Form 43 - Idaho Part-Year Resident & Nonresident Income Tax Return 2007
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1
28734
F
43
O
2007
R
IDAHO PART-YEAR RESIDENT & NONRESIDENT INCOME TAX RETURN
M
EFO00091 9-12-07
.
State Use Only
AMENDED RETURN, check the box.
.
See instructions, page
12
for the reasons
for amending and enter the number.
Your Social Security Number (required)
For calendar year 2007, or fiscal year beginning
, ending
Your first name and initial
Last name
Spouse's Social Security Number (required)
Last name
Spouse's first name and initial
Mailing address
Taxpayer deceased
in 2007
City, State, and Zip Code
Spouse deceased
in 2007
.
.
.
If you or your spouse are nonresident aliens for federal purposes, check here.
Do you need tax forms mailed to you next year?
Yes
No
Residency status
Resident
Idaho Resident on Active Military Duty
Nonresident
. .
Part-Year Resident
. .
. .
Military Nonresident
. .
. .
Check one for yourself
1. Yourself
3
4
5
2
and one for your spouse
1
2. Spouse
if a joint return.
.
.
.
.
Full months in Idaho this year
Yourself _____
Spouse _____
Indicate current state of residence.
Yourself _____
Spouse _____
Election campaign fund
Filing status
6. Exemptions
I want $1 of my Income tax to go to
Enter the same number
I
f filing married joint or separate
return, enter spouse's name and
the Idaho Election Campaign Fund ($2 on joint return).
claimed on federal return.
Social Security number above.
1.
Single
7. Yourself 8. Spouse
7. Yourself 8. Spouse
f parents, or someone
{
I
a. Yourself
.
.
else, can claim you (or
2.
Married filing joint return
your spouse) as
Constitution
United
b. Spouse
.
.
dependents, enter "0."
3.
Married filing separate return
Democratic
No Specific
c. Other dependents
.
.
4.
Head of household
d. Total exemptions
Libertarian
None
.
5.
Qualifying widow(er)
Republican
Must match federal return
Idaho Amounts
IDAHO INCOME. See instructions, page 12.
.
9. Wages, salaries, tips, etc. Attach Form(s) W-2 ............................................................................................
9
00
.
10. Taxable interest income ...................................................................................................................................
10
00
.
11. Dividend income ................................................................................................................................................
11
00
.
12. Alimony received ...............................................................................................................................................
12
00
.
13. Business income or (loss). Attach federal Schedule C or C-EZ ...................................................................
13
00
.
14. Capital gain or (loss). If required, attach federal Schedule D ........................................................................
14
00
.
15. Other gains or (losses). Attach federal Form 4797 .......................................................................................
15
00
.
16. IRA distributions (taxable amount) .....................................................................................................................
16
00
.
17. Pensions and annuities (taxable amount) ...........................................................................................................
17
00
.
18. Rents, royalties, partnerships, S corporations, trusts, etc. Attach federal Schedule E ..............................
00
18
.
19. Farm income or (loss). Attach federal Schedule F ........................................................................................
19
00
.
20. Unemployment compensation ............................................................................................................................
20
00
.
21. Other income. Attach explanation ...................................................................................................................
21
00
22. TOTAL INCOME. Add lines 9 through 21 .........................................................................................................
22
00
IDAHO ADJUSTMENTS. See instructions, page 13.
.
23. Deductions for IRAs and health savings account ...............................................................................................
23
00
.
24. Moving expenses. Attach federal Form 3903 ................................................................................................
24
00
.
25. Deductions for self-employment tax, health insurance, and qualified retirement plans ................................
25
00
.
26. Penalty on early withdrawal of savings ...............................................................................................................
26
00
.
27. Other deductions. See instructions ................................................................................................................
27
00
28. TOTAL ADJUSTMENTS. Add lines 23 through 27 .........................................................................................
00
28
29. ADJUSTED GROSS INCOME. Subtract line 28 from line 22
.
.
If you have an NOL and are electing to forego the carryback period, check here
............................
29
00
.
Within 180 days of receiving this return, the Idaho State Tax Commission may discuss this return with the paid preparer identified below.
Under penalties of perjury, I declare that to the best of my knowledge and belief this return is true, correct and complete. See instructions.
Your signature
Date
MAIL TO: Idaho State Tax Commission, PO Box 56, Boise, ID 83756-0056
.
SIGN
ATTACH A COMPLETE COPY OF YOUR FEDERAL RETURN.
HERE
Spouse's signature (if a joint return, BOTH MUST SIGN)
Daytime phone
.
{hg¦}
Paid preparer's signature
Preparer's EIN, SSN, or PTIN
.
.
Address and phone number
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