Form 39nr - Idaho Supplemental Schedule - 2002 Page 2

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Form 39NR (2002)
TC39NR021-2
9-06-02
Name(s) as shown on return
Social Security Number
C. Credit for Income Tax Paid to Other States by Part-Year Residents. See instructions, page 26.
Nonresidents cannot claim this credit. Idaho residents on active military duty, complete Section D below.
1
1. Idaho adjusted income from line 34, Column B, Form 43 ............................
00
Attach a copy of the
2
2. Other state's adjusted income .....................................................................
00
income tax return and a
separate Form 39NR for
3
3. Amount on lines 1 and 2 taxed by both states ..............................................
00
each state for which a
4
4. Idaho tax, line 45, Form 43 ..........................................................................
00
credit is claimed.
5
5. Divide line 3 by line 1. Enter percentage here. ............................................
%
6. Multiply line 4 by line 5. .......................................................................................................................
6
00
7
7. Other state's tax due less its income tax credits ............................................
00
8
8. Divide line 3 by line 2. Enter percentage here. .............................................
%
9. Multiply line 7 by line 8. .......................................................................................................................
9
00
10. Enter the smaller of line 6 or 9 here and on line 46, Form 43.
10
00
D. Credit for Income Tax Paid to Other States by Idaho Residents on Active Military Duty.
See instructions, page 27.
1
Attach a copy of the
1. Idaho tax, line 45, Form 43 ...........................................................................
00
income tax return and a
2
2. Other state's adjusted income ......................................................................
00
separate Form 39NR for
3
each state for which a
3. Idaho adjusted income from line 34, Column B, Form 43 .............................
00
credit is claimed.
4
%
4. Divide line 2 by line 3. Enter percentage here. ..............................................
5. Multiply line 1 by line 4. Enter amount here. ........................................................................................
5
00
6. Other state's tax due less its income tax credits ...................................................................................
6
00
7. Enter the smaller of line 5 or 6 here and on line 46, Form 43.
7
00
E. Maintaining a Home for a Family Member Age 65 or Older, or a Family Member With a
Developmental Disability. See instructions, page 27.
1.
Did you maintain a home for an immediate family member age 65 or older and provide more than
Yes
No
one-half of his/her support? You and your spouse do not qualify. .......................................................
2.
Did you maintain a home for an immediate family member with a developmental disability and
Yes
No
provide more than one-half of his/her support? You and your spouse may qualify. .............................
If you answered YES to either question, complete lines 3 and 4.
3.
List each family member you are claiming:
Check here if
Name of Family Member
Social Security Number
Relationship to Person
Date of Birth of
developmentally
of Family Member
Filing Return
Family Member
disabled
4.
Total amount claimed ($100 for each qualifying member but not more than $300).
4
Enter on line 68, Form 43.
F. Recapture of Idaho Credits. See instructions, page 27
1. Tax from recapture of investment tax credit. Attach Form 49R. ............................................................
1
00
2. Tax from recapture of broadband equipment investment credit. Attach Form 68R. ..............................
2
00
3. Tax from recapture of incentive investment tax credit. Attach Form 69R. .............................................
3
00
4. Total recapture of Idaho credits. Add lines 1, 2, and 3. Enter on line 61 Form 43.
00
4

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