Form 40 Draft - Idaho Individual Income Tax Return - 2012

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40
8734
F
2012
O
R
M
EFO00089
07-20-12v3
IDAHO INDIVIDUAL INCOME TAX RETURN
.
State Use Only
AMENDED RETURN, check the box.
.
See instructions, page 6 for the reasons
for amending and enter the number.
Your Social Security Number (required)
For calendar year 2012, or fiscal year beginning
, ending
Your first name and initial
Last name
Spouse's Social Security Number (required)
Spouse's first name and initial
Last name
Mailing address
Do you need Idaho
Taxpayer deceased
income tax forms
in 2012
mailed to you next year?
.
.
City, State, and Zip Code
Spouse deceased
in 2012
Yes
No
FILING STATUS. Check only one box.
6. EXEMPTIONS.
Yourself a.
I
f someone can claim you as a
Enter "1" in boxes 6a,
If filing married joint or separate return, enter
dependent, leave box 6a blank.
and 6b, if they apply.
Spouse
b.
spouse's name and Social Security Number above.
c. List your dependents. If more than four dependents, continue on Form 39R.
1.
Single
Enter the total number here ................................................................................ c.
First name
Last name
Social Security Number
___________________________________________________________________
2.
Married filing joint return
___________________________________________________________________
3.
Married filing separate return
___________________________________________________________________
4.
Head of household
___________________________________________________________________
5.
Qualifying widow(er)
___________________________________________________________________
d. Total exemptions. Add lines 6a through 6c. Must match federal return ............ d.
Must match federal return.
INCOME. See instructions, page 7.
.
7. Enter your federal adjusted gross income from federal Form 1040, line 37; federal Form 1040A, line 21;
or federal Form 1040EZ, line 4. Include a complete copy of your federal return ......................................................
7
00
8. Additions from Form 39R, Part A, line 7. Include Form 39R .....................................................................................
8
00
9. Total. Add lines 7 and 8 .............................................................................................................................................
9
00
10. Subtractions from Form 39R, Part B, line 23. Include Form 39R .............................................................................
10
00
.
11. TOTAL ADJUSTED INCOME. Subtract line 10 from line 9.
.
If you have an NOL and are electing to forgo the carryback period, check here
.......................................
11
00
TAX COMPUTATION. See instructions, page 7.
.
.
a.
If age 65 or older .............................
.
.
Spouse
Yourself
b.
If blind ..............................................
Spouse
Yourself
12.
CHECK
Standard
c.
If your parent or someone else can claim you as a dependent,
Deduction
.
For Most
check here and enter zero on lines 18 and 42.
People
.
13. Itemized deductions. Include federal Schedule A ..........................................................................
00
13
Single or
Married filing
.
14. All state and local income taxes included on
Separately:
00
federal Schedule A, line 5 ...............................................................................................................
14
$5,950
15. Subtract line 14 from line 13. If you do not use federal Schedule A, enter zero ............................
15
00
Head of
Household:
16. Standard deduction. See instructions page 7 to determine standard deduction amount
.
$8,700
00
if different than the Standard Deduction For Most People ..............................................................
16
Married filing
00
17. Subtract the LARGER of line 15 or 16 from line 11. If less than zero, enter zero ..........................
17
Jointly or
.
Qualifying
00
18. Multiply $3,800 by the number of exemptions claimed on line 6d ..................................................
18
Widow(er):
.
$11,900
00
19. Idaho taxable income. Subtract line 18 from line 17. If less than zero, enter zero
......................
19
.
00
20. Tax from tables or rate schedule. See instructions, page 36 .........................................................
20
Continue to page 2.
{"6S¦}
MAIL TO: Idaho State Tax Commission, PO Box 56, Boise, ID 83756-0056
INCLUDE A COMPLETE COPY OF YOUR FEDERAL RETURN.

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