Form 200-02-X - Non-Resident Amended Delaware Personal Income Tax Return - 2005 Page 2

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NON-RESIDENT AMENDED DELAWARE PERSONAL INCOME TAX RETURN
Page 2
NOTE: IF YOUR ORIGINAL RETURN WAS FILED USING TWO SEPARATE FORMS, YOU MUST FILE TWO SEPARATE AMENDED FORMS
IS AN AMENDED FEDERAL RETURN BEING FILED?................................................................................................................................................
YES
NO
HAS THE DELAWARE DIVISION OF REVENUE ADVISED YOU YOUR ORIGINAL RETURN IS BEING AUDITED?.............................................
YES
NO
IS THIS AMENDED RETURN BEING FILED AS A PROTECTIVE CLAIM?..............................................................................................................
YES
NO
A DETAILED EXPLANATION OF ALL CHANGES MUST BE PROVIDED IN THIS SPACE. ALL SUPPORTING SCHEDULES AND/OR DOCUMENTATION MUST BE ATTACHED.
ADDITIONAL STANDARD DEDUCTION WORKSHEET
65 OR OVER
BLIND
TOTAL NO.
TOTAL AMOUNT
1.
SELF......................
..............
.........
X 2500 =
2.
SPOUSE.................
................
.........
X 2500 =
NOTE: IF YOU ARE FILING A JOINT RETURN, ADD THE TOTAL OF LINES 1 AND 2 AND ENTER
ON PAGE 1, LINE 3.
TAX RATE SCHEDULE
IF INCOME ON LINE 5 IS:
AT LEAST
BUT NOT OVER
YOUR TAX IS:
$
0.
$
2,000.
$
0.
2.20% OF AMOUNT OVER $2,000.
2,000.
5,000.
$66.00 + 3.90% OF AMOUNT OVER $5,000.
5,000.
10,000.
$261.00 + 4.80% OF AMOUNT OVER $10,000.
10,000.
20,000.
$741.00 + 5.20% OF AMOUNT OVER $20,000.
20,000.
25,000.
$1,001.00 + 5.55% OF AMOUNT OVER $25,000.
25,000.
60,000.
$2,943.50 + 5.95% OF AMOUNT OVER $60,000.
60,000 AND OVER
DELAWARE DIVISION OF REVENUE TELEPHONE AND ADDRESS INFORMATION
NEW CASTLE COUNTY
KENT COUNTY
SUSSEX COUNTY
Carvel State Office Building
Thomas Collins Building
422 North DuPont Highway
820 North French Street
540 South DuPont Highway
Suite 2
Wilmington, DE 19801
Dover, DE 19901
Georgetown, DE 19947
(302) 577-8200
(302) 744-1085
(302) 856-5358
Toll-free telephone number (Delaware only) 1-800-292-7826
Revised 10/14/2005

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