Schedule In-113 - Vermont Income Adjustment Calculations - 2012 Page 2
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2*121131299*
Schedule IN-113, page 2 of 2
* 1 2 1 1 3 1 2 9 9 *
______________________________________
_______________________________
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.
ç indicate
0 0
loss
Otherwise, enter amount from Form IN-111, Line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32.
.
(Full-year VT residents enter 0 on Line 33)
0 0
0 0
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.
.
0 0
35. Federal Employment Opportunity income adjustment . . . . . . . . 35.
.
0 0
36. Railroad Retirement income . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36.
.
37. VT State payments to a family for support of developmentally
0 0
disabled person(s) (See instructions on page 13) . . . . . . . . . . . . . 37.
.
0 0
38. Americans with Disabilities Credit . . . . . . . . . . . . . . . . . . . . . . . 38.
.
0 0
39. Nonresident Commercial Film Income . . . . . . . . . . . . . . . . . . . . 39.
.
0 0
40. Bond/note interest income from . . . . . . . . . . . . . . . . . . . . . . . . . 40.
c
c
c
VT Telecom
c
VT Public Power
VSAC
Build America
Authority
Supply Authority
Check to
.
ç indicate
0 0
loss
41. Total (Add Lines 33-40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41.
Check to
.
0 0
ç indicate
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
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