Form 200-02 - Delaware Individual Non-Resident Income Tax Return - 2016 Page 3
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32016 NR
Schedule
2016 DELAWARE NON-RESIDENT SCHEDULES
Names:
Social Security Number:
DE SCHEDULE I - CREDIT FOR INCOME TAXES PAID TO ANOTHER STATE
See the instructions and complete the worksheet on Page 11 prior to completing DE Schedule I.
Enter the credit in HIGHEST to LOWEST amount order.
1.
Tax imposed by State of
(enter 2 character state name) ..................................
1
2.
Tax imposed by State of
(enter 2 character state name) ..................................
2
3.
Tax imposed by State of
(enter 2 character state name) ..................................
3
4.
Tax imposed by State of
(enter 2 character state name) ..................................
4
5.
Tax imposed by State of
(enter 2 character state name) ..................................
5
6. Enter the total here and on Page 1, Line 44. You must attach a copy of the other state
return(s) with your Delaware tax return ......................................................................................... 6
DE SCHEDULE II - This schedule does not apply to the Non-resident form. It is intentionally excluded.
DE SCHEDULE III - CONTRIBUTIONS TO SPECIAL FUNDS
See Page 13 for a description of each worthwhile fund listed below.
7. A.
Non-Game Wildlife
G.
Veterans Home
M.
White Clay Creek
B.
U.S. Olympics
H.
DE National Guard
N.
Home of the Brave
C.
Emergency Housing
I.
Juvenile Diabetes Fund
O.
Senior Trust Fund
D.
Breast Cancer Edu.
J.
Multiple Sclerosis Soc.
P.
Veterans Trust Fund
E.
Organ Donations
K.
Ovarian Cancer Fund
Q.
Protecting DE’s
Children Fund
21 st Fund for Children
F.
Diabetes Education
L.
Enter the total Contribution amount here and on Non-Resident Return, Line 55 ................................................................. 7
This page MUST be sent in with your Delaware return if any of the Schedules (above) are completed.
*DF20416019999*
(Rev 11/2016)
DF20416019999
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