Form 43 - Idaho Part-Year Resident & Nonresident Income Tax Return - 2011 Page 2

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Page 2
Form 43 - 2011
EFO00091p2 08-11-11
Column A - Total
Column B - Idaho
.
28. Enter amount from federal Form 1040, line 37, 1040A, line 21, or 1040EZ,
00
00
28
line 4 in Column A. Enter amount from line 27 in Column B .......................
00
00
29
29. Additions from Form 39NR, Part A, line 5. Include Form 39NR ..................
30. Subtractions from Form 39NR, Part B, line 26. Include Form 39NR ...........
00
00
.
30
.
31. TOTAL ADJUSTED INCOME. Add lines 28 and 29, less line 30 ................
00
00
31
.
.
.
.
32.
a.
Check if age 65 or older ........
Yourself
Spouse
b. Check if blind ...........
Yourself
.
Spouse
Standard
c.
If your parent or someone else can claim you as a dependent, check here and enter zero on lines 37 and 61
Deduction
.
For Most
33. Itemized deductions. Include federal Schedule A ............................................................................
00
33
.
People
34. All state and local income or general sales taxes included on federal Schedule A, line 5 ...............
00
34
35. Subtract line 34 from line 33 .............................................................................................................
Single or
00
35
Married filing
.
36. Standard deduction. See instructions page 14 to determine standard deduction amount
Separately:
00
36
if different than the Standard Deduction For Most People ...............................................................
.
$5,800
00
37. Multiply $3,700 by the number of exemptions claimed on line 6d ....................................................
37
Head of
38. Add line 37 and the LARGER of line 35 or line 36 ...........................................................................
00
38
Household:
%
39
39. Idaho percentage. Divide line 31, Column B, by line 31, Column A ...............................................
$8,500
40. Multiply amount on line 38 by the percentage on line 39 and enter the result here .........................
40
00
.
Married filing
41. Idaho taxable income. Subtract line 40 from line 31, Column B .....................................................
00
41
.
Jointly or
00
42. TAX from tables or rate schedule. See instructions, page 36 .........................................................
42
Qualifying
.
Widow(er):
43. Income tax paid to other states. Include Form 39NR and other states returns ..............................
00
43
$11,600
44. Total credits from Form 39NR, Part E, line 4. Include Form 39NR ...................................................
00
44
45. Total business income tax credits from Form 44, Part I, line 11. Include Form 44 ..........................
45
00
00
46. Line 42 minus lines 43 through 45. If less than zero, enter zero .....................................................
46
00
47. Fuels tax due. Include Form 75 ............................................................................................................................
.
47
48. Sales/Use tax due on Internet, mail order, and other nontaxed purchases ..................................................
48
00
.
49. Total tax from recapture of income tax credits from Form 44, Part II, line 7. Include Form 44 .............................
49
00
00
50. Tax from recapture of qualified investment exemption (QIE). Include Form 49ER ..............................................
.
50
10
.
51. Permanent building fund. Check the box if you are receiving Idaho public assistance payments ...............
51
00
00
52. TOTAL TAX. Add lines 46 through 51 ...................................................................................................................
52
.
.
.
I wish to donate to:
53. Opportunity Scholarship Program .................... __________
54. Idaho Guard and Reserve Family ................ __________ 55. Idaho Children's Trust Fund ...... __________
.
.
56. Special Olympics Idaho ................................ __________ 57. Nongame Wildlife Conservation __________
.
.
58. American Red Cross of Greater Idaho ......... __________ 59. Idaho Foodbank ....................... __________
60. TOTAL TAX PLUS DONATIONS. Add lines 52 through 59 ..................................................................................
60
00
.
61. Grocery credit. See instructions, page 16. Computed Amount (from worksheet) .........
________________
.
.
To donate your grocery credit to the Cooperative Welfare Fund, check the box and enter zero on line 61
00
61
.
To receive your grocery credit, enter the computed amount on line 61 ................................................................
00
62
62. Maintaining a home for family member age 65 or older, or developmentally disabled. Include Form 39NR ......
.
00
63
63. Special fuels tax refund ________________
Gasoline tax refund __________________ Include Form 75
00
64
.
64. Idaho income tax withheld. Include Form(s) W-2 and any 1099(s) that show Idaho withholding ........................
00
65
65. 2011 Form 51 payment(s) and amount applied from 2010 return .........................................................................
.
00
66. Pass-through income tax withheld. Include Form(s) ID K-1 ..................................................................................
66
.
67. Hire One Act credit for new employees. Include Form 72 ....................................................................................
00
67
68. TOTAL PAYMENTS AND OTHER CREDITS. Add lines 61 through 67 ..............................................................
68
00
.
.
.
69. TAX DUE. Subtract line 68 from line 60 ......................................................................................................
00
70. Penalty ________________ Interest from the due date
_________________ Enter total.
.
Check box if penalty is due to an ineligible withdrawal from an Idaho medical savings account .................
.
00
70
71. TOTAL DUE. Add lines 69 and 70. Make check or money order payable to the Idaho State Tax Commission ...
.
71
00
72. OVERPAID. Line 68 minus lines 60 and 70 .........................................................................................................
72
00
.
73. REFUND. Amount of line 72 to be refunded to you ....................................................................................
00
.
00
.
74
74. ESTIMATED TAX. Amount of line 72 to be applied to your 2012 estimated tax ..................................................
.
.
75. DIRECT DEPOSIT. See instructions, page 18.
.
Check if final deposit destination is outside of the U.S.
Type of
.
Checking
Routing No.
Account No.
Account:
Savings
00
76. Total due (line 71) or overpaid (line 72) .........................................
76
{,i¦}
00
77. Refund from original return plus additional refunds ......................
77
00
78. Tax paid with original return plus additional tax paid .....................
78
00
79. Amended tax due or refund. Add lines 76 and 77, less line 78 ....
79

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