Form 2 - Montana Individual Income Tax Return - 2004
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2004 Montana Individual Income Tax Return Form 2
or Fiscal year beginning ____________, 2004 and ending ____________, 2005.
Last Name
First Name and Middle Initial
Social Security No.
Spouse’s Last Name if Different
Spouse's First Name and Middle Initial
Spouse’s Social Security No.
City
State
Zip Code+4
Mailing
Address
Filing Status
Single
Married filing
Married and both filing
Married and both filing
Married filing
Head of
Check One
joint return
separate returns on
separate returns
separate return and
Household
this form
on separate forms
spouse is not filing
(see instructions)
1.
2.
3.
4.
5.
6.
Residency
Resident
Nonresident
Resident
Give date of change
State moved to:
State moved from:
Check One
1
Full Year
2
Full Year
3
Part Year
month
year
Column A (for single
Column B (for spouse only
Exemptions
joint, separate, or head
when filing separate, and
Regular
65 or Over
Blind
of household)
box 3 is checked
x
1.
Yourself ..............................
.......................
...............
....................Enter number checked
1.
2.
Spouse ...............................
.......................
...............
....................Enter number checked
2.
2.
3.
Dependents
Dependent's Full Name
Dependent’s Social Security Number
Relationship
Do not claim
3.
3.
3. Dependents ........
yourself or spouse
4. Handicapped Dependent
4.
4.
5.
Total Exemptions
5.
5. Add lines 1, 2, 3 and 4 (if additional dependents, see instructions)............................................................................
Round to nearest dollar
Enter amounts reported on federal return
if no entry leave blank
6.
6. Wages, salaries, tips, etc. .............................. Attach copies of W-2(s) from all states
6.
7.
7. Taxable interest income ................................ Attach Federal Schedule if over $1,500
7.
8.
8. Dividend income ........................................... Attach Federal Schedule if over $1,500
8.
9.
9. Net business income (loss) ................................. Attach Federal Schedule C or C-EZ
9.
10.
10. Capital gain (or loss) ........................................................ Attach Federal Schedule D
10.
11.
11. Supplemental gains (or losses) ......................................... Attach Federal Form 4797
11.
12. Rents, royalties, partnerships, estates, trusts, etc.
12.
Attach Federal Schedule E and Form 8582 and all K-1's .............................................
12.
}
13b.
13. Total IRA distributions
a.
Attach all
13b.
Taxable amount
13b.
14b.
14b.
14. Total pensions and annuities a.
14b.
Taxable amount
1099R's
15b.
15b.
15. Social security benefits
a.
Taxable amount
15b.
16.
16. Net farm income (Loss) .................................................... Attach Federal Schedule F
16.
17. Other income: State refund___________________ alimony ___________________
17.
unemployment____________________ other (specify)_______________________
17.
=>
18.
18. Total of lines 6 thru 17 ............................................................ Total
18.
19. Adjustments to income. Educator Expense_______Reservists, etc._______IRA_______
Student loan interest________Tuition and fees________1/2 SE Tax_________
HSA_______Moving Expenses________SE Health________ SE, SEP, SIMPLE________
19.
19.
Early withdrawal penalty_______Alimony paid________Other________
20.
20.Federal adjusted gross income (subtract line 19 from line 18) ................................
=>
20.
Note: Line 20 must match your federal adjusted gross income
21.
21.
21. Interest and dividends on state, county, or municipal bonds (Non-Montana) ..............
22.
22.
22. Federal income tax refunds/overpayment (see page 3, line 22 on instructions ) ...............
23. Other additions, (see page 3, line 23 of instructions)
23.
23.
Specify _______________________________________________________________
=>
24.
24.
24.
Total additions to income (add lines 21 thru 23) .................................... Total
=>
25.
25.
25.
Add lines 20 and 24, enter result .................................................................
26.
26.
26.
Farm Risk Management Account ...................................................... Attach Form FRM
27.
Interest exclusion for elderly ..........................................................................................
27.
27.
28.
Interest exclusion for savings bonds, etc. Specify______________________________
28.
28.
29.
Exempt pension & annuity income, (not soc. sec./disability) Attach Worksheet IV, Page 13
29.
29.
30.
Unemployment .............................................................................................................
30.
30.
31.
Medical Care Savings Account ........................................................... Attach Form MSA
31.
31.
32.
32.
32.
Family Education Savings Account
(Attach name and social security number(s) of beneficiary)
33.
First Time Home Buyers Account ....................................................... Attach Form FTB
33.
33.
34.
34.
34.
Health care professional loan payment exclusion ...........................................................
35.
Other reductions (see page 5, line 35 of instructions).
Specify _________________________________________________________________
35.
35.
36.
=>
36.
36.
Total reductions to income (add lines 26 thru 35)..................................................Total
100
37.
Subtract line 36 from line 25. Enter here and on line 38, page 2..........................................
37.
37.
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