7
FEDERAL TAX
The following lines reference the Federal Form 1040A:
1. Federal Tax (Line 25). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.
2. Credit for Child and Dependent Care Expenses (Line 26) . . . . . . . . . . . . . . .
2.
3. Credit for the Elderly or the Disabled (Line 27). . . . . . . . . . . . . . . . . . . . . . . .
3.
4. TOTAL FEDERAL ADJUSTED TAX (Line 1 minus Line 2 minus Line 3) Enter here and on Side 1 Line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
The following lines reference the Federal Form 1040:
6. Credit for Child and Dependent Care
1. Federal Tax (Line 40) . . . . . . . . . . . . . . . . .
1.
Expenses (Line 41) . . . . . . . . . . . . . . . . . . . . . .
6.
7. Credit for the Elderly or the Disabled
2. Alternative Minimum Tax (Line 51) . . . . .
2.
(Line 42). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
3. Tax on Qualified Retirement Plans
(including IRAs) and MSAs (Line 53) . . .
3.
8. Investment Tax Credit. . . . . . . . . . . . . . . . . . . .
8.
9. Alternative Minimum Tax Credit . . . . . . . . . . .
9.
4. Recapture of Investment Tax Credit . . . . .
4.
10.
5. TOTAL (Add Lines 1– 4). . . . . . . . . . . . .
10. TOTAL (Add Lines 6– 9) . . . . . . . . . . . . . .
5.
11. TOTAL FEDERAL ADJUSTED TAX (Line 5 minus Line 10) Enter here and on Side 1 Line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.
8
OTHER PAYMENTS
1. Vermont Real Estate Withholding (Attach REW-1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.
2. Non-resident partner, shareholder payments (From Form WH-435) . . . . . . . . . . . . . . . . . .
2.
3. 1998 Estimated Tax or Extension Payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
4. Homeowner/Renter Rebate (From Form PR-141) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
5. Earned Income Credit (From Form IN-112, Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
6. TOTAL PAYMENTS (Add Lines 1–5) Enter result here and on Side 1, Line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
9
STATISTICAL INFORMATION
Yes
Self
VT residents: Do you own your own home in VT?
If yes, enter homestead property tax:
If age 65 or over, check block(s)
No
Spouse
Daytime
Nighttime
phone #
phone #
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
10
they are true, correct and complete. Preparers cannot use return information for purposes other than preparing returns.
Check here if authorizing the Director of Taxpayer Services or the Director’s designee to discuss this return and attachments with your preparer.
DATE
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TAXPAYER’S SIGNATURE
TAXPAYER’S OCCUPATION
DATE
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___________________________________________________
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SPOUSE’S SIGNATURE
SPOUSE’S OCCUPATION
Paid preparer’s use only.
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PREPARER’S SIGNATURE
DATE
PREPARER’S EIN/S.S.N.
Form IN -111