Free 2003 TC-40 Utah Income Tax Form - Utah

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Utah State Tax Commission (801) 297-2200 or 1-800-662-4335 Get information online - incometax.utah.gov

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2003
TC-40
Rev. 12/03
4 - Net operating loss 5 - Other (Page 3)
Deceased in 2003 or 2004 Deceased in 2003 or 2004 Daytime telephone number

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Utah Individual Income Tax Return
All State Income Tax Dollars Fund Education

For calendar year January 1, 2003 through December 31, 2003 or other taxable period beginning date ________________, and ending date _______________. 1 - Amended IRS return ENTER CODE (1 - 5) FOR 2 - Corrected state return AMENDED RETURN 3 - IRS audit/adjustment
Your full name (first, middle initial, last) Spouse's Social Security number Spouse's name (first, middle initial, last) Mailing address

Your Social Security number

IMPORTANT!
Social Security Number(s) Required

City Foreign city

State

ZIP code + 4

Evening telephone number Foreign country

Foreign state & zip

9 10 11

1. Filing status (page 4) a. b. c. d. e. Single Head of household

If filing married jointly or separately, enter spouse's name and social security number in the address area above.

Married filing jointly Married filing separately Qualifying widow(er)

2. Exemptions (enter the same number claimed on federal return) (page 4) a. Yourself If parents, or someone else, can claim you (or your spouse) as b. Spouse dependents, enter "0") c. Other dependents d. Disabled (see instructions) e. Total exemptions

(Checking a party does not increase your tax or reduce your refund) Yourself Spouse

3. Election campaign fund (page 4)

Democrat Green Libertarian Republican
No Contribution

D G L R

12 13

Attach W-2 and other withholding forms here

INCOME/ADDITIONS

4. Federal adjusted gross income from federal return (TeleFile Record line I, 1040EZ line 4, 1040A line 21, or 1040 line 34, page 5) 5. State income tax deducted as an itemized deduction on your 2003 federal form 1040, Schedule A, line 5 (page 5)

4 5

00 00

14 15 16

6. Additions to income (page 5 - add lines 6a through 6f and enter the total additions to income on line 6)
CODES for 6a - 6f on page 5
CODE CODE CODE

6a. 6d.

00 00

6b. 6e.

00 00

6c. 6f.

00 00

6 7 8 9 10 11 12

7. Total adjusted income (add lines 4 through 6) 8. Standard or itemized deduction (page 6) 9. Personal exemptions deduction. Multiply $2,288 by line 2e. (If the amount on line 4 is greater than $104,625, see page 6) 10. One-half of the federal tax (page 6)

DEDUCTIONS

11. State tax refund included on line 10 of federal form 1040 (page 6) 12. Retirement exemption/deduction - check box if 65 or older (pages 6 and 7) Attach form TC-40B. CODES for 13a. 13a - 13f on page 7 13d.
CODE CODE

Taxpayer is 65 or older Spouse is 65 or older 13. Other deductions (pages 7 through 9 - add lines 13a through 13f and enter the total other deductions on line 13)
CODE

00 00 00 00 00 00 00

17 18 19 20 21 22

00 00

13b. 13e.

00 00

13c. 13f.

00 00

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14. Total deductions (add lines 8 through 13) 15. Utah 2003 taxable income (subtract line 14 from line 7) If less than zero, enter zero. 16. CALCULATE INCOME TAX: Read instructions on page 9 for lines 16a and 16b.
16a Amount from worksheet

00 00 00

23 24 25 26 27

Qualified taxpayers

00

16b. Tax

16b

00

TAX

17. FOR NON OR PART-YEAR RESIDENTS ONLY - Attach form TC-40C. Following the instructions on pages 9 and 10, complete the calculations for boxes a, b and c below and enter the tax on line 17.
Nonresident. Home state abbreviation: Box a. From Column A, line 28 Part-year resident from Box c. Utah income tax ratio / / 03 to / / 03 (Multiply line 16b by the decimal in "Box c")

28 29 30

The information in the boxes below is from state form TC-40C.
Box b. From Column B, line 28 17

00

Print Utah Income Tax Return TC-40 (2003) 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)
NONREFUNDABLE CREDITS

form
18 19

Clear form
00 00

19. Credit for income tax paid to another state (page 10). Attach form TC-40A. Nonresidents do not qualify for this credit. 20. Nonrefundable credits (pages 10 through 13 - add lines 20a through 20f and enter the total nonrefundable credits on line 20) 20b. 00 20c. 00 20e. 00 00 20f. 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) 20a. 20d. CODES for 20a - 20f on page 10
CODE CODE CODE

00 00

20

00 00 00

21 22

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

23. Contributions (page 13 - add lines 23a through 23d and enter the total contributions on line 23) Homeless fund 23a. Wildlife fund 23c.

00 00

Children's transplant fund 23b. School district foundation 23d.

00 00

District Code

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24. AMENDED RETURNS ONLY - previous refunds (page 13) 25. Tax from recapture of credits (page 13) 26. Utah use tax (pages 13 and 14) 27. Total tax, use tax and additions to tax (add lines 22 through 26)

00 00 00 00 00 00 00 00

WITHHOLDING AND CREDITS

28. UTAH TAX WITHHELD (must attach Utah W-2 and/or 1099 forms) (page 14) 29. Credit for Utah income taxes prepaid (page 14) 30. AMENDED RETURNS ONLY - previous payments (page 14) 31. Refundable credits (pages 14 and 15 - add lines 31a through 31f and enter the total refundable credits on line 31) CODES for 31a - 31f on page 14
CODE CODE CODE

31a. 31d.

00 00

31b. 31e.

00 00

31c.
31f.

00 00

31

00 00 00 00
Amount to be applied to 2004

If claiming the nonresident shareholder's tax credit (code 43), enter S corporation's federal ID number

32. Total withholding and credits (add lines 28 through 31) 33. Tax due - If line 27 is greater than line 32, subtract line 32 from line 27. This is the amount you owe. You will be billed for any penalty and interest owed. See page 15 about payment and payment agreements. Use the envelope enclosed or mail payment to Utah State Tax Commission, 210 N 1950 W, SLC, UT 84134-0266 34. Refund - If line 32 is greater than line 27, subtract line 27 from line 32. This is your refund. (page 15) Use the envelope enclosed or mail return to Utah State Tax Commission, 210 N 1950 W, SLC, UT 84134-0260
REFUND TAX DUE

32

TAX DUE

33

REFUND

34

35. Enter the amount of refund you want applied to your 2004 taxes. Your refund will be reduced by this amount. (page 15) If this is an AMENDED return, you cannot apply your refund to next year's tax liability.
35

00

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) What type of account is it? Routing number Account number Checking Savings account 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. Date signed Spouse' s signature (if filing jointly, both MUST sign even if only one had income) Date signed Your signature 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) E.I. number Telephone number Preparer' s Section City State Paid preparer' s complete address ZIP code