Form 200-01 - Delaware Individual Resident Income Tax Return (1999) (Page 2 of 2) in pdf

1999 DELAWARE RESIDENT FORM 200-01, PAGE 2

COLUMNS:

Column A is reserved for the spouse of those couples choosing filing status 4 (reconcile your Federal totals to the

appropriate individual). Taxpayers using filing statuses 1, 2, 3, or 5 are to complete Column B only.

Spouse

MODIFICATIONS TO FEDERAL ADJUSTED GROSS INCOME

All other filing status

(If filing status 4 only)

COLUMN B

COLUMN A

SECTION A - ADDITIONS (+)

25. Enter Federal AGI amount from Federal 1040, Line 33; 1040A, Line 18; 1040EZ, Line 4, or telefile, Line I ....... 25

26. Interest on State & Local obligations other than Delaware .................................................................................. 26

27. Fiduciary adjustment, oil depletion ....................................................................................................................... 27

28. TOTAL - Add Lines 26 and 27.............................................................................................................................. 28

29. Subtotal (Add Lines 25 and 28 )

SECTION B - SUBTRACTIONS (-)

30. Interest received on U.S. Obligations ................................................................................................................... 30

31. Pension Exclusion (see instructions).................................................................................................................... 31

32. Delaware State tax refund, Delaware lottery, fiduciary adjustment, work opportunity tax credit,

Travelink Program, Delaware NOL Carry forward................................................................................................ 32

33. Taxable Soc. Sec. /RR Retiremt. Benefits/Higher Educ. Excl. /Certain Lump Sum Dist. (See instr.) .................. 33

34. SUBTOTAL Add Lines 30, 31, 32, and 33 and enter here) .................................................................................. 34

35. Subtotal (Subtract Line 34 from Line 29)

36. Exclusion for certain persons 60 and over or disabled (see instructions) ............................................................ 36

37. TOTAL - Add Lines 34 and 36.............................................................................................................................. 37

38. DELAWARE ADJUSTED GROSS INCOME.

Subtract Line 37 from Line 29. Enter here and on Page 1, Line 1 ...... 38

SECTION C - ITEMIZED DEDUCTIONS (MUST ATTACH FEDERAL SCHEDULE A

) If Columns A and B are used

and you are unable to specifically allocate deductions between spouses, you must prorate in accordance with income.

39. Enter total itemized deductions from Schedule A, Federal Form 1040, Line 28 .................................................. 39

40. Enter Foreign Taxes Paid (see instructions) ........................................................................................................ 40

41. Enter Charitable Mileage Deduction (see instructions) ........................................................................................ 41

42. Self-Employed Health Insurance Deduction (see instructions) ............................................................................ 42

43. SUBTOTAL - Add Line 39, 40, 41, and 42 and enter here .................................................................................. 43

44. Enter State Income Tax included in Line 39 above (see instructions) ................................................................. 44

45. TOTAL - Subtract Line 44 from Line 43. Enter here and on Page 1, Line 2 (see instructions)............................ 45

BE SURE TO SIGN YOUR RETURN BELOW

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.

Your signature

Date

Signature of paid preparer

Date