Form 200-01 - Delaware Individual Resident Income Tax Return Page 3

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R
2016
Schedule
2016 DELAWARE RESIDENT SCHEDULES
Names:
Social Security Number:
COLUMNS:
Column A is reserved for the spouse of those couples choosing filing status 4. (Reconcile your Federal totals to the appropriate individual. See
Page 9 worksheet.) Taxpayers using filing statuses 1, 2, 3, or 5 are to complete Column B only.
Filing Status 4 ONLY
All other filing statuses
Spouse Information
You or You plus Spouse
DE SCHEDULE I - CREDIT FOR INCOME TAXES PAID TO ANOTHER STATE
COLUMN A
COLUMN B
See the instructions and complete the worksheet on Page 7 prior to completing DE Schedule I.
Enter the credit in HIGHEST to LOWEST amount order.
1.
Tax imposed by State of
(enter 2 character state name).................................
1
2.
Tax imposed by State of
(enter 2 character state name).................................
2
3.
Tax imposed by State of
(enter 2 character state name).................................
3
4.
Tax imposed by State of
(enter 2 character state name).................................
4
5.
Tax imposed by State of
(enter 2 character state name).................................
5
You must attach a copy of the
6.
Enter the total here and on Resident Return, Line 10.
other state return(s) with your Delaware tax return
............................................................ 6
DE SCHEDULE II - EARNED INCOME TAX CREDIT (EITC)
Complete the Earned Income Tax Credit for each child YOU CLAIMED the Earned Income Credit for on your federal return.
Qualifying Child Information
7b. Child’s Last Name
8. Child’s SSN
9. Child’s Date of Birth
7a. Child’s First Name
CHILD 1
CHILD 2
CHILD 3
10.
Was the child under age 24 at the end of 2016,
a student, and younger than you (or your
YES
NO
YES
NO
YES
NO
spouse, if filing jointly)? ......................................
10
11.
Was the child permanently and totally disabled
YES
NO
YES
NO
YES
NO
during any part of 2016? ....................................
11
12.
Delaware State Income Tax from Line 8 (enter higher tax amount from Column A or B) ...................
12
13.
Federal earned income credit from Federal Form 1040, Form 1040A, or Form 1040EZ....................
13
14.
Delaware EITC Percentage (20%) ....................................................................................................
14
15.
Multiply Line 13 by Line 14 .................................................................................................................
15
16.
Enter the smaller of Line 12 or Line 15 above. Enter here and on Resident Return, Line 14 ............
16
See the instructions on Page 8 for ALL required documentation to attach.
DE SCHEDULE III - CONTRIBUTIONS TO SPECIAL FUNDS
See Page 13 for a description of each worthwhile fund listed below.
17.
A.
Non-Game Wildlife
G.
Veterans Home
M.
White Clay Creek
B.
U.S. Olympics
H.
DE National Guard
N.
Home of the Brave
C.
Emergency Housing
I.
Juv. Diabetes Fund
O.
Senior Trust Fund
D.
Breast Cancer Edu.
J.
Mult. Sclerosis Soc.
P.
Veterans Trust Fund
E.
Organ Donations
K.
Ovarian Cancer Fund
Q.
Protecting DE’s
F.
Diabetes Edu.
L.
21
st
Fund for Children
Children Fund
Enter the total Contribution amount here and on Resident Return, Line 24 ....................................................................... 17
This page MUST be sent in with your Delaware return if any of the schedules (above) are completed.
*DF20216019999*
(Rev 11/2016)
DF20216019999

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