Form P-1040 - City Of Portland Individual Return - 2012 Page 2
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2CITY OF PORTLAND
Schedule PY
PART-YEAR RESIDENT TAX CALCULATION
ATTACH THIS SCHEDULE TO YOUR P-1040 FORM
Taxpayer's social security #
Spouse's social security #
First Name and Initial
Last Name
PART-YEAR RESIDENT
From
To
Taxpayer
Spouse
FORMER ADDRESS
Taxpayer
Spouse
COMPUTATION OF TAXABLE INCOME
COLUMN 1
COLUMN 2
PORTLAND INCOME
ALL INCOME EARNED
PORTLAND INCOME
INCOME
TAX WITHHELD
WHILE A RESIDENT
WHILE A
OF PORTLAND
NONRESIDENT
EMPLOYER'S NAME
ADDRESS OF ACTUAL WORK STATION
1.
2.
3.
4.
5.
6.
Total compensation and Portland tax withheld. (Add lines 1 through 6)
Enter on line 30 of P-1040.
7. Interest Income
8.
Dividend income from federal return.
Business and farming income.
9a.
From line 13, P-1040 (Attach fed sch c and /or FED SCH. F)
Sale and exchange of property.
9b.
NOT TAXABLE
From line 8, P-1040 (Attach Fed. Sch. D. and/or Fed. Sch Form 4797)
Farm income or (loss).
9c.
(Attach federal Schedule F.)
9d.
Unemployment compensation.
NOT TAXABLE
NOT TAXABLE
10. Social security benefits.
NOT TAXABLE
NOT TAXABLE
Other income. Attach statement listing type and amount.
11.
Total income. Add lines 1 through 11.
12.
DEDUCTIONS
See instructions. Deductions must be allocated on the same basis as related income.
Individual Retirement Account deduction.
(ATTACH PG. 1 OF FED RETURN)
13
Self Employed SEP, SIMPLE and qualified plans.
(ATTACH COPY OF PG. 1 OF FED. RETURN.)
14
Employee business expenses
(SEE INSTRUCTIONS AND ATTACH FEDERAL 2106 OR LIST.)
15
Moving expenses. -Into Portland only-
(ATTACH FEDERAL FORM 3903.)
16
Alimony paid.
DO NOT INCLUDE CHILD SUPPORT
(ATTACH PG 1 OF FED. TAX RETURN ALONG WITH THE
17
NAME, ADDRESS AND SSN OF PERSON YOU ARE PAYING.)
18
Other, explain and attach forms/schedules
19
Total deductions. Add lines 13 through 18
20
Total income after deductions. Subtract line 19 from line 12
21
Exemption Amount (Number of Exemptions,_____times $1000.00)
22
Total income subject to tax Subtract line 21 from line 20
23a
Tax at resident rate.
(MULTIPLY LINE 22 BY 1% (.01))
23b
Tax at nonresident rate.
(MULTIPLY LINE 20 Column 2 BY 1/2% (.005))
24
Total tax. Add lines 23a and 23b (ENTER HERE AND ON PAGE ONE OF THE P-1040, LINE 29)
Page 8
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