Form 2m - Montana Individual Income Tax Return - 2013
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2013 Montana Individual Income Tax Return
Form 2M
Staples
Calendar year income tax return for a Montana resident with a fi ling status of single, married fi ling jointly, or head of household
First Name and Initial
Last Name
Social Security Number
Deceased? Date of Death
M M D D 2 0 Y Y
Mark this box
Spouse’s First Name and Initial
Last Name
Spouse’s Social Security Number
Deceased? Date of Death
if this is an
M M D D 2 0 Y Y
amended
return.
Mailing Address
City
State
Zip+4
Filing Status (Mark only one box)
1. Single
2. Married fi ling jointly
3. Head of household
4
X Resident full year (This form is only to be used by full-year Montana residents. Nonresidents and part-year residents must use Form 2.)
.
5a. X Yourself
65 or older
Blind
Enter number marked 5a.
5b.
Spouse
65 or older
Blind
Enter number marked 5b.
5c. First Name
Last Name
Social Security Number
Relationship
Mark if Disabled
Enter the total number of
dependents in line 5c. If
more than 4 dependents,
see instructions.
5c.
5d. Add lines 5a through 5c and enter total exemptions here ................................................................................................................... 5d.
Enter amounts corresponding to your federal tax return. Round to nearest dollar. If no entry, leave blank.
6. Wages, salaries, tips, etc. Include federal Form(s) W-2 ..........................................................................................................................6.
00
7a. Taxable interest. Include federal Schedule B if required .......................................................................................................................7a.
00
7b. Tax-exempt interest. Do not include on line 7a .................................................................................................. 7b.
00
8. Ordinary dividends. Include federal Schedule B if required .....................................................................................................................8.
00
9. Capital gain or (loss). Include federal Schedule D if required .................................................................................................................9.
00
10. IRA distributions .............................................................................Total amount 10a.
Taxable amount 10b.
00
00
11. Pensions and annuities .................................................................Total amount 11a.
Taxable amount 11b.
00
00
12. Unemployment compensation ...............................................................................................................................................................12.
00
13. Social security benefi ts ..................................................................Total amount 13a.
Taxable amount 13b.
00
00
14. Taxable refunds, credits or offsets of state and local income taxes ......................................................................................................14.
00
15. Add lines 6 through 14 (far right column.) This is your total income. .................................................................................................15.
00
16. Educator expenses ............................................................................................................................................ 16.
00
17. IRA deduction .................................................................................................................................................... 17.
00
18. Student loan interest deduction ......................................................................................................................... 18.
00
19. Tuition and fees ................................................................................................................................................. 19.
00
20. Add lines 16 through 19 and enter the result here. This is your total adjustments to income. ........................................................20.
00
21. Subtract line 20 from line 15 and enter the result here. This is your federal adjusted gross income. .............................................21.
00
22. Interest and mutual fund dividends from state, county or municipal bonds from other states ........................... 22.
00
23. Taxable federal refund ....................................................................................................................................... 23.
00
24. Addition to federal taxable social security. ......................................................................................................... 24.
00
25. Medical care savings account nonqualifi ed withdrawals ................................................................................... 25.
00
26. Add lines 22 through 25 and enter the result here. This is your Montana additions to federal adjusted gross income. ...............26.
00
27. Exempt interest and dividends from federal bonds, notes, and obligations ...................................................... 27.
00
28. Exempt unemployment compensation .............................................................................................................. 28.
00
29. Partial pension and annuity income exemption. Complete Worksheet IV on page 24 ...................................... 29.
00
30. Partial interest exemption for taxpayers 65 and older ....................................................................................... 30.
00
31. Exemption for certain taxed tips and gratuities. ................................................................................................. 31.
00
32. Exempt medical care savings account deposits and earnings .......................................................................... 32.
00
33. Subtraction from federal taxable social security/Tier I Railroad Retirement. Complete Worksheet VIII on page 26 .......33.
00
34. Subtraction for federal taxable Tier II Railroad Retirement................................................................................ 34.
00
35. Federally taxable refunds, credits or offsets of state income taxes ................................................................... 35.
00
36. Add lines 27 through 35 and enter the result here. This is your Montana subtractions from federal adjusted gross income. .....36.
00
37. Add lines 21 and 26, then subtract line 36. This is your Montana adjusted gross income. .............................................................37.
00
*13CC0101*
*13CC0101*
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