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At the end of this Reddit comment is a link to an alleged screenshot of Romney tax filing page 1.

That is almost certainly a fake. Lines 7-21 don't sum to line 22. The zip code is the zip for the Romney campaign, not Romney's home.

334K health insurance deduction? WTF?

font looks fishy

It's fake but that's probably a reasonable amount for a rich person whose spouse has multiple sclerosis. Those are therapy dressage horses.