Schedule A2 Individual
TAX ON INCOME SUBJECT TO PREFERENTIAL RATES
Rev. Mar 9 12
2011
Taxable year beginning on _____________________, _____ and ending on ____________________, _____
Social Security Number
Taxpayer's name
Fill in one:
(01)
1 Taxpayer
3 Both
2 Spouse
Column A
Column B
Column C
Column D
Column E
22
Taxed at
Taxed at Regular
Taxed at
Taxed at
Taxed at
________%
Rates
20%
17%
10%
00
00
00
00
1.
Adjusted Gross Income
(02)
2.
Income subject to preferential rates:
00
00
00
a)
Net long-term capital gain (See instructions) ……….....................................................................…………………………
(03)
(21)
(29)
00
b)
00
Interest paid or credited on deposits in accounts from certain financial institutions (Schedule F. Ind., Part I, line 4, Column B) (17%)
(04)
(18)
00
00
c)
Interest paid or credited on deposits in accounts from certain financial institutions (Schedule F. Ind., Part I, line 4, Column C) (10%)
(05)
(22)
00
00
d)
(06)
Interest from distributions of IRA to Governmental Pensioners (10%) (Schedule F Individual, Part I, line 4, Column E) ………….
(23)
e)
Non-exempt eligible interest paid or credited on bonds, notes, other obligations or mortgage loans (Schedule F Individual, Part
00
00
(07)
(24)
I, line 4, Column A) …...............………………….......................................................................................…………….
00
00
00
f)
(08)
(25)
Eligible distribution of dividends (Schedule F Individual, Part II, line 3, Column A) .........................................................................
(30)
00
00
g)
(09)
Income paid by sport teams of international associations or federations (Schedule F Individual) …….....…………......…….
(14)
00
h)
00
00
(10)
(26)
Total distributions from qualified retirement plans (Schedule D Individual) …….....................................................……………
(15)
00
i)
00
00
00
00
Others ……………………………...............................................……………………………………………………………….
(11)
(16)
(27)
(31)
(19)
00
00
00
00
j)
00
Total (Add lines 2a through 2i of Columns B through E) …..............................................................................…………….
(17)
(28)
(35)
(20)
00
00
00
00
3.
Total income subject to preferential rates (Add line 2j of Columns B through E) (If this line is less than $20,000, enter 100%
00
on line 5A and zero on lines 5B through 5E, and enter the total of line 6a on line 6b) …........……...................……..............……….
(12)
00
4.
Income subject to regular tax (Subtract line 3 from line 1) …..............................................................………………
(13)
5.
Proportion of income according to each tax rate (Column A - Divide line 4 by line 1; Columns B through E - Divide
%
%
%
%
(01)
%
line 2j by line 1) (Round to the nearest whole number) …...................................................................................................…
(10)
(20)
(25)
(15)
23
6.
Deductions and Exemptions:
00
a)
Deductions applicable to individual taxpayers (Schedule A Individual, Part I, line 11) $_____________
00
00
00
00
00
b)
(02)
(21)
(26)
Allowed deduction (Multiply line 6a by line 5 for each Column) ……………......................................................…………
(11)
(16)
00
00
00
00
00
c)
(03)
Special deduction for certain individuals (Line 7, Part 2 of the return) ……….......................................................………..
00
00
00
00
d)
(04)
Personal exemption (Line 8, Part 2 of the return) ………………………………....................................................………..
00
00
00
00
e)
Exemption for dependents (Line 9, Part 2 of the return) ……………………………......................................................…..
(05)
00
00
00
00
f)
Additional personal exemption for veterans (Line 10, Part 2 of the return) ……….....................................................…….
(06)
00
00
00
00
00
g)
Total deductions and exemptions (Add lines 6b through 6f of all Columns) …...............................................................….
(07)
(12)
(22)
(27)
(17)
00
00
00
00
00
7.
Net taxable income (Column A – Subtract line 6g from line 4; Columns B through E – Subtract line 6g from line 2j) ……......
(08)
(13)
(23)
(28)
(18)
00
00
00
00
00
8.
Tax according to the corresponding rate (See instructions) ..........…..…………........................................................…..….
(09)
(14)
(24)
(29)
(19)
00
9.
Total of regular tax and tax at preferential rates (Add line 8 of Columns A through E) ……………...............................................................................................................…………………………
(30)
00
10.
Net income subject to regular tax (Line 12, Part 2 of the return) …………….....................................................................................................................................................................……………….
(31)
00
11.
Tax over line 10 according to regular tax rates (See instructions) ..........................................................................................................................................………………………………..............……..
(32)
12.
Tax determined (Enter the smaller between line 9 and line 11. Transfer to page 2, Part 3 , line 13 of the return or line 15, Column B or C of Schedule CO Individual and fill in (
) “Preferential rates” if you chose
00
the amount on line 9, or (
) “Tax Table” if you chose the amount on line 11) ………………………………………………................................................................................................................…..……
(35)
Retention Period: Ten (10) years