Filing Status |
1 |
|
$1,500 Single |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
and |
2 |
|
$3,000 Married filing joint return (even if only one spouse had income) |
|
|
|
|
5 |
|
Name |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Exemptions |
3 |
|
$1,500 Married filing separate return. Complete line 5 with spouse’s name and soc. sec. no. |
|
|
|
|
|
Soc. Sec. No. |
|
|
|
|
|
|
|
|
|
|
|
Check only one box |
4 |
|
$3,000 Head of family (with qualifying person). (See page 7 of instructions.) Complete line 5. |
|
|
|
|
|
Relationship |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6 |
Wages, salaries, tips, etc. (list each employer and address separately). |
|
|
|
|
|
|
|
A — Alabama tax withheld |
|
|
B — Income |
|
|
|
a |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6a |
|
|
|
|
|
|
|
|
|
00 |
6a |
|
|
|
00 |
|
Income |
b |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6b |
|
|
|
|
|
|
|
|
|
00 |
6b |
|
|
|
00 |
|
and |
c |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6c |
|
|
|
|
|
|
|
|
|
00 |
6c |
|
|
|
00 |
|
Adjustments |
d |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6d |
|
|
|
|
|
|
|
|
|
00 |
6d |
|
|
|
00 |
|
|
7 |
Interest and dividend income. If over $1,500.00, use Form 40 |
. . . . . . |
. . . . . . . . . . . . . . . |
. |
. . |
. . . . . |
. . . . |
|
|
. . |
. . . . |
|
. . . . |
. . |
. . . . |
|
. |
. . . . |
|
. . . |
|
. |
7 |
|
|
|
00 |
|
|
8 |
Total income. Add lines 6a through 6d and 7 (column B) . |
. . . |
. . . . . . |
. . . . . . . . . . . . . . . |
|
. . . |
. . . . . |
. . . . |
|
|
. . |
. . . . |
|
. . . . |
. . . . . . |
|
. |
. . . . |
|
. . . |
|
. . . . |
8 |
|
|
|
00 |
|
Deductions |
9 |
Standard Deduction (complete Part III, and enter amount here) |
. . . |
|
|
|
|
9 |
|
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
|
You Must Attach page |
10 |
Federal tax liability (see instructions) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2 of Federal Form |
. . . . . . |
. . . . . . |
. . . |
. . . . |
. . . . . . . . . . . . . . . . . |
. |
. . |
. . . . . |
. . . |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
|
1040, page 2 of Federal |
|
DO NOT ENTER THE FEDERAL TAX WITHHELD FROM YOUR FORM W-2(S) |
|
|
|
|
|
10 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Form 1040A or page 1 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
11 |
Personal exemption (from line 1, 2, 3, or 4) |
|
|
|
|
|
|
|
|
|
|
|
|
|
11 |
|
|
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
|
of Form 1040EZ, or a |
. . . . . . |
. . . . . . |
. . . |
. . . . |
. . . . . . . . . . . . . . . . . |
. |
. . |
. . . . . |
. . . |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
copy of your Telefile |
12 |
Dependent exemptions (from page 2, Part II, line 2) |
|
|
|
|
|
|
|
|
|
|
|
12 |
|
|
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
|
Schedule if claiming a |
. . . |
. . . . |
. . . . . . . . . . . . . . . . . |
. |
. . |
. . . . . |
. . . |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
deduction on line 10. |
13 |
. . . . . . . . . . . . .Total deductions. Add lines 9, 10, 11, and 12 |
. . . . . . |
. . . . . . . . . . . . . . . |
|
. . . |
. . . . . |
. . . . |
|
|
. . |
. . . . |
|
. . . . |
. . . . . . |
|
. |
. . . . |
|
. . . |
|
. . . . |
13 |
|
|
|
00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14 |
Taxable income. Subtract line 13 from line 8. Enter the result |
. . . . . . |
. . . . . . . . . . . . . . . |
|
. . . |
. . . . . |
. . . . |
|
|
. . |
. . . . |
|
. . . . |
. . . . . . |
|
. |
. . . . |
|
. . . |
|
. . . . |
14 |
|
|
|
00 |
|
|
15 |
Find the tax for the amount on line 14. Use the tax table in the Instruction Booklet |
. . . . . |
. . . . |
|
|
. . |
. . . . |
|
. . . . |
. . . . . . |
|
. |
. . . . |
|
. . . |
|
. . . . |
15 |
|
|
|
00 |
|
Tax and |
16 |
Consumer Use Tax (use worksheet on page 9) |
. . . . . . |
. . . . . . . . . . . . . . . |
|
. . . |
. . . . . |
. . . . |
|
|
. . |
. . . . |
|
. . . . |
. . . . . . |
|
. |
. . . . |
|
. . . |
|
. . . . |
16 |
|
|
|
00 |
|
Payments |
17 |
You may make a voluntary contribution to: |
. . . . . . . .a Alabama Democratic Party |
|
|
$1 |
|
$2 |
|
|
|
. . . . . . . . . . . .none |
|
. |
17a |
|
|
|
00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Staple Form(s) |
|
|
|
|
|
b Alabama Republican Party |
|
|
$1 |
|
$2 |
|
|
|
none |
|
|
|
. |
17b |
|
|
|
00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
W-2, W-2G, |
|
|
|
|
|
c Neighbors Helping Neighbors |
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
. |
|
. |
17c |
|
|
|
00 |
|
and/or 1099 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
. . . . |
|
. |
. . . . |
|
. . |
|
|
|
|
|
here. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
00 |
|
18 |
Total tax liability and voluntary contribution. Add lines 15, 16, 17a, 17b, and 17c . . . . |
. . . . . . . . |
. |
. |
|
. . . |
. . |
. . . . |
. . |
. . . . |
|
. |
. . . . |
. |
. . |
|
. |
18 |
|
|
|
|
|
19 |
Alabama income tax withheld. Add lines 6a thru 6d, column A |
. . . . |
|
|
. . |
. . . . |
|
. . . . |
. . . . . . |
|
. |
. . . . |
|
. . . |
|
. . . . |
19 |
|
|
|
00 |
|
AMOUNT |
20 |
If line 18 is larger than line 19, subtract line 19 from line 18, and enter AMOUNT YOU OWE. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Place payment, along with Form 40V, loose in the mailing envelope. (FORM 40V MUST ACCOMPANY PAYMENT.) |
|
|
|
|
|
|
AMOUNT YOU OWE |
|
|
YOU OWE |
|
|
|
|
|
|
|
|
|
|
If paying by credit card do not include Form 40V and check here |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
20 |
|
|
|
|
|
|
.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
. . . . . . . . . . . . . . |
. . |
. . . . . . . . |
. |
. |
|
. . . |
. . |
. . . . |
. . |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OVERPAID |
21 |
If line 19 is larger than line 18, subtract line 18 from line 19 and enter amount OVERPAID |
|
|
. . |
. . . . |
|
. . . . |
. . |
. . . . |
|
. |
. . . . |
|
. . . |
|
. |
21 |
|
OVERPAID |
|
00 |
|
|
22 |
You may donate all or part of your overpayment. (Enter $1, $5, $10, $25, none, or other amount in the appropriate boxes). |
|
|
|
|
|
|
PLEASE |
|
|
|
|
a |
Senior Services Trust Fund |
|
|
00 |
f |
AL Indian Children's Scholarship Fund . |
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
• Verify your social |
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
|
b |
AL Arts Development Fund |
|
|
g Penny Trust Fund |
|
|
. . |
|
|
|
|
|
|
|
|
|
|
|
security number |
|
|
|
Donation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
• Recheck your math |
|
c |
AL Nongame Wildlife Fund |
|
|
00 |
h Foster Care Trust Fund |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
. . . . . . . . . . . |
|
|
. . |
|
|
|
|
|
|
|
|
|
|
• Sign return below |
|
|
Check-offs |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
d |
Child Abuse Trust Fund . . . |
|
|
|
00 |
i |
Mental Health |
|
|
. . |
|
|
|
|
|
|
|
|
|
00 |
|
|
• Attach W-2 form(s) |
|
|
e |
AL Veterans Program |
|
|
|
00 |
j |
AL Breast & Cervical Cancer Program . |
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
k AL 4-H Club |
|
|
. . |
|
|
|
|
|
|
|
|
|
|
|
00 |
|
|
|
|
|
|
|
23 |
. . . . . . . . .Total. Add lines 22a, b, c, d, e, f, g, h, i, j, and k |
. . . . . . . |
. . . . . . . . . . . . . . . . . . |
. . . . . . . . . . |
. . |
|
|
. . . |
. . |
. |
. . . . |
. . . . . |
|
|
. |
. . . . . |
|
. . |
. |
. . . |
23 |
|
|
|
00 |
|
REFUND |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CN |
|
|
REFUND |
|
|
24 |
REFUNDED TO YOU. Subtract line 23 from line 21. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(You MUST SIGN this return before your refund can be processed.) |
|
|
. . |
. . . |
. |
. . . . |
. . . . . |
|
|
. . |
. . . . |
|
. . . |
|
. |
24 |
|
|
|
00 |
|