Form 200-02 - Delaware Individual Non-Resident Income Tax Return - 2010
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1
2
3DELAWARE INDIVIDUAL
DO NOT WRITE OR STAPLE IN THIS AREA
NR
NON-RESIDENT
2010
INCOME TAX RETURN
FORM 200-02
or Fiscal year beginning
and ending
Your Social Security No.
Spouse’s Social Security No.
(Attach Label Here) DO NOT COVER SOCIAL SECURITY NUMBERS
Your Last Name
First Name and Middle Initial
Jr., Sr., III., etc.
Spouse’s Last Name
Spouse’s First Name
Jr., Sr., III., etc.
Present Home Address (Number and Street)
Apt. #
City
State
Zip Code
FILING STATUS (MUST CHECK ONE)
If you were a part-year resident in 2010, give the dates you
Check if FULL-YEAR
resided in Delaware.
non-resident in 2010
1.
Single, Divorced, Widow(er)
3.
Married & Filing Separate Forms
From
2010 To
2010
Form DE2210 Attached
5.
Head of Household
2.
Joint
Month
Day
Month
Day
00
37.
DELAWARE ADJUSTED GROSS INCOME (Enter amount from reverse side, Line 30B, Column 1)
......................
37
38.
(a) If you elect the STANDARD DEDUCTION check here.........................................................................................
a.
$3250
$6500
Filing Statuses 1, 3 & 5 -
Filing Status 2 -
38
00
(b) If you elect to ITEMIZE DEDUCTIONS check here and enter amount from reverse side Line 36.............................. b.
ADDITIONAL STANDARD DEDUCTIONS
(
39.
Not Allowed with Itemized Deductions - see instructions)
CHECK BOX(ES)
If SPOUSE was 65 or over
and/or Blind
39
00
If YOU were 65 or over
and/or Blind
40.
TOTAL DEDUCTIONS - Add Lines 38 & 39 and enter here
40
..............................................................................................
00
TAXABLE INCOME - Subtract Line 40 from Line 37, and Compute Tax on this Amount
41
41.
............................................
00
Tax Liability Computation
42.
Tax Liability from Tax Rate
Proration Decimal
Table/Schedule
A
00
Line 30 A
(See instructions, page 10)
Amount
B
Line 30 B
00 =
.
x
00
00
42
PERSONAL CREDITS
(If Filing Status 3, see instructions on page 10)
Enter number of exemptions claimed on Federal return
X $110. =
4 3 a
43a
00
Multiply this amount by the proration decimal on Line 42 (X
) and enter total here
................
43b
CHECK BOX(ES)
Spouse 60 or Over (if filing status 2)
Self 60 or Over
Enter number of boxes checked on Line 43b
X $110. =
43b
00
Multiply this amount by the proration decimal on Line 42 (X
) and enter total here......................................
44.
Tax imposed by State of
(Must attach copy of DE Sch. I and other state return)
44
00
44
(Part-Year Residents Only. See instructions, page
11)................................................
00
45
45
45.
Other Non-Refundable Credits (See instructions, page 11)..................................................
46.
46
Total Non-Refundable Credits. Add Lines 43a, 43b, 44 and 45.................................................................................................
00
47
47
.
BALANCE. Subtract Line 46 from Line 42. If Line 46 is greater than Line 42, enter “0” (Zero)................................................
00
48.
00
Delaware Tax Withheld
(Attach
W-2s/1099s)......................................................................
48
48
49.
2010 Estimated Tax Paid & Payments with Extensions..........................................................
00
49
49
50.
S Corp Payments and Refundable Business Credits.............................................................
00
50
50
51.
00
TOTAL REFUNDABLE CREDITS. Add Lines 48, 49, & 50...........................................................................................................
51
52.
00
If Line 47 is greater than Line 51, subtract 51 from 47 and enter here.....................................................AMOUNT YOU OWE >
52
53.
53
00
If Line 51 is greater than Line 47, subtract 47 from 51 and enter here...........................................................OVERPAYMENT >
54. CONTRIBUTIONS TO SPECIAL FUNDS
I
.
00
E
.
00
Juv. Diabetes Fund
Organ Donations
A
.
00
Non-Game Wildlife
J
.
F
.
00
00
Diabetes Educ.
Mult. Sclerosis Soc.
B
.
00
U.S. Olympics
K
.
00
G
.
00
Ovarian Cancer Fund
Veteran’s Home
C
.
00
Emergency Housing
L
00
.
00
H
.
DE National Guard
21
Fund for Children
st
D
.
00
Breast Cancer Educ.
TOTAL >
00
54
00
55.
55
AMOUNT OF LINE 53 TO BE APPLIED TO 2011 ESTIMATED TAX ACCOUNT..................................................................................ENTER
>
00
56
56.
PENALTIES AND INTEREST DUE. If Line 52 is greater than $400, see estimated tax instructions...................................................ENTER
>
57
00
57.
NET BALANCE DUE. Enter the amount due (Line 52 plus Lines 54 and 56) and pay in full.....................................................PAY IN FULL
>
00
58
58.
NET REFUND. Subtract Lines 54, 55 and 56 from Line 53............................................................................ . ZERO DUE/TO BE REFUNDED
>
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and believe it is true, correct and complete.
Signature of Paid Preparer
Date
EIN,SSN or PTIN
Your Signature
Date
X
X
Spouse’s Signature (If filing joint)
Date
Address
Zip Code
X
Home Phone
Business Phone
Business Phone
Email Address
Email Address
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