Instructions For Schedule 3 (Form 1040a) - 2003 Page 3

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Line 13a.
Enter any social security benefits (before
Part III
deduction of Medicare premiums) you (and your spouse
Figure Your Credit
if filing a joint return) received for 2003 that are not
taxable. Also, enter any tier 1 railroad retirement benefits
Line 11
treated as social security that are not taxable.
If you checked box 2, 4, 5, 6, or 9 in Part I, use the
If any of your social security or equivalent railroad
following chart to complete line 11.
retirement benefits are taxable, the amount to enter on
this line is generally the difference between the amounts
IF you checked . . . THEN enter on line 11 . . .
entered on Form 1040A, line 14a and line 14b.
Box 6
The total of $5,000 plus the disability
income you reported on Form 1040A
If your social security or equivalent railroad
for the spouse who was under age 65.
Note.
retirement benefits are reduced because of workers’
Box 2, 4, or 9
The total amount of disability income
compensation benefits, treat the workers’ compensation
you reported on Form 1040A.
benefits as social security benefits when completing
Schedule 3, line 13a.
Box 5
The total amount of disability income
you reported on Form 1040A for both
you and your spouse.
Enter the total of the following types of
Line 13b.
income that you (and your spouse if filing a joint return)
Example 1.
Bill, age 63, retired on permanent and total
received for 2003.
disability in 2003. He received $4,000 of taxable
Veterans’ pensions (but not military disability
disability income that he reported on Form 1040A, line 7.
pensions).
He filed a joint return with his wife who was age 67 in
2003. On line 11, Bill enters $9,000 ($5,000 plus the
Any other pension, annuity, or disability benefit that
$4,000 of disability income he reported on Form 1040A).
is excluded from income under any provision of Federal
law other than the Internal Revenue Code. Do not
John checked box 2 in Part I and enters
Example 2.
include amounts that are treated as a return of your cost
$5,000 on line 10. He received $3,000 of taxable
of a pension or annuity.
disability income, which he enters on line 11. John also
enters $3,000 on line 12 (the smaller of line 10 or line
Do not include on line 13b any pension, annuity, or
11). The largest amount he can use to figure the credit is
similar allowance for personal injuries or sickness
$3,000.
resulting from active service in the armed forces of any
country, or in the National Oceanic and Atmospheric
Lines 13a Through 18
Administration or the Public Health Service. Also, do not
The amount on which you figure your credit may be
include a disability annuity payable under section 808 of
reduced if you received certain types of nontaxable
the Foreign Service Act of 1980.
pensions and annuities. The amount may also be reduced
if your adjusted gross income is over a certain amount,
depending on which box you checked in Part I.
Sch. 3-3

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