Form 8689 - Allocation Of Individual Income Tax To The U.s. Virgin Islands - 2012

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8689
Allocation of Individual Income Tax
OMB No.
1545-0074
2012
Form
to the U.S. Virgin Islands
Department of the Treasury
Attach to Form 1040.
▶
Attachment
85
Internal Revenue Service
Information about Form 8689 and its instructions is at
▶
Sequence No.
Your social security number
Name(s) shown on Form 1040
Part I
Income From the U.S. Virgin Islands
1
Wages, salaries, tips, etc.
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Taxable interest .
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Ordinary dividends .
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4
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Taxable refunds, credits, or offsets of local U.S. Virgin Islands income taxes .
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5
Alimony received
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Business income or (loss)
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Capital gain or (loss) .
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Other gains or (losses)
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IRA distributions (taxable amount) .
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Pensions and annuities (taxable amount)
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Rental real estate, royalties, partnerships, S corporations, trusts, etc. .
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Farm income or (loss) .
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Unemployment compensation .
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Social security benefits (taxable amount)
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15
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Other income. List type and amount
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16
Add lines 1 through 15. This is your total income
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16
▶
Part II
Adjusted Gross Income From the U.S. Virgin Islands
17
Educator expenses
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Certain business expenses of reservists, performing artists, and
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fee-basis government officials .
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Health savings account deduction
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Moving expenses .
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Deductible part of self-employment tax .
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Self-employed SEP, SIMPLE, and qualified plans .
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Self-employed health insurance deduction .
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Penalty on early withdrawal of savings
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IRA deduction
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Student loan interest deduction
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Tuition and fees deduction .
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Add lines 17 through 27 .
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29
Subtract line 28 from line 16. This is your adjusted gross income .
29
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Part III
Allocation of Tax to the U.S. Virgin Islands
30
Enter amount from Form 1040, line 61
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30
Enter the total of the amounts from Form 1040, lines 56, 57, 59a, 64a, 65, 66, and 71 (boxes c and
31
d). Include any uncollected social security and Medicare or tier 1 RRTA tax, tax on excess golden
parachute payments, or excise tax on insider stock compensation reported on line 60. Also
include any amount from Form 5329, Parts III, IV, V, VI, VII, or VIII reported on Form 1040, line 58 .
31
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Subtract line 31 from line 30
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32
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Enter amount from Form 1040, line 38
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33
×
34
Divide line 29 above by line 33. Enter the result as a decimal (rounded to at least 3 places). Do not enter more than 1.000
34
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35
Multiply line 32 by line 34. This is your tax allocated to the U.S. Virgin Islands
35
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Part IV
Payments of Income Tax to the U.S. Virgin Islands
36
Income tax withheld by the U.S. Virgin Islands .
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36
37
2012 estimated tax payments and amount applied from 2011 return
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Amount paid with Form 4868 (extension request) .
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38
Add lines 36 through 38. These are your total payments .
39
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39
▶
40
Enter the smaller of line 35 or line 39. Also, include this amount in the total on Form 1040, line 72.
On the dotted line next to line 72, enter “Form 8689” and show this amount .
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40
41
Overpayment to the U.S. Virgin Islands. If line 39 is more than line 35, subtract line 35 from line 39.
41
42
Amount of line 41 you want refunded to you .
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42
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43
Amount of line 41 you want applied to your 2013 estimated tax
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43
44
Amount you owe to the U.S. Virgin Islands. Subtract line 39 from line 35. Enter only the amount you
44
are paying here and on Form 1040, line 72. Next to line 72, enter “Form 8689” and the amount paid
▶
8689
For Paperwork Reduction Act Notice, see Form 1040 instructions.
Form
(2012)
Cat. No. 64603D

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