Schedule F Individual - Other Income - 2006
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2
3Schedule F Individual
Rev. 12.06
2006
OTHER INCOME
Taxable year beginning on _________________, _____ and ending on ________________, _____
Taxpayer's name
Social Security Number
Part I
Interest
Column G
Column A
Column B
Column C
Column D
Column E
Column F
31
Interest from IRA
Interest from IRA
Interest subject
Interest not subject to
Interest from IRA
Eligible
Other
Employer
Account
to withholding
distributions under
distributions under
withholding
distributions to
interest
Payer's name
interest
Identification Number
Number
from financial
Section 1169A
Section 1169C
from financial
Government
subject to withholding
institutions
institutions
Pensioners
(01)
00
00
00
00
00
00
00
(02)
00
00
00
00
00
00
00
(03)
00
00
00
00
00
00
00
(04)
00
00
00
00
00
00
00
(05)
00
00
00
00
00
00
00
(06)
00
00
00
00
00
00
00
(07)
00
00
00
00
00
00
00
(08)
00
00
00
00
00
00
00
(26)
(31)
(36)
(13)
(18)
(21)
00
00
00
00
00
00
00
1.
Subtotal of interest ...................
................................................................
..
(09)
(32)
(14)
(22)
(27)
(19)
00
00
00
00
00
2.
Less: Interest exclusion
See instructions
(
) ....................................................
(15)
(23)
(28)
(33)
(37)
(20)
00
00
00
00
00
00
00
3.
Total interest .........................................................................................
(10)
(38)
00
00
Add line 3, Columns C and G.....................................................................
4.
(29)
(34)
(16)
(24)
00
00
00
00
00
5.
Tax: Enter 17% of line 3B, 10% of lines 3A, 3D and 3E, and 5% of line 3F ....
(11)
(39)
00
6.
Total tax (Determine the total of line 5. Enter in Part 4, line 18 of the return) ..
......
(25)
(30)
(17)
(35)
7.
Tax withheld (Submit Forms 480.6B, 480.6SE, 480.6CI, 480.7 and 480.7B,
00
00
00
00
00
as applicable) ..........................................................................................
(12)
00
8.
Total tax withheld (Determine the total of line 7. Enter on Schedule B Individual, Part IIl, line 4)............................................................................................................................................................
......
(40)
00
9.
Option to pay taxes from interest in any of Columns A, B and D as ordinary income (Enter here line 3A, 3B and 3D, as applicable) ..........................................................................................................
(41)
......
.
00
10.
Total interest (Add lines 4 and 9. Transfer to Part 2, line 2A of the return)........................................................
.
..............................................................................................................................
(42)
Retention Period: Ten (10) Years
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