Form 39r Draft - Idaho Supplemental Schedule For Form 40

Form 39R - 2015

Page 2

EFO00088p2 04-28-15v4

Name(s) as shown on return

Social Security number

D. Credit for Income Tax Paid to Other States. See instructions, page 25.

This credit is being claimed for taxes paid to:

__________________________________

(State name)

1. Idaho tax, Form 40, line 20 ........................................................................

Include a copy of the

2. Federal adjusted gross income earned in other state adjusted for

income tax return and a

Idaho modifications. See instructions .......................................................

separate Form 39R for

each state for which a

3. Idaho adjusted income. See instructions ..................................................

credit is claimed.

4. Divide line 2 by line 3. Enter percentage here ...........................................

5. Multiply line 1 by line 4. Enter amount here .....................................................................................

6. Other state's tax due less its income tax credits ..............................................................................

7. Enter the smaller of lines 5 or 6 here and on Form 40, line 22 ........................................................

E. Credits for Idaho Educational Entity and Idaho Youth and Rehabilitation

Facility Contributions and Live Organ Donation Expenses. See instructions, page 25.

. .

1. Credit for contributions to Idaho educational entities .......................................................................

2. Credit for contributions to Idaho youth and rehabilitation facilities ...................................................

3. Credit for live organ donation expenses ...........................................................................................

4. Total credits. Add lines 1 through 3. Enter total here and on Form 40, line 23 ...............................

F. Maintaining a Home for a Family Member Age 65 or Older, or a Family Member With a

Developmental Disability. See instructions, page 26.

1. Did you maintain a home for an immediate family member age 65 or older and provide more than

Yes

one-half of his/her support? You and your spouse don't qualify .....................................................

2. Did you maintain a home for an immediate family member with a developmental disability and

Yes

provide more than one-half of his/her support? You and your spouse may qualify ........................

3. List each family member you're claiming:

Check Here if

Name of Family Member

Social Security Number

Relationship to Person

Date of Birth of

Developmentally

Disabled

First Name

Last Name

of Family Member

Filing Return

Family Member

4. Total amount claimed ($100 for each qualifying member but not more than $300).

Enter here and on Form 40, line 43. (Credit can't be claimed if you took $1,000 deduction

on Part B, line 15.) .................................................................................................................

G. Dependents: (Continued from Form 40, page 1, Line 6c)

Social Security number

First Name

Last Name

Form 39r Draft - Idaho Supplemental Schedule For Form 40 - 2015 Page 2

Related Articles

Related forms

Related Categories