Virginia Schedule Adj (Form 760-Adj) - 2015
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1
2Your Social Security Number
WEB
2015
*VA0ADJ115888*
Schedule ADJ
Virginia
-
-
(Form 760-ADJ)
Name(s) as shown on Virginia return
Dollar Amount
Additions to Federal Adjusted Gross Income
00
,
,
.
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.
00
,
,
2a. FIXED DATE CONFORMITY ADDITION - SEE INSTRUCTIONS. ................................................ 2a
.
Code
2b - 2c. Refer to the Form 760 instructions for Other Addition Codes.
00
,
,
.
2b
00
,
,
.
2c
00
,
,
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
00
,
,
.
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.
00
,
,
.
5a. Enter YOUR disability subtraction. ................................................................................................. 5a
00
,
,
.
5b. Enter SPOUSE’s disability subtraction. .......................................................................................... 5b
6.
Other subtractions as provided in instructions.
00
,
,
6a. FIXED DATE CONFORMITY SUBTRACTION - SEE INSTRUCTIONS. ....................................... 6a
.
Code
6b - 6d. Refer to the Form 760 instructions for Other Subtraction Codes.
00
,
,
.
6b
00
,
,
6c
.
00
,
,
6d
.
00
,
,
.
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
Code
8.
Refer to the Form 760 instructions for Deduction Codes.
loss
00
,
,
.
8a
00
,
,
.
8b
00
,
,
.
8c
loss
00
,
,
.
9.
Total Deductions. Add Lines 8a - 8c. Enter here and on Form 760, Line 14. .......................................... 9
Continue with Line 10 on Page 2.
Avoid delays - If completed, submit Schedule ADJ with Form 760.
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