Form Sc1040x - Amended Individual Income Tax
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1
2Do not write in this space - OFFICE USE
STATE OF SOUTH CAROLINA
SC1040X
DEPARTMENT OF REVENUE
(Rev. 9/98)
3083
AMENDED INDIVIDUAL INCOME TAX
Fiscal year Ended _______ 19 ____, OR CALENDAR YEAR 19 ____
If your address has not changed since you last filed, check this box ......................................................................................................................
Print Your first name and Initial
(Sr, Jr, 2nd, 3rd, 4th)
Your Social Security number
Last name
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
Present home address (number and street, or P. O. Box)
Apt. No.
Daytime telephone
Area Code
(
)
City, state and ZIP code
County code
A. Filing status claimed. (Note: You cannot change from joint to separate returns after the due date has passed. )
Tax Year ________
Single
Married filing joint
Married filing separate
Head of Household
Qualifying Widow(er)
B. TYPE OF RETURN:
Resident
C. FEDERAL EXEMPTIONS
Resident
Nonresident
Number of exemptions on your federal return . . .
Check one
SC1040A
SC1040
SC1040NR
A
B
Give the item or line reference and explain why
C
As Reported
Net Change
each change was made on the reverse side - attach any
Correct
Or Adjusted
Explain on back
schedules or forms that apply.
Amount
1
Federal taxable income SC1040 or SC1040A . . . . . . .
1
1
Income
2. Net South Carolina adjustment (plus or minus) . . . . . .
2
2
and
Adjustments
3.
Modified South Carolina taxable income
(line 1 plus or minus line 2);
Nonresident - enter amount from Part I, line 31 of this form.
3
3
4. Tax: SC1040, SC1040A or SC1040NR . . . . . . . . . . .
4
Tax
4
5. Tax on lump sum distribution (SC4972) . . . . . . . . . . . . 5
5
6. Total South Carolina Tax (line 4 plus line 5) . . . . . . . . . 6
6
7. Child and Dependent Care Credit . . . . . . . . . . . . . . . . . 7
Credits
7
8. Two Wage Earner Credit . . . . . . . . . . . . . . . . . . . . . . . . 8
8
9. Other Non-Refundable Credits . . . . . . . . . . . . . . . . . . .
9
9
10. Total Credits (add lines 7 through 9) . . . . . . . . . . . . . . 10
10
11. Balance: Subtract line 10 from line 6 . . . . . . . . . . . . . . . 11
11
Payments
12. South Carolina tax withheld . . . . . . . . . . . . . . . . . . . . . . 12
12
13. South Carolina estimated tax payments . . . . . . . . . . . . . 13
and
13
14. Tuition Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
14
Transfers
15.
;
Amount paid with extension
original return; and any additional tax paid after original was filed.
15
16. Total of lines 12, column C through 15, column C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
17. Less: Net refund on original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
18. Balance: Subtract line 17 from line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19. Transfer from original return for Estimated Tax, Endangered Wildlife Fund, Children's Trust
Fund, Eldercare Trust Fund, Veterans' Trust Fund, Gift of Life Trust Fund or DARE Fund . . 19
20. Net tax: Subtract line 19 from line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
Refund
21. If line 20 is larger than line 11, column C. Enter the REFUND . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
or
22. If line 11, column C is larger than line 20, enter the difference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
Balance Due
23. Interest and penalty on tax due (from due date of original return) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
24. TOTAL: Add lines 22 and 23 and enter the TOTAL BALANCE DUE . . . . . . . . . . . . . . . . . . . . . . . . . .
24
Please
I declare that this return and all attachments are true, correct and complete to the best of my knowledge and belief.
Sign
Here
Your Signature
Date
Spouse's Signature (If filing jointly, BOTH must sign.)
I authorize the Director of the Department of Revenue or delegate to
Preparer's Printed Name
Yes
No
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
EI Number
Use Only
Address
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