Grocery Credit Worksheet, Form 40 - Idaho Individual Income Tax Return - 2011 Page 3
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1
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440
8734
F
2011
O
R
M
EFO00089
08-04-11
IDAHO INDIVIDUAL INCOME TAX RETURN
.
State Use Only
AMENDED RETURN, check the box.
.
See instructions, page 6 for the reasons
for amending and enter the number.
Your Social Security Number (required)
For calendar year 2011, or fiscal year beginning
, ending
000-00-0001
Your first name and initial
Last name
Spouse's Social Security Number (required)
JOHN
TAXPAYER
Spouse's first name and initial
Last name
000-00-0002
TAXPAYER
SUSAN
Mailing address
Taxpayer deceased
Do you need Idaho
income tax forms
in 2011
110 STATE RD.
mailed to you next year?
.
.
City, State, and Zip Code
Spouse deceased
in 2011
BOISE ID 83705
Yes
No
FILING STATUS. Check only one box.
6. EXEMPTIONS.
Yourself a.
1
I
f someone can claim you as a
Enter "1" in boxes 6a,
If filing married joint or separate return, enter
dependent, leave box 6a blank.
and 6b, if they apply.
Spouse
b.
1
spouse's name and Social Security Number above.
c. List your dependents. If more than four dependents, continue on Form 39R.
1.
Single
1
Enter the total number here ................................................................................ c.
First name
Last name
Social Security Number
___________________________________________________________________
2.
Married filing joint return
___________________________________________________________________
TAXPAYER
000 00 0003
KATIE
3.
Married filing separate return
___________________________________________________________________
4.
Head of household
___________________________________________________________________
5.
Qualifying widow(er)
___________________________________________________________________
3
d. Total exemptions. Add lines 6a through 6c. Must match federal return ............ d.
Must match federal return.
INCOME. See instructions, page 7.
.
7. Enter your federal adjusted gross income from federal Form 1040, line 37; federal Form 1040A, line 21;
or federal Form 1040EZ, line 4. Include a complete copy of your federal return ......................................................
7
00
NRF
8. Additions from Form 39R, Part A, line 7. Include Form 39R .....................................................................................
8
00
9. Total. Add lines 7 and 8 .............................................................................................................................................
9
00
10. Subtractions from Form 39R, Part B, line 23. Include Form 39R .............................................................................
10
00
.
11. TOTAL ADJUSTED INCOME. Subtract line 10 from line 9.
.
If you have an NOL and are electing to forego the carryback period, check here
.......................................
11
00
TAX COMPUTATION. See instructions, page 7.
.
.
a.
If age 65 or older .............................
.
.
Spouse
Yourself
b.
If blind ..............................................
Spouse
Yourself
12.
CHECK
Standard
c.
If your parent or someone else can claim you as a dependent,
Deduction
.
For Most
check here and enter zero on lines 18 and 42.
People
.
13. Itemized deductions. Include federal Schedule A ..........................................................................
00
13
Single or
Married filing
.
14. All state and local income or general sales taxes included on
Separately:
00
federal Schedule A, line 5 ...............................................................................................................
14
$5,800
15. Subtract line 14 from line 13. If you do not use federal Schedule A, enter zero ............................
15
00
Head of
Household:
16. Standard deduction. See instructions page 7 to determine standard deduction amount
.
$8,500
00
if different than the Standard Deduction For Most People ..............................................................
16
Married filing
00
17. Subtract the LARGER of line 15 or 16 from line 11. If less than zero, enter zero ..........................
17
Jointly or
.
Qualifying
00
18. Multiply $3,700 by the number of exemptions claimed on line 6d ..................................................
18
Widow(er):
.
$11,600
00
19. Idaho taxable income. Subtract line 18 from line 17. If less than zero, enter zero
......................
19
.
00
20. Tax from tables or rate schedule. See instructions, page 36 .........................................................
20
Continue to page 2.
{,S¦}
MAIL TO: Idaho State Tax Commission, PO Box 56, Boise, ID 83756-0056
INCLUDE A COMPLETE COPY OF YOUR FEDERAL RETURN.
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