Form Sc1040x - Amended Individual Income Tax
ADVERTISEMENT
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61350
STATE OF SOUTH CAROLINA
SC1040X
DEPARTMENT OF REVENUE
AMENDED INDIVIDUAL INCOME TAX
(Rev. 6/30/15)
3083
Fiscal year Ended
/
/
of
/
/
, or CALENDAR YEAR
Print Your first name and Initial
Suffix
Last name
Check if
Tax Year
Deceased
Spouse's first name and Initial, if married filing jointly
Spouse's last name, if different
Your Social Security number
Check if
Deceased
Area Code
Daytime telephone
Mailing address (number and street, or P. O. Box)
Apt. No.
Spouse's Social Security number
City
County code
State
Zip
Foreign county address including Postal code (see instructions)
Check if address
is outside US
FILING STATUS:
Single
Married filing jointly
Married filing separately
Head of Household
Qualifying Widow(er)
FEDERAL EXEMPTIONS: Number of exemptions on your federal return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A
B
C
Mail To: SC Department of Revenue,
Original
Net Change-
Correct
Amended Individual Income Tax,
amount or as previously
amount of increase or
Amount
P.O. Box 101104, Columbia, SC 29211-0104
adjusted
(decrease) explain in Part V
1.
Federal taxable income
Income
SC1040 . . . . . . . . . . . . . . . . .
00
00
00
1
1
1
and
2. Net South Carolina adjustment
Adjustments
00
00
00
2
2
2
(SC1040 line 2 minus SC1040 Line 4)
3. Modified South Carolina
taxable income (line 1 plus
or minus line 2); Nonresident
- enter amount from Part IV,
line 34 of this form . . . . . . . .
3
00
3
00
3
00
4. South Carolina Tax. . . . . . . .
00
00
00
Tax
4
4
4
5. Other Taxes
(See Instructions)
00
00
00
5
5
5
6. Total South Carolina Tax
00
00
00
(add lines 4 through 5) . . . . .
6
6
6
Credits
7. Child and Dependent Care
00
00
00
Credit . . . . . . . . . . . . . . . . . .
7
7
7
8. Two Wage Earner Credit . . .
00
00
00
8
8
8
9. Other Non-Refundable
00
00
00
Credits . . . . . . . . . . . . . . . . . .
9
9
9
10. Total Credits (add lines 7
00
00
00
through 9). . . . . . . . . . . . . . .
10
10
10
11. Balance: Subtract line 10 from
Payments
00
00
00
line 6. . . . . . . . . . . . . . . . . . . .
11
11
11
12. South Carolina tax withheld
and
00
00
00
(from W-2 and/or 1099) . . . . .
12
12
12
13. South Carolina estimated tax
Transfers
00
00
00
payments . . . . . . . . . . . . . . . .
13
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13
14. Tuition Tax Credit and other
00
00
00
refundable credits. . . . . . . . . .
14
14
14
15. Amount of tax paid with extension; original return; and any additional tax paid after
original was filed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
15
16. Total of line 12, column C through 15, column C . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
16
17. Net refund from original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
17
18. Balance: Subtract line 17 from line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
18
19. Amount of Use Tax from internet, mail-order, or out-of-state purchases as recorded
00
19
on original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20. Transfer from original return for Estimated Tax and/or any contribution check-offs
00
20
21. Add lines 19 and 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
21
00
22
22. Subtract line 21 from line 18 (net tax) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Complete and sign this form on Page 2.
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