Form 2 - Montana Individual Income Tax Return - 2004 Page 2

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Column A (for single
Column B (for spouse
Form 2 Page 2 - 2004
Social Security Number
/
/
joint, separate, or head
only when filing
separate, and box 3 is
of household)
checked
38. Montana adjusted gross income (From line 37) ..........................................................
38.
38.
Deductions
Check only one
}
39. (A) Standard deduction:
(A)
(B)
Itemized deductions:
(B)
39.
39.
40.
line 39 from 38 and enter balance.................................................................
=>
Subtract
40.
40.
Exemptions (All filers are entitled to at least one exemption)
41. Multiply $1,840 times the number of exemptions on line 5 ................................................
41.
41.
42. Taxable income. Subtract line 41 from line 40 ........................................................
=>
42.
42.
Nonresidents and Part-Year Residents complete and attach Schedules III and IV Form 2A, before proceeding
43.
Tax from table below. Non/part-year residents enter the amount from line 130, Form 2A
43.
43.
Schedule IV. If line 42 is less than zero, enter zero here..............................................
44.
44.
44. Tax on lump sum distributions (see instructions for this line). Attach Federal Form 4972
=>
45.
45.
45. Subtotal - Add lines 43 and 44..........................................................................Subtotal
46.
46.
46. Credits from Form 2A, line 112, Schedule II.......................................................................
=>
47.
47.
47. Balance - Subtract line 46 from 45 and enter difference
(but not less than zero)
...........
48.
48. Other tax, penalties and repayment, see page 6 (specify)__________________ 48.
For each of the programs below enter any amount you and your spouse want to contribute.
Enter totals in boxes on line 52 (see instructions for details).
Nongame Wildlife
Child Abuse
Agriculture in
Program
Prevention
Schools
Enter total amount
in boxes........
49.
52.
50.
51.
52.
=>
53. Total Tax —Add lines 47, 48, and 52........................................................................Total
53.
53.
54. Combine amounts shown on line 53 columns A and B.....................................................
=>
54.
54.
55.
Montana tax withheld.................................................Attach withholding statements
55.
55.
56. Payments of 2004 estimated tax and amounts credited from previous year .......
56.
56.
57. Payment made with extension ..........................................................................
57.
57.
58. Elderly Homeowner/ Renter Credit .......................................... Attach Form 2EC
58.
58.
59. Total of lines 55 thru 58.....................................................................................Total
59.
59.
=>
60. Combine amounts shown on line 59 columns A and B ...................................................
60.
60.
61.
If line 60 is larger than line 54 enter the difference. This is your overpayment........................................
61.
61.
62. Amount on line 61 to be applied to 2005 estimate 62.
63. Enter the amount from line 61 you want refunded to you
(refunds more than $1.00 will be issued)
Refund.........
63.
63.
Refund Returns: Mail to Dept. of Revenue, PO Box 6577, Helena, MT 59604-6577
If you wish to use direct deposit enter your RTN# and ACCT# below. See instructions on page 6.
Checking
RTN#
ACCT#
Savings
64
. If line 54 is larger than line 60 enter tax due (If you owe see instructions for this line) ...................................
Tax Due
64.
64.
Send your check or money order with payment coupon to: Dept. of Revenue, PO Box 6308, Helena, MT 59604-6308.
If you choose to pay your tax due by credit card visit our website at and enter your confirmation
number here.______________________________ See instructions on page 6.
Underpayment interest
65.
65.
See Worksheet VII, Schedule W...
Check this box if at least 2/3 of your gross income is from farming.
Late filing penalty-See page 2.......
(attach breakdown of computations)
66.
66.
67.
67.
Check here if estimated payments were made using the
Late payment penalty-See page 2.
annualization method. (Attach Montana Form EST-I)
68.
68.
Interest 1% (.01) per month..........
Check here if you do not need state income tax forms and instructions
69.
69 .
Total of lines 64 through 68 ..........
mailed to you next year. Tax forms are also available on the internet.
Extension - Check this box and attach copies of federal
extension(s) to receive a valid Montana extension.
See Page 2 of instructions for details.
Name, address and telephone number of preparer
May the DOR discuss this return with the preparer shown above? yes
no
Questions? Please call (406) 444-6900 or TDD (406) 444-2830 for hearing impaired
.
X
X
Your signature is required
Date
Daytime telephone number
Spouse signature
Date
I declare under penalty of false swearing that the information in this return and attachments is true, correct and complete.
Tax Table
If Taxable Income is:
If Taxable Income is:
Over
But not over
Multiply by and Subtract =Tax
Over
But not over Multiply by and Subtract = Tax
$
0 ...... $ 2,300............ X ... 2 %..................$ 0
$18,400 ...... $22,900 ...........X ... 7 % ............$ 483
$ 2,300 ...... $ 4,600............ X ... 3 %................. $ 23
$22,900 ...... $32,100 ...........X ... 8 % ............$ 712
$ 4,600 ...... $ 9,200............ X ... 4 %..................$ 69
$32,100 ...... $45,900 ...........X ... 9 % ............$1,033
$ 9,200 ...... $13,800............ X ... 5 % .................$161
$45,900 ...... $80,300 ...........X ... 10 % ............$1,492
$13,800 ...... $18,400............ X ... 6 %..................$299
$80,300 ................................X ... 11 % ............$2,295
Example = taxable income $2,400 x 3% (.03) = $72 subtract $23 = $49 tax
When you file your Montana income tax return electronically you represent that you have retained all documents required as
a tax record and that you will provide a copy to the department upon request.

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