Instructions For Form 1-Nr/py - Massachusetts Nonresident Or Part-Year Resident Income Tax - 2006 Page 2

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Completing Your Form 1-NR/PY
Please read this page carefully as it explains the correct
method of completing your return.
Name and Address
•
FOR PRIVACY ACT NOTICE,
Print in black ink the name, address and Social Security
SEE INSTRUCTIONS.
PRINT IN BLACK INK
number of each person filing the return in the space
Ovals must be filled in completely. Example:
For the year January 1–December 31, 2006 or other taxable year beginning
, 2006, ending
.
provided. Enter names as they appear on your federal
2006
Form 1-NR/PY
Mass. Nonresident/Part-Year Resident Tax Return
tax return.
FIRST NAME
M.I.
LAST NAME
1. YOUR SOCIAL SECURITY NUMBER
0
1 2 3 4 5 6 7 8
M I C H A E L
M U R R A Y
SPOUSE’S FIRST NAME
M.I.
LAST NAME
2. SPOUSE’S SOCIAL SECURITY NUMBER
Social Security Number
•
9 8 7 6 5 4 3 2 1
P E G G Y
M
U R R A Y
Be sure to enter the Social Security number of each
MAILING ADDRESS
CITY/TOWN/POST OFFICE/FOREIGN COUNTRY
STATE
ZIP + 4
1 2 3
A N Y
S T R E E T
A N Y T O W N
M A 0 2 3 4 5
person filing the return in the space provided.
ADDRESS OF LEGAL RESIDENCE OR DOMICILE (IF FILING AS NONRESIDENT)
CITY/TOWN/POST OFFICE/FOREIGN COUNTRY
STATE OR FOREIGN COUNTRY
Filling in the Ovals
If name and/or address has changed since 2005, fill in oval:
If taxpayer(s) is deceased, fill in appropriate oval(s) (see instructions): 1.
2.
•
Select only one:
Nonresident
Part-year resident
Filing as both a nonresident and part-year resident (see instructions — you must enclose Schedule R/NR)
Make sure all ovals applicable to your filing situation are
Nonresident composite return (see instructions)
(This contribution will not change
Total 3 $
State Election Campaign Fund:
(for part-year residents only)
$1 You
$1 Spouse, if filing jointly.
your tax or reduce your refund.)
filled in completely, as shown:
Filing Status:
1
(select one only)
Single
Married filing joint return
Married filing separate return.
(Enter spouse’s
Head of household
(both must sign return)
Soc. Sec. number in the appropriate space above.)
Filling in Dollar Amounts/ Reporting Losses
Part-Year residents only:
2
/
/
/
/
•
Enter dates as Massachusetts resident
to
1 7 7
4 8 4 9
When entering amounts on Form 1-NR/PY and schedules,
√ 365
=
7 2
Total days as Massachusetts resident
Whole-dollar method only. Do not use cents.
Total Income
3
print your numbers in black ink as shown below. Be sure
from U.S. 1040, line 22; 1040A, line 15; 1040EZ, line 4; 1040NR, line 23;
0 0
7
5
0 0 0
or 1040NR-EZ, line 7. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3
there is only one number per box. Numbers must be written
Exemptions:
4
Fill in if noncustodial parent
Fill in if filing Sched. TDS (see instructions)
completely within the boxes and should not touch them.
a. Personal exemptions. If single or married filing separately, enter $3,850. If head of household, enter $5,950.
0 0
7 1 5 0 0 0
If married filing jointly, enter $7,700 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a
If you are reporting a loss in any line, mark over the “X”
0 0
1
1 0 0 0
b. Number of dependents. (Do not include yourself or your spouse.) Enter number 3
× $1,000 . . . . . . b
in the far left box for that line. Failure to do so will result
You must enclose Schedule DI.
0 0
Spouse. Enter number 3
× $700 . . . . . . . . . . . . . . . . . . . . . . . c
c. Age 65 or over before 2007:
You
in the loss being machine-read as a gain. Also, be sure
0 0
Spouse. Enter number 3
× $2,200
=
d. Blindness:
You
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d
to mark over the “X” boxes in the supporting schedules.
e. Other: 1. Medical/Dental 3
2. Adoption 3
0 0
0 0
0 0
Do not use parentheses or minus signs to indicate losses.
+
=
1
2
e
(from U.S. Sch. A, line 4)
(see instructions)
0 0
8 1 5 0
▼
f. Total exemptions. Add items a, b, c, d and e. Enter here and on line 22a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4f
If showing a loss, mark over X in box at left
Nonresidents report in lines 5 through 11 Massachusetts source income only. Use line 13 if appropriate. Part-year residents report in lines 5
1 2 3 4 5 6 7 8 9 0
through 11 income earned and/or received while a resident. Do not use lines 13 or 14. If filing both as a nonresident and part-year resident,
be sure to complete Schedule R/NR, Resident/Nonresident Worksheet, before proceeding any further.
0 0
4
0
0 0 0
5
Wages, salaries, tips and other employee compensation (from all Forms W-2 or line 13g) . . . . . . . . . . 3 5
Sign Your Return
•
0 0
6
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 6
Taxable pensions and annuities
(see instructions)
After you have completed Form 1-NR/PY, sign your name
0 0
0 0
0 0
1 5 0
2 0 0
7
–
=
at the bottom of page 1. Your spouse must also sign if
Mass. bank interest: a.3
b. exemption
7
5
Exemption: if married filing jointly, subtract $200 from Total; otherwise subtract $100 & enter result
If showing a loss, mark an X in box at left
this is a joint return. Write the date you signed the return.
Not less than “0.”
0 0
8
Business/profession or farm income/loss (enclose Mass. & U.S. Sch. C or C-EZ or U.S. Sch. F). . . . 3 8
Form 1-NR/PY is not considered a valid return unless it is
0 0
2
5
0 0
9
Rental, royalty, REMIC, partnership, S corp., trust income/loss (enclose Massachusetts Sch. E). . . . 3 9
signed. Original signatures are required or the return will
0 0
0 0
0 0
10
a. 3
+
b. 3
+
=
. . . . . . . . a
b
10
not be accepted.
Unemployment Compensation
Massachusetts state lottery winnings
SIGN HERE. Under penalties of perjury, I declare that to the best of my knowledge and belief this return and enclosures are tr ue, correct and complete.
Your signature
Date
Print paid preparer’s name
Preparer’s SSN
3
Michael Murray
2 1 06
or PTIN
/
/
Spouse’s signature (if filing jointly)
Date
Paid preparer’s phone
Paid preparer’s
3
Peggy Murray
2 1 06
(
)
EIN
/
/
3
3
May DOR discuss this return with the preparer?
Yes
Paid preparer’s signature
Date
Fill in if self-employed
3
I do not want my preparer to file my return electronically
/
/
Mailing Checks and Enclosing Forms
•
Attach to Form 1-NR/PY, with a single staple only, your Form W-2 or 1099 withholding documents. If you are making a payment, complete Form PV, Payment
Voucher. Form PV is attached to the back of the envelope found in this booklet. Be sure to use the appropriate “Payment Due” or “Refund Due” label on the
envelope. Attach with a single staple your check or money order to the front of Form PV and enclose with your return. Do not staple supporting schedules
to the Form 1-NR/PY as this will delay the processing of your return.
You may be able to lower your taxes by taking advantage of other deductions and/or other credits on Form 1-NR/PY. See lines 19, 33 and 34 of
Form 1-NR/PY and Schedule Y and Schedule Z instructions for a complete list of other deductions and/or credits for which you may be eligible.
Senior citizens, see line 44 and Schedule CB instructions for the Senior Circuit Breaker Credit.
See Schedule Y, line 14, Home Heating Fuel Deduction
14
Home heating fuel deduction for certain taxpayers. See worksheet in instructions . . . . . . . . . . . . . . .
14

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