Form 80-105-98-5 - Resident Individual Income Tax Return

This is a numeric field and a money field. The taxpayer provides information in this field for other

tax credit allowed. This field is 9 characters long. Data begins and ends at grids 55/10 to 63/10.

This is a numeric field and a money field. This field is 9 characters long. Data begins and ends at

grids 55/11 to 63/11.

This is a numeric field and a money field. This field is 9 characters long. Data begins and ends at

grids 55/12 to 63/12.

This is a numeric field and a money field. This field is 9 characters long. Data begins and ends at

grids 55/13 to 63/13.

31 & 32

This is a numeric field and a money field. This field is blank unless the taxpayer chooses to apply

refund to these funds.These fields are 9 characters long. Data begins and ends at grids 55/14 to

63/14 and 55/15 to 63/15.

This is a numeric field and a money field. This field is 9 characters long.Data begins and ends at

grids 69/9 to 77/9.

This is a numeric field and a money field. This field is 9 characters long. Data begins and ends at

grids 69/10 to 77/10.

This is a numeric field and a money field. This field is 9 characters long. Data begins and ends at

grids 69/11 to 77/11.

This is a numeric field and a money field. This field is blank unless the taxpayer fails to file his/her

return on time. This field is 9 characters long. Data begins and ends at grids 69/12 to 77/12.

This is a numeric field and a money field. This field is 9 characters long. Data begins and ends

at grids 69/13 to 77/13.

This is a numeric field and a money field. This field is 9 characters long. Data begins and ends at

grids 69/14 to 77/14.

This is an alpha field. This is the taxpayer's Social Security Number. This field is 10 characters

long. The last digit in this field is a check digit.This check digit is in the scanband but not in the body

of the form. Check digits should be calculated using Modulus 10 Self-check Digit Computation found

in theNACTP Tax Form Design Guidelines. Data begins and ends at grids 68/15 to 77/15.

This is an alpha field. This is the spouse's Social Security Number.This field is 10 characters long.

The last digit in this field is a check digit.This check digit is in the scanband but not in the

body of the form. Check digits should be calculated using Modulus 10 Self-check Digit Computation

found in the NACTP Tax Form Design Guidelines. Data begins and ends at grids 68/16 to 77/16.

This is a numeric field. This is the Tax Year being filed. This field is 4 characters long. Data begins

and ends at grids 74/17 to 77/17.

Taxpayer's last name. This is an alpha field. This field is 20 characters long. Data begins and ends

at grids10/17 to29/17.

Taxpayer's first name and middle initial. This is an alpha field. This field is 12 characters long.Data

begins and ends at grids 32/17 to 43/17.

Spouse's first name and middle initial. This is an alpha field. This field is 12 characters long. Data

begins and ends at grids 46/17 to 57/17.

Taxpayer's current address. This is an alpha and numeric field. This field is 28 characters long. Data

begins and ends at grids 10/19 to 37/19.

Taxpayer's city of residency. This is an alpha field. This field is 12 characters long. Data begins and

ends at grids 10/21 to 21/21.

Form 80-105-98-5 - Resident Individual Income Tax Return - 1998 Page 11