Form Sc1040 Draft - Individual Income Tax Return

Form Sc1040 Draft - Individual Income Tax Return - 2010

1350

BARCODE

SC1040

STATE OF SOUTH CAROLINA

DEPARTMENT OF REVENUE

(Rev. 7/1/10)

2010 INDIVIDUAL INCOME TAX RETURN

3075

Your social security number

Check if

deceased

Spouse's social security number

Check if

deceased

For the year January 1 - December 31, 2010, or fiscal tax year beginning

2010 and ending

2011

Print your first name and initial (Sr, Jr, 2nd, 3rd, 4th)

Last name

Spouse’s first name, if married filing jointly

Last name

Mailing address (number and street, Apt. no or P. O. Box)

County code

Check if

new address

City

State

Zip

Area code

Daytime telephone

Foreign country address including Postal code

Check if address

is outside US

Check this box if you are filing SC Schedule NR (Part year/Nonresident) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Check this box if filing a composite return for partnership or "S" corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Check this box if you have filed a federal or state extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Check this box if you served in a Military COMBAT ZONE during the filing period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter the name of the combat zone:

Check this box if this return is affected by a federally declared DISASTER AREA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter the name of the disaster area:

CHECK YOUR

(1)

Single

(3)

Married filing separately. Enter spouse's SSN here: ____________________

FEDERAL FILING STATUS (2)

Married filing jointly (4)

Head-of-household