2015 Tc-40 - Utah Individual Income Tax Return Page 2
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3Utah Individual Income Tax Return (continued)
TC-40
Pg. 2
40502
2015
SSN
Last name
USTC ORIGINAL FORM
.00
23 Enter tax from TC-40, page 1, line 22
23
.00
24 Apportionable nonrefundable credits from TC-40A, Part 3 (attach TC-40A, page 1)
• 24
.00
25 Full-year resident, subtract line 24 from line 23 (not less than zero)
• 25
Non or Part-year resident, enter the tax from TC-40B,line 38
.00
26 Nonapportionable nonrefundable credits from TC-40A, Part 4 (attach TC-40A, page 1)
• 26
.00
27 Subtract line 26 from line 25 (not less than zero)
27
.00
28 Voluntary contributions from TC-40, page 3, Part 4 (attach TC-40, page 3)
• 28
.00
29 AMENDED RETURN ONLY - previous refund
• 29
.00
30 Recapture of low-income housing credit
• 30
.00
31 Utah use tax
• 31
.00
32 Total tax, use tax and additions to tax (add lines 27 through 31)
32
.00
33 Utah income tax withheld shown on TC-40W, Part 1 (attach TC-40W, page 1)
• 33
.00
34 Credit for Utah income taxes prepaid from TC-546 and 2014 refund applied to 2015
• 34
.00
35 Pass-through entity withholding tax shown on TC-40W, Part 3 (attach TC-40W, page 2)
• 35
.00
36 Mineral production withholding tax shown on TC-40W, Part 2 (attach TC-40W, page 2)
• 36
.00
37 AMENDED RETURN ONLY - previous payments
• 37
.00
38 Refundable credits from TC-40A, Part 5 (attach TC-40A,page 2)
• 38
.00
39 Total withholding and refundable credits - add lines 33 through 38
39
.00
40 TAX DUE - subtract line 39 from line 32 (not less than zero)
• 40
.00
41 Penalty and interest (see instructions)
41
.00
42 TOTAL DUE - PAY THIS AMOUNT - add line 40 and line 41
• 42
.00
43 REFUND - subtract line 32 from line 39 (not less than zero)
• 43
.00
44 Amount of refund on line 43 to be applied to your 2016 taxes
• 44
45 DIRECT DEPOSIT YOUR REFUND - provide account information (see instructions for foreign accounts)
checking
savings
• Routing number
• Account number
Account type: •
•
Under penalties of perjury, I declare to the best of my knowledge and belief, this return and accompanying schedules are true, correct and complete.
SIGN Your signature
Date
Spouse’s signature (if filing jointly)
Date
HERE
Third Party
Name of designee (if any) you authorize to discuss this return
Designee’s telephone number
Designee PIN
Designee
•
Preparer’s signature
Date
Preparer’s telephone number
Preparer’s PTIN
Paid
•
Preparer’s
Firm’s name
Preparer’s EIN
Section
and address
•
Attach TC-40 page 3 if you are filing for a deceased taxpayer, filing a fiscal year return, filed IRS form 8886, are making voluntary contributions, requesting a direct deposit
to be sent to your Utah Educational Savings Plan, requesting a direct deposit to be sent to a foreign account, or are no longer entitled to a homeowner’s exemption.
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