Form 39r - Idaho Supplemental Schedule - Idaho State Tax Commission - 2002
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1
239R
F
IDAHO SUPPLEMENTAL SCHEDULE
2002
O
R
For Form 40, Resident Returns Only
M
TC39R021
9-06-02
For calendar year 2002, or fiscal year beginning _________________, ending _________________
Name(s) as shown on return
Social Security Number
A. Additions. See instructions, page 17.
.
1. Federal net operating loss carryover included in line 9, Form 40 ..................................................
1
00
.
2. Capital loss carryover incurred outside the state before becoming an Idaho resident ...................
2
00
. .
3. Non-Idaho state and local bond interest and dividends ................................................................
3
00
4. Idaho college savings account withdrawal ....................................................................................
4
00
.
5. Other additions. Attach explanation. .............................................................................................
5
00
.
6. Total additions. Add lines 1 through 5. Enter on line 10, Form 40.
6
00
. .
B. Subtractions. See instructions, page 17.
1. Idaho net operating loss carryover
.
Idaho net operating loss carryback
. Enter total here. ................................
. .
00
1
2. State income tax refund if included in federal income ...................................................................
00
2
3. Interest from U.S. Government obligations ..................................................................................
.
00
3
4. Insulation of Idaho residence .......................................................................................................
00
4
5. Alternative energy devices deduction.
Year
Acquired
Type of Device
Total Cost
Percent
00
$
40%
a.
X
5a
2002
=
$
00
b.
20%
5b
X
2001
=
00
$
c.
20%
5c
X
2000
=
00
$
d.
X
20%
5d
1999
=
. .
00
5e
e. Add lines 5a through 5d. .........................................................................................................
00
6
6. Child/dependent care. Attach federal Form 2441 or 1040A, Schedule 2. ...................................
.
7. Social security and railroad benefits, if included in federal income ................................................
00
7
8. Retirement benefits deduction.
See instructions,
a. If single enter $19,920, or if married filing jointly enter $29,880. ..........
8a
00
page 18 for qualified
b. Federal Railroad Retirement benefits received ....................................
8b
00
retirement benefits
8c
c. Social Security benefits received ........................................................
00
to be included on
8d
d. Balance. Line 8a minus lines 8b and 8c. If less than zero enter zero. .
00
line 8e.
e. Qualified retirement benefits included in federal income .....................
8e
00
.
8 f
f.
Enter the smaller of line 8d or 8e here. .....................................................................................
00
.
9
00
.
9. Technological equipment donation ..............................................................................................
00
.
10. Idaho capital gains deduction. Attach Form CG. .........................................................................
10
00
11. Adoption expenses ......................................................................................................................
11
12. Idaho medical savings account. Contributions _____________ Interest __________________
. .
Financial institution_________________________ Account number____________________
00
12
13. Idaho college savings program ....................................................................................................
. .
13
00
14. Maintaining a home for the aged and/or developmentally disabled ...............................................
14
00
15. Idaho lottery winnings, less than $600 per prize ...........................................................................
. .
15
00
16. Income earned on a reservation by an American Indian ..............................................................
00
16
00
17. Health insurance premiums .........................................................................................................
.
17
18. Long-term care insurance ............................................................................................................
. .
18
00
19. Worker's compensation insurance ...............................................................................................
19
00
20. Other subtractions. Attach explanation. .......................................................................................
20
00
21. Total subtractions. Add lines 1 through 4, 5e through 7, and 8f through 20.
.
Enter on line 12, Form 40.
21
00
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