Schedule In-113 - Income Adjustment Calculations - 2017 Page 2
Download a blank fillable Schedule In-113 - Income Adjustment Calculations - 2017 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Schedule In-113 - Income Adjustment Calculations - 2017 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2*171131200*
Taxpayer’s Last Name
Social Security Number
* 1 7 1 1 3 1 2 0 0 *
______________________________________
_______________________________
Carried forward from
Line 16A
Line 16B
A. Federal Amount $
B. Vermont Portion $
17. IRA (1040-Line 32; 1040A-Line 17); Keogh/SEP/SIMPLE
(1040- Line 28):
.0 0
.0 0
17. __________________________________
17. __________________________________
Self ________________ 17.Spouse _______________
.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. Vermont Portion of AGI (Subtract Line 28B from Line 16B) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30. __________________________________
loss
Check to
.0 0
ç indicate
31. Non-Vermont Income (Subtract Line 30 from Line 29). Also enter on Part II, Line 33 below . . .
31. __________________________________
loss
PART II. Adjustment for Vermont Exempt Income
Check to
32. Adjusted Gross Income If Part I completed, enter Line 29 amount.
.0 0
ç indicate
32. __________________________________
Otherwise, enter amount from Form IN-111, Line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
loss
Check to
.0 0
(Full-year Vermont residents enter -0- on Line 33)
ç indicate
33. Non-Vermont Income (Line 31 above) . . . . . . .
33. __________________________________
loss
Part-Year Residents: For Lines 34-36, 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. Railroad Retirement income . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35. __________________________________
.0 0
36. Bond/note interest income from . . . . . . . . . . . . . . . . . . . . . . . . . 36. __________________________________
Vermont Telecom
Vermont Public Power
c
VSAC
c
Build America
c
c
Authority
Supply Authority
Check to
.0 0
ç indicate
37. Total (Add Lines 33-36) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37. __________________________________
loss
Check to
.0 0
ç indicate
38. Vermont income (Subtract Line 37 from Line 32) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38. __________________________________
loss
%
.
39. INCOME ADJUSTMENT % (Divide Line 38 by Line 32). Also enter on Form IN -111, Line 21. (See instructions) . . . . . . . . .è 39. ___________________
5454
Clear ALL fields
Save and go to Important Printing Instructions
Save and Print
24
Schedule IN-113, page 2 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial