Military Personnel Instructions - Utah Page 13

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Non and Part-year Resident Schedule
TC-40B
40606
2016
SSN
Last name
Nonresident Married Military
USTC ORIGINAL FORM
/
/
/
/
Residency Status:
Nonresident: Home state abbreviation:
Part-year resident from:
to
Service Member and Spouse
mm/dd/yy
mm/dd/yy
Income
Col. A - UTAH
Col. B - TOTAL
38775
68350
.00
.00
1
Wages, salaries, tips, etc. (1040/1040A line 7, 1040EZ line 1)
1200
.00
.00
2
Taxable interest income (1040/1040A line 8a, 1040EZ line 2)
.00
.00
3
Ordinary dividends (1040/1040A line 9a)
.00
.00
4
Taxable refunds, credits, or offsets of state and local income taxes (1040 line 10)
.00
.00
5
Alimony received (1040 line 11)
.00
.00
6
Business income or (loss) (1040 line 12)
.00
.00
7
Capital gain or (loss) (1040 line 13, 1040A line 10)
.00
.00
8
Other gains or (losses) (1040 line 14)
.00
.00
9
IRA distributions - taxable amount (1040 line 15b, 1040A line 11b)
.00
.00
10
Pensions and annuities - taxable amount (1040 line 16b, 1040A line 12b)
.00
.00
11
Rental real estate, royalties, partnerships, S corporations, trusts, etc. (1040 line 17)
.00
.00
12
Farm income or (loss) (1040 line 18)
.00
.00
13
Unemployment compensation (1040 line 19, 1040A line 13, 1040EZ line 3)
.00
.00
14
Social Security benefits - taxable amount (1040 line 20b, 1040A line 14b)
.00
.00
15
Other income (1040 line 21)
.00
.00
16
Additions to income from TC-40A, Part 1 (Utah portion only in Utah column)
38775
69550
.00
.00
17
Total income (loss) - add lines 1 through 16 for both columns A and B
Adjustments
Col. A - UTAH
Col. B - TOTAL
.00
.00
18
Educator expenses (1040 line 23, 1040A line 16)
.00
.00
19
Certain business expenses of reservists, performing artists, etc. (1040 line 24)
.00
.00
20
Health savings account deduction (1040 line 25)
.00
.00
21
Moving expenses (1040 line 26) - enter in col. A only expenses moving into Utah
.00
.00
22
Deductible part of self-employment tax (1040 line 27)
.00
.00
23
Self-employed SEP, SIMPLE and qualified plans (1040 line 28)
.00
.00
24
Self-employed health insurance deduction (1040 line 29)
.00
.00
25
Penalty on early withdrawal of savings (1040 line 30)
.00
.00
26
Alimony paid (1040 line 31a)
.00
.00
27
IRA deduction (1040 line 32, 1040A line 17)
.00
.00
28
Student loan interest deduction (1040 line 33, 1040A line 18)
.00
.00
29
Tuition and fees (1040 line 34, 1040A line 19)
.00
.00
30
Domestic production activities deduction (1040 line 35)
.00
.00
31
Taxable refunds, credits, or offsets of state and local income taxes (1040 line 10)
9950
40125
.00
.00
32
Subtractions from income from TC-40A, Part 2 (Utah portion only in Utah column)
.00
.00
33
(see instructions):
9950
40125
.00
.00
34
Total adjustments - add lines 18 through 33 for both columns A and B
28825
29425
.00
.00
35
Subtract line 34 from line 17 for both columns A and B
Line 35, column B must equal TC-40, line 9
Non or Part-year Resident Utah Tax
0 . 9 7 9 6
36
Divide line 35 column A by line 35 column B (to 4 decimal places)
36
Do not enter a number greater than 1.0000 or less than 0.0000
372
.00
37
Subtract TC-40, line 24 from TC-40, line 23 and enter the result (not less than zero) here
37
364
.00
38
Multiply line 37 by the decimal on line 36. This is your Utah tax. Enter on TC-40, page 2, line 25
• 38
Submit this page ONLY if data entered.
Attach completed schedule to your Utah Income Tax Return.
57
page 13

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