Form 740 - Schedule M - Kentucky Federal Adjusted Gross Income Modifications - 2012

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2012
M
*1200030018*
SCHEDULE
Form 740
K
ENTUCKY
42A740-M
F
A
G
I
EDERAL
DJUSTED
ROSS
NCOME
M
ODIFICATIONS
➤ Attach to Form 740.
Department of Revenue
Enter name(s) as shown on tax return.
Your Social Security Number
A.
B.
Spouse
Yourself
ADDITIONS TO FEDERAL
(Use if Filing Status 2
(or Joint)
PART I
ADJUSTED GROSS INCOME
is checked.)
1 Enter interest income from bonds issued by
other states and their political subdivisions ............................................................
1
00
1
00
2 Enter self-employed health insurance
deduction from federal Form 1040, line 29 ...........................................................
2
00
2
00
3 Enter resident adjustment from partnerships,
fiduciaries and S corporations, Schedule K-1 ......................................................
3
00
3
00
4 Enter federal depreciation from Form 4562 ..........................................................
4
00
4
00
5 Enter federal Net Operating Loss ..........................................................................
5
00
5
00
6 Enter federal domestic production activities deduction
from federal Form 8903, line 25 .............................................................................
6
00
6
00
7 Other additions (list and enter total):
(a)
(b)
(c)
.............................................
7
00
7
00
8 Total Additions. Enter here and on
Form 740, page 1, line 6 .........................................................................................
8
00
8
00
SUBTRACTIONS FROM FEDERAL
PART II
ADJUSTED GROSS INCOME
9 Enter state income tax refund or credit
reported as income on federal Form 1040 ..............................................................
9
00
9
00
10 Enter interest income from U.S.
government bonds and securities .........................................................................
10
00
10
00
11 Enter excludable amount of retirement income
(attach Schedule P if more than $41,110) ..............................................................
11
00
11
00
12 Enter taxable amount of Social Security
and Railroad Retirement Board benefits
from federal Form 1040, line 20(b)
(1040A, line 14(b)) ...................................................................................................
12
00
12
00
13 Enter long-term care insurance premiums ...........................................................
13
00
13
00
14 Enter health insurance premiums not
previously deducted from income. Do not
include premiums paid with pretax dollars
(cafeteria plan) .........................................................................................................
14
00
14
00
15 Enter resident adjustment from partnerships,
fiduciaries and S corporations, Schedule K-1 .......................................................
15
00
15
00
16 Enter Kentucky depreciation from
revised Form 4562 ..................................................................................................
16
00
16
00
17 Enter Kentucky Net Operating Loss .......................................................................
17
00
17
00
18 Enter Kentucky domestic production activities
deduction (see instructions) ...................................................................................
18
00
18
00
19 Other subtractions (list and enter total):
(a)
(b)
(c)
.............................................
19
00
19
00
20 Total Subtractions. Enter here and on
Form 740, page 1, line 8 .........................................................................................
20
00
20
00

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