Form 200-01 - Delaware Individual Resident Income Tax Return - 2006 Page 2

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2006 DELAWARE RESIDENT FORM 200-01, PAGE 2
COLUMNS: Column A is reserved for the spouse of those couples choosing filing status 4. (Reconcile your Federal totals to the appropriate
individual. See Page 9 worksheet.) Taxpayers using filing statuses 1, 2, 3, or 5 are to complete Column B only.
Filing Status 4 ONLY
All other filings statuses
Spouse Information
You or You plus Spouse
MODIFICATIONS TO FEDERAL ADJUSTED GROSS INCOME
COLUMN A
COLUMN B
SECTION A - ADDITIONS (+)
28
00
00
...........................
28.
Enter Federal AGI amount from Federal 1040, Line 37; 1040A, Line 21; or 1040EZ, Line 4
00
00
29. Interest on State & Local obligations other than Delaware..................................................................
29
00
00
30. Fiduciary adjustment, oil depletion....................................................................................................
30
00
00
31. TOTAL - Add Lines 29 and 30..........................................................................................................
31
32. Subtotal. Add Lines 28 and 31..........................
00
00
32
SECTION B - SUBTRACTIONS (-)
00
00
33
33. Interest received on U.S. Obligations................................................................................................
00
00
34. Pension/Retirement Exclusions (See instructions).............................................................................
34
35. Delaware State tax refund, Delaware lottery, fiduciary adjustment, work opportunity tax credit,
00
00
Travelink Program, Delaware NOL Carry forward...............................................................................
35
00
00
36
36.
Taxable Soc. Sec./RR Retirement Benefits/Higher Educ. Excl./Certain Lump Sum Dist. (See instr.) ...........
00
00
37
37. SUBTOTAL. Add Lines 33, 34, 35 and 36 and enter here..................................................................
00
00
38
38. Subtotal. Subtract Line 37 from Line 32............
00
00
39
39. Exclusion for certain persons 60 and over or disabled (See instructions).............................................
00
00
40
40. TOTAL - Add Lines 37 and 39..........................................................................................................
00
00
41
41.
DELAWARE ADJUSTED GROSS INCOME. Subtract line 40 from Line 32. Enter here and on Front, Line 1....
SECTION C - ITEMIZED DEDUCTIONS (MUST ATTACH FEDERAL SCHEDULE A) If Columns A and B are used and you are unable to specifically
allocate deductions between spouses, you must prorate in accordance with income.
00
00
42
42. Enter total Itemized Deductions from Schedule A, Federal Form 1040, Line 28..................................
00
00
43
43. Enter Foreign Taxes Paid (See instructions)......................................................................................
00
00
44
44. Enter Charitable Mileage Deduction (See instructions).......................................................................
00
00
45
45. SUBTOTAL. - Add Lines 42, 43, and 44 and enter here.....................................................................
00
00
46a
46a. Enter State Income Tax included in Line 42 above (See instructions)..................................................
00
00
46b
46b. Enter Form 700 Tax Credit Adjustment (See instructions)..................................................................
00
00
47
47.
TOTAL - Subtract Line 46a and 46b from Line 45. Enter here and on Front, Line 2 (See instructions)...........
SECTION D - DIRECT DEPOSIT INFORMATION If you would like your refund deposited directly
to your checking or savings account, complete boxes a, b and c below. See instructions for details.
a. Routing Number
b. Type:
Checking
Savings
DATE OF DEATH
SPOUSE
TAXPAYER
c. Account Number
/
/
/
/
Month
Day
Year
Month
Day
Year
BE SURE TO SIGN YOUR RETURN BELOW AND KEEP A COPY FOR YOUR RECORDS
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and believe it is true, correct and complete.
Your Signature
Date
Signature of Paid Preparer
Date
Spouse's Signature (if filing joint or combined return) Date
Address-Zip Code
Home Phone
Business Phone
Business Phone
EIN, SSN OR PTIN
E-Mail Address
E-Mail Address
NET BALANCE DUE (LINE 26):
NET REFUND (LINE 27):
ZERO (LINE 27):
DELAWARE DIVISION OF REVENUE
DELAWARE DIVISION OF REVENUE
DELAWARE DIVISION OF REVENUE
P.O. BOX 508
P.O. BOX 8765
P.O. BOX 8711
WILMINGTON, DE 19899-0508
WILMINGTON, DE 19899-8765
WILMINGTON, DE 19899-8711
MAKE CHECK PAYABLE TO : DELAWARE DIVISION OF REVENUE
REMEMBER TO ATTACH APPROPRIATE SUPPORTING SCHEDULES WHEN FILING YOUR RETURN
(Rev 09/15/06)

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