FORM 40 2013 13110140 Individual Income Tax Return · 13.08.2017 · 2013 Name(s) as shown on Form 40 Your social security number The itemized deductions you may claim for the

*13110140*

ADOR� CHECK BOX IF AMENDED RETURN •�

For the year Jan. 1 - Dec. 31, 2013, or other tax year:

Beginning: Ending: •Your social Spouse’s SSNsecurity number • if joint return •Your first name Initial Last name

•Spouse’s first name Initial Last name

•Present home address (number and street or P.O. Box number)

•City, town or post office State ZIP code

•Check if address Foreignoutside U.S. • � Country

FORM

40 Alabama 2013Individual Income Tax ReturnRESIDENTS & PART-YEAR RESIDENTS

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1 • � $1,500 Single 3 • � $1,500 Married filing separate. Complete Spouse SSN2 • � $3,000 Married filing joint 4 • � $3,000 Head of Family (with qualifying person).5 Wages, salaries, tips, etc. (list each employer and address separately):

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6 Interest and dividend income (also attach Schedule B if over $1,500) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 Other income (from page 2, Part I, line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 Total income. Add amounts in the income column for line 5a through line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Total adjustments to income (from page 2, Part II, line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10 Adjusted gross income. Subtract line 9 from line 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11 Box a or b MUST be checked.

Check box a, if you itemize deductions, and enter amount from Schedule A, line 27.

Check box b, if you do not itemize deductions, and enter standard deduction (see instructions)

• a � Itemized Deductions • b � Standard Deduction . . . . . . . . .12 Federal tax deduction (see instructions)

DO NOT ENTER THE FEDERAL TAX WITHHELD FROM YOUR FORM W-2(S)

13 Personal exemption (from line 1, 2, 3, or 4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14 Dependent exemption (from page 2, Part III, line 2). . . . . . . . . . . . . . . . . . . . . . . . . . .

15 Total deductions. Add lines 11, 12, 13, and 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16 Taxable income. Subtract line 15 from line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17 Income Tax due. Enter amount from tax table or check if from • � Form NOL-85A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Net tax due Alabama. Enter amount from Schedule NTC, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19 Consumer Use Tax (see instructions). If you certify that no use tax is due, check box � . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Alabama Election Campaign Fund. You may make a voluntary contribution to the following:

a Alabama Democratic Party � $1 � $2 � none. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .b Alabama Republican Party � $1 � $2 � none. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

21 Total tax liability and voluntary contribution. Add lines 18, 19, 20a, and 20b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22 Alabama income tax withheld (from Forms W-2, W-2G, and/or 1099) . . . . . . . . .

23 2013 estimated tax payments/Automatic Extension Payment . . . . . . . . . . . . . . . . . .

24 Amended Returns Only — Previous payments (see instructions) . . . . . . . . . . . . . . .

25 Refundable portion of Alabama Accountability Act of 2013 Credit . . . . . . . . . . . . . . .

26 Total payments. Add lines 22, 23. 24 and 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

27 Amended Returns Only — Previous refund (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28 Adjusted Total Payments. Subtract line 27 from line 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

29 If line 21 is larger than line 28, subtract line 28 from line 21, and enter AMOUNT YOU OWE.

Place payment, along with Form 40V, loose in the mailing envelope. (FORM 40V MUST ACCOMPANY PAYMENT.)

30 Estimated tax penalty. Also include on line 29 (see instructions page 11) . . . . . . . .

31 If line 28 is larger than line 21, subtract line 21 from line 28, and enter amount OVERPAID . . . . . . . . . . . . . . . . . . . . . . . . . . .

32 Amount of line 31 to be applied to your 2014 estimated tax . . . . . . . . . . . . . . . . . . .

33 Total Donation Check-offs from Schedule DC, line 2 . . . . . . . . . . . . . . . . . . . . . . . . .

34 REFUNDED TO YOU. (CAUTION: You must sign this return on the reverse side.)

Subtract lines 32 and 33 from line 31. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

For Direct Deposit, check here • � and complete Part V, Page 2. • � Check this box to have your refund issued on a debit card.

Donations

REFUND

Filing Status/Exemptions

IncomeandAdjustments

TaxStaple Form(s)W-2, W-2G,and/or 1099 here.

Deductions

Payments

AMOUNTYOU OWE

OVERPAID

B – IncomeA – Alabama tax withheld

You Must Attach page 2 of FederalForm 1040, Federal Form1040A, FederalForm 1040NR, orpage 1 of 1040EZ,if claiming a de-duction on line 12.

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*130002401283*

DirectDeposit

PART I

PART II

PART IV

PART V

PART III

Form 40 (2013) Page 2

OtherIncome(See page 12)

Adjustmentsto Income(See page 15)

GeneralInformation

All TaxpayersMust Complete This Section.

(See page 15)

WHERE TOFILEFORM 40

Dependents

Do not includeyourself oryour spouse

(See page 15)

Dependents:(1) First name Last name

(4) Did you providemore than one-half

dependent's support?

(3) Dependent’s Relationship to You

(2) Dependent’s Social Security Number

Sign HereIn Black InkKeep a copyof this returnfor your records.

PaidPreparer’sUse Only

For Direct Deposit of your refund, complete 1, 2, 3, and 4 below. (See Page 16 of instructions to see if you qualify.)

1 Routing Number: 2 Type: � Checking � Savings 3 Account Number:4 Is this refund going to or through an account that is located outside of the United States? � Yes � No

1 Residency Check only one box �• � Full Year • � Part Year From 2013 through 2013.2 Did you file an Alabama income tax return for the year 2012? � Yes � No If no, state reason3 Give name and address of present employer(s). Yours

Your Spouse’s

4 Enter the Federal Adjusted Gross Income • $ and Federal Taxable Income • $ as reported on your2013 Federal Individual Income Tax Return.

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

Source Amount

Source Amount

1 Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

4a Total IRA distributions 4a 4b Taxable amount (see instructions) . . . . . . . . . . . .

5a Total pensions and annuities 5a 5b Taxable amount (see instructions) . . . . . . . . . . . .

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

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

8 Other income (state nature and source — see instructions)

9 Total other income. Add lines 1 through 8. Enter here and also on page 1, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

4 Alimony paid. Recipient’s last name SSN •5 Adoption expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Moving Expenses (Attach Federal Form 3903) to:

City State ZIP

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

8 Payments to Alabama PACT Program or Alabama College Education Savings Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Health insurance deduction for small employer employee (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10 Costs to retrofit or upgrade home to resist wind or flood damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11 Deposits to a catastrophe savings account . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12 Total adjustments. Add lines 1 through 11. Enter here and also on page 1, line 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If you are not making a payment, mail your return to: If you are making a payment, mail your return, Form 40V, and payment to:Alabama Department of Revenue, PO Box 154, Montgomery, AL 36135-0001 Alabama Department of Revenue, PO Box 2401, Montgomery, AL 36140-0001Mail only your 2013 Form 40 to one of the above addresses. Prior year returns, amended returns, and all other correspondence should be mailed to Alabama Department of Revenue, PO Box 327464, Montgomery, AL 36132-7464. ADOR

b Total number of dependents claimed above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •2 Amount allowed. (Multiply the total number of dependents claimed on line 1b by the amount from the dependent chart on page 10.)

Enter amount here and on page 1, line 14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Your Signature Date Daytime Telephone Number Your Occupation

Spouse’s Signature (if joint return, BOTH must sign) Date Daytime Telephone Number Spouse’s Occupation

Preparer’s Signature Date Check if Self-employed Preparer’s SSN or PTIN E.I. Number

Firms’s Name (or yours Daytime ZIPif self employed) Telephone No. Code

Address

• � I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.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 com-plete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

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*130003401283*

CAUTION: Do not include expenses reimbursed or paid by others.

1 Medical and dental expenses.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Enter amount from Form 40, line 10. . . . . . . . . . . . . .

3 Multiply the amount on line 2 by 4% (.04). Enter the result. . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Subtract line 3 from line 1. Enter the result. If zero or less, enter –0–.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Real estate taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 FICA Tax (Social Security and Medicare) and Federal Self-Employment Tax. . . . . . . . . . .

7 Railroad Retirement (Tier 1 only).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 Other taxes. (List – include personal property taxes.) �

9 Add the amounts on lines 5 through 8. Enter the total here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10a Home mortgage interest and points reported to you on Federal Form 1098. . . . . . . . . . . . .

b Home mortgage interest not reported to you on Federal Form 1098. (If paid to

an individual, show that person’s name and address.) �

11 Qualified mortgage insurance premiums. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12 Points not reported to you on Form 1098.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13 Investment interest. (Attach Form 4952A.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14 Add the amounts on lines 10a through 13. Enter the total here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

CAUTION: If you made a charitable contribution and received a benefit in return,

see page 18.

15 Contributions by cash or check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16 Other than cash or check. (You MUST attach Federal Form 8283 if over $500.) . . . . . . . .

17 Carryover from prior year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18 Add the amounts on lines 15 through 17. Enter the total here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19a Enter the amount from Federal Form 4684, line 16 (See page 19). . . . . . . . . . . . . . . . . . . . .

b Enter 10% of your Adjusted Gross Income (Form 40, line 10). . . . . . . . . . . . . . . . . . . . . . . . .

c Subtract line 19b from line 19a. If zero or less, enter –0–. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20 Unreimbursed employee expenses — job travel, union dues, job education, etc.

(You MUST attach Federal Form 2106 if required. See instructions.) �

21 Other expenses (investment, tax preparation, safe deposit box, etc.). List type

and amount. �

22 Add the amounts on lines 20 and 21. Enter the total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23 Multiply the amount on Form 40, line 10 by 2% (.02). Enter the result here. . . . . . . . . . . . .

24 Subtract line 23 from line 22. Enter the result. If zero or less, enter –0–. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25 Other (from list on page 20 of instructions). List type and amount. �

CAUTION: Do not include medical premiums.

26 Enter amount here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

27 Add the amounts on lines 4, 9, 14, 18, 19c, 24, 25, and 26. Enter the total here. Then

enter on Form 40, page 1, line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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(Schedules B, and DC are on back page)ATTACH TO FORM 40 — SEE INSTRUCTIONS FOR SCHEDULE A

Alabama Department of Revenue

Schedule A–Itemized Deductions

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Medical andDental Expenses(See page 18)

Interest You Paid(See page 19)

NOTE: Personalinterest is notdeductible.

Gifts to Charity(See page 18)

Casualty and Theft Loss(Attach Form 4684)

Job Expenses and Most OtherMiscellaneousDeductions(See page 20)

OtherMiscellaneousDeductions

Qualified Long-Term Care Ins.Premiums

Total ItemizedDeductions

Taxes You Paid(See page 18)

2013

Your social security numberName(s) as shown on Form 40

The itemized deductions you may claim for the year 2013 are similar to the itemized deductions claimed on your Federal return, however, the amounts maydiffer. Please see instructions before completing this schedule. PART-YEAR RESIDENTS: A resident of Alabama for only a part of the year should list belowonly those deductions actually paid while a resident of Alabama.

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Schedule A (Form 40) 2013

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SCHEDULES

A,B,&DC(FORM 40)

ADOR

*130004401283*Sch. A, B, & DC

(Form 40) 2013 Page 2Name(s) as shown on Form 40 (Do not enter name and social security number if shown on other side) Your social security number

ADOR

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2

1 You may donate all or part of your overpayment. (Enter the amount in the appropriate boxes.)

2 Total Donations. Add lines 1a, b, c, d, e, f, g, h, i, j, k, l, m, n, o, and p. Enter here and on Form 40, page 1, line 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

AExempt Interest

List Payers and AmountsB

Taxable Interestand Dividends

3 TOTAL TAXABLE INTEREST AND DIVIDENDSEnter here and on Form 40, page 1, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•

Schedules B, & DC (Form 40) 2013

If you received more than $1500 of interest and dividend income, you must complete Schedule B. See instructions on page 21.

SCHEDULE B – Interest And Dividend Income

SCHEDULE DC – Donation Check-Offs

INTEREST

DIVIDENDS

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a Senior Services Trust Fund . . . . . . . . . . . . . . . . . . . . . . .

b Alabama Arts Development Fund . . . . . . . . . . . . . . . . . .

c Alabama Nongame Wildlife Fund . . . . . . . . . . . . . . . . . .

d Child Abuse Trust Fund . . . . . . . . . . . . . . . . . . . . . . . . . .

e Alabama Veterans Program. . . . . . . . . . . . . . . . . . . . . . .

f Alabama State Historic Preservation Fund . . . . . . . . . .

g Archives Services Fund . . . . . . . . . . . . . . . . . . . . . . . . . .

h Foster Care Trust Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Mental Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Alabama Firefighters Annuity and Benefit Fund . . . . . . . . . . . .

k Alabama Breast & Cervical Cancer Program . . . . . . . . . . . . . .

l Victims of Violence Assistance . . . . . . . . . . . . . . . . . . . . . . . .

m Alabama Military Support Foundation. . . . . . . . . . . . . . . . . . . . .

n Alabama Veterinary Medical Foundation

Spay-Neuter Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Cancer Research Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Alabama Association of Rescue Squads . . . . . . . . . . . . . . . . . .

*XX0005401283* 2013

Your social security numberName(s) as shown on Form 40

Schedule D (Form 40) 2013

1 TOTAL NET PROFIT OR (LOSS). Enter here and on Form 40, page 2, Part I, line 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � 1

DateAcquired

AmountReceived

DepreciationAllowable SinceAcquisition

Cost orOther Basis

SubsequentImprovements

DateSold

Net Profit or (Loss)(Cols. d & e

less Cols. f & g)Kind of Property

(a) (b) (c) (d) (e) (f) (g) (h)

(Schedule E is on back)ATTACH TO FORM 40 — SEE INSTRUCTIONS FOR SCHEDULES D AND E


Schedule D – Net Profit or LossSCHEDULES

D& E(FORM 40)

Net Profit or Loss From Sale of Real Estate, Stocks, Bonds, etc.

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00

00ADOR

*XX0006401283*

PART II Income from Partnerships, S Corporations, Estates and Trusts

24

25

0000

000000000000000000000000000000000000000000

00

0000

000000000000000000000000000000000000000000

00

0000

000000000000000000000000000000000000000000

00

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

Income:

3 Rents received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Royalties received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Expenses:

5 Advertising. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Auto and travel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 Cleaning and maintenance . . . . . . . . . . . . . . . . . . . . . . . . .

8 Commissions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Insurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10 Legal and other professional fees . . . . . . . . . . . . . . . . . . . .

11 Management fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

12 Mortgage interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13 Other interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14 Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

15 Supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16 Taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17 Utilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

18 Other (list) � ___________________________________

_______________________________________________

_______________________________________________

_______________________________________________

19 Add lines 5 through 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20 Depreciation expense or depletion . . . . . . . . . . . . . . . . . . .

21 Total expenses. Add lines 19 and 20 . . . . . . . . . . . . . . . . .

22 Income or (loss). Subtract line 21 from line 3 (rents) or

line 4 (royalties). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23 Total Real Estate and Royalty income or (loss). Add columns A, B, and C from line 22 and enter the result here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes No

A

B

C

1 Show the kind and location of each Rental Real Estate Property:

A

B

C

2 For each rental real estate property

listed on line 1, did you or your family

use it during the tax year for personal

purposes for more than the greater of:

• 14 days, or

• 10% of the total days rented at fair

rental value?

24 TOTAL INCOME FROM PARTNERSHIPS, S CORPORATIONS, ESTATES, AND TRUSTS. Add the amounts in column (j). Enter the

total here and include on line 25 below. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �

25 TOTAL INCOME OR (LOSS). Combine lines 23 and 24. Enter the total here and on Form 40, page 2, Part I, line 6. . . . . . . . . . . . . . . . . . . . . . . . . �

Check One

AmountEmployer

IdentificationNumber

(g) Name and Address

Schedule E (Form 40) 2013

Name(s) shown on return Your social security number

PART IIncome or Loss From Rental Real Estate and Royalties Note: Report income and expenses from your business of renting personal property on Schedule C or C-EZ.

(h) (i) (j)Partnership

Estate or Trust

S Corporation

0000

00

0000

00

00

00

00

00

00

00

2013(From Rental Real Estate, Royalties, Partnerships, S Corporations, Estates, Trusts, REMICs, etc.)

� ATTACH TO FORM 40. � SEE INSTRUCTIONS FOR SCHEDULE E (FORM 40).


Supplemental Income and LossSCHEDULE

E(FORM 40)

Properties Totals(Add Columns A, B, and C)CBA

3

4

12

19

20

23

ADOR

*130007NC1283*

ADOR

Alabama Department of RevenueNet Tax Calculation

SCHEDULE

NTC 2013

NAME SOCIAL SECURITY NUMBER

• •

•

•

•

•

•

•

•

1 Enter tax amount from Form 40, page 1, line 17 or Form 40NR, page 1, line 19. . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Enter total credits amount from Schedule OC, Part N, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Enter School Transfer Credit amount from Schedule AATC Part 1, line 28. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Enter Contribution to Scholarship Granting Organization Credit amount from Schedule AATC, Part II, line 8 . . .

7 Net tax due Alabama. Subtract line 6 from line 5. Enter amount here and on Form 40, page 1, line 18 or

Form 40NR, page 1, line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

2

3

4

5

6

7

*130008CR1283*

ADOR

Alabama Department of RevenueCredit For Taxes Paid To Other States

SCHEDULE

CR 2013

NAME(S) AS SHOWN ON THE TAX RETURN SOCIAL SECURITY NUMBER

• •

••••

••••

••••

••••

••••

••••••

•

Complete one part for each state that you are claiming credit. If there is not enough space, additional forms may be completed as needed.

PART 1

1 2013 Taxable Income as shown on the (name of state)_______________________________ state return . . . .

2 Tax due the other state using Alabama tax rates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Tax due the other state as shown on that state’s return or Form W-2G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Enter the smaller of lines 2 and 3 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART 2




8 Enter the smaller of lines 6 and 7 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART 3




12 Enter the smaller of lines 10 and 11 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART 4





PART 5





PART 6 should not be completed until a schedule has been completed for each state that you are claiming a credit.

PART 6

21 Non-Alabama Adjusted Gross Income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22 Alabama Adjusted Gross Income from Form 40, page 1, line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

23 Divide line 21 by line 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

24 Alabama Tax Liability from Form 40, page 1, line 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25 Multiply line 24 by line 23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

26 Enter the Sum of lines 4, 8, 12, 16, and 20 from Parts 1, 2, 3, 4, and 5.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

27 CREDIT ALLOWABLE…Enter amount from line 24, 25, or 26 whichever is smallest. Also enter

amount on Schedule OC, Part A, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

%

*130009AA1283*

ADOR

Alabama Department of RevenueAlabama Accountability Tax Credit

SCHEDULE

AATC 2013

NAME(S) AS SHOWN ON TAX RETURN PRIMARY SOCIAL SECURITY NO. SPOUSE SOCIAL SECURITY NO.

• • •

PART IALABAMA DEPARTMENT OF REVENUE

Credit for Transferring from Failing Public School to Nonfailing Public School or Non Public School

1 Name of student:

2 Social security number of student:

3 80% of the average annual cost of attendance for a Alabama public K-12 student . . . . . . . . . . . . . . . . . . . . . . . .

4 Actual cost of attending nonfailing public school or nonpublic school . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Enter the lesser of line 3 or line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Name of student:




10 Enter the lesser of line 8 or line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11 Name of student:




15 Enter the lesser of line 13 or line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16 Name of student:





21 Name of student:





26 Enter amount from Schedule NTC, line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

27 Add the amounts from line 5, line 10, line 15, line 20, and line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28 Enter the lesser of line 26 or line 27. Enter amount here and on Schedule NTC, line 4 . . . . . . . . . . . . . . . . . . . . . .

29 Refundable amount. Subtract line 28 from line 27. Enter amount here and on

Form 40, page 1, line 25 or Form 40NR, page 1, line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$3,564 00

$3,564 00

$3,564 00

$3,564 00

$3,564 00

•••

•••

•••

•••

•••

•••

•

3

4

5

8

9

10

13

14

15

18

19

20

23

24

25

26

27

28

29

*130010AA1283*

ADOR

1 Name of Scholarship Granting Organization:

2 Address of Scholarship Granting Organization:

3 Amount contributed for scholarship(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Enter amount from Schedule NTC, line 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Multiply line 4 by 50% (.50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Maximum credit allowable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 Credit allowable. Enter the lesser of line 3 or line 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 Credit allowed for current tax year. Enter the lesser of line 5 or line 7 and enter amount on

Schedule NTC, line 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Credit carryforward. Subtract line 8 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$7,500 00

PART IIALABAMA DEPARTMENT OF REVENUE

Credit for Contributing to Scholarship Granting Organization

Schedule AATC (2013) Page 2

••

•

••

•

•

•

4

5

7

8

9

3

6

PART A – Credit For Taxes Paid To Other States (NOTE: CR Credits are NOT allowable for Nonresidents)1 CREDIT ALLOWABLE. Enter the amount from Schedule CR, line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART B – Basic Skills Education CreditAttach this schedule to your Alabama return along with a copy of your approved certification notice issued by the Alabama

Department of Education. Enter your assigned Department of Education Certification Number ______________________________________________.

1 Name of employer/firm sponsoring the education program _________________________________________________________________________.

2 Name of approved provider _________________________________________________ Location ________________________________________.

3 Were all participants for whom you are claiming a tax credit continuously employed by you for at least 16 weeks? � Yes � No4 If the answer to line 3 is yes, did employee(s) work at least 24 hours each week? � Yes � No5 If the answer to lines 3 and 4 above is yes, enter the total expenses available for credit

(see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Total maximum credit available. Multiply line 5 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 Tax due Alabama from Form 40, page 1, line 17, or Form 40NR, page 1, line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 CREDIT ALLOWABLE. Enter the amount from line 6 or 7, whichever is smaller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART C – Rural Physician Credit1 Name of hospital and community where you live and provide medical services _________________________________________________________

_______________________________________________________________________________________________________________________.

2 Tax due Alabama from Form 40, page 1, line 17, or Form 40NR, page 1, line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Maximum Rural Physician Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 CREDIT ALLOWABLE. Enter the amount from line 2 or 3, whichever is smaller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART D – Coal Credit1 CREDIT ALLOWABLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART E – Alabama Enterprise Zone Act Credit1 Enter amount from Schedule EZK1, Part II, page 2, line 13, or Schedule EZ, Part IV, page 2, line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART F – Capital CreditYou must attach Form K-RCC to your Alabama return.

1 Enter your Project Number assigned by the Alabama Department of Revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Name of project entity entitled to the Capital Credit _______________________________________________________________________________.3 Enter tax due from Form 40, page 1, line 17, or Form 40NR, page 1, line 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Less credits:

a. CR Credit. Enter amount from Schedule OC, Part A, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b. Basic Skills Education Credit. Enter amount from Schedule OC, Part B, line 8 . . . . . . . . . . . . . . . . . . . . . . . . .

c. Rural Physician Credit. Enter amount from Schedule OC, Part C, line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d. Coal Credit. Enter amount from Schedule OC, Part D, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e. Enterprise Zone Act Credit. Enter amount from Schedule OC, Part E, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . .

f. Tariff Credit. Enter amount from Schedule OC, Part G, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g. Full Employment Act of 2011 Credit. Enter amount from Schedule OC, Part H, line 5 . . . . . . . . . . . . . . . . . . .

h. Heroes for Hire Tax Credit Act. Enter amount from Schedule OC, Part I, line 2 . . . . . . . . . . . . . . . . . . . . . . . . .

i. Heroes for Hire Tax Credit Act. Enter amount from Schedule OC, Part J, line 4. . . . . . . . . . . . . . . . . . . . . . . . .

j. Irrigation/Reservoir System Credit. Enter amount from Schedule OC, Part K, line 11 . . . . . . . . . . . . . . . . . . .

k. Credit for Taxes Paid to a Foreign Country. Enter amount from Schedule OC, Part L, line 10 . . . . . . . . . . . .

l. Alabama New Markets Development Credit. Enter amount from Schedule OC, Part M, line 1 . . . . . . . . . . . .

5 Total all credits other than Capital Credit. Add lines 4a, 4b, 4c, 4d, 4e, 4f, 4g, 4h, 4i, 4j, 4k and 4l . . . . . . . . . . . . . .

6 Tax due before Capital Credit. If line 3 is larger than line 5, subtract line 5 from line 3, and enter

the difference on line 6. If line 3 is smaller than line 5, enter zero on line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 Enter Capital Credit available from Schedule K-RCC, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 CAPITAL CREDIT ALLOWABLE. Enter the lesser of line 6 or 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART G – Tariff Credit1 CREDIT ALLOWABLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART H – Full Employment Act of 2011 Credit1 Number of full time employees on 12-31-2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Number of full time employees on 12-31-2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Number of qualifying new employees from line 3 that completed their first 12 months service in 2013 . . . . . . . . . .

5 Credit allowable. Multiply line 4 by $1,000.00. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

8

4

1

1

8

1

5

Alabama Department of RevenueOther Available Credits

ATTACH TO FORM 40 OR 40NR

SCHEDULE

OC(FORM 40 OR 40NR)

2013Your social security numberName(s) as shown on Form 40 or 40NR

2

3

5

6

7

1

3

4a

4b

4c

4d

4e

4f

4g

4h

4i

4j

4k

4l

5

6

7

1

2

3

4

$5,000 00

•

•

•

•

•

•

•

•

•

•

ADOR

*130011OC1283*

PART I – Heroes for Hire Tax Credit Act

Employee Credit

1 Number of recently deployed unemployed veterans included in line 4, Part H . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Credit Allowable. Multiply line 1 by $1,000.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART J – Heroes for Hire Tax Credit Act

Business Start-up Expenses Credit

1 Name and business ID number _____________________________________________________________________________________________.

2 Enter total amount of business start-up expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Maximum credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Credit Allowable. Enter the lesser of line 2 or line 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART K – Irrigation/Reservoir System Credit

1 Purchase cost and installation costs of irrigation system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Conversion costs to convert from fuel to electricity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Multiply line 3 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Cost of irrigation equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Cost of constructing reservoir . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 Multiply line 7 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Enter the amount from line 4 or line 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10 Maximum credit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11 Credit Allowable. Enter the lesser of line 9 or line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART L – Credit for Taxes paid to a Foreign Country

Note: All dollar figures must be in U.S. dollars.

1 S Corporation/Partnership/Estate/Trust Name _________________________________________________________________________________.

2 FEIN _________________________________________________________________________________________________________________.

3 Name of country income earned in __________________________________________________________________________________________.

4 Your pro rata share in entity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Pro rata share of income from foreign operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Alabama tax imposed on pro rata share of income from foreign operations (line 5) . . . . . . . . . . . . . . . . . . . . . . .

7 Pro rata share of tax due the foreign country as shown on that country's tax return . . . . . . . . . . . . . . . . . . . . . . .

8 Tax due Alabama from Form 40, page 1, line 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Multiply line 7 by 50% (.50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10 Credit Allowable. Enter the lesser of line 6, line 8 or line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART M – Alabama New Markets Development Credit

1 Enter amount from Notice of Certification.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART N – Summary

1 TOTAL CREDITS ALLOWABLE. Add Part A, line 1, Part B, line 8, Part C, line 4, Part D, line 1, Part E, line 1, Part F, line 8, Part G, line 1,

Part H, line 5, Part I, line 2, Part J, line 4, Part K, line 11, Part L, line 10, Part M, line 1. Enter the total here and on Schedule NTC, line 2. . . . . . . . . . . .

$2,000 00

$10,000 00

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Schedule OC

(Form 40 or 40NR) 2013

Name(s) as shown on Form 40 or 40NR Your social security number

*130012OC1283*

*XX0013491283*FORM4952A 2013ATTACH TO YOUR TAX RETURN

Alabama Department of RevenueInvestment InterestExpense Deduction

Name(s) as shown on your return

Type of return . . . . . . . . . . . . . . � Individual . . . . . . . . . . . . . � Estate . . . . . . . . . . . . . . . � Trust

Identifying number

1 Interest expense on investment debts paid or accrued in 2013. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 Disallowed investment interest expense from 2012 Form 4952A, line 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 Total investment interest expense. Add lines 1 and 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4 Net investment income. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5 Disallowed investment interest expense to be carried forward to 2014. Subtract line 4 from line 3. If zero or less, enter –0–. . . . . . .

6 Investment interest expense deduction. Enter the smaller of line 3 or line 4. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . �

1

2

3

4

5

6

GENERAL INSTRUCTIONSPURPOSE OF FORMInterest expense paid by an individual, estate, or a trust on a loan that is

allocable to property held for investment (defined below), may not be fully de-ductible in the current year. Form 4952A is used to figure the amount of in-vestment interest expense deductible for the current year and the amount, ifany, to carry forward to future years.For more details, refer to Federal Publication 550, Investment Income and

Expenses.

CAUTION: The investment interest deduction for Ala bama is computedas if the federal passive income limitation did not exist. Net capital gainfrom the disposition of investment property is included in investment in-come for Alabama purposes.

WHO MUST FILEIf you are an individual, estate, or a trust, and you claim a deduction for in-

vestment interest expense, you must complete and attach Form 4952A to yourtax return unless all of the following apply:• Your only investment income was from interest or dividends;• You have no other deductible expenses connected with the production of in-terest or dividends,

• Your investment interest expense is not more than your investment income;and

• You have no carryovers of investment interest expense from 2012.ALLOCATION OF INTEREST EXPENSE UNDER TEMPORARY FEDERALREGULATIONS SECTION 1.163-8TIf you paid or accrued interest on a loan and you used the proceeds of the

loan for more than one purpose, you may have to allocate the interest paid.This is necessary because of the different rules that apply to investment in-terest, personal interest, trade or business interest, and home mortgage in-terest. See Federal Publication 550, Investment Income and Expenses.

SPECIFIC INSTRUCTIONSLINE 1 – INVESTMENT INTEREST EXPENSE

Enter the investment interest paid or accrued during the tax year, regard-less of when the indebtedness was incurred. Include interest paid or accruedon a loan (or part of a loan) that is allocable to property held for investment.Be sure to include investment interest expense reported to you on Sched-

ule K-1 from a partnership or an S corporation. Include amortization of bondpremium on taxable bonds purchased after October 22, 1986, but before Jan-uary 1, 1988, unless you elected to offset amortizable bond premium againstthe interest payments on the bond. A taxable bond is a bond on which the in-terest is includible in gross income.Investment interest expense does not include the following:

• Home mortgage interest;• Any interest expense that is capitalized, such as construction interest sub-ject to Federal Section 263A.

LINE 4 – NET INVESTMENT INCOMENet investment income is the excess, if any, of investment income over in-

vestment expenses. Include investment income and expenses reported to youon Schedule K-1 from a partnership or an S corporation. Also include net in-vestment income from an estate or a trust.INVESTMENT INCOMEInvestment income includes income (not derived in the ordinary course of

a trade or business) from interest, dividends (reduced by qualified dividendsper federal instructions), annuities, royalties, and net gain from the dispositionof property held for investment (including capital gain distributions from mutualfunds).PROPERTY HELD FOR INVESTMENTProperty held for investment includes property that produces investment in-

come. Property held for investment also includes an interest in an activity ofconducting a trade or business in which you did not materially participate.INVESTMENT EXPENSESInvestment expenses are your allowed deductions, other than interest ex-

pense, directly connected with the production of investment income. For ex-ample, depreciation or depletion allowed on assets that produce investmentincome is an investment expense.If you have investment expenses that are included as a miscellaneous item-

ized deduction on line 21 of Schedule A (Form 40), or line 26 of Schedule A(Form 40NR), you may not have to use all of the amount for purposes of line4 of Form 4952A. The 2% adjusted gross income limitation on Schedule Amay reduce the amount.To figure the amount to use, compare the amount of the investment ex-

penses included on line 21 of Schedule A (Form 40) with the total miscella-neous expenses on line 24 of Schedule A. If you filed Schedule A (Form40NR), compare the amount on line 26 with the amount on line 29. The smallerof the investment expenses included on line 21 (or line 26) or the total of line24 (or line 29) is the amount to use to figure the investment expenses fromSchedule A for line 4.Example: Assume line 21 of Schedule A (Form 40) includes investment ex-

penses of $3,000, and line 24 is $1,300 after the 2% adjusted gross incomelimitation. Investment expenses of $1,300 are used to figure the amount of in-vestment expense for line 4. If investment expenses of $800 were included online 21 and line 24 was $1,300, investment expenses of $800 would be used.If you have investment expenses reported on a form or schedule other than

Schedule A, include those expenses when figuring investment expenses forline 4.LINE 6 – INVESTMENT INTEREST EXPENSE DEDUCTIONThis is the amount you may deduct as investment interest expense.

INDIVIDUALSEnter the amount from line 6 on line 13 of Schedule A (Form 40 or 40NR),

even if all or part of it is attributable to a partnership or an S corporation. How-ever, if any portion of this amount is attributable to royalties, enter that portionof the interest expense on Schedule E (Form 40 or 40NR).ESTATES AND TRUSTSEnter on Form 41, Page 3, Schedule B, Column C, Line 10.

Federal Income Tax Deduction Worksheet1 Enter the tax as shown on line 55, Form 1040, line 35 on Form 1040A, line 10 on Form 1040EZ or line 52 on Form 1040NR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

2 Net Investment Income Tax. Enter amount from line 17, Form 8960 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Federal Tax. Add lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 a Earned income credit (EIC). Enter the amount from line 64a, Form 1040,

line 38a on Form 1040A or line 8a on Form 1040EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4a

b Additional child tax credit. Enter the amount from line 65, Form 1040, line 39 on Form 1040A, or line 63 on Form 1040NR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4b

c American Opportunity Credit.Enter the amount from line 66, Form 1040 or line 40 on Form 1040A . . . . . . . . . . . . . . . .

4c

d Credits from Forms 2439 and 8885.Enter the amount from line 71, Form 1040 or line 67 on Form 1040NR . . . . . . . . . . . . . . .

4d

e Credits from Form 8801.Enter the amount from line 53, Form 1040 or line 50 on Form 1040NR . . . . . . . . . . . . . . .

4e

5 Add lines 4a, b, c, d and e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Subtract line 5 from line 3 and enter on line 12 on Form 40, line 9 Form 40A or

line 4, Part IV, page 2 on Form 40NR. If amount is negative enter zero. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

Column A Column B Column C

Tax Due –Total Purchase Price Tax Rate (Multiply Col. A by Col. B)

1. All purchases EXCEPT automotive vehicles and farm machinery . . . . . . . . . . . . . . .042. ATVs, off-road motorcycles, riding lawnmowers, self propelled construction equipment and other automotive vehicles that are not titled or registered by the county licensing official . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .02

3. Farm machinery or equipment and replacement parts thereof . . . . . . . . . . . . . . . . . . .015

4. TOTAL TAX DUE (Total of Column C). Carry this amount to Form 40 Line 19b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Standard DeductionMarried Filing Joint Married Filing Separate Head of Family Single____________________________ ____________________________ ____________________________ ____________________________

AL Adjusted Gross Standard AL Adjusted Gross Standard AL Adjusted Gross Standard AL Adjusted Gross StandardIncome (AL Line 10) Deduction Income (AL Line 10) Deduction Income (AL Line 10) Deduction Income (AL Line 10) Deduction

0 – 20,499 7,500 0 – 10,249 3,750 0 – 20,499 4,700 0 – 20,499 2,50020,500 – 20,999 7,325 10,250 – 10,499 3,662 20,500 – 20,999 4,565 20,500 – 20,999 2,47521,000 – 21,499 7,150 10,500 – 10,749 3,574 21,000 – 21,499 4,430 21,000 – 21,499 2,45021,500 – 21,999 6,975 10,750 – 10,999 3,486 21,500 – 21,999 4,295 21,500 – 21,999 2,42522,000 – 22,499 6,800 11,000 – 11,249 3,398 22,000 – 22,499 4,160 22,000 – 22,499 2,40022,500 – 22,999 6,625 11,250 – 11,499 3,310 22,500 – 22,999 4,025 22,500 – 22,999 2,37523,000 – 23,499 6,450 11,500 – 11,749 3,222 23,000 – 23,499 3,890 23,000 – 23,499 2,35023,500 – 23,999 6,275 11,750 – 11,999 3,134 23,500 – 23,999 3,755 23,500 – 23,999 2,32524,000 – 24,499 6,100 12,000 – 12,249 3,046 24,000 – 24,499 3,620 24,000 – 24,499 2,30024,500 – 24,999 5,925 12,250 – 12,499 2,958 24,500 – 24,999 3,485 24,500 – 24,999 2,27525,000 – 25,499 5,750 12,500 – 12,749 2,870 25,000 – 25,499 3,350 25,000 – 25,499 2,25025,500 – 25,999 5,575 12,750 – 12,999 2,782 25,500 – 25,999 3,215 25,500 – 25,999 2,22526,000 – 26,499 5,400 13,000 – 13,249 2,694 26,000 – 26,499 3,080 26,000 – 26,499 2,20026,500 – 26,999 5,225 13,250 – 13,499 2,606 26,500 – 26,999 2,945 26,500 – 26,999 2,17527,000 – 27,499 5,050 13,500 – 13,749 2,518 27,000 – 27,499 2,810 27,000 – 27,499 2,15027,500 – 27,999 4,875 13,750 – 13,999 2,430 27,500 – 27,999 2,675 27,500 – 27,999 2,12528,000 – 28,499 4,700 14,000 – 14,249 2,342 28,000 – 28,499 2,540 28,000 – 28,499 2,10028,500 – 28,999 4,525 14,250 – 14,499 2,254 28,500 – 28,999 2,405 28,500 – 28,999 2,07529,000 – 29,499 4,350 14,500 – 14,749 2,166 29,000 – 29,499 2,270 29,000 – 29,499 2,05029,500 – 29,999 4,175 14,750 – 14,999 2,078 29,500 – 29,999 2,135 29,500 – 29,999 2,02530,000 and over 4,000 15,000 and over 2,000 30,000 and over 2,000 30,000 and over 2,000

Alabama Use Tax WorksheetReport 2013 purchases for use in Alabama from out-of-state sellers

on which tax was not collected by the seller.

printlid: 14: 13: 10: 8: 7: 6: 2: 1: Please use the Green PRINT button on the first page to print this form3: 4: 9: 12: 5: 11:

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SUBIMPROVEMENTS#8: NETPROFITORLOSS#8: 0PROP#9: DATEACQ#9: DATESOLD#9: AMTREC#9: DEPREC#9: COSTORBASIS#9: SUBIMPROVEMENTS#9: NETPROFITORLOSS#9: 0PROP#10: DATEACQ#10: DATESOLD#10: AMTREC#10: DEPREC#10: COSTORBASIS#10: SUBIMPROVEMENTS#10: NETPROFITORLOSS#10: 0PROP#11: DATEACQ#11: DATESOLD#11: AMTREC#11: DEPREC#11: COSTORBASIS#11: SUBIMPROVEMENTS#11: NETPROFITORLOSS#11: 0PROP#12: DATEACQ#12: DATESOLD#12: AMTREC#12: DEPREC#12: COSTORBASIS#12: SUBIMPROVEMENTS#12: NETPROFITORLOSS#12: 0PROP#13: DATEACQ#13: DATESOLD#13: AMTREC#13: DEPREC#13: COSTORBASIS#13: SUBIMPROVEMENTS#13: NETPROFITORLOSS#13: 0PROP#14: DATEACQ#14: DATESOLD#14: AMTREC#14: DEPREC#14: COSTORBASIS#14: SUBIMPROVEMENTS#14: NETPROFITORLOSS#14: 0PROP#15: DATEACQ#15: DATESOLD#15: AMTREC#15: DEPREC#15: COSTORBASIS#15: SUBIMPROVEMENTS#15: NETPROFITORLOSS#15: 0PROP#16: DATEACQ#16: DATESOLD#16: AMTREC#16: DEPREC#16: COSTORBASIS#16: SUBIMPROVEMENTS#16: NETPROFITORLOSS#16: 0PROP#17: DATEACQ#17: DATESOLD#17: AMTREC#17: DEPREC#17: COSTORBASIS#17: SUBIMPROVEMENTS#17: NETPROFITORLOSS#17: 0PROP#18: DATEACQ#18: DATESOLD#18: AMTREC#18: DEPREC#18: COSTORBASIS#18: SUBIMPROVEMENTS#18: NETPROFITORLOSS#18: 0PROP#19: DATESOLD#19: AMTREC#19: DEPREC#19: COSTORBASIS#19: SUBIMPROVEMENTS#19: NETPROFITORLOSS#19: 0PROP#20: DATESOLD#20: AMTREC#20: DEPREC#20: COSTORBASIS#20: SUBIMPROVEMENTS#20: NETPROFITORLOSS#20: 0txtMultiScheduleD: Check here if you have more than one Schedule DCHKMULTISCHD: OffbtnSchDRtn: TOTNETPROFITORLOSS: 0NAME4A: SSSNB4A: ResetScheduleE: DESCRIPTIONPROPERTY#1: LOCATIONPROPERTY#1: YESA: OffNOA: OffDESCRIPTIONPROPERTY#2: LOCATIONPROPERTY#2: YESB: OffNOB: OffDESCRIPTIONPROPERTY#3: YESC: OffNOC: OffLOCATIONPROPERTY#3: RENTSRECEIVED#1: RENTSRECEIVED#2: RENTSRECEIVED#3: TOTRENTSRECEIVED: 0ROYALTIESRECEIVED#1: ROYALTIESRECEIVED#2: ROYALTIESRECEIVED#3: TOTROYALTIESRECEIVED: 0ADVERTISINGEXPENSE#1: ADVERTISINGEXPENSE#2: ADVERTISINGEXPENSE#3: AUTOTRAVELEXP#1: AUTOTRAVELEXP#2: AUTOTRAVELEXP#3: CLEANINGMAINTEXP#1: CLEANINGMAINTEXP#2: CLEANINGMAINTEXP#3: COMMISSIONSEXP#1: COMMISSIONSEXP#2: COMMISSIONSEXP#3: INSURANCEEXP#1: INSURANCEEXP#2: INSURANCEEXP#3: LEGALEXP#1: LEGALEXP#2: LEGALEXP#3: MGMTFEESEXP#1: MGMTFEESEXP#2: MGMTFEESEXP#3: MTGINTEXP#1: MTGINTEXP#2: MTGINTEXP#3: TOTMTG: 0OTHERINTEXP#1: OTHERINTEXP#2: OTHERINTEXP#3: REPAIRSEXP#1: REPAIRSEXP#2: REPAIRSEXP#3: SUPPLIESEXP#1: SUPPLIESEXP#2: SUPPLIESEXP#3: TAXES#1: TAXES#2: TAXES#3: UTILITIES#1: UTILITIES#2: UTILITIES#3: OTHEXP1DESCRIPTION: OTHEXP1#1: OTHEXP1#2: OTHEXP1#3: OTHEXP2DESCRIPTION: OTHEXP2#1: OTHEXP2#2: OTHEXP2#3: OTHEXP3DESCRIPTION: OTHEXP3#1: OTHEXP3#2: OTHEXP3#3: OTHEXP4DESCRIPTION: OTHEXP4#1: OTHEXP4#2: OTHEXP4#3: OTHEXP5DESCRIPTION: OTHEXP5#1: OTHEXP5#2: OTHEXP5#3: SUBTOTALEXP#1: 0SUBTOTALEXP#2: 0SUBTOTALEXP#3: 0TOTALSUBTOTALEXPENSE: 0DEPRECIATION#1: DEPRECIATION#2: DEPRECIATION#3: TOTALDEPRECIATION: 0TOTALEXPENSES#1: 0TOTALEXPENSES#2: 0TOTALEXPENSES#3: 0SCHEDULEEINCLOSS#1: 0SCHEDULEEINCLOSS#2: 0SCHEDULEEINCLOSS#3: 0TOTALREALESTATEROYALTIEINCLOSS: 0PSHIPSCORPESTATETRUSTNAME#1: PSHIPSCORPESTATETRUSTADDRESS#1: CHKPSHIP1: OffCHKESTTRST1: OffCHKSCORP1: OffPSHIPSCORPESTATETRUSTEIN: PSHIPSCORPESTATETRUSTINCLOSS#1: PSHIPSCORPESTATETRUSTNAME#2: PSHIPSCORPESTATETRUSTADDRESS#2: CHKPSHIP2: OffCHKESTTRST2: OffCHKSCORP2: OffPSHIPSCORPESTATETRUSTEIN#2: PSHIPSCORPESTATETRUSTINCLOSS#2: PSHIPSCORPESTATETRUSTNAME#3: PSHIPSCORPESTATETRUSTADDRESS#3: CHKPSHIP3: OffCHKESTTRST3: OffCHKSCORP3: OffPSHIPSCORPESTATETRUSTEIN#3: PSHIPSCORPESTATETRUSTINCLOSS#3: PSHIPSCORPESTATETRUSTNAME#4: PSHIPSCORPESTATETRUSTADDRESS#4: CHKESTTRST4: OffCHKSCORP4: OffPSHIPSCORPESTATETRUSTINCLOSS#4: CHKPSHIP4: OffPSHIPSCORPESTATETRUSTEIN#4: TOTALPSHIPSCORPESTATETRUSTINCLOSS: 0txtMultiScheduleE: Check here if you have more than one Schedule ECHKMULTISCHE: OffbtnSchERtn: TOTALSCHEDULEEINCOMELOSS: 0NAME10A: SSSNB10A: SCHNTCLN1: 0btnRtn1_gotoOCfromNTC: SCHNTCLN2: 0SCHNTCLN3: 0btnRtn1_gotoAATCfromNTC: SCHNTCLN4: 0SCHNTCLN5: 0SCHNTCLN6: 0SCHNTCLN7: 0ResetCRWksht: NAME7A: SSSNB7A: SCHCRWKSHTPTLN1A: SCHCRWKSHTPTLN1: SCHCRWKSHTPTLN2: SCHCRWKSHTPTLN3: SCHCRWKSHTPTLN4: 0SCHCRWKSHTPTLN5A: SCHCRWKSHTPTLN5: SCHCRWKSHTPTLN6: SCHCRWKSHTPTLN7: SCHCRWKSHTPTLN8: 0SCHCRWKSHTPTLN9A: SCHCRWKSHTPTLN9: SCHCRWKSHTPTLN10: SCHCRWKSHTPTLN11: SCHCRWKSHTPTLN12: 0SCHCRWKSHTPTLN13A: SCHCRWKSHTPTLN13: SCHCRWKSHTPTLN14: SCHCRWKSHTPTLN15: SCHCRWKSHTPTLN16: 0SCHCRWKSHTPTLN17A: SCHCRWKSHTPTLN17: SCHCRWKSHTPTLN18: SCHCRWKSHTPTLN19: SCHCRWKSHTPTLN20: 0SCHCRWKSHTPTLN21: SCHCRWKSHTPTLN22: 0SCHCRWKSHTPTLN23: 0SCHCRWKSHTPTLN24: 0SCHCRWKSHTPTLN25: 0SCHCRWKSHTPTLN26: 0ReturntoOCbtnRtn1: SCHCRWKSHTPTLN27: 0NAME9A: SCHAATCSPSSN: SSSNB9A: SCHAATCLN1: SCHAATCLN2: SCHAATCLN4: SCHAATCLN5: 0SCHAATCLN6: SCHAATCLN7: SCHAATCLN9: SCHAATCLN10: 0SCHAATCLN11: SCHAATCLN12: SCHAATCLN14: SCHAATCLN15: 0SCHAATCLN16: SCHAATCLN17: SCHAATCLN19: SCHAATCLN20: 0SCHAATCLN21: SCHAATCLN22: SCHAATCLN24: SCHAATCLN25: 0SCHAATCLN26: 0SCHAATCLN27: 0SCHAATCLN28: 0SCHAATCLN29: 0SCHAATCPRTIILN1: SCHAATCPRTIILN2A: SCHAATCPRTIILN2B: SCHAATCPRTIILN2C: SCHAATCPRTIILN2D: SCHAATCPRTIILN3: SCHAATCPRTIILN4: 0SCHAATCPRTIILN5: 0SCHAATCPRTIILN7: 0SCHAATCPRTIILN8: 0SCHAATCPRTIILN9: 0btnGoToNTConAATC: NAME6A: SSSNB6A: PG6LINE1PI: PG6LINE1PJ: PG6LINE2PJ: PG6LINE1PK: PG6LINE2PK: PG6LINE3PK: SCHOCK: Check this box for line 4 creditSCHOC4: OffPG6LINE4PK: 0PG6LINE5PK: PG6LINE6PK: PG6LINE7PK: 0SCHOCK2: Check this box for line 8 creditSCHOC8: OffPG6LINE8PK: 0PG6LINE9PK: 0PG6LINE1PL: PG6LINE2PL: PG6LINE3PL: PG6LINE4PL: PG6LINE5PL: PG6LINE6PL: PG6LINE7PL: PG6LINE8PL: PG6LINE9PL: 0PG6LINE1PM: btnSchOCRtntoNTC: PG6LINE1PN: 0NAME8A: SSSNB8A: CHK4952AIND: OffCHK4952AEST: OffCHK4952ATRST: OffReset4592: PG7LINE1: PG7LINE2: PG7LINE3: 0PG7LINE4: PG7LINE5: 0btnf4952artntoSchA: count: Instructions: -This form has been enhanced to complete all calculations and to compute the amount of tax due. Just key in your data prior to printing the form. If you choose to use the fill-in option, PLEASE DO NOT HANDWRITE ANY OTHER DATA ON THE FORM OTHER THAN YOUR SIGNATURE. Also, do not attach your pre-printed label to this form. It will cause problems with processing. This information will be contained in the 2-D barcode when you print the form.

-It has also been enhanced to print a two dimensional (2D) barcode. The PRINT FORM button MUST be used to generate the (2D) barcode which contains data entered on the form. The use of a 2D barcode vastly improves processing of your return and reduces the costs associated with processing your return. DATEACQ#19: DATEACQ#20: VERCTRL: NAME5A: ResetOC: SSSNB5A: PG5LINE0PB: PG5LINE1PB: PG5LINE2#1PB: PG5LINE2#2PB: PG5LINE3#1PB: OffPG5LINE3#2PB: OffPG5LINE4#1PB: OffPG5LINE4#2PB: OffPG5LINE5PB: 0PG5LINE6PB: PG5LINE7PB: 0PG5LINE1PC: PG5LINE1APC: PG5LINE2PC: 0COALCREDIT: PG5LINE1PE: PG5LINE1PF: PG5LINE2PF: PG5LINE3PF: 0PG5LINE4DPF: 0PG5LINE4EPF: 0PG5LINE4FPF: 0PG5LINE4LPF: 0PG5LINE5PF: 0PG5LINE6PF: 0PG5LINE7PF: PG5LINE8PF: 0PG5LINE1PG: PG5LINE1PH: PG5LINE2PH: PG5LINE3PH: 0PG5LINE4PH:

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FORM 40 2013 *13110140* Individual Income Tax Return · 13.08.2017 · 2013 Name(s) as shown on Form 40 Your social security number The itemized deductions you may claim for the

FORM 40 2013 13110140 Individual Income Tax Return · 13.08.2017 · 2013 Name(s) as shown on Form 40 Your social security number The itemized deductions you may claim for the