Form Sc 1040 - South Carolina Individual Income Tax Return - 2004 Page 2
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1
2Resident filers complete lines 29 through 50.
STOP!
Nonresident filers complete Schedule NR. Do not complete lines 29 through 50.
PART 1
ADDITIONS TO FEDERAL TAXABLE INCOME
Dollars
Cents
29 State tax addback, if itemizing on federal return.
00
29
00
30 Out-of-state losses - (See instructions)
30
00
31 Expenses related to National Guard and Military Reserve income.
31
32 Interest income on obligations of states and political subdivisions
00
other than South Carolina .
32
00
33 Other additions to income. Attach an explanation (See instructions)
33
00
34 TOTAL ADDITIONS ---- add lines 29 through 33 and enter your total additions to income here and on line 2.
34
PART 2
SUBTRACTIONS FROM FEDERAL TAXABLE INCOME
00
35 State tax refund, if included on line 10, on your federal Form 1040.
35
00
36 Permanent disability retirement income, if taxed on your federal return.
36
00
37 Out-of-state income/gain -
Do not include personal service income.
37
(See instructions.)
38 44% of net capital gains held for more than one year (See instructions)
00
38
39 Volunteer Firefighter/Rescue Squad Worker/HAZMAT Member/Reserve Police
Officer/DNR Deputy Enforcement Officer Deduction. (See instructions)
00
39
40 Contributions to the SC Tuition Prepayment Program or College Investment
Program. (See instructions)
00
40
00
41 Interest income from obligations of the US government.
41
00
42 National Guard or Reserve annual training and drill pay. (See instructions)
42
00
43 Social Security and/or railroad retirement, if taxed on your federal return.
43
44 Caution: Retirement Deduction - (See instructions)
00
a) Taxpayer: Date of Birth
____________
44a
00
b) Spouse: Date of Birth ____________
44b
00
c) Surviving Spouse: Date of Birth of Deceased Spouse ____________
44c
45 Age 65 and older deduction - (See instructions )
00
a) Taxpayer: Date of Birth _____________
45a
00
b) Spouse:
Date of Birth _____________
45b
00
46 Negative amount of federal taxable income.
46
00
47 Subsistence Allowance ______________ days @ $6.67
47
48 Dependents under the age of 6 years on December 31, 2004.
Date of Birth ________________ SSN __________________________
00
___
48
Date of Birth ________________ SSN _______________________
00
49 Other subtractions. (See instructions) ____________________
49
00
50 TOTAL SUBTRACTIONS ---- add lines 35 through 49 and enter the total here and on line 4.
50
I declare that this return and all attachments are true, correct and complete to the best of my knowledge and belief.
Your Signature
Date
Spouse's Signature (if jointly, BOTH must sign)
I authorize the Director of the Department of Revenue or delegate to
Preparer's Printed Name
Yes
No
discuss this return, attachments and related tax matters with the preparer.
If prepared by a person other than taxpayer, his declaration is based on all information of which he has any knowledge.
Paid
Preparer's
Prepared by
Date
Address
Use Only
EI Number
Phone Number
City
State
Zip
ATTACH A COMPLETE COPY OF YOUR FEDERAL RETURN ONLY IF you have income and/or (loss) on federal Schedules C, D, E, F or filed a SC
Schedule NR, SC1040TC or I-319.
MAIL RETURN TO THE PROPER ADDRESS:
REFUNDS OR ZERO TAX: SC1040 PROCESSING CENTER, P.O. BOX 101100, COLUMBIA SC 29211-0100
BALANCE DUES:
TAXABLE PROCESSING CENTER, P.O. BOX 101105, COLUMBIA SC 29211-0105
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