Form 40nr - Alabama Individual Income Tax Return - 1999 Page 2

Form 40NR (1999)

Page 2

B — All Sources

C — Alabama Sources

PART I

00

1

Interest and dividend income (attach Schedule B if over $400) . . . . . . . . . . . . . . . . . . . . . . . . .

1

00

2

Alimony received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

00

3

Taxable portion of pensions and annuities (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

00

00

Business income or (loss) (attach Federal Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

4

4

00

00

5

Gain or (loss) from sale of Real Estate, Stocks, Bonds, etc. (attach Schedule D) . . . . . . . . . .

5

Other

5

00

00

6

Rents, royalties, partnerships, estates, trusts, etc. (attach Schedule E) . . . . . . . . . . . . . . . . . .

Income

6

6

00

00

7

Farm income or (loss) (attach Federal Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

7

(see page 10)

8

Other income (state nature and source)

00

00

8

8

9

Total other income. Add lines 1 through 8, column B, and lines 4 through 8, column C.

00

00

Enter here and also on page 1, line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9

9

00

00

1

IRA deduction, Keogh retirement plan, and self-employed SEP deduction . . . . . . . . . . . . . . .

1

1

PART II

00

2

Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

3

Moving Expenses (Attach Federal Form 3903) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Adjustments

00

00

Place of new employment: City _______________________ State _______ ZIP ________

3

3

to income

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4

Self-employed health insurance deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

4

(see page 12)

00

00

5

Add lines 1 through 4 and enter here and also on page 1, line 9, columns B and C . . . .

5

5

00

1

Alimony Paid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

PART III

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2

Adoption Expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

00

3

Add lines 1 and 2, enter here and on page 1, line 12, column B. . . . . . . . . . . . . . . . . . . . . . . . .

3

Other

%

Adjustments

4

Enter percentage from page 1, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

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5

Multiply line 3 by line 4, enter result here and page 1, line 12, column C . . . . . . . . . . . . . . . . .

5

If you are filing separately on your Alabama return and jointly on your Federal return,

PART IV

B — All Sources

C — Alabama Sources

complete all lines below. Otherwise, omit lines 1 through 4.

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00

1

Adjusted total income (from page 1, line 10, columns B and C) . . . . . . . . . . . . . . . . . . . . . . . . .

1

1

00

2

Spouse's federal adjusted gross income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

Federal

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3

Add lines 1 and 2, column B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3

Income Tax

4

Divide line 1, column C, by line 3, column B. Enter percentage here and on line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

%

4

Deduction

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5

Enter Federal Income Tax Liability as shown on your 1999 Federal return (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

(see page 12)

6

If you completed lines 1 through 4 above, enter percentage from line 4. Otherwise, enter percentage from page 1, line 11 . . . . . .

%

6

7

Federal income tax deduction allowable.

00

Multiply the amount on line 5 by percentage on line 6. Enter here and on page 1, line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

See instructions for definition of a dependent.

NOTE: If you checked filing status 3 (Married filing separate return), you may claim only the

PART V

dependent(s) for whom you separately furnished over 50% of the total support.

1a

(4) Did you provide

Dependents:

(2) Dependent’s

(3) Dependent’s

more than one-half

(1) First name

Last name

social security number.

relationship to you.

dependent's support?

Dependents

Do not include

yourself or

b Total number of dependents claimed above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

your spouse

00

2

2

Multiply $300 by the total number of dependents claimed on line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(see page 13)

3

%

3

Enter percentage from page 1, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4

Dependent exemption allowable. Multiply the amount on line 2 by the percentage on line 3.

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4

Enter here and on page 1, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART VI

1

Name of state of which you were a legal resident in 1999

2

Did you file a return with that state for 1999?

Yes

No If no, state reason why:

3

If married, did your spouse receive a separate income for 1999?

Yes

No

If yes, is your spouse filing a separate Alabama return?

Yes

No

General

Information

If yes, enter name here.

4

Did you file an Alabama return for 1998?

Yes

No If no, state reason why:

All Taxpayers

5

Give name and address of your present employer(s). Yours:

Must Complete

Your Spouse's:

This Section

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6

6

Enter your Adjusted Gross Income reported on your 1999 Federal Individual Income Tax Return. . . . . . . . . . . . . . . . . . . . . . . . .

7

If you are a shareholder in an Alabama S Corporation which filed the Alabama Form 20SC, complete the following information:

(see page 13)

S corporation’s name

FEIN

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7

Amount of payment made by the S Corporation in your behalf on the 20SC Composite Return . . . . . . . . . . . . . . . . . . . . . . . . . . .

Also, on line 24, page 1, enter this amount and write on the dotted line “20SC Composite Payment.”

MAIL FORM 40NR TO:

Alabama Department of Revenue, P.O. Box 327469, Montgomery, AL 36132-7469