Fillable Virginia Schedule Adj (Form 760-Adj)

Virginia Schedule Adj (Form 760-Adj) - 2015 Page 2

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Your Social Security Number

2015

Schedule ADJ

*VA0ADJ215888*

Virginia

Page 2

Credit for Low-Income Individuals or Virginia Earned Income Credit

Family VAGI

Name

Social Security Number

Virginia Adjusted Gross Income (VAGI)

You

Spouse

Dependent

If more than 4 exemptions, attach schedule listing the name, SSN & VAGI.

10.

Total

loss

Enter total Family VAGI here.

11. Enter the total number of exemptions reported in the table above. Next, refer to the Poverty

Guidelines Table in the Form 760 instructions to see if you qualify for this credit. ........................................................ 11

12. If you qualify for this credit, enter the number of personal and dependent exemptions reported on

your Form 760 (see instructions). ...................................................................................................................................12

13. Multiply Line 12 by $300. Enter the result on Line 13. If you do not qualify for the Tax Credit for

Low-Income Individuals but claimed the Earned Income Credit on your federal return, enter $0. ................................ 13

14. Enter the amount of Earned Income Credit claimed on your federal return. If you did not claim the

Earned Income Credit on your federal return, enter $0. ................................................................................................ 14

15. Multiply Line 14 by 20% (.20). ....................................................................................................................................... 15

16. Enter the greater of Line 13 or Line 15 above ............................................................................................................... 16

17. Compare the amount on Line 16 above to the amount of tax on Line 19 of Form 760. Enter the

lesser of the two amounts here and on Line 24 of Form 760. This is your credit amount. ............................................ 17

Addition to Tax, Penalty and Interest

18. Addition to tax. Fill in oval if addition came from:

Form 760C

Form 760F .... 18

...................... 19

19. Penalty

Late Filing Penalty

Extension Penalty

20. Interest (accrued on the tax you owe). ....................................................................................... 20

21. Total Addition to Tax, Penalty and Interest (add Lines 18 through 20).