Virginia Resident Form 760-Web - Individual Income Tax Return - 2003
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1
22003
VA Resident Form 760-Web
iFile
*VA0760103888*
Individual Income Tax Return
Fast. Easy. Secure.
File by May 3, 2004 - PLEASE USE BLACK INK
Your first name
M.I. Last name
Suffix
Fill in all ovals that apply:
Name or filing status has changed since last filing
Spouse’s first name (joint returns only) M.I. Last name
Suffix
Address has changed since last filing
Virginia return was not filed last year
Present home address (number and street)
Accelerated Refund Request
Return adjusted for fixed date conformity
City, town or post office and state
Zip Code
Dependent on another’s return with unearned income
Amended Return - Fill in oval if result of NOL
First 4 letters of
First 4 letters of
Locality Code
Your Social Security Number
Spouse’s Social Security Number
your last name
spouse’s last name
See instructions
-
-
-
-
Filing Status
Exemptions
Fill in oval to indicate status
65 or over Blind
Total
Use
Dependents
(1) Single.
Did you claim federal head of household?
Yes
Exemptions
Total
You
1
+
+
Exemptions
(2) Married filing joint return (Enter spouse’s SSN above)
+
=
to complete
Spouse
+
+
Line 11
(3) Married filing separate return (Enter spouse’s SSN above)
if filing
Spouse’s Name________________________
joint return
WHOLE DOLLARS ONLY
00
LOSS
1. Federal Adjusted Gross Income ...................................................................................... 1
,
,
n
.
(from federal return - NOT FEDERAL TAXABLE INCOME )
00
2. Total Additions from attached Schedule ADJ, line 3............................................................... 2
,
,
.
n
(You must attach Schedule ADJ)
00
3. Add lines 1 and 2.............................................................................................................. 3
LOSS
,
,
.
4. Deduction for age on Jan 1, 2004. Each filer age 62-64: $6,000; each filer 65 or over: $12,000
+
00
=
You
Spouse
4
,
.
,
.
,
00
.
00
00
,
,
.
n
5. Social Security Act and equivalent Tier 1 Railroad Retirement Act benefits ............................... 5
(reported as taxable on federal return)
00
.
,
,
n
6. State Income Tax refund or overpayment credit (reported as income on federal return) ............. 6
00
n
7. Subtractions from attached Schedule ADJ, line 7 .................................................................. 7
,
,
,
,
.
(You must attach Schedule ADJ)
00
,
,
n
8. Add lines 4, 5, 6, and 7 ...................................................................................................... 8
.
00
LOSS
9. Virginia Adjusted Gross Income (VAGI) - Subtract line 8 from line 3 ............................... 9
,
,
.
OR
10. Deductions-Enter Standard: Filing Status 1 = $3,000; 2 = $5,000; 3 = $2,500
Itemized:
10a. Total deductions - see instructions
10b. State and Local Income Taxes claimed
00
=
n
,
,
minus
,
,
,
,
.
00
00
n
.
.
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm
10
(Y
I
D
)
00
OU MUST USE
TEMIZED
EDUCTIONS IF YOU ITEMIZED ON YOUR FEDERAL RETURN
,
.
11. Exemptions. Multiply number of Total Exemptions claimed above by $800 ............................ 11
00
,
.
12. Child and Dependent Care Expenses. See Instructions ........................................................ 12
n
00
,
,
.
13. Add lines 10, 11 and 12 ................................................................................................... 13
00
LOSS
,
,
.
14. Virginia Taxable Income - Subtract line 13 from line 9
.....................................................
14
Office Use
WB
_______________
LAR
DLAR
LTD
$
n
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