Form 740-Ez - Kentucky Individual Income Tax Return - 2014
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1
2740-EZ
K
*1400030003*
ENTUCKY
Single Persons With No Dependents
I
I
T
R
NDIVIDUAL
NCOME
AX
ETURN
2014
42A740-EZ
Department of Revenue
Your Social Security Number
Name—Last, First, Middle Initial
Mailing Address (Number and Street including Apartment Number or P .O. Box)
State
ZIP Code
City, Town or Post Office
1
2
3
POLITICAL
FAMILY
1
Designating $2 will not change your refund or tax due. Mark an X in
PARTY
SIZE
Box 1 for Democratic, Box 2 for Republican, or Box 3 for No Designation.
FUND
INCOME
1. Enter federal Adjusted Gross Income from Form 1040EZ, line 4.
This is your Kentucky Modified Gross Income
(
If $15,521 or less,
•
00
you may qualify for the Family Size Tax Credit. See instructions on page 2.) ..................
1
2,400 00
2. Standard deduction ................................................................................................................
2
00
3. Subtract line 2 from line 1. This is your Taxable Income .....................................................
3
00
TAX
4. Enter tax from Tax Table or Tax Computation for amount on line 3 .....................................
4
10 00
5. Personal tax credit...................................................................................................................
5
00
6. Subtract line 5 from line 4. If line 5 is larger than line 4, enter zero ...................................
6
7.
Multiply line 6 by the Family Size Tax Credit for Family Size 1
•
00
decimal amount
__ . __ __
(
__ __ __
%) and enter here (see instructions on page 2) .................
7
00
8. Subtract line 7 from line 6. This is your Income Tax Liability ..............................................
8
•
00
9. Enter Kentucky Use Tax
9
due on Internet, mail order, or other out-of-state purchases (see instructions)
•
00
10. Add lines 8 and 9. This is your Total Tax Liability ................................................................. 10
11. Enter Kentucky Income Tax withheld as shown on attached
•
00
2014 Form W-2, Wage and Tax Statement(s) .......................................................................... 11
00
12. If line 11 is larger than li
ne 10, enter AMOUNT OVERPAID (see instructions) ..........................
12
Fund Contributions; See instructions. ............................... ➤ (Enter amount(s) checked)
13. a
Natu re and Wildlife Fund
•
00
$10
$25
$50
Other
....................
b
Child Victims’ Trust Fund
•
00
$10
$25
$50
Other
....................
c Veterans’ Program Trust Fund
•
00
$10
$25
$50
Other
....................
d Breast Cancer Research/Education Trust
•
00
$10
$25
$50
Other
....................
e Farms to Food Banks Trust Fund
•
00
$10
$25
$50
Other
....................
00
14. Add amounts contributed on lines 13a, 13b, 13c, 13d and 13e ........................................... 14
•
00
15. Subtract line 14 from line 12. Amount to be refunded to you ...................
15
REFUND
16. If line 10 is larger than line 11, enter amount you owe. Enclose check
payable to Kentucky State Treasurer. Write your Social
•
00
Security number and “KY Income Tax—2014” on the check .....................................
16
OWE
I, the undersigned, declare under penalties of perjury that I have examined this return, including any accompanying statements, and to the best of my knowledge
and belief, it is true, correct and complete.
Your Signature
Date Signed
Telephone Number (daytime)
Typed or Printed Name of Preparer Other Than Taxpayer
I.D. Number of Preparer
Date
Mail to:
REFUNDS
Kentucky Department of Revenue, Frankfort, KY 40618-0006.
OFFICIAL USE ONLY
PWR
PAYMENTS
Kentucky Department of Revenue, Frankfort, KY 40619-0008.
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