Fillable Form Tc-40 - Utah Individual Income Tax Return

Utah Income Tax Return TC-40 (2002) Page 2

18. Enter tax amount (

if full-year Utah resident, enter tax from line 16 - if non or part-year resident, enter tax from line 17

)

Credit for income tax paid to another state (page 10). Attach state form TC-40A, PART 1. Nonresidents do not

19.

qualify for this credit. Attach a signed copy of each state return for which you are claiming credit for taxes paid.

20. Nonrefundable credits (pages 10 through 13 - add lines 20a through 20f and enter the total nonrefundable credits on line 20)

CODE

CODES for

20a.

20e.

20c.

20a - 20f

20b.

20f.

20d.

on page 10

If claiming the Qualified Sheltered Workshop cash contribution credit (

code 02

), write the

Qualified Sheltered Workshop name here:

___________________________________________________

21. Subtotal (add lines 19 and 20)

22. Subtract line 21 from line 18 (Note: if line 21 is greater than or equal to line 18, enter zero)

23. Contributions (page 13 - 14)

23a. Homeless trust fund

23a

23b. Kurt Oscarson children s organ transplant fund

23b

23c. Utah nongame wildlife fund

23c

23d. Nonprofit school district foundation

School district code

23d

Total contributions (add lines 23a through 23d)

24. AMENDED RETURNS ONLY - previous refunds (page 14)

25. Tax from recapture of credits (page 14)

26. Utah use tax (page 14)

27. Total tax, use tax and additions to tax (add lines 22 through 26)

28.

UTAH TAX WITHHELD

(must attach Utah W-2 and/or 1099 forms) (page 14)

29. Credit for Utah income taxes prepaid (page 15)

30. AMENDED RETURNS ONLY - previous payments (page 15)

31. Refundable credits (page 15 - add lines 31a through 31f and enter the total refundable credits on line 31)

CODE

CODES for

31a.

31e.

31c.

31a - 31f

31b.

31f.

on page 15

31d.

If claiming the nonresident shareholder's tax

credit (

code 43

), enter your federal ID number

32. Total withholding and credits (add lines 28 through 31)

33. Tax due

- If line

is larger than line

, subtract line

from line

27 This is the amount you owe.

You will be billed for any penalty and interest owed. See pages 15 - 16 about payment and payment agreements.

TAX DUE

Use the envelope enclosed or mail payment to Utah State Tax Commission, 210 N 1950 W, SLC, UT 84134-0266

REFUND

34. Refund

- If line

is larger than line

, subtract line

from line

32 This is your refund.

(page 16)

Use the envelope enclosed or mail return to Utah State Tax Commission, 210 N 1950 W, SLC, UT 84134-0260

35.

Enter the amount of refund you want applied to your 2003 taxes. Your refund will be reduced by this amount. (page 16)

If this is an AMENDED return, you cannot apply your refund to next year’s tax liability.

Amount to be

applied to 2003

36.

Do you want your REFUND DEPOSITED DIRECTLY into your account? If you choose to DIRECT DEPOSIT, provide the

routing and account information below. You will not receive a check in the mail. (See page 16)

Routing number

What type of account is it?

Account number

Checking

Savings

account

Under penalties of perjury, I declare that to the best of my knowledge and belief, this return and accompanying schedules reflect my true tax status.

Your signature

Date signed

Spouse' s signature (if filing jointly, both MUST sign even if only one had income)

Date signed

SIGN

HERE

Paid preparer' s signature

Date signed

Preparer' s Social Security no. or PTIN

Check if self-employed

Paid

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

Telephone number

E.I. number

Preparer' s

Section

Paid preparer' s complete address

City

State

ZIP code

IMPORTANT: To protect your privacy, use the "clear form" button when you are finished.

Clear form

Form Tc-40 - Utah Individual Income Tax Return - 2002 Page 2

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