Form 740-Ez - Individual Income Tax Return - 2006

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*0600020003*
740-EZ
K
ENTUCKY
I
I
T
R
NDIVIDUAL
NCOME
AX
ETURN
42A740-EZ
2006
Department of Revenue
For Single Persons With No Dependents
Your Social Security Number ®
Name—Last, First, Middle Initial
L
Mailing Address (Number and Street or P.O. Box)
Apartment Number
A
B
E
City, Town or Post Office
State
ZIP Code
L
1
2
3
POLITICAL
Designating $2 will not change your refund or tax due. Mark an X in
FAMILY
PARTY
1
Box 1 for Democratic, Box 2 for Republican, or Box 3 for No Designation.
SIZE
FUND
Dollars
Cents
INCOME
1. Enter federal Adjusted Gross Income from Form 1040EZ, line 4.
This is your Kentucky Modified Gross Income ( If $13,034 or less,
0
0
,
.
see Family Size Tax Credit in instructions.) ............................................................ 1
1
9
7
0
0
0
,
.
2. Standard deduction ................................................................................................... 2
0
0
,
.
3. Subtract line 2 from line 1. This is your Taxable Income ...................................... 3
,
.
0
0
4. Enter tax from Tax Table or Tax Computation for amount on line 3 ...................... 4
TAX
2 0
0
0
.
5. Personal tax credit ..................................................................................................... 5
,
.
0
0
6. Subtract line 5 from line 4. If line 5 is larger than line 4, enter zero .................... 6
7.
Multiply line 6 by the Family Size Tax Credit decimal amount
__ . __ __
(
__ __ __
%)
,
.
0
0
7
and enter here ........................................................................................................................
,
.
0
0
8. Subtract line 7 from line 6. This is your Income Tax Liability .............................. 8
0
0
,
.
9. Enter Kentucky Use Tax ........................................................................................... 9
,
.
0
0
10. Add lines 8 and 9. This is your Total Tax Liability ................................................. 10
11. Enter Kentucky Income Tax withheld as shown on attached
,
.
0
0
2006 Form W-2, Wage and Tax Statement(s) ......................................................... 11
,
.
0
0
AMOUNT OVERPAID
12. If line 11 is larger than line 10, enter
(see instructions) 12
See instructions for a detailed description of funds.
13. a Nature and Wildlife Fund Contribution (Enter amount checked)
0
0
.
$2
$5
$10
Other
...............
b Child Victims' Trust Fund Contribution (Enter amount checked)
0
0
.
$2
$4
Other
....................................
0
0
.
c Veterans' Program Trust Fund Contribution ...............................
d Breast Cancer Research and Education Trust Fund
0
0
.
Contribution ...................................................................................
0
0
,
.
14. Add amounts contributed on lines 13a, 13b, 13c and 13d .................................... 14
,
.
0
0
REFUND
15. Subtract line 14 from line 12. Amount to be refunded to you ....
15
16. If line 10 is larger than line 11, enter amount you owe. Enclose check
payable to Kentucky State Treasurer. Write your Social
,
.
0
0
OWE
Security number and "KY Income Tax—2006" on the check ......................
16
I, the undersigned, declare under penalties of perjury that I have examined this return, including any accompanying statements, and to
the best of my knowledge and belief, it is true, correct and complete.
®
Your Signature
Telephone Number (daytime)
Date Signed
Typed or Printed Name of Preparer Other Than Taxpayer
I.D. Number of Preparer
Date
Official Use Only
REFUNDS
Kentucky Department of Revenue, Frankfort, KY 40618-0006.
Mail to:
NT
P B F
R
PAYMENTS
Kentucky Department of Revenue, Frankfort, KY 40619-0008.

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