Form In-113 - Income Adjustment Schedules - 2007 Page 2
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2*071131299*
Form IN-113, page 2
* 0 7 1 1 3 1 2 9 9 *
Carried forward from
__________________________________
_______________________________
Line 16A
Line 16B
A. Federal Amount $
B. VT Portion $
17. IRA (1040-Line 32; or 1040A-Line 17); Keogh/SEP/SIMPLE (1040-Line 28):
.
.
,
,
,
,
0 0
0 0
Self ______________17.Spouse ______________ . . . . . . 17.
17.
18. Education Deductions: Educator expenses (1040-Line 23;
.
.
1040A-Line 16); Student Loan Interest (1040-Line 33; 1040A-Line 18);
,
,
,
,
0 0
0 0
Tuition fees (1040-Line 34; 1040A-Line 19). . . . . . . . . . . . . . . . . . . . . . . . 18.
18.
19. Employee Deductions: Reservists, Performing Artists, Fee-basis
.
.
,
,
,
,
0 0
0 0
Gov’t Officials (1040-Line 24) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
19.
20. Self-Employment Deductions: Tax (1040-Line 27), and Health
.
.
,
,
,
,
0 0
0 0
Insurance (1040-Line 29) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20.
20.
.
.
,
,
,
,
0 0
0 0
21. Health Savings Account (1040-Line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . 21.
21.
.
.
,
,
,
,
0 0
0 0
22. Moving Expenses (1040-Line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22.
22.
.
.
,
,
,
,
0 0
0 0
23. Penalty on Early Withdrawal of Savings (1040-Line 30) . . . . . . . . . . . . . . . 23.
23.
.
.
,
,
,
,
0 0
0 0
24. Alimony Paid (1040-Line 31a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24.
24.
.
.
,
,
,
,
0 0
0 0
25. Domestic Production Activities (1040-Line 35). . . . . . . . . . . . . . . . . . . . . 25.
25.
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.
,
,
,
,
0 0
0 0
26. Deductions not listed above but included on 1040-Line 36 . . . . . . . . . . . 26.
26.
.
.
,
,
,
,
0 0
0 0
27. TOTAL ADJUSTMENTS (Add Lines 17 – 26) . . . . . . . . . . . . . . . . . . . . . 27.
27.
Check to indicate
.
,
,
0 0
loss
28. Adjusted Gross Income (Subtract Line 27A from Line 16A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28.
Check to indicate
.
,
,
0 0
loss
29. VT Portion of AGI (Subtract Line 27B from Line 16B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29.
Check to indicate
.
,
,
0 0
loss
30. Non-VT Income (Subtract Line 29 from Line 28. Enter result here and on Schedule II, Line 32 below). .
30.
Dates of VT residency in 2007: From ____________ to ____________ Name of state(s), Canadian province or country during non-VT residency: __________________
SCHEDULE II. Adjustment for VT Exempt Income
Check to indicate
31. Adjusted Gross Income If Schedule I completed, enter Line 28.
.
,
,
0 0
loss
Otherwise, enter amount from Form IN-111, Section 2, Line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31.
Check to indicate
.
,
,
0 0
(Full-year VT residents enter 0 on Line 32)
loss
32. Non-VT Income . . . . . . . . . . . . . . . . . . . . . . . . . . .
32.
(Enter amount from Line 30 above)
Part-Year Residents: For Lines 33-39
Enter only income included in Schedule I, Line 29
.
,
,
0 0
33. Military pay. Number of months on active duty____ (See instructions) . 33.
.
,
,
0 0
34. Federal Employment Opportunity income adjustment . . . . . . . . . . . . . . . 34.
.
,
,
0 0
35. Railroad Retirement income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35.
.
36. VT State payments to a family for support of developmentally
,
,
0 0
disabled person(s) (See instructions on page 44) . . . . . . . . . . . . . . . . . . 36.
.
,
,
0 0
37. Americans with Disabilities Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.
.
,
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0 0
38. Nonresident Commercial Film Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38.
.
,
,
0 0
39. VT Telecommunication Authority bond/note interest . . . . . . . . . . . . . . . 39.
Check to indicate
.
,
,
0 0
loss
40. Total (Add Lines 32-39) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
40.
Check to indicate
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,
,
0 0
loss
41. VT income (Subtract Line 40 from Line 31). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41.
.
%
42. INCOME ADJUSTMENT % (Divide Line 41 by Line 31) Enter here and on Form IN-111, Section 4, Line 21. See instructions. . . . . . . . . . . . . . . . . $ $ 42.
Form IN-113
24
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