Form 200-01-X - Resident Amended Personal Income Tax Return - 2013
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1
2DELAWARE
2013
DO NOT WRITE OR STAPLE IN THIS AREA
FORM 200-01-X
RESIDENT AMENDED
PERSONAL INCOME TAX RETURN
Reset
Print Form
or Fiscal year beginning
and ending
FILING STATUS (MUST CHECK ONE)
Your Social Security No.
Spouse’s Social Security No.
Single, Divorced,
Married or Entered into a Civil
Head of
1.
3.
5.
Household
Widow(er)
Union & Filing Separate Forms
Your Last Name
First Name and Middle Initial, Jr., Sr., III., etc.
Joint or Entered
Married or Entered into a Civil Union
2.
4.
into a Civil Union
& Filing Combined Separate on this form
Spouse’s Last Name
Spouse’s First Name,
Jr., Sr., III., etc.
If you were a part-year resident in 2013, give the dates you resided in
Delaware.
2013
To
2013
From
Present Home Address (Number and Street)
Apt. #
Month
Day
Month
Day
Filing Status 4 ONLY All other filing statuses
Form DE2210 Attached
You OR
City
State
Zip Code
Spouse Information
You plus Spouse
COLUMN A
COLUMN B
COMPLETE ALL SECTIONS OF THIS RETURN. NAMES AND SSN’S MUST MATCH ORIGINAL
CORRECTED AMOUNTS
1
00
0
0
1. DELAWARE ADJUSTED GROSS INCOME.................................................................................
2a. If you elect the DELAWARE STANDARD DEDUCTION check here.............
Filing Statuses 1, 3 & 5 Enter $3250 in Column B
*DF21113019999*
Filing Status 2 Enter $6500 in Column B
Filing Status 4 Enter $3250 in Column A and in Column B
b.
If you elect the DELAWARE ITEMIZED DEDUCTIONS check here..............
Filing Statuses 1, 2, 3 and 5, enter Itemized Deductions from reverse side, Line 51, in Column B.
00
00
Filing status 4 enter itemized deductions from reverse side, Line 51, in Columns A and B.
2
3. ADDITIONAL STANDARD DEDUCTIONS
(Not allowed with Itemized Deductions - See Instructions)
CHECK BOX(ES)
00
00
If SPOUSE was 65 or over
and/or Blind
If YOU were 65 or over
and/or Blind
3
00
00
4. TOTAL DEDUCTIONS - Add Lines 2 & 3 and enter here..................................................................
4
00
00
5. TAXABLE INCOME - Subtract Line 4 from Line 1, and Compute Tax on this Amount......................
5
00
00
6. Tax Liability from Tax Rate Table/Schedule
6
00
00
7. Tax on Lump Sum Distribution (Form 329)
7
8. TOTAL TAX - Add Lines 6 and 7 and enter here ..........................................................................
00
00
8
00
00
9a. Enter number of exemptions claimed on Federal return
X $110. .............................
9a
On Line 9a, enter the number of exemptions for:
Column A
Column B
9b. CHECK BOX(ES)
Spouse 60 or over (Column A)
Self 60 or over (Column B)
00
00
Enter number of boxes checked on Line 9b.
9b
X $110. ...................................................
00
00
10. Tax imposed by State of
(Must attach copy of other state return)...............................
10
00
00
11. Vol. Firefighter Co.# - Spouse (Column A)
Self (Column B)
. Enter credit amount.....
11
00
00
12. Other Non-Refundable Credits (See Instructions)...........................................................................
12
00
00
13. Child Care Credit. (Must attach Form 2441.) (Enter 50% of Federal Credit.).............................
13
00
00
14. Earned Income Tax Credit. (See Instructions)..............................................................................
14
00
15
00
15. Total Non-Refundable Credits. Add Lines 9a, 9b, 10, 11, 12, 13 & 14 and enter here.....................
00
16. BALANCE. Subtract Line 15 from Line 8. If Line 15 is greater than Line 8, enter “0” (Zero)..........
16
00
17. Delaware Tax Withheld (attach W2s/1099)
00
00
17
18. Estimated Tax Paid & Payments with Extensions
00
00
18
00
00
19. S Corp Payments & Refundable Business Credits
19
00
20.
00
20
2013 Capital Gains Tax Payments
00
00
21.
Amount paid (If any, see instructions)
21
00
00
22. TOTAL Refundable Credits. Add Lines 17, 18, 19, 20, and 21 and enter here ............................
22
00
00
23. Refund Received (if any, see instructions)..................................................................................
23
00
00
24. Estimated tax carryover and/or Special Funds contributions as shown on original return.............
24
00
00
25. Subtract Lines 23 and 24 from Line 22........................................................................................
25
00
00
26. BALANCE DUE. If Line 16 is greater than Line 25, subtract 25 from 16 and enter here............
26
27. OVERPAYMENT. If Line 25 is greater than Line 16, subtract 16 from 25 and enter here..........
27
00
00
28
00
ENTER >
28. AMOUNT OF LINE 27 TO BE APPLIED TO YOUR ESTIMATED TAX ACCOUNT
(See Instructions).....
29
00
29. PENALTIES AND INTEREST DUE......................................................................................................... ENTER >
30
30. NET BALANCE DUE (Line 26 plus Lines 28 and 29....................................................................... PAY IN FULL >
00
31. NET REFUND (subtract Lines 28 and 29 from Line 27).................................... ZERO DUE/TO BE REFUNDED >
31
00
REMIT FORM TO: NET BALANCE DUE (LINE 30): P.O. BOX 508, WILMINGTON, DE 19899-0508
NET REFUND / ZERO DUE (LINE 31): P.O. BOX 8765, WILMINGTON, DE 19899-8765
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