Form 1045 - Application For Tentative Refund - 2015 Page 4
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54
Form 1045 (2015)
Page
Schedule B—NOL Carryover (see instructions)
Complete one column before going to the
preceding
preceding
preceding
next column. Start with the earliest
carryback year.
tax year ended
tax year ended
tax year ended
▶
▶
▶
1
NOL deduction (see instructions).
Enter as a positive number .
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2
Taxable income before 2015 NOL
carryback (see instructions). Estates
and trusts, increase this amount by the
sum of the charitable deduction and
income distribution deduction .
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3
Net capital loss deduction (see
instructions) .
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4
Section 1202 exclusion. Enter as a
positive number .
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5
Domestic production activities
deduction
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6
Adjustment to adjusted gross income
(see instructions)
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7
Adjustment to itemized deductions (see
instructions) .
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8
Individuals, enter deduction for
exemptions (minus any amount on
Form 8914, line 6, for 2006 and
2009; line 2 for 2005 and 2008). Estates
and trusts, enter exemption amount
.
9
Modified taxable income. Combine
lines 2 through 8. If zero or less, enter
-0- .
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10
NOL carryover (see instructions) .
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Adjustment to Itemized Deductions
(Individuals Only) Complete lines 11
through 38 for the carryback year(s) for
which you itemized deductions only if
line 3, 4, or 5 above is more than zero.
11
Adjusted gross income before 2015
NOL carryback .
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12
Add lines 3 through 6 above
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13
Modified adjusted gross income. Add
lines 11 and 12 .
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14
Medical expenses from Sch. A (Form
1040), line 4 (or as previously adjusted)
15
Medical expenses from Sch. A (Form
1040), line 1 (or as previously adjusted)
16
Multiply line 13 by percentage from
Sch. A (Form 1040), line 3
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17
Subtract line 16 from line 15. If zero or
less, enter -0-
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18
Subtract line 17 from line 14 .
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19
Mortgage insurance premiums from
Sch. A (Form 1040), line 13 (or as
previously adjusted)
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20
Refigured mortgage insurance
premiums (see instructions) .
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21
Subtract line 20 from line 19
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.
1045
Form
(2015)
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