Form 43 - Idaho Part-Year Resident & Nonresident Income Tax Return - 2016 Page 2

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Page 2

Form 43 - 2016

Column A - Federal

Column B - Idaho

EFO00091p2 08-01-2016

28. Enter amount from federal Form 1040, line 37, 1040A, line 21, or 1040EZ,

line 4 in Column A. Enter amount from line 27 in Column B .......................

29. Additions from Form 39NR, Part A, line 5. Include Form 39NR ..................

30. Subtractions from Form 39NR, Part B, line 26. Include Form 39NR ...........

31. TOTAL ADJUSTED INCOME. Add lines 28 and 29 minus line 30 ..............

32.

Check if age 65 or older ........

Yourself

Spouse

b. Check if blind ...........

Yourself

Spouse

Standard

If your parent or someone else can claim you as a dependent, check here and enter zero on lines 37 and 62

Deduction

For Most

33. Itemized deductions. Include federal Schedule A. Federal limits apply ..........................................

People

34. All state and local income or general sales taxes included on federal Schedule A, line 5 ...............

35. Subtract line 34 from line 33 .............................................................................................................

Single or

Married filing

36. Standard deduction. See instructions, page 15, to determine amount if not standard ....................

Separately:

37. Multiply $4,050 by the number of exemptions claimed on line 6d. Federal limits apply ..................

$6,300

38. Add line 37 and the LARGER of line 35 or line 36 ...........................................................................

Head of

39. Idaho percentage. Divide line 31, Column B, by line 31, Column A ...............................................

Household:

$9,300

40. Multiply amount on line 38 by the percentage on line 39 and enter the result here .........................

41. Idaho taxable income. Subtract line 40 from line 31, Column B .....................................................

Married filing

Jointly or

42. TAX from tables or rate schedule. See instructions, page 37 .........................................................

Qualifying

43. Income tax paid to other states. Include Form 39NR and other states' returns ..............................

Widow(er):

$12,600

44. Total credits from Form 39NR, Part E, line 4. Include Form 39NR ...................................................

45. Total business income tax credits from Form 44, Part I, line 11. Include Form 44 ..........................

46. Line 42 minus lines 43 through 45. If less than zero, enter zero .....................................................

47. Fuels tax due. Include Form 75 ............................................................................................................................

48. Sales/Use tax due on nontaxed purchases (Internet, mail order, and other) ................................................

49. Total tax from recapture of income tax credits from Form 44, Part II, line 7. Include Form 44 .............................

50. Tax from recapture of qualified investment exemption (QIE). Include Form 49ER ..............................................

51. Permanent building fund. Check the box if you received Idaho public assistance payments for 2016 .......

52. TOTAL TAX. Add lines 46 through 51 ...................................................................................................................

I want to donate to:

53. Veterans Support Fund

............................. __________ 54. Opportunity Scholarship Program __________

55. Idaho Guard and Reserve Family .............. __________ 56. Idaho Children's Trust Fund ...... __________

57. Special Olympics Idaho ................................ __________ 58. Nongame Wildlife Conservation __________

59. American Red Cross of Idaho ...................... __________ 60. Idaho Foodbank Fund .............. __________

61. TOTAL TAX PLUS DONATIONS. See instructions, page 16. Add lines 52 through 60 ......................................

62. Grocery credit. See instructions, page 17. Computed Amount (from worksheet) .........

________________

To donate your grocery credit to the Cooperative Welfare Fund, check the box and enter zero on line 62

To receive your grocery credit, enter the computed amount on line 62 ................................................................

63. Maintaining a home for family member age 65 or older, or developmentally disabled. Include Form 39NR ......

64. Special fuels tax refund ________________

Gasoline tax refund __________________ Include Form 75

65. Idaho income tax withheld. Include Form(s) W-2 and any 1099(s) that show Idaho withholding ........................

66. 2016 Form 51 payment(s) and amount applied from 2015 return .........................................................................

67. Pass-through income tax. Withheld ___________ Paid by entity _____________ Include Form(s) ID K-1 ....

68. Reimbursement Incentive Act credit ___________ Claim of Right credit ___________ See instructions .........

69. TOTAL PAYMENTS AND OTHER CREDITS. Add lines 62 through 68 ..............................................................

70. TAX DUE. Subtract line 69 from line 61 ......................................................................................................

71. Penalty ________________ Interest from the due date

_________________ Enter total.

Check box if penalty is due to an ineligible withdrawal from an Idaho medical savings account .................

72. TOTAL DUE. Add lines 70 and 71. Make check or money order payable to the Idaho State Tax Commission ...

73. OVERPAID. Line 69 minus lines 61 and 71 ..........................................................................................................

74. REFUND. Amount of line 73 to be refunded to you ....................................................................................

75. ESTIMATED TAX. Amount of line 73 to be applied to your 2017 estimated tax ..................................................

76. DIRECT DEPOSIT. See instructions, page 19.

Check if final deposit destination is outside of the U.S.

Type of

Checking

Routing No.

Account No.

Account:

Savings

77. Total due (line 72) or overpaid (line 73) .........................................

78. Refund from original return plus additional refunds ......................