Form Sc1040a - South Carolina Individual Income Tax Return

Do not write in this space - OFFICE USE

FULL-YEAR RESIDENT ONLY

SC1040A

SHORT FORM 1999

SOUTH CAROLINA

(Rev. 9/20/99)

INDIVIDUAL INCOME TAX RETURN

For the year January 1 - December 31, 1999, or other tax year beginning

1999 and ending

Print Your first name and Initial

(Sr, Jr, 2nd, 3rd, 4th)

Last name

Your Social Security number

Spouse's first name and Initial, if married filing jointly

Spouse's last name, if different

Spouse's Social Security number

Do not write in this space - OFFICE USE

Daytime telephone

Present home address (number and street, or P. O. Box)

Apt. No.

Area Code

(

)

City, state and ZIP code

County code

If you do not wish to receive a booklet next year, but need a name and address label for your 2000 return, check here.

FEDERAL

(1)

Single

(3)

Married filing separately. Enter spouse's SSN # here: ______________________________

FILING

(2)

Married filing jointly

(4)

Head of household

(5)

Widow(er) with dependent child

STATUS

Federal Exemptions: Enter the number of exemptions from your 1999 federal return.

_________

How many of the exemptions listed above were under the age of 6 years on December 31, 1999?

_________

STOP! See General Instructions for "WHAT FORM DO I USE?"

SEE BACK OF THIS FORM FOR SC1040A INSTRUCTIONS.

Dollars

Cents

1 FEDERAL TAXABLE INCOME from your federal Form 1040A, line 24, or 1040EZ, line 6. If this is a

negative amount or zero, enter zero. This amount is your State Taxable Income. If you itemized on your

federal tax return (Form 1040), Do Not Use This Form.

2 Deduction for dependents under 6 years of age, see instructions. All other adjustments to income are

allowed only on Form SC1040, Long Form.

3 Subtract line 2 from line 1. Enter the difference here.

4 TAX: Enter tax from SOUTH CAROLINA tax tables.

5 Child and Dependent Care. Federal EXPENSE from Form 2441:

$ _____________ x .07 (7%)

6 Two Wage Earner Credit from Schedule W on the back of this form.

7 Total Non-Refundable Credit. Add lines 5 and 6.

8 SUBTRACT line 7 from line 4. Enter the difference BUT NOT LESS THAN ZERO.

9 South Carolina income tax withheld. (Attach STATE'S copy of Form W-2, 1099).

10 If line 9 is larger than line 8, subtract line 8 from line 9 and enter the OVERPAYMENT.

11 If line 8 is larger than line 9, subtract line 9 from line 8 and enter the AMOUNT DUE.

12 Endangered Wildlife Fund

Veterans' Trust Fund

13 Children's Trust Fund

Gift of Life Trust Fund

14 Eldercare Trust Fund

17 DARE Fund

18 First Steps Fund

19 ADD lines 12 through 18 and enter the total here.

20 NET REFUND: Subtract line 19 from line 10 and enter the AMOUNT TO BE REFUNDED TO YOU.

21 NET DUE: Add lines 11 and 19 and enter the AMOUNT YOU OWE. Attach a check or money order

for the full amount payable to "SC Department of Revenue." Write your Social Security number and

"1999 Form SC1040A" on the check.

See instructions inside back cover of tax booklet to determine if you are liable for use tax and page 15 of this booklet concerning accommodations tax.

I declare that this return and all attachments are true, correct and complete to the best of my knowledge and belief.

Your Signature

Date

Spouse's Signature (if jointly, BOTH must sign)

I authorize the Director of the Department of Revenue or delegate to

Preparer's Printed Name

Yes

discuss this return, attachments and related tax matters with the preparer.

If prepared by a person other than taxpayer, his declaration is based on all information of which he has any knowledge.

Paid

Preparer's

Prepared by

Date

Address

Use Only

EI Number

Phone Number

City

State

Zip

MAIL ORIGINAL RETURN TO : SHORT FORM PROCESSING CENTER, P.O. BOX 101104, COLUMBIA, S.C. 29211-0104

Form Sc1040a - South Carolina Individual Income Tax Return - 1999

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