Form 2ez - Montana Individual Income Tax Return - 2013

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Form 2EZ
2013 Montana Individual Income Tax Return
Income tax return for a Montana resident fi ling as single or married fi ling jointly with no dependents
First Name and Initial
Last Name
Social Security Number
Deceased? Date of Death
M M D D 2 0 Y Y
Mark this box
Spouse’s First Name and Initial
Last Name
Spouse’s Social Security Number
Deceased? Date of Death
if this is an
M M D D 2 0 Y Y
amended
return.
Mailing Address
City
State
Zip+4
Filing Status (Mark only one box.)
Note: If you are 65 or older, Form 2M or Form 2 would be a better option for you.
1. Single
2. Married fi ling jointly
Enter amounts corresponding to your federal tax return. Round to nearest dollar. If no entry, leave blank.
3. Wages, salaries, tips, etc. Include federal Form(s) W-2 ...................................................................................................................... 3.
00
4. Taxable interest and dividends. Include federal Schedule B if more than $1,500 ............................................................................... 4.
00
5. Unemployment compensation ............................................................................................................................................................. 5.
00
6. Add lines 3 through 5 and enter the result here. This is your federal adjusted gross income. ...................................................... 6.
00
7. Exempt unemployment compensation ................................................................................................... 7.
00
8. Exemption for certain taxed tips and gratuities.. ..................................................................................... 8.
00
9. Add lines 7 and 8; enter the result here. This is your total subtractions. ........................................................................................ 9.
00
10. Subtract line 9 from line 6; enter the result here. This is your Montana adjusted gross income. ................................................ 10.
00
11. Enter your standard deduction from the worksheet on the back of this form .................................................................................... 11.
00
12. Enter $2,280 if your fi ling status is single or $4,560 if married fi ling jointly. This is your exemption amount................................. 12.
00
13. Add lines 11 and 12; enter the result here. This is your total deductions and exemptions. ........................................................ 13.
00
14. Subtract line 13 from line 10 and enter the result here, but not less than zero. This is your taxable income. ............................... 14.
00
15. Enter your tax from the tax table on the back of this form. If line 14 is zero, enter zero. This is your total tax liability. ................ 15.
00
16. Enter your Montana income tax withheld. Include federal Form(s) W-2 and 1099. This is your total payments. .......................... 16.
00
17. Enter your late fi le penalty, late payment penalty and interest here (see instructions) ...................................................................... 17.
00
18. Total voluntary check-off contribution programs from lines 18a through 18d .................................................................................... 18.
00
18a. Nongame Wildlife Program
$5
$10
other amount
00
*13CB0101*
18b. Child Abuse Prevention
$5
$10
other amount
00
18c. Ag Literacy in MT Schools
$5
$10
other amount
00
*13CB0101*
18d. MT Military Family Relief Fund
$5
$10
other amount
00
19. Add lines 15, 17 and 18; enter the result here. This is the sum of your tax, penalties, interest and contributions. .................. 19.
00
20. If line 19 is greater than line 16, enter the difference
.........................
20.
This is the amount you owe.
00
Pay online at revenue.mt.gov. If writing a check, make it payable to MONTANA DEPARTMENT OF REVENUE.
21. If line 16 is greater than line 19, enter the difference
.......................................
21.
This is your refund.
00
Direct Deposit
1. RTN#
2. ACCT#
Your Refund
Complete 1, 2, 3, and 4
3. If using direct deposit, you are required to mark one box.
Checking
Savings
(please see instructions on
page 4).
4. Is this refund going to an account that is located outside of the United States or its territories?
Yes
No
Under penalties of false swearing, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
Your Signature is Required
Date
Daytime Telephone Number
Spouse’s Signature
Date
X
X
Paid Preparer’s Signature
Paid Preparer’s PTIN/SSN
Firm’s FEIN
Mark this box
Third Party Designee
Third Party Designee’s Printed Name
if you do not
Do you want to allow another person (such as a paid
want forms and
preparer) to discuss this return with us (see page 5)?
instructions mailed
Third Party Designee’s Phone Number
to you next year.
Yes
No

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