Form 200-02-X - Non-Resident Amended Delaware Personal Income Tax Return - 1999
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1
2DELAWARE
DO NOT WRITE OR STAPLE IN THIS AREA
1999
FORM 200-02-X
NON-RESIDENT AMENDED
DELAWARE PERSONAL INCOME TAX RETURN
LAST NAME AS SHOWN ON RETURN
YOUR FIRST NAME AND MIDDLE INITIAL
YOUR SOCIAL SECURITY NUMBER
LAST NAME OF SPOUSE AS SHOWN ON RETURN
SPOUSE'S FIRST NAME AND MIDDLE INITIAL
SPOUSE'S SOCIAL SECURITY NUMBER
PRESENT HOME ADDRESS (STREET, CITY, STATE, ZIP)
FILING STATUS:
1.
3.
5.
SINGLE
MARRIED FILING SEPARATE
HEAD OF HOUSEHOLD
CHECK IFYOU ARE A FULL-YEAR NON-RESIDENT
(CHECK ONE)
2.
4.
JOINT
MARRIED FILING COMBINED
(PART-YEAR RESIDENTS DO NOT CHECK BOX)
DATES RESIDED IN DELAWARE (PART-YEAR RESIDENTS ONLY): FROM _______/_______/_______ TO ______/_______/______
99
99
CORRECTED AMOUNTS
1.
DELAWARE ADJUSTED GROSS INCOME..............................................................................................................................................................
00
1.
2.
DEDUCTION - CHECK HERE
a. STANDARD......................................
b. ITEMIZED.........................................................
00
2.
3.
ADDITIONAL STANDARD DEDUCTION - CHECK IF:
SPOUSE WAS 65 OR OVER
BLIND
YOU WERE 65 OR OVER
BLIND
(COMPLETE WORKSHEET ON BACK AND ENTER TOTAL HERE).......................................................................................................................
00
3.
4.
TOTAL - ADD LINES 2 AND 3....................................................................................................................................................................................
00
4.
5.
NET TAXABLE INCOME - SUBTRACT LINE 4 FROM LINE 1 (COMPUTE TAX ON THIS AMOUNT)....................................................................
00
5.
6.
TAX LIABILITY COMPUTATION:
TAX LIABILITY FROM TAX
PRORATION
RATE TABLE/SCHEDULE
MODIFIED SOURCED INCOME.....................................
00
=
x
00
.
DELAWARE ADJUSTED GROSS INCOME...................
00
00
6.
[PERSONAL CREDITS (SEE INSTRUCTIONS)
7a. ENTER NUMBER OF EXEMPTIONS CLAIMED ON FEDERAL RETURN _____________ X $100. (MULTIPLY BY $100.) = _______________
00
7a.
MULTIPLY THIS AMOUNT BY THE PRORATION DECIMAL ON LINE 6 (X ______________) AND ENTER TOTAL HERE....................................
7b. CHECK BOX(ES)
SPOUSE 60 OR OVER
SELF 60 OR OVER
ENTER NUMBER OF BOXES CHECKED ON LINE 7b _______________ X $100. (MULTIPLY BY $100.)__________________
MULTIPLY THIS AMOUNT BY THE PRORATION DECIMAL ON LINE 6 (X ____________________________) AND ENTER TOTAL HERE........
00
7b.
8.
TAX IMPOSED BY STATE OF __________________ (PART-YEAR RESIDENTS ONLY).................
00
8.
9.
OTHER NONREFUNDABLE CREDITS.................................................................................................
00
9.
10. TOTAL NONREFUNDABLE CREDIT (ADD LINES 7a, 7b, 8 AND 9)...........................................................................................................................
00
10.
11. BALANCE (SUBTRACT LINE 10 FROM LINE 6. CANNOT BE LESS THAN ZERO)..................................................................................................
00
11.
12. DELAWARE TAX WITHHELD (W-2's REQUIRED)...............................................................................
00
12.
13. ESTIMATED TAX PAID AND PAYMENTS WITH EXTENSIONS..........................................................
00
13.
14. S CORPORATION PAYMENTS.............................................................................................................
00
14.
15. AMOUNT PAID WITH ORIGINAL RETURN..........................................................................................
00
15.
16. TOTAL REFUNDABLE CREDITS (ADD LINES 12, 13, 14, AND 15)...........................................................................................................................
00
16.
17. REFUND IF ANY AS SHOWN ON ORIGINAL RETURN..............................................................................................................................................
00
17.
18. ESTIMATED TAX CARRYOVER AND/OR SPECIAL FUNDS CONTRIBUTION AS SHOWN ON ORIGINAL RETURN.............................................
00
18.
19. SUBTRACT LINES 17 AND 18 FROM LINE 16............................................................................................................................................................
00
19.
20. IF LINE 11 IS GREATER THAN LINE 19, SUBTRACT 19 FROM 11 AND ENTER HERE...............................................................BALANCE DUE >
00
20.
21. IF LINE 19 IS GREATER THAN LINE 11, SUBTRACT 11 FROM 19 AND ENTER HERE............................................................OVERPAYMENT >
00
21.
22. IF THERE IS A BALANCE DUE, FIGURE INTEREST AT 1% PER MONTH................................................................................................................
00
22.
23. TOTAL TAX AND INTEREST DUE (ADD LINES 20 AND 22 AND ENTER HERE)..............................................................................PAY IN FULL >
00
23.
24. IF THERE IS AN OVERPAYMENT, DETERMINE AMOUNT YOU WISH TO BE CREDITED TO 2000 ESTIMATED TAX ACCOUNT.......................
00
24.
25. REFUND TO BE RECEIVED (SUBTRACT LINE 24 FROM LINE 21).................................................................................................NET REFUND >
00
25.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS RETURN, INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS, AND BELIEVE THAT IT IS TRUE,
CORRECT, AND COMPLETE.
YOUR SIGNATURE
DATE
SIGNATURE OF PAID PREPARER
DATE
SPOUSE'S SIGNATURE (IF FILING JOINT)
DATE
EMP ID OR SOC SEC NO.
BUSINESS PHONE
HOME PHONE
BUSINESS PHONE
ADDRESS - ZIP CODE
MAKE CHECK PAYABLE AND MAIL TO: DIVISION OF REVENUE, P.O. BOX 8752, WILMINGTON, DELAWARE 19899-8752
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