Virginia Resident Form 760 - Individual Income Tax Return - 2011
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1
22011
*VA0760111000*
Virginia Resident Form 760
Individual Income Tax Return
File by May 1, 2012 - PLEASE USE BLACK INK
Fill in all ovals that apply:
Your first name
M.I.
Last name
Suffix
name or filing status has changed since last filing
Spouse’s first name (joint returns only) M.I.
Last name
Suffix
Virginia return was not filed last year
Dependent on another’s return
Number and Street - If this is a change you must fill in oval
Amended Return - Fill in oval if result of nOL
City, town or post office and state
ZIP Code
i (We) authorize the Dept. of Taxation to discuss my
(our) return with my (our) preparer.
First 4 letters of
First 4 letters of
Locality Code
Your Social Security Number
Spouse’s Social Security Number
your last name
spouse’s last name
See instructions
-
-
-
-
Filing Status
Exemptions
Fill in oval to indicate status
Dependents
Total
}
Add the
You
Spouse
(1) Single.
Did you claim federal head of household?
Yes
=
=
A
+
x $930
+
Dollar
Amounts
(2) Married filing joint return (Enter spouse’s SSN above)
You
Spouse
Total
and Enter
You
Spouse
65
65
B
=
Total on
Blind
Blind
=
or over
or over
x $800
(3) Married filing separate return (Enter spouse’s SSN above)
Line 11
+
+
+
Spouse’s Name____________________________________
00
loss
,
,
1. Federal Adjusted Gross Income .................................................................................................1
.
(from federal return - NOT FEDERAL TAXABLE INCOME)
00
2. Total Additions from attached Schedule ADJ, Line 3 ...................................................................2
.
,
,
(You must attach Schedule ADJ)
00
3. Add Lines 1 and 2 ........................................................................................................................3
loss
.
,
,
4. Deduction for age on January 1, 2012. See Instructions.
=
+
00
,
,
You
00
Spouse
00
.
.
.
,
4
Your Birthday (mm-dd-yy)
Spouse’s Birthday (mm-dd-yy)
-
-
-
-
00
,
,
.
5. Social Security Act and equivalent Tier 1 Railroad Retirement Act benefits ................................ 5
(reported as taxable on federal return)
00
.
,
,
6. State Income Tax refund or overpayment credit (reported as income on federal return) ...............6
00
,
,
,
,
.
7. Subtractions from attached Schedule ADJ, Line 7 .......................................................................7
(You must attach Schedule ADJ)
00
,
,
.
8. Add Lines 4, 5, 6 and 7 ................................................................................................................8
00
loss
,
,
.
9. Virginia Adjusted Gross Income (VAGI) - Subtract Line 8 from Line 3 ....................................9
OR
10. Deductions-Enter Standard: Filing Status 1 = $3,000; 2 = $6,000; 3 = $3,000
Itemized:
(Y
I
d
ou must use
temIzed
eductIons If
)
10a. Total Itemized Deductions
10b. State and Local Income Taxes claimed on Sch. A
You ItemIzed on Your federal return
=
00
,
,
minus
,
,
,
,
.
00
00
.
.
10
00
11. Exemptions. Sum of total from Exemption Section A multiplied by $930 plus sum of total from
,
.
Exemption Section B multiplied by $800 ...................................................................................... 11
00
loss
,
,
,
,
.
12. Deductions from Virginia Adjusted Gross Income Schedule ADJ, Line 9 ....................................12
00
loss
,
,
.
13. Add Lines 10, 11 and 12 ............................................................................................................13
00
loss
,
,
.
14. Virginia Taxable Income - Subtract Line 13 from Line 9 ........................................................14
Office Use
_________
$
LAR
DLAR
DTD
LTD
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