Virginia Resident Form 760 - Individual Income Tax Return - 2012
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2
2012
Virginia Resident Form 760
Individual Income Tax Return
File by May 1, 2013 - PLEASE USE BLACK INK
Fill in all ovals that apply:
Your fi rst name
M.I.
Last name
Suffi x
Name or fi ling status has changed since last fi ling
Spouse’s fi rst name (joint returns only) M.I.
Last name
Suffi x
Virginia return was not fi led last year
Dependent on another’s return
Number and Street - If this is a change you must fi ll in oval
Amended Return - Fill in oval if result of NOL
City, town or post offi ce and state
ZIP Code
I (We) authorize the Dept. of Taxation to discuss my
(our) return with my (our) preparer.
First 4 letters of
First 4 letters of
Locality Code
Your Social Security Number
Spouse’s Social Security Number
your last name
spouse’s last name
See instructions
-
-
-
-
Filing Status
Exemptions
Fill in oval to indicate status
Dependents
Total
}
Add the
You
Spouse
(1) Single.
Did you claim federal head of household?
Yes
A
=
x $930
=
+
+
Dollar
Amounts
(2) Married fi ling joint return (Enter spouse’s SSN above)
You
Spouse
and Enter
Total
You
Spouse
65
65
B
Total on
=
Blind
Blind
(3) Married fi ling separate return (Enter spouse’s SSN above)
or over
or over
=
x $800
Line 11
+
+
+
Spouse’s Name____________________________________
Date of Birth
Your Birth Date
Spouse’s Birth Date
-
-
-
-
(mm-dd-yyyy)
(mm-dd-yyyy)
LOSS
,
,
00
.
1. Federal Adjusted Gross Income .................................................................................................1
(from federal return - NOT FEDERAL TAXABLE INCOME)
,
,
.
00
2. Total Additions from attached Schedule ADJ, Line 3 ...................................................................2
(You must attach Schedule ADJ)
LOSS
.
,
,
00
3. Add Lines 1 and 2 ........................................................................................................................3
4. Deduction for age on January 1, 2013. See Instructions. Be sure to provide date of birth above.
.
,
00
,
+
,
=
.
00
.
00
Spouse
4
You
,
,
.
00
5. Social Security Act and equivalent Tier 1 Railroad Retirement Act benefi ts ................................ 5
(reported as taxable on federal return)
.
,
,
00
6. State Income Tax refund or overpayment credit (reported as income on federal return) ...............6
,
,
,
,
.
00
7. Subtractions from attached Schedule ADJ, Line 7 .......................................................................7
(You must attach Schedule ADJ)
,
,
.
00
8. Add Lines 4, 5, 6 and 7 ................................................................................................................8
LOSS
,
,
.
00
9. Virginia Adjusted Gross Income (VAGI) - Subtract Line 8 from Line 3 ....................................9
OR
10. Deductions-Enter Standard: Filing Status 1 = $3,000; 2 = $6,000; 3 = $3,000
Itemized:
10a. Total Itemized Deductions
10b. State and Local Income Taxes claimed on Sch. A
=
,
,
,
,
00
00
,
,
.
00
MINUS
.
.
10
11. Exemptions. Sum of total from Exemption Section A multiplied by $930 plus sum of total from
,
.
00
Exemption Section B multiplied by $800 ...................................................................................... 11
,
,
LOSS
,
,
.
00
12. Deductions from Virginia Adjusted Gross Income Schedule ADJ, Line 9 ....................................12
,
,
.
00
LOSS
13. Add Lines 10, 11 and 12 ............................................................................................................13
LOSS
,
,
00
14. Virginia Taxable Income - Subtract Line 13 from Line 9 ........................................................14
.
Offi ce Use
_________
$
LAR
DLAR
DTD
LTD
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