Form 1040cm - Territorial Individual Income Tax Return - 2008

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DIVISION OF REVENUE AND TAXATION

COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS

TERRITORIAL INDIVIDUAL INCOME TAX RETURN

Form 1040CM

2008

(Please type or print in ink)

Do not write in this space

For the year Jan. 1 - Dec. 31, 2008, or other tax year beginning

, 2008, ending

Your social security number

Your

name and initial

Last name

Spouse’s social security number

Name and

If a joint return, spouse’s

name and initial

Address

Apt. No.

Home address (number and street). If you have a P.O. Box, see page 14.

IMPORTANT !

City, town, or post

state and ZIP code. If you have a foreign address, see page 14.

You must enter SSN(s) above

Single

Married

joint return (even if only one had income)

Married

separate return. Enter spouse’s social security no. above and full name here.

Filing Status

Head of household (with qualifying person). (See page 15.) If the qualifying person is a child but not your

Check only one box

dependent, enter this child’s name here.

Qualifying widow(er) with dependent child (year spouse died

). (See page 16)

}

No. of boxes checked

Yourself. If your parent (or someone else) can claim you as a dependent on his or her tax return, do not check box 6a...............

Exemptions

on 6a and 6b

Spouse...............................................................................................................................................................................................

No. of children on 6c who:

(4)

If qualifying

Dependent’s:

(2) Dependent’s social

(3) Dependent’s

lived with you

child for child tax

(1) First Name

Last Name

security number

relationship to you

did not live with

credit (see page 17)

you due to divorce

or separation

(see page 18)

If more than four

Dependents on 6c

dependents see

not entered above

page 17

Add numbers

entered on

Total number of exemptions claimed……………………………………………………………………………………………………………...............

lines above

A. INCOME WITHOUT

B. INCOME WITHIN

C. TOTAL INCOME

SOURCE OF INCOME

AND Income not subject to rebate

AND Income subject to rebate

Wages, salaries, tips, etc. Attach Form(s) W-2 and W-2CM……………………………….........

a. Taxable interest. Attach Schedule B if required

(see page 21)……………………...........

b. Tax-exempt interest. DO NOT include on line 8a

a. Ordinary dividends. Attach Schedule B if required…………………………………................

dividends

(see page 21)

10 Taxable refunds, credits, or offsets of state and local income taxes (see page 22)……..........

11 Alimony received…………………………………………………………………………….............

12 Business income or (loss). Attach Schedule C or C-EZ……………………………………........

13 Capital gain (or loss). Attach Schedule D if required. If not required, check here.........

14 Other gains or (losses). Attach Form 4797…………………………………………………..........

Income

15b

15 a. IRA distributions

b. Taxable amount (see page 23)

15a

16a

16 a. Pensions and annuities

b. Taxable amount (see page 24)

16b

17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E.....

18 Farm income or (loss). Attach Schedule F…………………………………………………..........

19 Unemployment compensation……………………………………………………………..........…..

20a

20b

20 a. Social security

b. Taxable amount (see page 26)

21a

21 a. Gambling winnings. Attach Form(s) W-2G………………………………………….....……….

21b

b. Other income. List type and amount (see pages 28)……………………………………….....

22a

22 a. Total Income. Add amounts shown in all columns for lines 7 through 21b..............……....

22b

b. Allocable percentage (see instructions)………………………………………………………...

100%

23 Educator expenses (see page 28)……………………………………………………………........

24 Certain business expenses of reservists, performing artists, and

fee-basis governmental

Attach Form 2106 or 2106-EZ…………………………….......

25 Health savings account deduction. Attach Form 8889………………………………………......

26 Moving expenses. Attach Form 3903………………………………………………………..........

27 One-half of self-employment tax. Attach Schedule SE………………………………….............

28 Self-employed SEP, SIMPLE, and

plans...................................................................

Adjusted

29 Self-employed health insurance deduction (see page 29)…………………………………….....

Gross

y t l

r a

y l

i w

h t

a r

l a

f o

n i

. . .

Income

31b

31 a. Alimony paid

b. Recipient’s SSN

31a

32 IRA deduction (see page 30)………………………………………………………………….........

33 Student loan interest deduction (see page 33)……………………………………………….......

34 Tuition and fees deduction. Attach Form 8917…... ………………………………………...........

35 Domestic production activities deduction. Attach Form 8903 ……………………………..........

}

36 Add lines 23 through 31a and 32 thorugh 35...............................................................................................................................................................................

37 Subtract line 36 from line 22a, col. C. This is your adjusted gross income.............................................................................................................……...........

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