Form 200-01 - Delaware Individual Resident Income Tax Return - 2013 Page 3

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R
2013
Schedule
2013 DELAWARE RESIDENT SCHEDULES
a N
m
( e
: ) s
o S
a i c
S l
c e
r u
y t i
u N
m
b
: r e
Column A is reserved for the spouse of those couples choosing filing status 4. (Reconcile your Federal totals to the appropriat e
COLUMNS:
individual. See Page 9 worksheet.) Taxpayers using filing statuses 1, 2, 3, or 5 are to complete Column B only.
Filing Status 4 ONLY
All other filings statuses
Spouse Information
You or You plus Spouse
DE SCHEDULE I - CREDIT FOR INCOME TAXES PAID TO ANOTHER STATE
COLUMN A
COLUMN B
.
See the instructions and complete the worksheet on Page 7 prior to completing DE Schedule I
Enter the credit in HIGHEST to LOWEST amount order.
1
1. Tax imposed by State of
(enter 2 character state name)..................................
00
00
2
2. Tax imposed by State of
(enter 2 character state name)..................................
00
00
3
3. Tax imposed by State of
(enter 2 character state name)..................................
00
00
4
4. Tax imposed by State of
(enter 2 character state name)..................................
00
00
5. Tax imposed by State of
(enter 2 character state name)..................................
5
00
00
Enter the total here and on Resident Return, Line 10.
6.
You must attach a copy of the
6
00
00
other state return(s) with your Delaware tax return.....................................................
DE SCHEDULE II - EARNED INCOME TAX CREDIT (EITC)
Complete the Earned Income Tax Credit for each child YOU CLAIMED the Earned Income Credit for on your federal return.
Qualifying Child Information
7a. Child’s First Name
7b. Child’s Last Name
8. Child’s SSN
9. Child’s Date of Birth
CHI LD 1
CHI LD 2
CHI LD 3
10. Was the child under age 24 at the end of 2013,
a student, and younger than you (or your
YES
NO
YES
NO
YES
NO
spouse, if filing jointly)?.........................................
10
11. Was the child permanently and totally disabled
YES
NO
YES
NO
YES
NO
during any part of 2013?......................................
11
12. Delaware State Income Tax from Line 8 (enter higher tax amount from Column A or B)
.....................
12
00
13. Federal earned income credit from Federal Form 1040, Line 64a;
00
Form 1040A, Line 38a; or Form 1040EZ, Line 8a
...........................................................................
13
14. Delaware EITC Percentage (20%).........................................................................................................
.20
14
15. Multiply Line 13 by Line 14......................................................................................................
00
15
16. Enter the Smaller of Line 12 or Line 15 above. Enter here and
00
on Resident Return, Line 14....................................................................................................................
16
See the instructions on Page 8 for ALL required documentation to attach.
DE SCHEDULE III - CONTRIBUTIONS TO SPECIAL FUNDS
See Page 13 for a description of each worthwhile fund listed below.
A
.
Non-Game Wildlife
G
.
Veteran’s Home
M
.
00
00
White Clay Creek
17.
00
B
.
H
.
U.S. Olympics
DE National Guard
N
.
Home of the Brave
00
00
00
C
.
Emergency Housing
I
.
O
.
Senior Trust Fund
00
Juv. Diabetes Fund
00
00
D
.
J
.
P.
Veteran’s Trust Fund
Breast Cancer Educ.
Mult. Sclerosis Soc.
00
00
00
E
.
Organ Donations
K
.
Ovarian Cancer Fund
00
00
L
.
21st Fund for Children
F.
Diabetes Educ.
00
00
Enter the total Contribution amount here and on Resident Return, Line 24 ............................................................
00
17
This page
MUST be sent in with your Delaware return if any of the schedules (above) are completed.
*DF20213019999*
(Rev 10/31/13)

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