Schedule In-113 - Attach To Form In-111 - Vermont Income Adjustment Calculations - 2013 Page 2

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*131131200*
Schedule IN-113, page 2 of 2
* 1 3 1 1 3 1 2 0 0 *
______________________________________
_______________________________
Carried forward from
Line 16A
Line 16B
A. Federal Amount $
B. VT Portion $
17. IRA (1040-Line 32; 1040A-Line 17); Keogh/SEP/SIMPLE
(1040- Line 28):
.0 0
.0 0
Self ________________ 17.Spouse _______________
17. __________________________________
17. __________________________________
.0 0
.0 0
18. Student Loan Interest (1040-Line 33; 1040A-Line 18) . . . . . . . . 18. __________________________________
18. __________________________________
19. Employee Deductions: Reservists, Performing Artists,
.0 0
.0 0
Fee-basis Gov’t Officials (1040-Line 24) . . . . . . . . . . . . . . . . . . . 19. __________________________________
19. __________________________________
20. Self-Employment Deductions: Tax (1040-Line 27), and
.0 0
.0 0
Health Insurance (1040-Line 29) . . . . . . . . . . . . . . . . . . . . . . . . . 20. __________________________________
20. __________________________________
.0 0
.0 0
21. Health Savings Account (1040-Line 25) . . . . . . . . . . . . . . . . . . . 21. __________________________________
21. __________________________________
.0 0
.0 0
22. Moving Expenses (1040-Line 26) . . . . . . . . . . . . . . . . . . . . . . . . 22. __________________________________
22. __________________________________
.0 0
.0 0
23. Penalty on Early Withdrawal of Savings (1040-Line 30) . . . . . . . 23. __________________________________
23. __________________________________
.0 0
.0 0
24. Alimony Paid (1040-Line 31a) . . . . . . . . . . . . . . . . . . . . . . . . . . 24. __________________________________
24. __________________________________
.0 0
.0 0
25. Domestic Production Activities (1040-Line 35) . . . . . . . . . . . . . 25. __________________________________
25. __________________________________
26. Educator Expenses (1040-Line 23; 1040A-Line 16), and
.0 0
.0 0
Tuition & Fees (1040-Line 34; 1040A-Line 19) . . . . . . . . . . . . . 26. __________________________________
26. __________________________________
.0 0
.0 0
27. Deductions not listed above but included on 1040-Line 36 . . . . . 27. __________________________________
27. __________________________________
.0 0
.0 0
28. TOTAL ADJUSTMENTS (Add Lines 17 – 27) . . . . . . . . . . . . 28. __________________________________
28. __________________________________
Check to
.0 0
ç indicate
29. Adjusted Gross Income (Subtract Line 28A from Line 16A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29. __________________________________
loss
Check to
.0 0
ç indicate
30. VT Portion of AGI (Subtract Line 28B from Line 16B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30. __________________________________
loss
Check to
.0 0
ç indicate
31. Non-VT Income (Subtract Line 30 from Line 29). Also enter on Part II, Line 33 below . . . . . . . .
31. __________________________________
loss
PART II. Adjustment for VT Exempt Income
Check to
32. Adjusted Gross Income If Part I completed, enter Line 29 amount.
ç indicate
.0 0
loss
Otherwise, enter amount from Form IN-111, Line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32. __________________________________
Check to
(Full-year VT residents enter 0 on Line 33)
ç indicate
.0 0
loss
33. Non-VT Income (Line 31 above) . . . . . . . . . . .
33. __________________________________
Part-Year Residents: For Lines 34-40, enter only income included in Part I, Line 30
34. Military pay. Number of months on active duty ______
.0 0
(See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34. __________________________________
35. Federal Employment Opportunity income adjustment up to
.0 0
July 1, 2013 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35. __________________________________
.0 0
36. Railroad Retirement income . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36. __________________________________
37. VT State payments to a family for support of developmentally
Not Available
.0 0
disabled person(s) (See instructions on page 13) . . . . . . . . . . . . . 37. __________________________________
.0 0
38. Americans with Disabilities Credit . . . . . . . . . . . . . . . . . . . . . . . 38. __________________________________
Not Available
.0 0
39. Nonresident Commercial Film Income . . . . . . . . . . . . . . . . . . . . 39. __________________________________
.0 0
40. Bond/note interest income from . . . . . . . . . . . . . . . . . . . . . . . . . 40. __________________________________
VT Telecom
VT Public Power
c
c
c
c
VSAC
Build America
Check to
Authority
Supply Authority
ç indicate
.0 0
loss
41. Total (Add Lines 33-40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41. __________________________________
Check to
ç indicate
.0 0
loss
42. VT income (Subtract Line 41 from Line 32) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42. __________________________________
%
.
43. INCOME ADJUSTMENT % (Divide Line 42 by Line 32). Also enter on Form IN-111, Line 21. (See instructions) . . . . . . . . .è 43. ___________________
22
Schedule IN-113
5454

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