Fillable Form 2 - Montana Individual Income Tax Return

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Form 2

2012 Montana Individual Income Tax Return

Staples

M M D D 2 0 1 2

M M D D 2 0 Y Y

For the year Jan 1 – Dec 31, 2012 or the tax year beginning

and ending

First Name and Initial

Last Name

Social Security Number

Deceased? Date of Death

Mark all

that apply.

M M D D Y Y Y Y

Spouse’s First Name and Initial

Last Name

Spouse’s Social Security Number

Deceased? Date of Death

Amended

Return

M M D D Y Y Y Y

Mailing Address

City

State Zip+4

NOL

Carryback

1 Single

2 Married ﬁ ling jointly

Filing Status

3a Married ﬁ ling separately on the same form

Do you both want to allow us to discuss this return with your spouse?

Yes

Mark only one

(see page 2 of instructions)

3b Married ﬁ ling separately on separate forms

box.

3c Married ﬁ ling separately and spouse not ﬁ ling

Spouse’s SSN (for lines 3b and 3c)

4 Head of household

Residency

5a Resident full year

Resident Part-Year Required Information

Status

5b Nonresident full year

Date of change

M M D D Y Y Y Y

Mark only one

box.

5c Resident part-year

State moved to

State moved from

First Name

Last Name

Social Security Number

Relationship

Mark if Disabled

Column A (for single,

joint, separate, or head

Column B (for spouse

of household)

when ﬁ ling separately

6a X Yourself

65 or older

Blind

Enter number marked ...........

using ﬁ ling status 3a)

Spouse

65 or older

Blind

Enter number marked ...........

6c Enter the total number of dependents. If more than 4 dependents, see instructions on page 3 ............

6d Add lines 6a through 6c and enter total exemptions here ......................................................................

Enter amounts on lines 7 through 38 corresponding to your federal return. Round to nearest dollar. If no entry, leave blank.

7 Wages, salaries, tips, etc. Include federal Form(s) W-2 .........................................................................

8a Taxable interest. Include federal Schedule B if required ........................................................................

8b Tax-exempt interest. Do not include on line 8a ...

9 Ordinary dividends. Include federal Schedule B if required ....................................................................

10 Taxable refunds, credits, or offsets of state and local income taxes ......................................................

11 Alimony received ....................................................................................................................................

.......

12 Business income or (loss). Include federal Schedule C or C-EZ.

NAICS:

13 Capital gain or (loss). Include federal Schedule D if required ................................................................

14 Other gains or (losses). Include federal Schedule 4797 .........................................................................

15a IRA distributions.

15a

Taxable amount ........ 15b

16a Pensions and annuities.

16a

Taxable amount ........ 16b

17 Rental real estate, royalties, partnerships, S corporations, trusts. Include federal Schedule E .............

18 Farm income or (loss). Include federal Schedule F ................................................................................

19 Unemployment compensation ................................................................................................................

20a Social security beneﬁ ts.

20a

Taxable amount ......... 20b

21 Other income; list type.

Amount ............

22 Add the amounts in columns A and B for lines 7 thru 21. This is your total income. ...........................

*12CE0101*

Form 2 - Montana Individual Income Tax Return - 2012

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