Form It-40 - Schedule 1: Add-Backs 2010 - Indiana
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1Schedule 1
Schedule 1: Add-Backs
Enclosure
2010
Form IT-40,
State Form 53995
Instructions begin on page 13
Sequence No. 01
(R / 9-10)
Name(s) shown on Form IT-40
Your Social Security Number
Round all entries
.00
1. Tax add back: certain taxes deducted from federal Schedules C, C-EZ, E and/or F ____________
1
.00
2. Net operating loss carryforward from federal Form 1040, “Other income” line ________________
2
.00
3. Income taxed on federal Form 4972 (lump sum distribution) ______________________________
3
.00
4. Domestic production activities add-back _____________________________________________
4
.00
5. Bonus depreciation add-back ______________________________________________________
5
.00
6. Section 179 expense excess add-back ______________________________________________
6
7. Unemployment compensation add-back. Important: see instructions on page 13.
Enter the amount of unemployment compensation
.00
from Box 1 of Form 1099G(s) ____________________________ Box A
Enter the amount of unemployment compensation
reported on Form 1040, line 19, Form 1040A, line 13, or
.00
Form 1040EZ, line 3 ___________________________________ Box B
.00
Subtract Box B from Box A, enter total here ___________________________________________
7
8. Other Add-Backs: See instructions beginning on page 14.
.00
a. Enter add-back name
code no.
8a
.00
b. Enter add-back name
code no.
8b
.00
c. Enter add-back name
code no.
8c
.00
d. Enter add-back name
code no.
8d
.00
e. Enter add-back name
code no.
8e
.00
f. Enter add-back name
code no.
8f
.00
g. Enter add-back name
code no.
8g
.00
h. Enter add-back name
code no.
8h
.00
i. Enter add-back name
code no.
8i
.00
j. Enter add-back name
code no.
8j
.00
9. Add lines 1 through 8. Enter total here and on Form IT-40, line 2
Total Indiana Add-Backs
9
22810111694
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