Virginia Schedule Adj (Form 760-Adj) - 2012
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1
2Your Social Security Number
2012
Schedule ADJ
Virginia
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-
(Form 760-ADJ)
Name(s) as shown on Virginia return
whole dollars only
Additions to Federal Adjusted Gross Income
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00
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1.
Interest on obligations of other states, exempt from federal income tax but not from state tax ............ 1
2.
Other additions to federal adjusted gross income
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2a. FIXED DATE CONFORMITY ADDITION - SEE INSTRUCTIONS ............................................... 2a
2b - 2c. Refer to the Form 760 instructions for Other Addition Codes
Enter Code
Enter Addition Amount
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2b
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2c
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3.
Total Additions. Add Lines 1 and 2a - 2c. Enter here and on Form 760, Line 2. ................................... 3
.
Subtractions from Federal Adjusted Gross Income
4.
Income (interest, dividends or gains) from obligations or securities of the U.S. exempt
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from state income tax, but not from federal tax .................................................................................... 4
5.
Disability income reported as wages (or payments in lieu of wages) on your federal return.
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5a. Enter YOUR disability subtraction .................................................................................................. 5a
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5b. Enter SPOUSE’s disability subtraction ........................................................................................... 5b
6.
Other subtractions as provided in instructions
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6a. FIXED DATE CONFORMITY SUBTRACTION - SEE INSTRUCTIONS ..................................... 6a
Enter Subtraction Amount
Enter Code
6b - 6d. Refer to the Form 760 instructions for Other Subtraction Codes
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6b
6c
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6d
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7.
Total subtractions. Add Lines 4, 5a, 5b and 6a - 6d. Enter here and on Form 760, Line 7. ................. 7
Deductions from Virginia Adjusted Gross Income
Enter Code
Enter Deduction Amount
8.
Refer to the Form 760 instructions for Deduction Codes
LOSS
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8a
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8b
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8c
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LOSS
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9.
Total Deductions. Add Lines 8a - 8c. Enter here and on Form 760, Line 12. ........................................ 9
Continue with Line 10 on Page 2
Avoid delays - If completed, attach Schedule ADJ to Form 760
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