State Form 54259 - Schedule In-2058sp - Nonresident Military Spouse Earned Income Deduction - 2014

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Nonresident Military Spouse
Schedule IN-2058SP
Enclosure
2014
State Form 54259
Earned Income Deduction
Sequence No. 23
(R5 / 9-14)
Enclose this schedule with the filing of Form IT-40PNR
Servicemember’s Spouse’s
Military servicemember’s spouse’s name
Social Security Number
Servicemember’s
Military servicemember’s name
Social Security Number
Part 1: Figure your deduction
Round all entries
Military spouse’s earned income from Indiana sources
.00
1. Servicemember’s spouse’s wages as reported on Line 1B or 2B of Indiana’s Schedule A _______
1
2. Business income as reported on line 7B of Indiana’s
.00
.00
Schedule A
2a
Servicemember’s spouse’s portion ___________
2b
3. Add lines 1 and 2b. This is the servicemember’s spouse’s earned income from Indiana
.00
sources. Enter on Indiana’s Schedule C under line 11. Identify by using 3-digit code 625 _______
3
Part 2: Additional information
1. Enter 2-letter code for your state of domicile (e.g. IN for Indiana)
2. Are you including the income from line 3 on your state of domicile’s tax return?
Yes
No
N/A
If you answered No or N/A, explain
Note: Pursuant to IC 6-8.1-7-1(b), information provided on this form may, upon request, be disclosed to the tax department in your state
of domicile. Any information disclosed will remain confidential and used solely for tax collection purposes.
You must enclose a copy of the servicemember’s military W-2 when claiming this deduction.
*24100000000*
24100000000

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