Form 2 - Montana Individual Income Tax Return - 2013

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Form 2

2013 Montana Individual Income Tax Return

Staples

M M D D 2 0 1 3

M M D D 2 0 Y Y

For the year Jan 1 – Dec 31, 2013 or the tax year beginning

and ending

First Name and Initial

Social Security Number

Deceased? Date of Death

Last Name

Mark all

that apply.

M M D D 2 0 Y Y

Spouse’s First Name and Initial

Last Name

Spouse’s Social Security Number

Deceased? Date of Death

Amended

Return

M M D D 2 0 Y Y

Mailing Address

City

State Zip+4

NOL

Carryback

1 Single

15-30-2113

2 Married ﬁ ling jointly

42.15.321

Filing Status

3a Married ﬁ ling separately on the same form

Mark only one

3b Married ﬁ ling separately on separate forms

box.

42.15.322

42.15.206

3c Married ﬁ ling separately and spouse not ﬁ ling

Spouse’s SSN (for lines 3b and 3c)

4 Head of household

42.15.301

Residency

5a Resident full year

Resident Part-Year Required Information

Status

North Dakota reciprocity

42.15.109

5b Nonresident full year

Date of change

M M D D Y Y Y Y

Mark only one

(see instructions )

Taxation of Nonresidents 42.15.110

box.

5c Resident part-year

State moved to

State moved from

15-30-2112

First Name

Last Name

Social Security Number

Relationship

Mark if Disabled

Dependents 15-30-2114(5)(a)

42.15.403

Definition 15-30-2115

Disability 15-30-2116

42.15.403(3-8)

Column A (for single,

joint, separate, or head

Column B (for spouse

of household)

when ﬁ ling separately

6a X Yourself

65 or older

Blind

Enter number marked ...........

15-30-2114(2)(a)

using ﬁ ling status 3a)

Spouse

65 or older

Blind

Enter number marked ...........

15-30-2114(2)(b)

42.15.402

6c Enter the total number of dependents. If more than 4 dependents, see instructions .............................

6d Add lines 6a through 6c and enter total exemptions here ......................................................................

Enter amounts on lines 7 through 38 corresponding to your federal return. Round to nearest dollar. If no entry, leave blank.

7 Wages, salaries, tips, etc. Include federal Form(s) W-2 .........................................................................

15-30-2110(1)

42.15.108(3)

8a Taxable interest. Include federal Schedule B if required ........................................................................

8b Tax-exempt interest. Do not include on line 8a ...

9 Ordinary dividends. Include federal Schedule B if required ....................................................................

10 Taxable refunds, credits, or offsets of state and local income taxes ......................................................

11 Alimony received ....................................................................................................................................

.......

12 Business income or (loss). Include federal Schedule C or C-EZ.

NAICS:

13 Capital gain or (loss). Include federal Schedule D if required ................................................................

14 Other gains or (losses). Include federal Schedule 4797 .........................................................................

15a IRA distributions.

15a

Taxable amount ........ 15b

16a Pensions and annuities.

16a

Taxable amount ........ 16b

17 Rental real estate, royalties, partnerships, S corporations, trusts. Include federal Schedule E .............