Free 2006 Utah Income Tax Supplemental Schedule, TC-40S - Utah

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TC-40S
SSN
Rev. 12/06

40063

Income Tax Supplemental Schedule
Last name

Part 1 - Additions to Income (write the code and amount of each addition to income, see pages 5 and 6)

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Code Code

5 5 5 5 5

1 2 3 4 5

Lump sum distribution State taxes allocated from estate/trust Medical Savings Account (MSA) Utah Educational Savings Plan (UESP) Reimbursed adoption expenses

5 5 6 6 6

6 7 0 1 9

Child's income excluded from parent's return Municipal bond interest Untaxed income of a resident trust Untaxed income of a nonresident trust Equitable adjustments

. . . .

Total additions to income (add all additions to income and enter total here and on TC-40, line 6)

Part 2 - Other Deductions (write the code and amount of each other deduction, see pages 7 through 9)

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Code Code

7 1 7 7 7 7 7 2 3 4 5 6

Interest from U.S. Government Obligations Medical Savings Account (MSA) Utah Educational Savings Plan (UESP) Health care insurance premiums Long-term care insurance premiums Adoption expenses Native American income: Enrollment Number & Tribe - Primary

78 7 8 8 8 9 1 2 5

Railroad retirement income Equitable adjustments Gains on capital transactions Nonresident active duty military pay State tax refund distributed to trust beneficiary

. . . .

7 7

Secondary

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Total other deductions (add all other deductions and enter total here and on TC-40, line 13)

.

Part 3 - Nonrefundable Credits (write the code and amount of each nonrefundable credit, see pages 10 through 12)

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Code Code

0 1 0 2 0 0 0 0 3 5 6 7

At-home parent Qualified sheltered workshop - enter name below Renewable energy systems Clean fuel vehicle Historic preservation Enterprise zone Low-income housing

09 10 1 1 1 1 1 1 2 3 7 9

Hiring disabled Recycling market Tutoring disabled Research activities Research machinery/equipment Tax paid to another state (attach TC-40A) Live organ donation expenses

. . . . .

0 8

Total nonrefundable credits (add all nonrefundable credits and enter total here and on TC-40, line 20)

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Part 4 - Refundable Credits (write the code and amount of each refundable credit, see pages 14 and 15)

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Code Code

4 0 4 1 4 3

Targeted business tax credit Special needs adoption credit Nonresident shareholder's withholding FEIN -

46 47 48

Mineral production withholding Agricultural off-highway gas/undyed diesel Farm operation hand tools

. . . .

Total refundable credits (add all refundable credits and enter total here and on TC-40, line 30)