Form 200-02 - Delaware Individual Non-Resident Income Tax Return - De Division Of Revenue - 2000 Page 2

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2000 DELAWARE NON-RESIDENT FORM 200-02, PAGE 2
SECTION A - INCOME AND ADJUSTMENTS FROM FEDERAL RETURN
Delaware Source
Federal
Income/Loss
COLUMN 1
COLUMN 2
1.
Wages, salaries, tips, etc..................................................................................................................
1
2.
Interest..............................................................................................................................................
2
3.
Dividends..........................................................................................................................................
3
4.
Refunds of State & local income taxes.............................................................................................
4
5.
Alimony received...............................................................................................................................
5
6.
Business income or (loss) (See instructions)...................................................................................
6
7a.
Capital gain or (loss)........................................................................................................................
7a
7b.
Other gains or (losses).....................................................................................................................
7b
8.
IRA distributions...............................................................................................................................
8
9.
Taxable pensions and annuities.......................................................................................................
9
10.
Rents, royalties, partnerships, estates, trusts, etc............................................................................
10
11.
Farm income or (loss)......................................................................................................................
11
12.
Unemployment compensation (insurance).......................................................................................
12
13.
Taxable Social Security Benefits......................................................................................................
13
14.
Other income (state nature and source)...........................................................................................
14
15.
Total income. Add Lines 1 through 14.............................................................................................
15
16.
Total Federal Adjustments (See instructions)................................................................................... 16
17.
Federal Adjusted Gross Income for Delaware purposes. Subtract Line 16 from 15........................
17
SECTION B - DELAWARE MODIFICATIONS AND ADJUSTMENTS - ADDITIONS ( + )
COLUMN 1
COLUMN 2
18.
Interest received on obligations of any state other than Delaware....................................................
18
19.
Fiduciary adjustment, oil depletion...................................................................................................
19
20.
TOTAL - Add Lines 18 & 19............................................................................................................
20
21.
Add Lines 17 & 20...........................................................................................................................
21
SECTION C - DELAWARE MODIFICATIONS AND ADJUSTMENTS - SUBTRACTIONS ( - )
COLUMN 1
COLUMN 2
22.
Interest received on U.S. Obligations...............................................................................................
22
23.
Pension Exclusion/Retirement Exclusion (See instructions)............................................................
23
24.
Delaware State tax refund, Delaware Lottery....................................................................................
24
25.
Fiduciary, Work Opportunity Credit, Delaware NOL Carryforward...................................................
25
26.
Taxable Social Security Benefits/Railroad Retirement Benefits/Higher Education Exclusion..........
26
27.
TOTAL - Add Lines 22 through 26...................................................................................................
27
28.
Subtract Line 27 from Line 21 and enter here..................................................................................
28
29.
Exclusion for certain persons 60 and over or disabled (See instructions)........................................
29
30A. Column 2. Subtract Line 29 from Line 28. This is your modified Delaware source Income.
Enter on Line 42, Box A.................................................................................................................
30A
30B. Column 1. Subtract Line 29 from Line 28. This is your Delaware Adjusted Gross Income.
Enter on Line 37, page 1 and on Line 42, Box B......................................................................... 30B
SECTION D - ITEMIZED DEDUCTIONS (ATTACH FEDERAL SCHEDULE A, FORM 1040)
COLUMN 1
31.
Enter total Itemized Deductions (See instructions)..........................................................................
31
32.
Enter Foreign Taxes Paid (See instructions)...................................................................................
32
33.
Enter Charitable Mileage Deduction (See instructions)...................................................................
33
34.
Self-Employed Health Insurance Deduction (See instructions).......................................................
34
34a. TOTAL - Add Lines 31, 32, 33 and 34............................................................................................
34a
35a. Enter State Income Tax included in Line 31 above (See Instructions)............................................
35a
35b. Enter Charitable Contributions - Form 700 Tax Credits (See instructions).....................................
35b
36.
Subtract Line 35a and 35b from Line 34a. Enter here and on Line 38, page 1...............................
36
SECTION E - DIRECT DEPOSIT INFORMATION
If you would like your refund deposited directly to your checking or savings account, complete boxes a,
b and c below. See instructions for details.
a. Routing Number
b. Type:
Checking
Savings
c. Account Number
If a 2D barcode (black and white box) appears in the upper right corner of page 1 of this form, send the return to one of the following addresses:
MAKE CHECKS PAYABLE AND MAIL TO: DELAWARE DIVISION OF REVENUE, P.O. BOX 8753, WILMINGTON, DELAWARE 19899-8753
MAIL REFUND DUE RETURNS TO:
DELAWARE DIVISION OF REVENUE, P.O. BOX 8710, WILMINGTON, DELAWARE 19899-8710
MAIL ZERO DUE RETURNS TO:
DELAWARE DIVISION OF REVENUE, P.O. BOX 8753, WILMINGTON, DELAWARE 19899-8753
If a 2D barcode (black and white box) DOES NOT appear in the upper right corner of page 1 of this form, send the return to one of the following addresses:
MAKE CHECKS PAYABLE AND MAIL TO: DELAWARE DIVISION OF REVENUE, P.O. BOX 8752, WILMINGTON, DELAWARE 19899-8752
MAIL REFUND DUE RETURNS TO:
DELAWARE DIVISION OF REVENUE, P.O. BOX 8772, WILMINGTON, DELAWARE 19899-8772
MAIL ZERO DUE RETURNS TO:
DELAWARE DIVISION OF REVENUE, P.O. BOX 8711, WILMINGTON, DELAWARE 19899-8711
(Rev 11/02/00)

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