Schedule F Individual - Other Income printable pdf download

Schedule F Individual

200__

Rev. 05.02

OTHER INCOME

Taxable year beginning on _________________, ____ and ending on _________________, ____

Taxpayer's name

Social Security Number

Part I

Interest

Column A

Column B

Column C

Column D

Column E

Column F

Column G

Interest from IRA

Eligible

Interest subject

Interest not subject

Interest from IRA

Other

Employer's

Account

Payer's name

distributions under

distributions through

interest

to withholding

distributions to

Identification Number

Number

transfer under

subject to

Section 1169A

from financial

Government

Section 1169B

withholding

institutions

Pensioners

(01)

(02)

(03)

(04)

(05)

(06)

(07)

(08)

(26)

(31)

(36)

(13)

(18)

(21)

Subtotal of interest....................

.................................................

(09)

(32)

(14)

(22)

(27)

(19)

Less: Interest exclusion

See instructions

(

).........................................

(37)

(15)

(23)

(28)

(33)

(20)

Total interest..............................................................................

(10)

(38)

Add line 3, Columns C and G..........................................................

(29)

(34)

(16)

(24)

Tax: Enter 17% of lines 3A and 3B, 10% of lines 3D and 3E, and

12.5% of line 3F ..........................................................................

(11)

(39)

Total tax (Determine the total of line 5. Enter in Part 4, line 18

of the return)..

....

.................................................................................

......

(35)

(25)

(30)

(17)

Tax withheld (Submit Forms 480.6B, 480.7 and 480.7B,

as applicable) ..............................................................................

(12)

Total tax withheld (Determine the total of line 7. Enter on Schedule B Individual, Part IIl, line 4).........................................................................................................

......

(40)

Option to pay taxes from interest in any of Columns A, B and D as ordinary income (Enter here line 3A, 3B and 3D, as applicable) ..................................................

(41)

......

Total interest (Add lines 4 and 9. Transfer to Part 2, line 2A of the return)........................................................

10.

.....................................................................................

(42)

Conservation Period: Ten (10) Years