Form It-540 Web - Louisiana Resident - 2014 Page 6

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ATTACH TO RETURN IF COMPLETED.
Enter your Social Security Number.
SCHEDULE E – 2014 ADJUSTMENTS TO INCOME
FEDERAL ADJUSTED GROSS INCOME – Enter the amount from your Federal Form 1040EZ, Line 4,
1
1
OR Federal Form 1040A, Line 21, OR Federal Form 1040, Line 37. Check box if amount is less than zero.
INTEREST AND DIVIDEND INCOME FROM OTHER STATES AND THEIR POLITICAL
2
2
SUBDIVISIONS
2A
2A
RECAPTURE OF START CONTRIBUTIONS
3
TOTAL – Add Lines 1, 2, and 2A.
3
EXEMPT INCOME – Enter on Lines 4A through 4H the amount of exempted income included in Line 1 above.
Enter description and associated code, along with the dollar amount. See instructions beginning on page 24.
Exempt Income Description
Code
Amount
4A
4A
4B
4B
4C
4C
4D
4D
4E
4E
4F
4F
4G
4G
4H
4H
EXEMPT INCOME BEFORE APPLICABLE FEDERAL TAX
Add Lines 4A
4I
4I
through 4H.
FEDERAL TAX APPLICABLE TO EXEMPT INCOME – Use Option 1 or Option 2, see
4J
4J
instructions.
4K
EXEMPT INCOME – Subtract Line 4J from Line 4I.
4K
LOUISIANA ADJUSTED GROSS INCOME BEFORE IRC 280C EXPENSE ADJUSTMENT –
5A
5A
Subtract Line 4K from Line 3.
5B
5B
IRC 280C EXPENSE ADJUSTMENT
LOUISIANA ADJUSTED GROSS INCOME – Subtract Line 5B from Line 5A. Also, enter this
5C
5C
amount on Form IT-540, Line 7. Mark the box on Form IT-540, Line 7, indicating that Schedule E
was used.
Description - See instructions beginning on page 24.
Code
Description - See instructions beginning on page 24.
Code
Interest and Dividends on US Government Obligations
01E
START Savings Program Contribution
09E
Louisiana State Employees’ Retirement Benefits
Military Pay Exclusion
10E
02E
Taxpayer date retired: _______________ Spouse date retired _______________
Road Home
11E
Louisiana State Teachers’ Retirement Benefits
03E
Taxpayer date retired: _______________ Spouse date retired: _______________
Recreation Volunteer
13E
Federal Retirement Benefits
Volunteer Firefighter
14E
04E
Taxpayer date retired: _______________ Spouse date retired: _______________
Voluntary Retrofit Residential Structure
16E
Other Retirement Benefits
Elementary and Secondary School Tuition
17E
Provide name or statute: ________________________________________________
05E
Educational Expenses for Home-Schooled Children
18E
Taxpayer date retired: _______________ Spouse date retired: _______________
Educational Expenses for Quality Public Education
19E
Annual Retirement Income Exemption for Taxpayers 65 or over
06E
Provide name of pension or annuity: _____________________________________
Capital Gain from Sale of Louisiana Business
20E
Other, see instructions, page 25.
Taxable Amount of Social Security
07E
49E
Identify: _______________________________________________
Native American Income
08E
File
electronically!
61526
WEB

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