Form 33x - Massachusetts Amended Individual Income Tax Return - 1993-1998

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Form 33X
19
Massachusetts Amended
Massachusetts
Individual Income Tax Return
Department of
(For tax years 1993–1998)
Revenue
For calendar year
1995
or taxable year beginning
1995, and ending
19
Your first name and initial
Last name
Your Social Security number
Spouse’s first name and initial
Last name
Spouse’s Social Security number
Present street address (& apartment number)
City/Town/PO Box number
State
Zip
Check box if address changed since
filing original return.
Form 33X must be used if, after filing your Massachusetts income tax return, you discover one or more errors or omissions. This form must also be used to report the
results of an IRS audit or adjustment. DOR and the IRS routinely share computer tapes and audit results. Differences, other than those allowed under state law,
will be identified and may result in audit or further investigation. Time limits for filing Form 33X are explained on page 3. Caution: If you have received a bill or other
adjustment notices about your state income tax liability, do not use this form to request a refund. Use Form CA-6, Application for Abatement.
11. Were you a Mass. resident for the full taxable year?
3. Filing status claimed on original return (check one):
¨
Single ¨
Married filing jointly ¨
Yes
No
Head of household (for tax year 1995 and thereafter)
(If part-year resident, give dates below:)
Married filing separately
Unmarried head of household (for tax year 1994 only)
Married head of household (for tax year 1994 only)
Resident from _____________ to _______________
4. Filing status claimed on this return (check one):
¨
Single ¨
Married filing jointly ¨
Head of household (for tax year 1995 and thereafter)
Married filing separately
Nonresident from ___________ to _______________
Unmarried head of household (for tax year 1994 only)
If amending to change resident status, see instructions.
Married head of household (for tax year 1994 only)
12. Are you amending your return as a result of a federal change?
Do you already owe and have you been billed for additional state income tax for the year you
Yes
No. If yes, attach copy of federal audit results.
are amending? If yes, see instructions.
Yes
No
Check here if using whole-dollar method.
A.
B. Net change —
C. Corrected amount
Amount on
increase or (decrease)
(combine column A
Unless otherwise stated, all line references apply to Form 33X.
original return
(explain on page 2)
and column B)
15. Total 5.95% income. Enter amount from page 2, line 35 in column B . . . . . . . . ¨ 5
You must enter the amount from your original return in line 5A.
16. Total deductions. Enter amount from page 2, line 41 in column B. . . . . . . . . . . . . 6
17. Total 5.95% income after deductions. Subtract line 6 from line 5 . . . . . . . . . . . . . 7
18. Total exemptions. Enter amount from page 2, line 48 in column B . . . . . . . . . . . . 8
19. Taxable 5.95% income. Subtract line 8 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . 9
Note: Column C of lines 10 through 13 cannot be less than zero.
10. Tax on 5.95% income. Multiply line 9 by .0595. See instructions . . . . . . . . . . . . 10
11. Total 12% tax. See instructions. Attach revised U.S. & Mass. Schedule B . . . . . 11
12. Total 5%, 4% & 3% tax. See instructions. Attach revised U.S. & Mass. Sch. D 12
13. Total tax. Add lines 10 through 12. If claiming No Tax Status, check box
and enter “0” in column C. Attach Mass. Sched. NTS-L or worksheet . . . . . . . . 13
14. Credits. Enter amount from page 2, line 52 in column B. . . . . . . . . . . . . . . . . . . 14
15. Tax after credits. Subtract line 14 from line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . 15
16. Voluntary contributions. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
17. Tax after credits plus voluntary contributions. Add line 15 and line 16 . . . . . . . . 17
18. Mass. income tax withheld. Enter amount from page 2, line 53 in column B. . . 18
19. Earned income credit (1997 and 1998 only). See instructions . . . . . . . . . . . . . . 19
20. Payments. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
21. Total payments. Add lines 18 through 20 in column C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
22. Overpayment, if any, as shown or as adjusted on original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
23. Net payments. Subtract line 22 from line 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
24. Amount of your refund. If line 23 is more than line 17, column C, subtract line 17, column C from line 23 . . . . . . . . . . . . . . . . . . . . . . . . . 24
25. Additional tax due. If line 23 is less than line 17, column C, subtract line 23, from line 17, column C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
$ ¨ ____________ Penalty
$ ¨ ____________ M-2210
$ ¨ ____________ Fed. Change
$ ____________ . . . 26
26. Interest
27. Amount you owe. Add lines 25 and 26. Please pay in full with this return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨ 27
Be sure to complete the back of this form

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