amount $......6$b c If you elect to use the lump$-$sum election method, check here $($see instructions$).....7$ Capital gain or $($loss$).$ Attach Schedule D if required. If