Form 40 - Alabama Individual Income Tax Return - 2006 Page 2

*0612830240*

Form 40 (2006)

Page 2

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1

PART I

1

Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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2

Business income or (loss) (attach Federal Schedule C or C-EZ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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3

Gain or (loss) from sale of Real Estate, Stocks, Bonds, etc. (attach Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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4b

4a Total IRA distributions

4a

4b Taxable amount (see instructions) . . . . . . . . . . . . . . .

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5b

5a Total pensions and annuities

5a

5b Taxable amount (see instructions) . . . . . . . . . . . . . . .

Other

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6

Rents, royalties, partnerships, estates, trusts, etc. (attach Schedule E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Income

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7

Farm income or (loss) (attach Federal Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(See page 12)

8

Other income (state nature and source — see instructions)

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8

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9

9

Total other income. Add lines 1 through 8. Enter here and also on page 1, line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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1a

PART II

1a Your IRA deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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1b

b Spouse’s IRA deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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2

Payments to a Keogh retirement plan and self-employment SEP deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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3

Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Adjustments

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4

Alimony paid. Recipient’s last name

Social security no.

to Income

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4

Address

City

State

ZIP

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(See page 15)

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5

Adoption expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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6

Moving Expenses (Attach Federal Form 3903) to City

State

ZIP

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7

Self-employed health insurance deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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8

Total adjustments. Add lines 1 through 7. Enter here and also on page 1, line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART III

(4) Did you provide

Dependents:

(2) Dependent’s social security

1a

(3) Dependent’s

more than one-half

(1) First name

Last name

number.

relationship to you.

dependent's support?

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Dependents

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Do not include

yourself or

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your spouse

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b Total number of dependents claimed above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Amount allowed. (Multiply $300 by the total number of dependents claimed on line 1b.)

2

(See page 9)

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Enter amount here and on page 1, line 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

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Residency

Full Year

PART IV

1

If you were a part-year resident of Alabama during 2006, indicate your period of residence:

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Part Year

Check only one box

From

2006 through

2006. Total months

2

Did you file an Alabama income tax return for the year 2005?

Yes

No

3

If no, state reason.

General

4

Give name and address of present employer(s). Yours

Information

Your Spouse’s

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5

Enter the Federal Adjusted Gross Income

$

and Federal Taxable Income

$

as reported on your 2006

All Taxpayers

Federal Individual Income Tax Return.

Must Complete

6

Do you have income which is reported on your Federal return, but not reported on your Alabama return (other than your state tax refund)?

Yes

No

This Section.

If yes, enter source(s) and amount(s) below: (other than state income tax refund)

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Source

Amount

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Source

Amount

7

Do you have income included in this return from a grantor trust?

Yes

No

NOT A V AILABLE

PART V

For Direct Deposit of your refund, complete 1, 2, and 3 below. (See Page 16 of instructions to see if you qualify.)

1

Routing Number:

2 Type:

Checking

Savings

Direct Deposit

3

Account Number:

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I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.

Sign Here

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,

they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

In Black Ink

Your signature

Date

Daytime telephone number

Your occupation

Keep a copy

(

)

of this return

for your records.

Spouse’s signature (if joint return, BOTH must sign)

Date

Daytime telephone number

Spouse’s occupation

(

)

Preparer’s signature

Date

Preparer’s SSN or PTIN

Check if

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self-employed

Paid

Firm’s name (or yours if self-employed)

Daytime telephone number

E.I. No.

Preparer’s

(

)

Use Only

Address

ZIP Code