Form 43 - Idaho Part-Year Resident & Nonresident Income Tax Return - 1999
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1
2F
43
1999
O
IDAHO PART-YEAR RESIDENT & NONRESIDENT INCOME TAX RETURN
R
M
TC43991
.
10-01-99
A R F W M
For the year January 1 - December 31, 1999, or fiscal year beginning ___________________, 1999, ending ___________________, 2000
Your first name and initial
Last name
Your Social Security Number
Use IDAHO
Last name
If a joint return, spouse's first name and initial
Spouse's Social Security Number
label.
Otherwise,
please print
Address (number, street and apartment number)
I
MPORTANT!
or type.
You must enter your SSN(s)
.
above.
City, State and Zip Code
Yourself _______
Full months in
.
Idaho this year
Spouse _______
Resident
Idaho Resident on Active Military Duty
Nonresident
Part-Year Resident
Military Nonresident
Residency Status
.
.
.
.
.
Check one for yourself
Yourself
.
.
.
.
.
and one for your spouse
2
3
4
1
5
Spouse
if a joint return.
.
If you and your tax preparer need Idaho income tax forms and instructions mailed to you next year, check the box
6a.
Enter number of
(MUST MATCH FEDERAL RETURN)
Yourself
Spouse
.
boxes checked
Single
1.
Caution: If your parent or someone else can claim
Married filing joint return (even if only one had income)
2.
you as a dependent on his or her tax return,
Married filing separate return
3.
DO NOT check box 6a.
Enter spouse's SSN above
.
b.
Number of your dependent children from federal form ....
and full name here.
Head of household
4.
.
Enter name of person
c.
Number of other dependents from federal form .............
who qualifies you.
Qualifying widow(er) with dependent child
5.
d.
Add lines 6a, b, and c.
Year spouse died: 19__________
. .
. .
. .
. .
. .
. .
American Heritage
Democratic
Libertarian
Natural Law
Reform
Republican
No specific party
. .
IDAHO ELECTION CAMPAIGN FUND
7. Yourself
I want $1 of my income tax to go to the Idaho
1
2
3
4
5
6
7
Election Campaign Fund ($2 on joint return)
8. Spouse
IDAHO INCOME. See instructions, pages 12 and 13.
Idaho Amounts
.
9
00
9. Wages, salaries, tips, etc. Attach Form(s) W-2. ..................................................................................
.
00
10
10. Taxable interest income. Attach federal Schedule B if over $400. .........................................................
.
00
11
11. Dividend income. Attach federal Schedule B if over $400. ...................................................................
.
00
12
12. Alimony received .............................................................................................................................
.
00
13
13. Business income or (loss). Attach federal Schedule C or C-EZ. ...............................................................
.
00
14
14. Capital gain or (loss). If required, attach federal Schedule D. ................................................................
.
15
00
15. Other gains or (losses). Attach federal Form 4797. .............................................................................
.
00
16
16. IRA distributions (taxable amount) ......................................................................................................
.
00
17
17. Pensions and annuities (taxable amount) .............................................................................................
.
00
18
18. Rents, royalties, partnerships, S corporations, trusts, etc. Attach federal Schedule E. .............................
.
00
19
19. Farm income or (loss). Attach federal Schedule F. ...............................................................................
.
20
00
20. Unemployment compensation ............................................................................................................
.
00
21
21. Other income. List type and amount. .................................................................................................
00
22
22. TOTAL INCOME. Add lines 9 through 21.
IDAHO ADJUSTMENTS. See instructions, page 13.
.
00
23. Deductions for IRAs and medical savings accounts ..............................................................................
23
.
00
24. Moving expenses. Attach federal Form 3903 or 3903-F. .....................................................................
24
.
25
00
25. Deductions for self-employment tax, health insurance and retirement plan ..............................................
.
00
26
26. Penalty on early withdrawal of savings ...............................................................................................
.
00
27. Deductions for student loan interest and alimony paid ..........................................................................
27
00
28. TOTAL ADJUSTMENTS. Add lines 23 through 27. .............................................................................
28
.
00
29. ADJUSTED GROSS INCOME. Subtract line 28 from line 22.
29
Under penalties of perjury, I declare that to the best of my knowledge and belief this return is true, correct and complete.
Within 120 days of receiving this return, the Idaho State Tax Commission may contact the paid preparer to discuss it.
Preparer's EIN, SSN, or PTIN
Your signature
Date
Paid preparer's signature
.
.
.
SIGN
Spouse's signature (if a joint return, BOTH MUST SIGN)
HERE
Daytime phone
Address and phone number
.
MAIL TO: Idaho State Tax Commission, PO Box 56, Boise, ID 83756-0056
ATTACH A COMPLETE COPY OF YOUR FEDERAL RETURN
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