Form Tc-40 - Utah Individual Income Tax Return - 2014 Page 3

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Utah Individual Income Tax Return (continued)
TC-40
40403
2014
Part 1 - Deceased Taxpayer Information
/
/
/
/
Part 2 - Fiscal Year Filer
/
incometax.utah.gov/topics/fiscal-year-filing
Part 3 - Federal Form 8886 filed
Reportable Transaction Disclosure Statement,
at irs.gov
Part 4 - Voluntary Contributions
incometax.utah.gov/contributions
Sch Dist
Code
Amount
Code
.00
.00
.00
.00
.00
Total voluntary contributions
Part 5 - Utah Educational Savings Plan - Refund Application
Part 6 - Direct Deposit to Foreign Account
Part 7 - Property Owner’s Residential Exemption Termination Declaration
Submit page ONLY if data entered.
Attach completed schedule to your Utah Income Tax return.

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