Form 481.0 - Individual Income Tax Return - 2004 Page 2
ADVERTISEMENT
1
2
3Social Security Number
Form 481.0, Rev. 05.04 - Page 2
Taxpayer's name
_______________________________________________
Part 3
Adjusted Gross Income (From line 4, page 1) ...................................................................................................
(01)
4.
02
.
0
0
,
STANDARD DEDUCTION AND PERSONAL EXEMPTION: If you checked Box 1 in Part 1 enter $6,150,
5.
Box 2 enter $3,400, Box 3 enter $5,730, Box 4 enter $3,400 .........................................................................................
(02)
.
0
0
,
ADDITIONAL DEDUCTIONS
6.
A. Contributions to individual retirement accounts (Do not exceed from $5,000 or $10,000 if married):
Employer's Identification Number
Amount
Financial institution
Account number
(06)
(03)
.
0
0
,
Employer's Identification Number
Amount
Financial institution
Account number
(04)
(07)
.
0
0
,
Employer's Identification Number
Amount
Financial institution
Account number
(05)
(08)
.
0
0
,
Total contributions to individual retirement accounts (Add all the amounts
reflected on line 6A)............................................................................................
(09)
.
0
0
,
B. Contributions to governmental pension or retirement systems .........................
(10)
.
0
0
,
C. Deduction when both spouses work ..........................................................................
(11)
.
0
0
,
D. Deduction for Veterans .....................................................................................................
(12)
.
0
0
,
E. Ordinary and necessary expenses (Schedule I Individual, Part I, line 8) ........................
(13)
.
0
0
,
F. Automobile loan interest: (Do not exceed from $1,200)
Bank _______________________ Loan Number _____________________________
Employer's Ident. Number
(14)
(15)
.
0
0
,
G. Young people who work (See instructions) .............................................................
(16)
.
0
0
,
H. Educational Contribution Account (Schedule A1 Individual, Part II, line (10))(See instructions) ..
(17)
.
0
0
,
I. Acquisition and installation of a personal computer used by dependents ..................
(18)
.
0
0
,
J. Total Additional Deductions (Add lines 6A through 6 I) ..........................................................................................
(19)
.
0
0
,
7.
Telephone service payment for communication with military personnel in combat zone (See instructions) ......
(20)
.
0
0
,
8.
EXEMPTION FOR DEPENDENTS (Complete Schedule A1 Individual, see instructions)
TOTAL
A) Non university: Category (N) .....................................
x $1,600
..........
(21)
(24)
.
0
0
,
B) University student: Category (U) ..............................
x $1,600
..........
(22)
(25)
.
0
0
,
C) Disabled, blind or age 65 or older: Category (I) ...........
x $1,600
..........
(23)
(26)
.
0
0
,
D) Total Exemption for Dependents (Add lines 8A through 8C)....................................................................................
(27)
.
0
0
,
9.
Total Deductions and Exemptions (Add lines 5, 6J, 7 and 8D) ...................................................................................
(28)
.
0
0
,
10.
NET TAXABLE INCOME (Subtract line 9 from line 4. If line 9 is larger than line 4, enter zero) ...............................................
(29)
.
0
0
,
Conservation Period: Ten (10) Years
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial