Form 43 Draft - Idaho Part-Year Resident & Nonresident Income Tax Return - 2009 Page 2

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Page 2
Form 43 - 2009
EFO00091p2 08-31-09-v15
Column A - Total
Column B - Idaho
.
Enter amount from federal Form 1040, line 37, 1040A, line 21, or 1040EZ,
30.
30
00
00
line 4 in Column A. Enter amount from line 29 in Column B .........................
31
00
00
31.
Additions from Form 39NR, Part A, line 4. Attach Form 39NR .....................
32.
.
32
00
.
00
Subtractions from Form 39NR, Part B, line 26. Attach Form 39NR ..............
33.
33
00
00
TOTAL ADJUSTED INCOME. Add lines 30 and 31, less line 32 ..................
.
.
.
.
.
a.
34.
Check if age 65 or older ........
Yourself
Spouse
b. Check if blind .........
Yourself
Spouse
c.
.
If your parent or someone else can claim you as a dependent, check here and enter zero on lines 39 and 64
00
.
35
35.
Itemized deductions. Attach federal Schedule A. Federal limits apply .......................................
Standard
00
36
Deduction
36.
All state and local income or general sales taxes included on federal Schedule A, line 5 ...........
For Most
37
00
37.
Subtract line 36 from line 35 .........................................................................................................
People
38.
Standard deduction. See instructions page 15 to determine standard deduction amount
.
Single or
00
38
if different than the Standard Deduction For Most People ............................................................
.
Married filing
00
39.
Multiply $3,650 by the number of exemptions claimed on line 6d. Federal limits apply ..............
39
Separately:
$5,700
40.
Add line 39 and the LARGER of line 37 or line 38 .......................................................................
40
00
%
41.
Idaho percentage. Divide line 33, Column B, by line 33, Column A ...........................................
41
Head of
Household:
42.
Multiply amount on line 40 by the percentage on line 41 and enter the result here .....................
.
00
42
$8,350
43.
Idaho taxable income. Subtract line 42 from line 33, Column B .................................................
.
00
43
44.
TAX from tables or rate schedule. See instructions, page 35 .......................................................
.
44
00
Married filing
Jointly or
45.
Income tax paid to other states. Attach Form 39NR and other state returns ................................
.
45
00
Qualifying
46.
Credit for contributions to Idaho educational entities ....................................................................
.
46
00
Widow(er):
$11,400
47.
Credit for contributions to Idaho youth and rehabilitation facilities ...............................................
.
47
00
48.
Credit for live organ donation expenses .......................................................................................
48
00
49.
Total business income tax credits from Form 44, Part I, line 12. Attach Form 44 ........................
00
49
50.
Line 44 minus lines 45 through 49. If less than zero, enter zero .................................................
00
50
00
51. Fuels tax due. Attach Form 75 .............................................................................................................................
.
51
52. Sales/Use tax due on mail order, Internet, and other nontaxed purchases ...........................................................
00
52
.
53. Total tax from recapture of income tax credits from Form 44, Part II, line 7. Attach Form 44 ..............................
00
53
00
54. Tax from recapture of qualified investment exemption (QIE). Attach Form 49ER ................................................
.
54
10
.
55. Permanent building fund. Check the box if you are receiving Idaho public assistance payments ...............
00
55
56. TOTAL TAX. Add lines 50 through 55 ...................................................................................................................
56
00
.
.
I wish to donate to:
.
.
57. Idaho Guard and Reserve Family ................ __________ 58. Idaho Children's Trust Fund ...... __________
.
.
59. Special Olympics Idaho ................................ __________ 60. Nongame Wildlife Conservation __________
61. American Red Cross of Greater Idaho ......... __________ 62. Idaho Foodbank ....................... __________
63. TOTAL TAX PLUS DONATIONS. Add lines 56 through 62 ..................................................................................
.
63
00
64. Grocery credit. See instructions, page 18. Computed Amount (from worksheet) .........
________________
.
.
To donate your grocery credit to the Cooperative Welfare Fund, check the box and enter zero on line 64
00
.
64
To receive your grocery credit, enter the computed amount on line 64 ................................................................
00
65
65. Maintaining a home for family member age 65 or older, or developmentally disabled. Attach Form 39NR ........
00
.
66
66. Special fuels tax refund ________________
Gasoline tax refund __________________ Attach Form 75
.
67
00
67. Idaho income tax withheld. Attach Form(s) W-2 ..................................................................................................
68
68. 2009 Form 51 payment(s) and amount applied from 2008 return .........................................................................
00
69. TOTAL PAYMENTS AND OTHER CREDITS. Add lines 64 through 68 ..............................................................
69
00
.
.
.
70. TAX DUE. Subtract line 69 from line 63 ......................................................................................................
00
71. Penalty ________________ Interest from the due date
_________________ Enter total.
.
Check box if penalty is due to an ineligible withdrawal from an Idaho medical savings account .................
.
00
71
72. TOTAL DUE. Add lines 70 and 71 ........................................................................................................................
.
72
00
73. OVERPAID. Line 69 minus lines 63 and 71 .........................................................................................................
73
00
.
74. REFUND. Amount of line 73 to be refunded to you ....................................................................................
00
.
.
75
00
75. ESTIMATED TAX. Amount of line 73 to be applied to your 2010 estimated tax ..................................................
.
76. DIRECT DEPOSIT. See instructions, page 19.
Check if final deposit destination is outside of the U.S.
.
.
Type of
.
Checking
Routing No.
Account No.
Account:
Savings
00
77. Total due (line 72) or overpaid (line 73) .........................................
77
{¢i¦}
00
78. Refund from original return plus additional refunds ......................
78
00
79. Tax paid with original return plus additional tax paid .....................
79
00
80. Amended tax due or refund. Add lines 77 and 78, less line 79 ....
80

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