Form Tc40 - Utah Individual Income Tax Return - 2004
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2004
Utah State Tax Commission
Utah Individual Income Tax Return
All State Income Tax Dollars Fund Education
TC-40
incometax.utah.gov
If fiscal year, enter
ending date (mm/yy)
FOR AMENDED RETURN - ENTER CODE (1 - 5) from page 3
Your Social Security number
Your full name (first, middle initial, last)
Deceased in
2004 or 2005
Spouse's Social Security number
Spouse's name (first, middle initial, last)
Deceased in
2004 or 2005
Daytime telephone number
Mailing address
IMPORTANT!
State
ZIP code + 4
Evening telephone number
City
Social Security Number(s) Required
Foreign city
Foreign state & zip
Foreign country
3. Election campaign fund (page 4)
1. Filing status (page 4)
2. Exemptions (page 4)
Yourself Spouse
}
a
a
Yourself
Single
Constitution
C
b
Spouse
from federal return
b
Democrat
Head of household
D
c
Green
Checking a party does
Dependents
G
If filing married jointly or
}
c
Married filing jointly
not increase your tax or
separately, enter spouse’s
Libertarian
L
d
reduce your refund.
Disabled (see Utah instructions)
name and social security
d
Personal Choice
Married filing separately
P
number above.
Republican
R
e
e
Total exemptions (add a through d)
Qualifying widow(er)
4. Federal adjusted gross income from federal return (see instructions on page 5)
.
4
00
5. State income tax deducted as an itemized deduction on federal form 1040, Schedule A, line 5 (page 5)
.
5
00
6. Additions to income (
page 5 - dd lines 6a through 6d and enter total additions to income on line 6
a
)
AMOUNT
AMOUNT
CODE
CODE
.
.
00
00
6a
6b
.
.
.
00
00
00
6c
6d
6
.
00
7. Total adjusted income (add lines 4 through 6)
7
.
00
8. Standard or itemized deduction (page 6)
8
.
00
9. Personal exemptions deduction. Multiply $2,325 by line 2e. (page 6)
9
.
10. One-half of the federal tax (page 6)
00
10
11. State tax refund included on line 10 of federal form 1040 (page 6)
.
11
00
Taxpayer is
Spouse is
12. Retirement exemption/deduction (pages 6 and 7)
.
00
12
65 or older
65 or older
13. Other deductions (pages 7 through 9 - a
dd lines 13a through 13f and enter total other deductions on line 13
)
CODE
CODE
AMOUNT
AMOUNT
.
.
00
00
13a
13b
.
.
00
00
13c
13d
.
.
13e
00
00
13f
Primary taxpayer
Secondary taxpayer
For Native
.
00
13
enrollment number: ________________
enrollment number: ________________
Americans
.
00
14. Total deductions (add lines 8 through 13)
14
.
00
15. Utah 2004 taxable income (subtract line 14 from line 7) If less than zero, enter zero.
15
16. CALCULATE INCOME TAX: Read instructions on page 9 for lines 16a and 16b.
Qualified
Amount from
16a
.
.
00
16b Tax
00
taxpayers
worksheet
17. FOR NON OR PART-YEAR RESIDENTS ONLY - Attach form TC-40C. (page 9)
Part-year resident from
/
/ 04
to
/
/ 04
Nonresident. Home state abbreviation:
Enter information below from state form TC-40C (divide "Box a" by "Box b" to get a ratio (decimal) for "Box c")
(Multiply line 16b by the decimal in "Box c")
Box a. From Column A, line 31
Box b. From Column B, line 31
Box c. Utah income tax ratio
.
00
17
40041
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