Schedule F Individual - Other Income - 2005 printable pdf download

Schedule F Individual

Rev. 05.05

2005

OTHER INCOME

Taxable year beginning on _________________, _____ and ending on ________________, _____

Taxpayer's name

Social Security Number

Part I

Interest

Column A

Column B

Column C

Column D

Column E

Column F

Interest subject

Interest not subject to

Interest from IRA

Eligible

Other

Employer's

Account

to withholding

withholding

distributions to

distributions under

interest

Payer's name

interest

Identification Number

Number

from financial

Government

Section 1169A

subject to withholding

institutions

Pensioners

(01)

(02)

(03)

(04)

(05)

(06)

(07)

(08)

(13)

(26)

(31)

(18)

(21)

Subtotal of interest ...................

...........................................................................................

(09)

(14)

(22)

(27)

(19)

Less: Interest exclusion

See instructions

(

) ...............................................................................

(32)

(15)

(23)

(28)

(20)

Total interest .....................................................................................................................

(10)

(33)

Add line 3, Columns C and F.................................................................................................

(24)

(29)

(16)

Tax: Enter 17% of line 3B and 10% of lines 3A, 3D and 3E ......................................................

(11)

(34)

Total tax (Determine the total of line 5. Enter in Part 4, line 18 of the return) ..

..................................

(25)

(30)

(17)

Tax withheld (Submit Forms 480.6B, 480.6SE, 480.6CI, 480.7 and 480.7B,

as applicable) .......................................................................................................................

(12)

Total tax withheld (Determine the total of line 7. Enter on Schedule B Individual, Part IIl, line 4)..........................................................................................................................................................

......

(35)

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) ........................................................................................................

(36)

......

10.

Total interest (Add lines 4 and 9. Transfer to Part 2, line 2A of the return)........................................................

............................................................................................................................

(37)

Conservation Period: Ten (10) Years