Form 1998 Vt - Income Tax Return - City Of Montpelier Page 2

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DEPT. OF TAXES, Montpelier, Vermont 05609-1401/(802) 828-2865
1998 VT
Income Tax Return
DUE DATE: April 15, 1999 • PRINT in BLUE or BLACK INK
CHECK HERE if Fiscal Year Filer from__________ to __________
Check here if name or address has changed
1
Taxpayer’s Last Name
First Name
Initial
Taxpayer’s Social Security Number
Spouse’s Last Name
First Name
Initial
PLACE LABEL HERE
Spouse’s Social Security Number
Mailing Address (Number and Street, including Rural Route)
City, Town, or Post Office
State
Zip Code
School Code
City/Town of Legal Residence
State
Check here if taxpayer died during 1998
Check here if spouse died during 1998
2
Head of
Married
Married Filing Separately. (Enter spouse’s
Single
FILING STATUS:
______________________________________
Household
Filing Jointly
social security no. above and full name here)
Check here if you have MUNICIPAL BOND INCOME
EXEMPTIONS CLAIMED (From Federal Form 1040–Line 6d;
(Complete Schedule A on Form IN-112)
1040A–Line 6d; 1040EZ/Telefile–enter 0, 1, or 2)
ADJUSTED GROSS INCOME (From Federal Form 1040–Line 33; 1040A–Line 18;1040EZ–Line 4; Telefile–Line H)
Check here to indicate loss . . . . .
TAXABLE INCOME (From Federal Form 1040–Line 39; 1040A–Line 24; 1040EZ–Line 6; Telefile–Line J)
Check here to indicate loss . . . . . .
3
1. FEDERAL TAX (From Federal Form 1040–Line 40; 1040A–Line 25; 1040EZ–Line 10; Telefile–Line J)
Check here if you used the worksheet on Side 2 to adjust your federal tax for credits or other taxes . . . . . . . . . . . . . . . . . . . . . . .
1.
2. VERMONT TAX (Multiply Line 1 by 25%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
%
3.
3. INCOME ADJUSTMENT (From Form IN-113 Line 38 or 100.00%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
4. ADJUSTED TAX (Multiply Line 2 by Line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. ALLOWABLE CREDITS (From Form IN-112, Schedule B, Other Tax Credits AND/OR Economic Incentive Credits) . . . . . . . . . . . . . . .
5.
6. TAX AFTER CREDITS (Subtract Line 5 from Line 4. If less than zero, enter 0) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
7. USE TAX (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
8. TOTAL TAX DUE (Add Lines 6 & 7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
4
9. VERMONT
Nongame Wildlife Fund
Children’s Trust Fund
Vermont Campaign Fund
CONTRIBUTIONS:
+
+
=
9.
10. TOTAL TAX & CONTRIBUTIONS DUE (Add Lines 8 & 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.
5
11.
11. VERMONT TAX WITHHELD (Attach W2’s or 1099’s). . . . . . . . . . . . . . . . . . . .
12.
12. OTHER PAYMENTS (Complete Section 8 on Side 2) . . . . . . . . . . . . . . . . . . . . .
13. TOTAL PAYMENTS (Add Lines 11 & 12). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.
6
14. OVERPAYMENT (If Line 10 is smaller than Line 13, enter difference which is the overpayment) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.
15. Amount of overpayment to be credited to 1999 estimated tax. . . . . . . . . . . . . . . . . . .
15.
16. REFUND (Subtract Line 15 from Line 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.
17. BALANCE DUE (If Line 10 is larger than Line 13, enter difference which is the tax due) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.
Make check payable to Vermont Department of Taxes
Taxpayer must complete Section 9
and sign form on back where indicated
18. Check here if paying late and/or underpayment of estimated tax charges and include Form IN-152.
Form IN-111

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