Form 390 American Samoa PDF Details

Navigating the intricacies of tax obligations in American Samoa requires understanding the 390 American Samoa form, a cornerstone document for filing individual income taxes within this U.S. territory. This form, issued by the Department of Treasury—American Samoa Tax Division, demands a thorough scrutiny of one's income, deductions, and applicable credits for the tax year in question, specifically aligning with the U.S. Internal Revenue Code as of December 31, 2000, subject to amendments or variations dictated by American Samoa's laws. From declaring various forms of income such as wages, dividends, and business earnings to detailing deductions including student loan interest and medical savings account contributions, the form serves as a comprehensive tool for taxpayers. It also addresses specific adjustments like the American Samoa Minimum Tax and differentiates between standard and itemized deductions to accurately calculate the total tax liability or refund due. Essential for both local and foreign residents, this pivotal document outlines the eligibility for exemptions, credits, and the appropriate means to declare tax withheld from earnings, making it a critical step in fulfilling tax responsibilities in American Samoa.

QuestionAnswer
Form NameForm 390 American Samoa
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesamerican samoa taxes, american samoa tax office website, 2018 american samoa income tax forms 390, asgtaxform com

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Form

Department of Treasury—American Samoa Tax Division

A.S. Individual Income Tax Return

The ASG has adopted legislation providing that the U.S. Internal Revenue Code in effect on December 31, 2000, shall be applicable in American Samoa

for all years thereafter, except as amended or incompatible with other American Samoa laws. Please use the 2000 tax table for computation of your tax

For the year Jan. 1–Dec. 31, 2010, or other tax year beginning

, 2010, ending

, 20

Please print or type

Filing Status

Check only one box.

Your first name and initial

Last name

Your social security number

 

 

 

 

 

 

 

 

 

 

If a joint return, spouse’s first name and initial

Last name

Spouse’s social security number

 

 

 

 

 

 

 

 

 

Home address (name of village). If you have a P.O. box

 

Home phone no

 

Business phone no.

 

 

 

 

 

 

 

 

City, town or post office, state, and ZIP code. If you have a foreign address

 

Do you live in a rental home

 

 

Yes

 

 

No

 

 

1Single

2Married filing joint return (even if only one had income)

3

Married filing separate return. Enter spouse’s social security no. above and full name here.

4Head of household (with qualifying person). (See page 19.) If the qualifying person is a child but not your dependent,

 

enter this child’s name here.

 

5

Qualifying widow(er) with dependent child (year spouse died

).

6a

Exemptions

b

Yourself. If your parent (or someone else) can claim you as a dependent on his or her tax

No. of boxes checked

return, do not check box 6a

 

on 6 a and 6b

Spouse

 

 

c

Dependents:

 

(2) Date of

 

 

(4) Dependent’s

(5)

if qualifying

 

 

 

(3)

Dependent’s

relationship to

child for child tax

 

 

 

Birth

 

 

 

 

 

 

 

 

 

 

If more than six

(1) First name

Last name

 

 

social security number

you

credit (see page 20)

dependents,

 

 

 

 

 

 

 

1

 

1

 

 

 

 

 

 

 

 

 

1

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

1

 

 

 

 

 

 

 

 

 

1

 

1

 

 

 

 

 

 

 

 

 

1

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

1

 

d Total number of exemptions claimed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No. of your children on 6c who.

!lived with you

!did not live with

you due to divorce or seperated (see page 20)

Dependents on 6c not entered above

not entered above Add numbers entered on lines above !

 

7

Wages, salaries, tips, etc. Attach Form(s) W-2 7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 

Income

7b

Tax-exempt income (as per ASCA PL 19-33)

 

 

 

 

Attach Worksheet

 

 

 

 

7c

 

8a

Taxable interest. Attach Schedule B if required 8a Income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b

Tax-exempt interest. Do not include on line 8a

 

 

 

 

 

 

 

8b

 

 

 

 

 

 

Attach

9

Ordinary dividends. Attach Schedule B if required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Forms W-2AS and

10

Taxable refunds, credits, or offsets of state and local income taxes

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

W-2G here.

11

Alimony received

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

 

Also attach

12

Business income or (loss). Attach Schedule C or C-EZ

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

 

Form(s) 1099-R

13

Capital gain or (loss). Attach Schedule D if required. If not required, check here

 

 

 

 

 

 

 

 

 

 

13

 

if tax was

14

Other gains or (losses). Attach Form 4797

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

withheld.

15a

Total IRA distributions

 

15a

 

 

 

 

 

b

Taxable amount

 

 

15

 

 

16a

Total pensions and annuities

 

16a

 

 

 

 

b

Taxable amount

 

 

16

 

 

17

Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E

17

 

If you did not

18

Farm income or (loss). Attach Schedule F

 

 

 

 

 

 

 

 

 

 

 

 

 

18

 

get a W-2,

19

Unemployment compensation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

 

20a

Social security benefits

 

20a

 

 

 

b

Taxable amount

 

 

20

 

 

21

Other income. List type and amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

 

 

22

Add the amounts in the far right column for lines 7 through 21. This is your total income

22

 

 

23

IRA deduction

 

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

 

24

Student loan interest deduction

 

 

 

 

 

 

 

 

 

 

 

24

 

 

 

 

 

 

 

 

 

Adjusted

25

Medical savings account deduction. Attach Form 8853

 

 

 

 

25

 

 

 

 

 

 

 

 

 

26

Moving expenses. Attach Form 3903

 

 

 

 

 

 

 

 

 

 

 

26

 

 

 

 

 

 

 

 

 

Gross

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27

One-half of self-employment tax. Attach Schedule SE

 

 

 

 

 

 

 

27

 

 

 

 

 

 

 

 

 

Income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28

Self-employed health insurance deduction

 

 

 

 

 

 

 

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29

Self-employed SEP, SIMPLE, and qualified plans

 

 

 

 

 

 

29

 

 

 

 

 

 

 

 

 

 

30

Penalty on early withdrawal of savings

 

 

 

 

 

 

 

 

 

30

 

 

 

 

 

 

 

 

 

 

31

Alimony paid b Recipient’s SSN

 

 

 

 

 

 

 

 

 

 

 

31a

 

 

 

 

 

 

 

32

Add lines 23 through 31a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32

 

 

33

Subtract line 32 from line 22. This is your adjusted gross income

 

 

 

 

 

 

 

 

 

 

 

 

 

33

 

For Disclosure, Privacy Act, and Paperwork Reduction Act Notice.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 390 (2011)

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