Form 200-03 Ez - Delaware Individual Resident Income Tax Return - 2004 Page 2

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200-03 FORM EZ 2004 INSTRUCTIONS
You CAN use this form ONLY if:
Line 8 - Compute your tax using the taxable income (Line 7). You MUST
1.
Your filing status is SINGLE, JOINT, HEAD OF HOUSEHOLD,
use the tax tables if Line 7 is under $60,000 or, the tax rate
DIVORCED OR WIDOW(ER) on December 31, 2004.
schedule if Line 7 is $60,000 or over.
2.
Your income is entirely from wages, salaries, tips, unemployment com-
Line 9a - PERSONAL CREDITS - Enter the number of exemptions claimed
pensation, pension, and interest. Interest income must be $1,500 or less.
on your federal return. Multiply number by $110 and enter on
3.
You elect to take the Standard Deduction.
Line 9a.
4.
You are a full-year resident or part-year resident electing to file as a
NOTE:
If you are claimed as a dependent on another person’s return you
full-year resident.
CANNOT take a personal credit on your Delaware return. Enter
5.
Your tax credits are limited to personal credits, a credit for taxes
“0” on Line 9a.
paid to another state, Delaware withholding and estimated tax
Line 9b- ADDITIONAL PERSONAL CREDITS - If you or your spouse were
payments. The Firefighter Credit cannot be taken on this form.
60 years of age or older on December 31, 2004.
Please have your federal income tax return completed before
1. Check the appropriate box(es) on Line 9b.
completing your Delaware return. Your federal return will be used
2. Enter the total number of box(es) checked and multiply this
to prepare your Delaware return. You must also have your other state
number by $110. Enter total on Line 9b.
return(s) completed in order to enter the correct amount on Line 10 (if
Line 10 - Other State Tax Credit - If you are a resident of Delaware (or elect
entitled). DO NOT enter the amount paid to another state from your
to be taxed as one) and pay income tax to another state which is
W-2s. YOU MUST use the amount from your other state return(s) and
also included in your Delaware taxable income, the law allows you
include a copy with this return in order to take a credit on Line 10.
a tax credit against your Delaware income tax. Do not include
city wage taxes or county taxes payable with your
LINE-BY-LINE INSTRUCTIONS
other state return. See page 7 of the Delaware Resident
Line 1 - Enter the amount from Federal Form 1040EZ, Line 4; Federal Form
Instruction Booklet for additional information.
1040A, Line 21; Federal Form 1040, Line 36; or telefile form Line I.
Line 12 - Subtract Line 11 from Line 8 to determine the balance of the tax
Line 2 - PENSION EXCLUSION - Amounts received as pensions from
liability. If Line 11 is more than Line 8, enter “0” (zero).
employers (including pensions of a deceased individual) may
Line 13 - Enter total amount of Delaware State Income tax withheld from
qualify for an exclusion from Delaware taxable income, subject to
your W-2 and 1099R Form(s). Do not include other state or
the limitations described below.
local taxes withheld from your W-2 on this line.
NOTE: A taxpayer is entitled to ONLY ONE exclusion when receiving more
Line 14 - ESTIMATED TAX - Enter total quarterly estimated tax payments
than one pension. A husband and wife who both receive pensions are each
for 2004 including any credit carryover from your 2003 return. To
entitled to an exclusion. A pension exclusion CANNOT exceed the total of
receive credit for fourth quarter estimated tax payments, they must
pension and other qualified retirement income claimed as income on Line 1.
have been made by January 18, 2005. Also, enter the amount
paid with Form 1027 (Automatic Extension) on this line. See page
Age
Amount of Exclusion
4 of the Delaware Resident Instruction Booklet for more
information regarding the requirement to file Estimated Taxes.
Under 60
$2,000 or amount of pension (whichever is less)
Also on page 4 is information regarding penalties for the failure to
file Estimated Taxes.
60 or over
$12,500 or amount of pension and eligible retirement
income (whichever is less)
Line 18 - If you wish to contribute a donation to one or more of these
worthwhile funds, enter the amount(s) in the appropriate box(es).
RETIREMENT - NON-PENSION INCOME - Delaware Tax Law
The minimum amount of contribution is $1.00. Enter the total
authorizes an exclusion of up to $12,500 from eligible retirement
of all contributions on Line 18.
income for individuals age 60 or older. Eligible retirement income
Line 19 - If you wish to apply a portion of your overpayment to your 2005
will include dividends, interest, capital gains, net rental income and
Delaware Estimated Tax Account, enter the amount to be applied
many qualified retirement plans (IRC Sec. 4974), such as IRAs and
on Line 19.
Keogh plans, and government-deferred compensation plans. If you
have eligible retirement income, other than interest, you must file
NOTE:
An amount entered on Line 19 will reduce the amount of your
overpayment refunded to you.
Form 200-01. See the information on an early distribution from an
IRA or Pension Fund and the Pension Exclusion example instruction
Line 20 - If you owe penalties and interest you may choose to compute the
on page 9 in the instruction booklet.
amount of penalties and interest due, or you may leave Line 20
NOTE: Individuals 60 years of age or over with income of less than
blank and the Division of Revenue will calculate the amount and
$10,000 on Line 3 should consider filing Form 200-01 if they qualify
send you a bill. (See instruction booklet, pages 4 and 5).
for the “60 or Over or Disabled” Exclusion (see instruction booklet,
Line 21 - If you have a Balance Due on Line 16, add Lines 16, 18 and 20.
Page 10, Line 37).
Enter the total on Line 21 and pay in full.
Line 4 - Enter your standard deduction as follows:
Line 22 - If you do not have a balance due or a refund due, enter “0” (Zero)
$3,250 - Single, Divorced, Widow(er), Head of Household
on Line 22. If you have an overpayment on Line 17, subtract
$6,500 - Married Filing Joint
Lines 18, 19 and 20 from Line 17. Enter the amount of
Line 5 - Enter the total from the worksheet below on Line 5.
overpayment to be refunded to you on Line 22.
Direct Deposit Information
ADDITIONAL STANDARD DEDUCTION WORKSHEET
Complete the Direct Deposit Information section if you want the
65 or
No. Boxes
amount shown on Line 22 to be directly deposited into your bank
Check if:
over
Blind
Checked
Amount
account. You can check with your financial institution to make
sure your deposit will be accepted and to get the correct routing
You are
X 2,500 =
and account numbers. Detailed instructions are included in the
Spouse is
X 2,500 =
Delaware Resident Instruction Booklet. Note: If your refund is
adjusted by $10.00 or more, a paper check will be issued and
Total
mailed to the address on your return.
Sign and date the return. Keep a copy of your return for your records.
Line 7 - Subtract amount on Line 6 from amount on Line 3 and enter.
NET BALANCE DUE (LINE 21):
NET REFUND (LINE 22):
ZERO (LINE 22):
DELAWARE DIVISION OF REVENUE
DELAWARE DIVISION OF REVENUE
DELAWARE DIVISION OF REVENUE
P.O. BOX 508
P.O. BOX 8765
P.O. BOX 8711
WILMINGTON, DE 19899-0508
WILMINGTON, DE 19899-8765
WILMINGTON, DE 19899-8711
MAKE CHECK PAYABLE TO : DELAWARE DIVISION OF REVENUE
(Rev 11/29/04)
REMEMBER TO ATTACH APPROPRIATE SUPPORTING SCHEDULES WHEN FILING YOUR RETURN
(Rev 08/17/04)

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