Schedule In-113 - Income Adjustment Calculations - 2012 Page 2
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2*121131299*
Schedule IN-113, page 2 of 2
* 1 2 1 1 3 1 2 9 9 *
______________________________________
_______________________________
Carried forward from
Line 16A
Line 16B
A. Federal Amount $
B. VT Portion $
17 . IRA (1040-Line 32; 1040A-Line 17); Keogh/SEP/SIMPLE
(1040- Line 28):
.
.
0 0
0 0
Self ________________ 17.Spouse _______________
17 .
17 .
.
.
0 0
0 0
18 . Student Loan Interest (1040-Line 33; 1040A-Line 18) . . . . . . . . 18 .
18 .
.
.
19 . Employee Deductions: Reservists, Performing Artists,
0 0
0 0
Fee-basis Gov’t Officials (1040-Line 24) . . . . . . . . . . . . . . . . . . . 19 .
19 .
.
.
20 . Self-Employment Deductions: Tax (1040-Line 27), and
0 0
0 0
Health Insurance (1040-Line 29) . . . . . . . . . . . . . . . . . . . . . . . . . 20 .
20 .
.
.
0 0
0 0
21 . Health Savings Account (1040-Line 25) . . . . . . . . . . . . . . . . . . . 21 .
21 .
.
.
0 0
0 0
22 . Moving Expenses (1040-Line 26) . . . . . . . . . . . . . . . . . . . . . . . . 22 .
22 .
.
.
0 0
0 0
23 . Penalty on Early Withdrawal of Savings (1040-Line 30) . . . . . . . 23 .
23 .
.
.
0 0
0 0
24 . Alimony Paid (1040-Line 31a) . . . . . . . . . . . . . . . . . . . . . . . . . . 24 .
24 .
.
.
0 0
0 0
25 . Domestic Production Activities (1040-Line 35) . . . . . . . . . . . . . 25 .
25 .
.
.
0 0
0 0
26 . Educator Expenses (1040-Line 23; 1040A-Line 16), and
Tuition & Fees (1040-Line 34; 1040A-Line 19) . . . . . . . . . . . . . 26 .
26 .
.
.
0 0
0 0
27 . Deductions not listed above but included on 1040-Line 36 . . . . . 27 .
27 .
.
.
0 0
0 0
28 . TOTAL ADJUSTMENTS (Add Lines 17 – 27) . . . . . . . . . . . . 28 .
28 .
.
0 0
Check to
ç indicate
29 . Adjusted Gross Income (Subtract Line 28A from Line 16A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29 .
loss
.
0 0
Check to
ç indicate
30 . VT Portion of AGI (Subtract Line 28B from Line 16B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30 .
loss
.
0 0
Check to
ç indicate
31 . Non-VT Income (Subtract Line 30 from Line 29). Also enter on Part II, Line 33 below . . . . . . . .
31 .
loss
PART II. Adjustment for VT Exempt Income
.
Check to
32 . Adjusted Gross Income If Part I completed, enter Line 29.
0 0
ç indicate
Otherwise, enter amount from Form IN-111, Line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32 .
loss
.
0 0
0 0
(Full-year VT residents enter 0 on Line 33)
33 . Non-VT Income (Line 31 above) . . . . . . . . . . .
33 .
Part-Year Residents: For Lines 34-40, enter only income included in Part I, Line 30
.
34 . Military pay. Number of months on active duty ______
0 0
(See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 .
.
0 0
35 . Federal Employment Opportunity income adjustment . . . . . . . . 35 .
.
0 0
36 . Railroad Retirement income . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 .
.
0 0
37 . VT State payments to a family for support of developmentally
disabled person(s) (See instructions on page 13) . . . . . . . . . . . . . 37 .
.
0 0
38 . Americans with Disabilities Credit . . . . . . . . . . . . . . . . . . . . . . . 38 .
.
0 0
39 . Nonresident Commercial Film Income . . . . . . . . . . . . . . . . . . . . 39 .
.
0 0
40 . Bond/note interest income from . . . . . . . . . . . . . . . . . . . . . . . . . 40 .
VT Telecom
VT Public Power
c
VSAC
c
Build America
c
c
Authority
Supply Authority
.
Check to
0 0
ç indicate
41 . Total (Add Lines 33-40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41 .
loss
.
Check to
0 0
ç indicate
42 . VT income (Subtract Line 41 from Line 32) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42 .
loss
.
%
43 . INCOME ADJUSTMENT % (Divide Line 42 by Line 32). Also enter on Form IN-111, Line 21. (See instructions) . . . . . . . . .è 43 .
22
Schedule IN-113
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