Form 200-02 - Delaware Individual Non-Resident Income Tax Return - 1999
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1
2DELAWARE INDIVIDUAL
DO NOT WRITE OR STAPLE IN THIS AREA
NR
NON-RESIDENT
1999
INCOME TAX RETURN
FORM 200-02
or Fiscal year beginning ________________ and ending _________________
FILING STATUS (MUST CHECK ONE)
Your Social Security No.
Spouse’s Social Security No.
1.
3.
Single, Divorced Widow(er)
Married & Filing Separate Forms
Last Name
Your First Name and Middle Initial
Suffix
2.
Joint
5.
Head of Household
Spouse’s First Name
Suffix
Spouse’s Last Name
Check if full-year non-resident in 1999
(Part-year residents do not check this box)
Present Home Address (Number and Street)
Apt #
If you were a part-year resident in 1999, give the dates you
resided in Delaware.
From
To
1999
1999
City, Town or Post Office
State
Zip Code
Month
Day
Month
Day
37.
DELAWARE ADJUSTED GROSS INCOME (Page 2, Line 30B, Column 1)....................................................................................
37
00
38.
(a)
If you elect the STANDARD DEDUCTION check here.............................................................................
a.
Filing Status 1 & 5 - $3,250
Filing Status 2 - $4,000
Filing Status 3 - $2,000
(b)
If you elect to ITEMIZE DEDUCTIONS check here and enter amount from Line 36...............................
b.
38
00
39.
ADDITIONAL STANDARD DEDUCTION FROM WORKSHEET (Page 2, Section E).
CHECK BOX(ES)
If SPOUSE was 65 or over
and/or Blind
If YOU were 65 or over
and/or Blind
39
00
40
00
40.
TOTAL DEDUCTIONS - ADD LINES 38 & 39 and Enter Here...........................................................................................................
41.
TAXABLE INCOME - Subtract Line 40 from Line 37, and compute tax on this amount.......................................................................
41
00
42.
Tax Liability Computation
Tax Liability from Tax Rate
Proration
Table/Schedule.
A
00
(see instructions, page 7)
Amount
Line 30 A
B
.
Line 30 B
00
=
X
00
42
00
Personal Credits (See Instructions)
43a.
Enter number of exemptions claimed on Federal return__________ X $100. = ______________
43a
00
Multiply this amount by the proration decimal on Line 42 (X
) and enter total here..............................................
CHECK BOX(ES)
Spouse 60 or Over (If filing status 2)
43b
Self 60 or Over
Enter number of boxes checked on Line 43b __________ X $100. = _________________
43b
00
Multiply this amount by the proration decimal on Line 42 (X
) and enter total here..............................................
44.
Tax imposed by State of _______________ (Must Attach Signed Copy of Return)
44
00
44
(Part-Year Residents Only. See instructions, page 7)
45
45.
Other Non-Refundable Credits (See Instructions)...................................................
45
00
46.
Total Non-Refundable Credits (Add Lines 43a, 43b, 44 and 45)...................................................................................................
46
00
47.
BALANCE (Subtract Line 46 from Line 42, cannot be less than ZERO).......................................................................................
47
00
48.
Delaware Tax Withheld (W-2's and/or 1099's Required)........................................
48
00
48
49.
1999 Estimated Tax Paid & Payments with Extensions...........................................
49
00
49
50.
S Corporation Payments ( Form 1100S/A-1 Required)...........................................
50
00
50
51.
TOTAL REFUNDABLE CREDITS (Add Lines 48, 49, & 50)..........................................................................................................
51
00
52.
If Line 47 is more than Line 51, subtract 51 from 47 and enter here.......................................................... AMOUNT YOU OWE
52
00
53.
If Line 51 is more than Line 47, subtract 47 from 51 and enter here................................................................ OVERPAYMENT
53
00
54.
CONTRIBUTIONS TO SPECIAL FUNDS
00
D. Children’s Trust Fund
A. Non-Game Wildlife
00
E. Organ Donation
00
B. U.S. Olympics
00
F. Breast Cancer Education
00
C. Emergency Housing
00
Add Lines A thru F and enter here............................................>
54
00
55.
AMOUNT OF LINE 53 TO BE APPLIED TO 2000 ESTIMATED TAX ACCOUNT.....................................................
ENTER
55
00
00
56.
NET BALANCE DUE
Enter the amount due (Line 52 plus 54) and pay in full................................................................. PAY IN FULL
56
-
57.
NET REFUND-
To Be Refunded/Zero Due
57
00
Subtract Lines 54 and 55 from Line 53...........................................................................
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and believe it is true, correct and complete.
X
Your Signature
Date
Signature of Paid Preparer
Date
X
Spouse’s Signature (if filing joint)
Date
Address-Zip Code
Home Phone_____________________
Business Phone_____________________
Business Phone_______________________
EIN, SSN, or PTIN
MAKE CHECK PAYABLE AND MAIL TO:
DELAWARE DIVISION OF REVENUE, P.O. BOX 8752, WILMINGTON, DELAWARE 19899-8752
MAIL REFUND DUE RETURNS TO:
DELAWARE DIVISION OF REVENUE, P.O. BOX 8772, WILMINGTON, DELAWARE 19899-8772
MAIL ZERO DUE RETURNS TO:
DELAWARE DIVISION OF REVENUE, P.O. BOX 8711, WILMINGTON, DELAWARE 19899-8711
DELAWARE NON-RESIDENT
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