Form Sc 1040 - Individual Income Tax Return

Schedule NR filers skip lines 33-57.

Dollars

Cents

33 Federal taxable income from your federal Form 1040, line 39; 1040A, line 25; or 1040EZ, line 6.

If zero or less, enter zero here and enter the negative amount on line 49 of this form.

PART 1

ADDITIONS TO FEDERAL TAXABLE INCOME

34 If itemizing your state and local income tax deduction, enter the amount from

line 5 of Worksheet A (See instructions.)

35 Out-of-state losses - (See instructions.)

36 Expenses related to National Guard and military reserve income.

37 Interest income on obligations of states and political subdivisions

other than South Carolina .

38 Other additions to income. (See instructions.) Attach an explanation.

39 TOTAL ADDITIONS ---- add lines 34 through 38 and enter your total additions to income here.

40 Add line 33 and line 39 and enter total here.

PART 2

SUBTRACTIONS FROM FEDERAL TAXABLE INCOME

41 State tax refund, if included on line 10, on your federal 1040.

42 Interest income from obligations of the US government.

43 National Guard or Reserve annual training and drill pay. (See instructions.)

44 Permanent disability retirement income, if taxed on your federal return.

45 Social Security and/or railroad retirement, if taxed on your federal return.

46 Caution: Retirement Deduction - (See instructions.)

a) Taxpayer: Birth Date ____________

46a

b) Spouse: Birth Date ____________

46b

c) Surviving Spouse(s):

Birth Date ____________

____________

46c

47 Age 65 and older deduction - (See instructions. )

a) Taxpayer: Birth date _____________

47a

b) Spouse:

Birth date _____________

47b

48 Out-of-state income/gain -

Do not include personal service income.

(See instructions.)

49 Negative amount of federal taxable income.

50 44% of net capital gains held for more than one year (See instructions.)

51 Subsistence Allowance ______________ days @ $5.00

52 Volunteer Firefighters/Rescue Squad Deduction. (See instructions.)

53 Dependents under the age of 6 years on December 31, 2002.

Birth Date ________________ SSN __________________________

___

Birth Date ________________ SSN _______________________

54 Additional self-employed health insurance deduction.

55 Other subtractions. (See instructions.) ____________________

56 TOTAL SUBTRACTIONS ---- add lines 41 through 55 and enter the total.

57 South Carolina INCOME SUBJECT TO TAX Subtract line 56 from line 40.

Enter here and on line 2 of this return, but not less than zero.

ATTACH A COMPLETE COPY OF YOUR FEDERAL RETURN ONLY IF you have income and/or (loss) on federal Schedules C, D, E, F or filed a SC

Schedule NR.

I declare that this return and all attachments are true, correct and complete to the best of my knowledge and belief.

Your Signature

Date

Spouse's Signature (if jointly, BOTH must sign)

I authorize the Director of the Department of Revenue or delegate to

Preparer's Printed Name

Yes

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

Address

Use Only

EI Number

Phone Number

City

State

Zip

MAIL RETURN TO THE PROPER ADDRESS:

REFUNDS OR ZERO TAX: SC1040 PROCESSING CENTER, P.O. BOX 101100, COLUMBIA SC 29211-0100

BALANCE DUES:

TAXABLE PROCESSING CENTER, P.O. BOX 101105, COLUMBIA SC 29211-0105

Form Sc 1040 - Individual Income Tax Return - 2002 Page 2

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