40087
Retirement Credit Schedule
Your last name
Rev. 12/08 Your social security number
TC-40C
Part 1 - Taxpayer Information 1. Date of birth (if born after 1952, you do not qualify for credit)
You
1
mm
Spouse
/
dd
/
yyyy mm
/
dd
/
yyyy
Part 2 - Age 65 or Older - Credit 2. Check box if you were age 65 or older and born before January 1, 1953 3. Enter total number of boxes checked on line 2 4. Multiply the number on line 3 by $450 Part 3 - Under Age 65 - Retirement Income Credit 5. Check box if you were under age 65 and born before January 1, 1953 6. If you checked a box on line 5, enter $288 in the same column, otherwise enter "0" 7. Enter total qualified retirement income for column checked on line 5 (see inst.) 8. Multiply the amount on line 7 for each column by .06 (6%) 9. Enter the lesser of line 6 or line 8 for each column 10. Enter total of both columns of line 9 Part 4 - Calculation of Credit 11. Add line 4 and line 10 12. Enter total income from your TC-40, line 6 13. Enter nontaxable interest received (federal form 1040 or 1040A, line 8b) (see inst.) 14. Modified adjusted gross income (add line 12 and line 13) 15. Enter: $16,000, if married filing separately $25,000, if single $32,000, if married filing jointly or qualifying widow(er) $32,000, if head of household 16. Subtract line 15 from line 14 - if less than zero, enter "0" If line 16 is zero, enter "0" on line 17, then go to line 18 17. Multiply line 16 by .025 (2.5%) 18. Retirement Credit - subtract line 17 from line 11 - if less than zero, enter "0" Enter this amount on your TC-40A, Part 3, using code 18
You
2 3 4
Spouse
00
Spouse
You
5 6 7 8 9
00 00 00 00
10 11
00 00 00 00 00 00
12 13 14
00 00 00 00 00
17 18
15
16
00 00
Attach completed schedule to your 2008 Utah income tax return.