Form Sc1040x - Amended Individual Income Tax
ADVERTISEMENT
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5Do not write in this space - OFFICE USE
1350
STATE OF SOUTH CAROLINA
SC1040X
DEPARTMENT OF REVENUE
AMENDED INDIVIDUAL INCOME TAX
(Rev. 8/24/11)
3083
Fiscal year Ended
of
, OR CALENDAR YEAR
Tax Year
Print Your first name and Initial (Sr, Jr, 2nd, 3rd, 4th)
Your Social Security number
Last name
Check if
Deceased
Spouse's first name and Initial, if married filing jointly
Spouse's last name, if different
Spouse's Social Security number
Check if
Deceased
Do not write in this space - OFFICE USE
Mailing address (number and street, or P. O. Box)
Apt. No.
Area Code
Daytime telephone
County code
City, state and ZIP code
FILING STATUS:
Single
Married filing jointly
Married filing separately
Head of Household
Qualifying Widow(er)
FEDERAL EXEMPTIONS: Number of exemptions on your federal return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A
B
C
Mail To: SC Department of Revenue, Amended Individual Income Tax,
Original
Net Change-
Correct
amount or as
amount of increase
P.O. Box 101104, Columbia, SC 29211-0104
Amount
previously
or (decrease)
adjusted
explain in Part V
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1.
Federal taxable income SC1040. . . . . . . . . . . . . . . . .
1
1
Income
2. Net South Carolina adjustment (plus or minus) . . . . .
2
2
2
and
Adjustments
3. Modified South Carolina taxable income (line 1 plus
or minus line 2); Nonresident - enter amount
from Part IV, line 34 of this form . . . . . . . . . . . . . . .
.
3
3
3
4. South Carolina Tax: . . . . . . . . . . . . . . . . . . . . . . . . . .
4
4
Tax
4
5. Other Taxes (See Instructions) . . . . . . . . . . . . . . . . .
5
5
5
6
6
6
6. Total South Carolina Tax (add lines 4 through 5) . . .
Credits
7. Child and Dependent Care Credit . . . . . . . . . . . . . . . .
7
7
7
8. Two Wage Earner Credit . . . . . . . . . . . . . . . . . . . . . .
8
8
8
9. Other Non-Refundable Credits . . . . . . . . . . . . . . . . . .
9
9
9
10. Total Credits (add lines 7 through 9). . . . . . . . . . . . . .
10
10
10
11. Balance: Subtract line 10 from line 6. . . . . . . . . . . . . .
11
11
11
Payments
12. South Carolina tax withheld (from W-2 and/or 1099) .
12
12
12
13. South Carolina estimated tax payments . . . . . . . . . . .
and
13
13
13
14. Tuition Tax Credit and other refundable credits. . . . . .
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14
14
Transfers
15.
Amount of tax paid with extension
;
original return; and any additional tax paid
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
after original was filed
15
16. Total of line 12, column C through 15, column C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
17. Net refund from original return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
18. Balance: Subtract line 17 from line 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
19. Amount of Use Tax from out-of-state purchases as recorded on original return . . . . . . . . .
19
20. Transfer from original return for Estimated Tax and/or any contribution check-offs . . . . .
20
21. Add lines 19 and 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
22
Subtract line 21 from line 18 (net tax)
.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
Refund
23. If line 22 is larger than line 11, column C, subtract and enter the difference . . . .
REFUND
23
24. If line 11, column C is larger than line 22, enter the difference . . . . . . . . . . . . . . . . . . . . . . .
Balance
24
Due
25. Interest and penalty on tax due (from due date of original return) . . . . . . . . . . . . . . . . . . . . .
25
26
26. TOTAL: Add lines 24 and 25 and enter here . . . . . . . . . . . . . . . TOTAL BALANCE DUE
30831010
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