Form 760 - Individual Income Tax Return - 2014 Page 2

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
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2014 Form 760
Your SSN
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,
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17. Amount of Tax from Tax Table or Tax Rate Schedule (round to whole dollars) ...................................17
.
18. Spouse Tax Adjustment (STA). Filing Status 2
LOSS
00
only. Enter Spouse’s VAGI in box here
,
,
00
.
and STA amount on Line 18.
18
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19. Net Amount of Tax - Subtract Line 18 from Line 17 .......................................................................19
00
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20. Virginia income tax withheld for 2014.
00
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20a. Your Virginia withholding ..........................................................................................................20a
.
00
20b. Spouse’s Virginia withholding (Filing Status 2 only) .................................................................20b
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,
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21. Estimated tax payments for taxable year 2014 (from Form 760ES) ....................................................21
00
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00
22. Amount of 2013 overpayment applied toward 2014 estimated tax ......................................................22
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,
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00
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23. Extension Payments (from Form 760IP) .............................................................................................23
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24. Tax Credit for Low-Income Individuals or Earned Income Credit from Sch. ADJ, Line 17 .........................24
00
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,
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25. Credit for Tax Paid to Another State from Schedule OSC, Line 21.
00
You must enclose Schedule OSC and a copy of all other state returns. .............................................25
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00
26. Credit for Political Contributions ..........................................................................................................26
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27. Credits from enclosed Schedule CR, Section 5, Part 1, Line 1A ....................................................27
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28. Add Lines 20a through 27 ................................................................................................................. 2 8
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29. If Line 28 is less than Line 19, subtract Line 28 from Line 19. This is the Tax You Owe ....................29
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00
30. If Line 19 is less than Line 28, subtract Line 19 from Line 28. This is Your Tax Overpayment ...........30
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00
31. Amount of overpayment you want credited to next year’s estimated tax ............................................31
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32. Virginia College Savings Plan Contributions from Schedule VAC, Section I, Line 6 ..........................32
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.
00
33. Other Voluntary Contributions from Schedule VAC, Section II, Line 14 ..............................................33
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00
34. Addition to Tax, Penalty and Interest from attached Schedule ADJ, Line 21. ......................................34
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35. Consumer’s Use Tax. You may be liable if sales tax was not paid on Internet or other
00
,
,
purchases. See instructions.. ..............................................................................................................35
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36. Add Lines 31 through 35 ................................................................................................................... 3 6
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37. If you owe tax on Line 29, add Lines 29 and 36. OR
If Line 30 is less than Line 36, subtract Line 30 from Line 36. AMOUNT YOU OWE ........................37
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FILL IN OVAL IF PAYING BY CREDIT OR DEBIT CARD
SEE INSTRUCTIONS
38. If Line 30 is greater than Line 36, subtract Line 36 from Line 30. YOUR REFUND ............................38
00
,
,
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If the Direct Deposit section below is not completed, your refund will be issued on a Debit Card.
Bank Routing Transit Number
Bank Account Number
Checking
Savings
DIRECT BANK DEPOSIT
Domestic Accounts Only.
No International Deposits.
I (We) authorize the Dept. of Taxation to discuss this return with my (our) preparer.
I agree to obtain my Form 1099-G at
I (We), the undersigned, declare under penalty of law that I (we) have examined this return and to the best of my (our) knowledge, it is a true, correct and complete return.
Your Signature
Date
Spouse’s Signature
Date
Spouse‘s
Office
Your
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Phone
Use
Phone
Preparer’s PTIN
Preparer’s Name
Firm Name
Phone Number
Filing Election

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