Form 200-02-X - Non-Resident Amended Delaware Personal Income Tax Return - 2000

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DO NOT WRITE OR STAPLE IN THIS AREA
DELAWARE
TAX YEAR:
FORM 200-02-X
NON-RESIDENT AMENDED
DELAWARE PERSONAL INCOME TAX RETURN
(FOR TAX YEARS BEGINNING 2000)
or Fiscal year beginning _______________ and ending _______________
Your Social Security No.
Spouse’s Social Security No.
FILING STATUS (MUST CHECK ONE)
1.
Single, Divorced, Widow(er)
3.
Married & Filing Separate Forms
Your Last Name
Your First Name and Middle Initial
Jr., Sr., III., etc
2.
Joint
5.
Head of Household
Spouse’s Last Name
Spouse’s First Name
Jr., Sr., III., etc
Form DE2210
Check if a full year non-resident in the tax year
Attached
Present Home Address (Number and Street)
Apt. #
If you were a part year resident in the tax year, give the dates you
resided in Delaware.
From
To
City, Town or Post Office
State
Zip Code
Month
Day
Year
Month
Day
Year
COMPLETE ALL SECTIONS OF THIS RETURN. NAMES AND SSN’S MUST MATCH ORIGINAL RETURN.
CORRECTED AMOUNTS
DELAWARE ADJUSTED GROSS INCOME................................................................................................................................
1
00
1.
2.
(a) If you elect the STANDARD DEDUCTION check here...................................................................
a.
Filing Statuses 1, 3 & 5 - $3250
Filing Status 2 - $6500
(b) If you elect to ITEMIZE DEDUCTIONS check here .......................................................................
b.
2
00
3.
ADDITIONAL STANDARD DEDUCTIONS (Not allowed with Itemized Deductions - use worksheet on back)
CHECK BOX(ES)
If SPOUSE was 65 or over
and/or Blind
If YOU were 65 or over
and/or Blind
3
00
4.
TOTAL DEDUCTIONS - ADD LINES 2 and 3 and Enter Here....................................................................................................
4
00
5.
TAXABLE INCOME - Subtract Line 4 from Line 1 and compute tax on this amount..................................................................
5
00
6.
Tax Liability Computation
A
Tax Liability from Tax
Modified Delaware Sourced Income
00
Proration
Rate Table/Schedule
B
Delaware Adjusted Gross Income
00
=
.
X
00
6
00
Personal Credits (See Instructions)
7a.
Enter number of exemptions claimed on Federal return _______________ X $110. = _______________
7a
00
Multiply this amount by the proration decimal on Line 6 (X
) and enter total here....................................................
7b.
CHECK BOX(ES)
Spouse 60 or Over (if filing status 2)
Self 60 or Over
Enter number of boxes checked on Line 7b ________________ X $110. = _______________
7b
00
Multiply this amount by the proration decimal on Line 6 (X
) and enter total here....................................................
8.
Tax imposed by State of _____________ (Part Year Residents only)................
8
00
8
9.
Other Non-Refundable Credits................................................................................
9
00
9
10.
Total Non-Refundable Credits (Add Lines 7a, 7b, 8 and 9).........................................................................................................
10
00
11.
BALANCE (Subtract Line 10 from Line 6, cannot be less than ZERO).......................................................................................
11
00
12.
Delaware Tax Withheld (W-2's and or 1099's Required)....................................
12
00
12
13.
Estimated Tax Paid & Payments with Extensions..................................................
13
00
13
14.
S Corporation Payments (Form 1100S/A-1 Required).........................................
14
00
14
15.
Amount paid (if any, see instructions)....................................................................
15
00
15
16.
TOTAL Refundable Credits (Add Lines 12, 13, 14, & 15).............................................................................................................
16
00
17.
Refund received (if any, see instructions).....................................................................................................................................
17
00
18.
Estimated Tax Carryover and/or Special Funds Contribution as shown on original return .........................................................
18
00
19.
Subtract Lines 17 and 18 from Line 16.........................................................................................................................................
19
00
20.
BALANCE DUE. If Line 11 is more than Line 19, subtract 19 from 11 and enter here............................................................. >
20
00
21.
OVERPAYMENT. If Line 19 is more than Line 11, subtract 11 from 19 and enter here............................................................ >
21
00
22.
AMOUNT OF LINE 21 TO BE APPLIED TO YOUR ESTIMATED TAX ACCOUNT........................................................ENTER >
22
00
23.
PENALTIES AND INTEREST DUE..................................................................................................................................ENTER >
23
00
24.
NET BALANCE DUE - Enter the amount due (Line 20 plus Lines 22 and 23) and pay in full ..............................PAY IN FULL >
24
00
25.
NET REFUND - Subtract Lines 22 and 23 from Line 21........................................................TO BE REFUNDED/ZERO DUE >
25
00
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.
X
Your Signature
Date
Signature of Paid Preparer
Date
X
Spouse’s Signature (If filing joint)
Date
Address-Zip Code
Home Phone____________________ Business Phone______________________
Business Phone______________________________
EIN, SSN, OR PTIN
NON-RESIDENT AMENDED DELAWARE PERSONAL INCOME TAX RETURN

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