Form 200-01 - Delaware Individual Resident Income Tax Return - 2005
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1
2DO NOT WRITE OR STAPLE IN THIS AREA
DELAWARE INDIVIDUAL RESIDENT
R
2005
INCOME TAX RETURN
FORM 200-01
or Fiscal year beginning
and ending
Your Social Security No.
Spouse’s Social Security No.
(Attach Label Here) DO NOT COVER SOCIAL SECURITY NUMBERS
Your Last Name
First Name and Middle Initial
Jr., Sr., III., etc.
Spouse’s Last Name
Spouse’s First Name
Jr., Sr., III., etc.
Present Home Address (Number and Street)
Apt. #
City
State
Zip Code
FILING STATUS (MUST CHECK ONE)
If you were a part-year resident in 2005, give the dates you resided in
Form DE2210
5.
Head of
1.
Single, Divorced,
Delaware.
3.
Married & Filing
Attached
Household
Widow(er)
Separate Forms
From
2005
To
2005
2.
Joint
4.
Married & Filing Combined
Month
Day
Month
Day
Separate on this form
Column A
Column B
Column A is for Spouse information, filing status 4 only. All other filing statuses use Column B.
00
00
1.
DELAWARE ADJUSTED GROSS INCOME. Enter amount from reverse side, Line 39 .............
1
2a.
If you elect the DELAWARE STANDARD DEDUCTION check here.....................
$3250
$3250
Filing Statuses 1, 3 & 5 Enter
in Column B
Filing Status 4 Enter
in Column A and in Column B
$6500
Filing Status 2 Enter
in Column B
If you elect the DELAWARE ITEMIZED DEDUCTIONS check here.....................
b.
Filing Statuses 1, 2, 3 and 5, enter Itemized Deductions from reverse side, Line 45 in Column B
00
00
2
Filing status 4 enter Itemized Deductions from reverse side, Line 45 in Columns A and B
3.
ADDITIONAL STANDARD DEDUCTIONS (
Not Allowed with Itemized Deductions - see instructions)
Column A - if SPOUSE was
Column B - if YOU were
CHECK BOX(ES)
65 or over
Blind
65 or over
Blind
Multiply the number of boxes checked above by $2500. If you are filing a combined separate return
3
00
00
(Filing status 4) enter the total for each appropriate column. All others enter total in Column B
4
4.
TOTAL DEDUCTIONS - Add Lines 2 & 3 and enter here..............................................................
00
00
5
5.
TAXABLE INCOME - Subtract Line 4 from Line 1, and Compute Tax on this Amount.....................
00
00
Column A
Column B
6
00
00
6.
Tax Liability from Tax Rate Table/Schedule
00
00
7
7.
Tax on Lump Sum Distribution (Form 329)
TOTAL TAX -
8.
Add Lines 6 and 7 and enter here...................................................................>
8
00
00
PERSONAL CREDITS (See instructions, page 6). If you use Filing Status 4, enter the total for each appropriate column. All others enter total in Column B.
9a.
Enter number of exemptions claimed on Federal return
X $110. ..........................
9a
00
00
On Line 9a, enter the number of exemptions for:
Column A
Column B
CHECK BOX(ES)
9b.
Spouse 60 or over (Column A)
Self 60 or over (Column B)
00
00
9b
Enter number of boxes checked on Line 9b.
X $110. ..............................................
00
00
10
10.
Tax imposed by State of
(Must attach a signed copy of return)................
00
00
11
11.
Volunteer Firefighter Company #
/Other Non-Refundable Credits (See Instructions)......
00
00
12
12.
Child Care Credit. Must attach Form 2441; Sch. 2, 1040A (Enter 50% of Federal credit)............
00
00
13
13.
Total Non-Refundable Credits. Add Lines 9a, 9b, 10, 11 & 12 and enter here...............................
00
00
14.
BALANCE. Subtract Line 13 from Line 8. If Line 13 is greater than Line 8, enter “0” (Zero).........
14
00
00
15.
Delaware Tax Withheld (W2s/1099 Required)
15
00
00
16.
16
2005 Estimated Tax Paid & Payments with Extensions
00
00
17.
17
S Corporation Payments Form 1100S/A-1 Required
>
18.
TOTAL Refundable Credits. Add Lines 15, 16 and 17 and enter here.....................................
00
00
18
>
00
00
19.
BALANCE DUE. If Line 14 is greater than Line 18, subtract 18 from 14 and enter here...........
19
>
20.
OVERPAYMENT. If Line 18 is greater than Line 14, subtract 14 from 18 and enter here..........
00
00
20
21.
CONTRIBUTIONS TO SPECIAL FUNDS
00
00
A
.
Non-Game Wildlife
F
.
Organ Donations
00
00
B
.
U.S. Olympics
G
.
Diabetes Educ.
00
00
C
.
Emergency Housing
H
.
Veteran’s Home
00
00
D
.
Children’s Trust
I
.
DE National Guard
00
00
E
.
Breast Cancer Educ.
J
.
Juv. Diabetes Fund
TOTAL >
21
00
22.
AMOUNT OF LINE 20 TO BE APPLIED TO 2006 ESTIMATED TAX ACCOUNT..................................ENTER >
22
00
23.
PENALTIES AND INTEREST DUE. If Line 19 is greater than $400, see estimated tax instructions.....ENTER >
23
00
24.
NET BALANCE DUE (For Filing Status 4, see instructions, page 8)...........................................PAY IN FULL >
24
00
For all other filing statuses, enter Line 19 plus Lines 21 and 23
25.
NET REFUND (For Filing Status 4, see instructions, page 8).........................ZERO DUE/TO BE REFUNDED >
00
25
For all other filing statuses, subtract Lines 21, 22 and 23 from Line 20
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