Form Sc1040 - Individual Income Tax Return - 2014

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1350
SC1040
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(Rev. 7/29/14)
2014 INDIVIDUAL INCOME TAX RETURN
3075
Your social security number
Check if
deceased
Spouse's social security number
Check if
deceased
DO NOT USE THIS FORM TO FILE A
CORRECTED RETURN. SEE SC1040
INSTRUCTIONS FOR ADDITIONAL
INFORMATION.
For the year January 1 - December 31, 2014, or fiscal tax year beginning
2014 and ending
2015
Suff.
Print your first name and initial
Last name
Spouse’s first name, if married filing jointly
Last name
Mailing address (number and street, Apt. no or P. O. Box) Foreign address, see instructions
County code
Check if
new address
City
State
Zip
Area code
Daytime telephone
Foreign country address including Postal code (see instructions)
Check if address
is outside US
Check this box if you are filing SC Schedule NR (Part year/Nonresident) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Check this box ONLY if filing a composite return on behalf of a partnership or "S" corporation.
Do not check this box if you are an individual.
Check this box if you have filed a federal or state extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Check this box if you served in a Military COMBAT ZONE during the filing period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Enter the name of the combat zone:
Check this box if this return is affected by a federally declared DISASTER AREA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Enter the name of the disaster area:
CHECK YOUR
(1)
Single
(3)
Married filing separately. Enter spouse's SSN here:
FEDERAL FILING STATUS (2)
Married filing jointly (4)
Head-of-household
(5)
Widow(er) with dependent child
Federal Exemptions
Enter the number of exemptions from your 2014 federal return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Enter the number of exemptions listed above that were under the age of 6 years on December 31, 2014 . . . . . . .
Enter the number of taxpayers age 65 or older, as of December 31, 2014 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dependents:
Relationship
First name
Last name
Social security number
Date of birth (MM/DD/YYYY)
30751028

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