Form 200-03 Ez - Delaware Individual Resident Income Tax Return - 1998
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1DELAWARE INDIVIDUAL RESIDENT
DO NOT WRITE OR STAPLE IN THIS AREA
1998
EZ
INCOME TAX RETURN
FORM 200-03 EZ
Your Social Security No.
Spouse’s Social Security No.
FILING STATUS (CHECK ONE)
(Attach Label Here)
1.
Single, Divorced,
2.
Joint
5.
Head of
Widow(er)
Household
Last Name
Your First Name and Middle Initial
Suffix
If you were a part year resident in 1998, give the dates you resided in
Delaware.
Spouse’s Last Name
Spouse’s First Name
Suffix
From
To
1998
1998
Present Home Address (Number and Street)
Apt.#
City
State
Zip Code
CHECK IF: YOU WERE 65 OR OVER
BLIND
CHECK IF: SPOUSE WAS 65 OR OVER
BLIND
DO NOT
ENTER CENTS
1.
Enter amount from Federal 1040A, Line 18, or 1040 EZ, Line 4………………..……………….
1.
.00
1.
2.
Pension Exclusion. (See Instructions)……………………………………………….…………………
2.
.00
2.
3.
Delaware Adjusted Gross Income. (subtract Line 2 from Line 1)…………………………………
3.
.00
3.
4.
Standard Deduction: Filing Statuses 1 & 5 Enter $1,300
Filing Status 2 Enter $1,600………………………………………………….
4.
.00
4.
5.
ADDITIONAL STANDARD DEDUCTION FROM WORKSHEET, Page 2……………………………
5.
.00
5.
6.
Add Lines 4 and 5………………………………………………………………………………………….
6.
.00
6.
7.
Subtract Line 6 from Line 3: This is your Taxable Income
(Compute Tax on this Amount or Use the Tax Table)……………………………………………….
7.
.00
7.
8.
Tax Liability from Tax Rate Table/Schedule……………………………………………………………
8.
.00
8.
9a.
Enter number of exemptions claimed on Federal return
x $100. (multiply by $100.)
9a.
.00
9a.
9b.
CHECK BOX: if you were 60 or over
Spouse was 60 or over
9b.
.00
9b.
Number of boxes checked
x 100. (multiply by $100.)…………………………………...
10.
TOTAL Non-Refundable Credit. Add Lines 9a & 9b and Enter Here……………………………..
10.
.00
10.
11.
BALANCE (Subtract Line 10 from Line 8). Cannot be less than ZERO………………………….
11.
.00
11.
12.
Delaware Tax Withheld (W-2’s/1099’s Required)……………………………………………………
12.
.00
12.
13.
1998 Estimated Tax Paid and Payments with Extensions………………………………………….
13.
.00
13.
14.
Total Refundable Credits. Add Lines 12 and 13 and enter here…………………………………..
14.
.00
14.
15.
If the amount on Line 11 is more than Line 14
Subtract Line 14 from Line 11…………………………………………………Amount You Owe>
15.
.00
15.
16.
If the amount on Line 14 is more than Line 11
Subtract Line 11 from Line 14………………………………………………………Overpayment>
16.
.00
16.
17.
Contributions to Special Funds:
.00
A. Non-Game Wildlife
.00
D. Children’s Trust
.00
B. U.S. Olympics
.00
E. Breast Cancer Educ.
.00
Total A-F in Block 17
C. Emergency Housing
.00
F. Organ Donation
.00
17.
.00
17.
18.
Amount of Line 16 to be credited to 1999 Estimated Tax Account…………………………….
18.
.00
18.
19.
NET BALANCE DUE. Add Lines 15 and 17……………………………………………Pay In Full>
19.
.00
19.
20.
NET REFUND. Subtract Lines 17 and 18 from Line 16………….To Be Refunded/Zero Due>
20.
.00
20.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to
the best of my knowledge and belief it is true, correct and complete.
Your Signature
Date
Signature of Paid Preparer
Date
Spouse Signature
Date
Address-Zip Code
Home Phone
Business Phone
Business Phone
Emp. ID. Or Soc. Sec. No.
DELAWARE RESIDENT EZ
(Rev. 10/98)
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