Form 40 - Alabama Individual Income Tax Return - 2009 Page 4

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09000440

Sch. A, B, CR, & DC

(Form 40) 2009

Page 2

Name(s) as shown on Form 40 (Do not enter name and social security number if shown on other side)

Your social security number

SCHEDULE B – Interest And Dividend Income

Reset Schedule B

If you received more than $1500 of interest and dividend income, you must complete Schedule B. See instructions on page 21.

List Payers and Amounts

Taxable Interest

Exempt Interest

and Dividends

TOTAL TAXABLE INTEREST AND DIVIDENDS

Return to Page 1

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Enter here and on Form 40, page 1, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SCHEDULE CR – Credit For Taxes Paid To Other States

Reset Schedule CR

See instructions on page 21.

PLEASE NOTE: You may need to fill out the worksheet on page 21 before completing this schedule. This credit will NOT be allowed unless you file a nonresident income tax return with the

other state and attach a copy of that 2009 return to your Alabama return.

1 2009 taxable income as shown on the

state return. . . . . . . . . . . . . . .

If more than one “other” state

(name of state)

use Schedule CR worksheet.

2 Tax due the other state using Alabama tax rates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If using the worksheet, line 5

(below) will equal worksheet

3 Tax due the other state as shown on that state’s return or Form W-2G. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Part 5, line 21.

4 Tax due Alabama from Form 40, page 1, line 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 CREDIT ALLOWABLE. Enter the amount from line 2, 3, 4, or the amount from the worksheet on page 21 of the

Check this box if using the

Schedule CR Worksheet

booklet, whichever is smallest. If you have no other credits, enter amount from line 5 to Form 40, page 1, line 18.

If you have other credits, enter the amount from line 5 to Schedule OC, Part A, line 1, and complete. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •

SCHEDULE DC – Donation Check-Offs

Reset Schedule DC

1 You may donate all or part of your overpayment. (Enter the amount in the appropriate boxes.)

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a Senior Services Trust Fund. . . . . . . . . . . . . . . . . . . . . . . .

j Neighbors Helping Neighbors . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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b Alabama Arts Development Fund. . . . . . . . . . . . . . . . . . .

k Alabama Breast & Cervical Cancer Program . . . . . . . . . . . . . . .

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c Alabama Nongame Wildlife Fund . . . . . . . . . . . . . . . . . . .

l Alabama 4-H Club . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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d Child Abuse Trust Fund . . . . . . . . . . . . . . . . . . . . . . . . . . .

m Alabama Organ Center Donor Awareness Fund . . . . . . . . . . . .

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e Alabama Veterans Program . . . . . . . . . . . . . . . . . . . . . . .

n Alabama National Guard Foundation Incorporated . . . . . . . . . .

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f Alabama Indian Children’s Scholarship Fund. . . . . . . . . .

o Cancer Research Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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g Penny Trust Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Alabama Alternative Fuels Fund . . . . . . . . . . . . . . . . . . . . . . . . . .

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h Foster Care Trust Fund . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Alabama Military Support Foundation . . . . . . . . . . . . . . . . . . . . .

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i Mental Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Return to Page 1

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2 Total Donations. Add lines 1a, b, c, d, e, f, g, h, i, j, k, l, m, n, o, p, and q. Enter here and on Form 40, page 1, line 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Schedules B, CR, & DC (Form 40) 2009

ADOR