Form 2 - Montana Individual Income Tax Return - 2003 Page 2

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Column A (for single
Column B (for spouse
Form 2 Page 2 - 2003
Social Security Number
/
/
joint, separate, or head
only when filing
separate, and box 3 is
of household)
checked
38. Montana adjusted gross income (From line 37) ..........................................................
38.
38.
Deductions
Check only one
}
39. (A) Standard deduction:
(A)
(B)
Itemized deductions:
(B)
39.
39.
40.
Subtract
line 39 from 38 and enter balance.................................................................
=>
40.
40.
Exemptions (All filers are entitled to at least one exemption)
41. Multiply $1,780 times the number of exemptions on line 5 ...............................................
41.
41.
42. Taxable income. Subtract line 41 from line 40 ........................................................
=>
42.
42.
Nonresidents and Part-Year Residents complete and attach Schedules III and IV Form 2A, before proceeding
43.
Tax from table below. Non/part year residents enter the amount from line 131, Form
43.
43.
2A, Schedule IV. If line 42 is less than zero, enter zero here.
44.
44.
44. Tax on lump sum distributions (see instructions for this line). Attach Federal Form 4972
=>
45.
45.
45.
Subtotal—Add lines 43 and 44..........................................................................Subtotal
46.
46.
46. Credits from Form 2A, line 113, Schedule II ....................................................................
=>
47.
47.
47. Balance—Subtract line 46 from 45 and enter difference
(but not less than zero)
.
48.
48.
48. Recapture investment credit ........................................................... Attach Form RIC
.
49.
49. Recapture tax and withdrawal penalties (specify)_________________________
49.
50. For each of the programs below enter any amount you and your spouse want to contribute.
Enter totals in boxes (see instructions for details).
Nongame Wildlife
Child Abuse
Agriculture in
Program
Prevention
Schools
Enter total amount
in boxes........
51.
53.
50.
50.
52.
=>
54. Total Tax —Add lines 47, 48, 49 and 50.................................................................Total
54.
54.
55. Combine amounts shown on line 54 columns A and B.....................................................
=>
55.
55.
Montana tax withheld.................................................Attach withholding statements
56.
56.
56.
57. Payments of 2003 estimated tax and amounts credited from previous year ........
57.
57.
58. Payment made with extension ..........................................................................
58.
58.
59. Elderly Homeowner/ Renter Credit .......................................... Attach Form 2EC
59.
59.
60. Total of lines 56 thru 59.....................................................................................Total
60.
60.
61. Combine amounts shown on line 60 columns A and B ...................................................
=>
61.
61.
62.
If line 61 is larger than line 55 enter the difference. This is your overpayment..........................................
62.
62.
63. Amount on line 62 to be applied to 2004 estimate 63.
64. Enter the amount from line 62 you want refunded to you
(refunds more than $1.00 will be issued)
Refund.........
64.
64.
Refund Returns: Mail to Dept. of Revenue, PO Box 6577, Helena, MT 59604-6577
If you wish to use direct deposit enter your RTN# and ACCT# below. See instructions on page 6.
Checking
RTN#
ACCT#
Savings
65
. If line 55 is larger than line 61 enter tax due (If you owe see instructions for this line) ...........................................
Tax Due
65.
65.
,Send your check or money order with payment coupon to: Dept. of Revenue, PO Box 6308, Helena, MT 59604-6308.
If you choose to pay your tax due by credit card visit our website at and enter your confirmation
number here.______________________________ See instructions on page 6.
Underpayment penalty
66.
See Worksheet VII, Schedule W...
66.
Check this box if at least 2/3 of your gross income is from farming.
Late filing penalty-See page 2.......
(attach breakdown of computations)
67.
67.
Check here if estimated payments were made using the
68.
68.
Late payment penalty-See page 2.
annualization method. (Attach Montana Form EST-P)
69.
69.
Interest 1% (.01) per month..........
Check here if you do not need state income tax forms and instructions
70.
70 .
Total of lines 65 through 69...........
mailed to you next year. Tax forms are also available on the internet.
Extension - Check this box and attach copies of federal
extension(s) to receive a valid Montana extension.
See Page 2 of instructions for details.
Name, address and telephone number of preparer
May the DOR discuss this return with the preparer shown above? yes
no
Questions? Please call (406) 444-6900 or TDD (406) 444-2830 for hearing impaired
.
X
X
Your signature is required
Date
Daytime telephone number
Spouse signature
Date
I declare under penalty of false swearing that the information in this return and attachments is true, correct and complete.
If you electronically file, keep this form for your records (do not send to the Department of Revenue).
Tax Table
If Taxable Income is:
If Taxable Income is:
Over
But not over
Multiply by and Subtract =Tax
Over
But not over Multiply by and Subtract = Tax
$
0 ...... $ 2,200............ X ... 2 %..................$ 0
$17,800 ...... $22,200 ...........X ... 7 % ............$ 466
$ 2,200 ...... $ 4,400............ X ... 3 %................. $ 22
$22,200 ...... $31,100 ...........X ... 8 % ............$ 688
$ 4,400 ...... $ 8,900............ X ... 4 %..................$ 66
$31,100 ...... $44,500 ...........X ... 9 % ............$ 999
$ 8,900 ...... $13,300............ X ... 5 % .................$155
$44,500 ...... $77,800 ...........X ... 10 % ............$1,444
$13,300 ...... $17,800............ X ... 6 %..................$288
$77,800 ................................X ... 11 % ............$2,222
Example = taxable income $2,400 x 3% (.03) = $72 subtract $22 = $50 tax

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