Form 39r Draft - Idaho Supplemental Schedule For Form 40 - 2015

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39R
2015
IDAHO SUPPLEMENTAL SCHEDULE
F
O
R
For Form 40, Resident Returns Only
M
EFO00088
05-29-15v4
Name(s) as shown on return
Social Security number
A. Additions. See instructions, page 20.
.
. .
1
1. Federal net operating loss carryover included in Form 40, line 7 .....................................................
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. Bonus depreciation. Include computations ......................................................................................
5
00
.
6. Other additions. Include explanation ...............................................................................................
6
00
7. Total additions. Add lines 1 through 6. Enter here and on Form 40, line 8 .....................................
00
7
.
B. Subtractions. See instructions, page 20.
.
1. Idaho net operating loss carryover
. .
Idaho net operating loss carryback
Enter total here ...................................
1
00
2. State income tax refund, if included in federal income ......................................................................
2
00
.
3. Interest from U.S. Government obligations .......................................................................................
3
00
4. Energy efficiency upgrades ...............................................................................................................
4
00
5. Alternative energy devices deduction
Year
Acquired
Type of Device
Total Cost
Percent
$
40%
a.
X
5a
2015
=
00
$
b.
20%
5b
X
2014
=
00
$
c.
20%
5c
X
2013
=
00
$
. .
d.
20%
5d
X
2012
=
00
00
e. Add lines 5a through 5d. Can't exceed $5,000 ............................................................................
5e
.
00
6. Child/dependent care. Include federal Form 2441 ...........................................................................
6
.
7. Social Security and railroad benefits, if included in federal income ..................................................
7
00
.
8. Retirement benefits deduction. Complete Part C .............................................................................
8
00
.
9. Technological equipment donation ....................................................................................................
9
00
. .
10. Idaho capital gains deduction. Include Form CG .............................................................................
00
10
11. Active duty military pay earned outside of Idaho ...............................................................................
11
00
12. Adoption expenses ............................................................................................................................
12
00
.
13. Idaho medical savings account. Contributions
Interest
. .
Financial institution
Account number
13
00
14. Idaho college savings program .........................................................................................................
14
00
. .
15. Maintaining a home for the aged and/or developmentally disabled ..................................................
15
00
16. Idaho lottery winnings, less than $600 per prize ...............................................................................
16
00
. .
17. Income earned on a reservation by an American Indian ..................................................................
17
00
18. Health insurance premiums ...............................................................................................................
00
18
. .
19. Long-term care insurance .................................................................................................................
19
00
20. Workers' compensation insurance ....................................................................................................
20
00
.
21. Bonus depreciation. Include computations .......................................................................................
21
00
22. Other subtractions. Include explanation ...........................................................................................
22
00
.
23. Total subtractions. Add lines 1 through 4 and 5e through 22.
23
00
Enter here and on Form 40, line 10 ...................................................................................................
C. Retirement Benefits Deduction. See instructions, page 25, for qualified retirement benefits.
. .
1. If single, enter $31,956, or if married filing jointly, enter $47,934 ...............
00
1
.
2. Federal Railroad Retirement benefits received .........................................
00
2
3. Social Security benefits received ...............................................................
00
3
.
4. Line 1 minus lines 2 and 3. If less than zero, enter zero ..........................
00
4
5. Qualified retirement benefits included in federal income ...........................
00
5
6. Enter the smaller of line 4 or 5 here and on Part B, line 8 ................................................................
6
00

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