Form It-540b - Louisiana Nonresident And Part-Year Reside Income Tax Return - 2012 Page 3

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Enter your Social Security Number.
If you are not required to file a federal
Mark this box and enter zero “0” on Line 17.
return, indicate wages here.
FEDERAL ADjuSTED GROSS INCOmE – Enter the amount of your Federal Adjusted Gross Income from
7
7
the NPR worksheet, Federal column, Line 12.
LOuISIANA ADjuSTED GROSS INCOmE – Enter the amount of your Louisiana Adjusted Gross Income
8
8
from the NPR worksheet, Louisiana column, Line 33.
RATIO OF LOuISIANA ADjuSTED GROSS INCOmE TO FEDERAL ADjuSTED GROSS INCOmE –
9
9
Divide Line 8 by Line 7. Carry out to two decimal places in the percentage. DO NOT ROuND uP. The
percentage cannot exceed 100%.
If you did not itemize your deductions on your federal return, leave Lines 10A, 10B, and 10C
blank and go to Line 10d.
10A
FEDERAL ITEmIZED DEDuCTIONS
10A
10B
FEDERAL STANDARD DEDuCTION
10B
10C
ExCESS FEDERAL ITEmIZED DEDuCTIONS – Subtract Line 10B from Line 10A.
10C
FEDERAL INCOmE TAx – If your federal income tax has been decreased by a federal disaster
10D
10d
credit allowed by IRS, mark the box. See instructions for Schedule H-NR.
10E
TOTAL DEDuCTIONS – Add Lines 10C and 10D.
10E
10F
ALLOwABLE DEDuCTIONS – multiply Line 10E by the percentage on Line 9. Round to the nearest dollar.
10F
11
LOuISIANA NET INCOmE – Subtract Line 10F from Line 8. If less than zero, enter “0.”
11
YOuR LOuISIANA INCOmE TAx – See the Tax Computation Worksheet to calculate the amount of your
12
12
Louisiana income tax.
FEDERAL CHILD CARE CREDIT – Enter the amount from your Federal Form 1040A, Line 29, or Federal Form
13A
13A
1040, Line 48. This amount will be used to compute your 2012 Louisiana Nonrefundable Child Care Credit.
2012 LOuISIANA NONREFuNDABLE CHILD CARE CREDIT – your Federal Adjusted Gross Income
13B
13B
must be GREATER THAN $25,000 to claim a credit on this line. See Nonrefundable Child Care Credit
Worksheet.
13C AmOuNT
OF LOuISIANA NONREFuNDABLE CHILD CARE CREDIT CARRIED FORwARD FROm 2008
13C
THROuGH 2011 – See Nonrefundable Child Care Credit Worksheet.
2012 LOuISIANA NONREFuNDABLE SCHOOL READINESS CREDIT – your Federal Adjusted Gross
Income must be GREATER THAN $25,000 to claim the credit on this line. See Nonrefundable School
Readiness Credit Worksheet.
13d
13D
5
4
3
2
13E AmOuNT OF LOuISIANA NONREFuNDABLE SCHOOL READINESS CREDIT CARRIED FORwARD
13E
FROm 2008 THROuGH 2011 – See Nonrefundable School Readiness Credit Worksheet.
14
14
EDuCATION CREDIT
15
15
OTHER NONREFuNDABLE TAx CREDITS – From Schedule G-NR, Line 10
16
TOTAL NONREFuNDABLE TAx CREDITS – Add Lines 13B through 15.
16
ADjuSTED LOuISIANA INCOmE TAx – Subtract Line 16 from Line 12. If the result is less than zero, or
17
17
you are not required to file a federal return, enter zero “0.”
Amount from the Consumer use
CONSumER uSE TAx
18
18
No use tax due.
Tax worksheet, Line 2.
You must mark one of these boxes.
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19
TOTAL INCOmE TAx AND CONSumER uSE TAx – Add Lines 17 and 18.
WEB
Enter the first
4 characters of
your last name
CONTINUE ON NEXT PAGE
6383
in these boxes.

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