Free TC-40B - Utah

Attach completed schedule to your 2004 Utah income tax return
Taxpayer's last name

Print form

Clear form

Taxpayer's social security number

Retirement Income Exemption/Deduction

TC-40B Rev. 12/04

You qualify to take the retirement income exemption/deduction if (1) you, or your spouse if filing jointly, are age 65 or older at the end of the tax year; or (2) you, or your spouse if filing jointly, are under age 65 and received qualifying taxable retirement income. See pages 6 and 7 of instructions for definition of what is and is not qualifying retirement income. 1. Age 65 or older - Retirement Income Exemption Check the "Self" box if age 65 or older Self If filing jointly, check the "Spouse" box if spouse is age 65 or older Spouse Total boxes checked ______ x $7,500 =
1 $

00

2. Under age 65 - Retirement Income Deduction (if you, and your spouse if filing jointly, are age 65 or older, skip to line 3) Line 2a is limited to qualifying taxable retirement income up to $4,800 per retiree and can only be used by the retiree who earned the income. ATTACH ALL FORMS 1099R, SSA-1099, or other documentation to support your deduction. Self Date of birth a. Qualified retirement income b. Retirement limitation a. $ b. $ c. $
$

Spouse

4,800

$

4,800
=
2 $

c. Enter the lesser of a or b for each column. Add "Self" and "Spouse" amounts on line "c." for total. 3. Total (add lines 1 and 2)

+$

00 00

3 a. $ b. $ c. $ 4 $

4. Adjusted income a. Enter federal adjusted gross income (form TC-40, line 4) b. Enter any lump-sum amount (form TC-40, line 6, code 51) c. Enter non-taxable interest amount (federal form 1040 or 1040A, line 8b) Adjusted income (add lines 4a through 4c) 5.Enter: (a) $32,000 - if married filing jointly, head of household, or qualifying widow(er) (b) $16,000 - if married filing separately (c) $25,000 - if single 6. Subtract line 5 from line 4 (if zero or less, enter zero) 7. One-half of line 6 (line 6 divided by 2)

00

5

00 00
7

Round to nearest whole dollar.

6

00 00

8. Subtract line 7 from line 3. This is your retirement exemption/deduction. Enter on TC-40, line 12. Do not enter an amount less than zero.

8 $