IT-540-WEB Form – Fill Out and Use This PDF

it-540-2d (Page 1 of 4)

2013 Louisiana Resident - 2d

DEV ID

Name

Change

Decedent

Filing

Spouse

Decedent

Amended

Return

NOL

Carryback

Taxpayer DOB

FiLinG status: Enter the appropriate number in the iling status box. It must agree with your federal return.

Spouse DOB

6eXeMPtions:

Taxpayer SSN

Spouse SSN

Telephone

Enter a “1” in box if single.

Enter a “2” in box if married iling jointly.

Enter a “3” in box if married iling separately.

Enter a “4” in box if head of household.

If the qualifying person is not your dependent, enter name here.

Enter a “5” in box if qualifying widow(er).

	6A	X Yourself	65 or
			older
	6B	Spouse	65 or
			older

Blind

Blind

Qualifying

Widow(er) Total of

6A & 6B

if you are not required to ile a federal return, indicate wages here.

Mark this box and enter zero “0” on Lines 7 through 16.

		FEDERAL ADJUSTED GROSS INCOME – If your Federal Adjusted Gross	From Louisiana
	7		Schedule E,
		Income is less than zero, enter “0.”
			attached

8A FEDERAL ITEMIZED DEDUCTIONS

8B FEDERAL STANDARD DEDUCTION

8C EXCESS FEDERAL ITEMIZED DEDUCTIONS – Subtract Line 8B from Line 8A.

9FEDERAL INCOME TAX – If your federal income tax has been decreased by a federal disaster credit allowed by IRS, complete Schedule H and mark box.

10YOUR LOUISIANA TAX TABLE INCOME – Subtract Lines 8C and 9 from Line 7. If less than zero, enter “0.”

11YOUR LOUISIANA INCOME TAX

7

8a

8B

8C

9

10

11

nonReFundaBLe taX CRedits

12A FEDERAL CHILD CARE CREDIT

12B 2013 LOUISIANA NONREFUNDABLE CHILD CARE CREDIT

12C AMOUNT OF LOUISIANA NONREFUNDABLE CHILD CARE CREDIT CARRIED FORWARD FROM 2009 THROUGH 2012

12D 2013 LOUISIANA NONREFUNDABLE SCHOOL READINESS CREDIT

5

4

3

2

12E AMOUNT OF LOUISIANA NONREFUNDABLE SCHOOL READINESS CREDIT CARRIED FORWARD FROM 2009 THROUGH 2012

13 EDUCATION CREDIT

14OTHER NONREFUNDABLE TAX CREDITS – From Schedule G, Line 11

15TOTAL NONREFUNDABLE TAX CREDITS – Add Lines 12B through 14.

16ADJUSTED LOUISIANA INCOME TAX – Subtract Line 15 from Line 11. If the result is less than zero, or you are not required to ile a federal return, enter zero “0.”

	17 CONSUMER USE TAX	No use tax due.	Amount from the Consumer Use
			Tax Worksheet, Line 2.

12a

12B

12C

12d

12e

13

14

15

16

17

it-540-2d (Page 3 of 4)

ReFundaBLe taX CRedits

19 2013 LOUISIANA REFUNDABLE CHILD CARE CREDIT

19A Enter the qualiied expense amount from the Refundable Child Care Credit Worksheet, Line 3.

19B Enter the amount from the Refundable Child Care Credit Worksheet, Line 6.

20 2013 LOUISIANA REFUNDABLE SCHOOL READINESS CREDIT

5

4

3

2

21 EARNED INCOME CREDIT

22 LOUISIANA CITIZENS INSURANCE CREDIT

23 OTHER REFUNDABLE TAX CREDITS – From Schedule F, Line 7

Social Security Number

19

19a

19B

20

21

22

23

PayMents

24aMount oF Louisiana taX WitHHeLd FoR 2013 – attach Forms W-2 and 1099.

25AMOUNT OF CREDIT CARRIED FORWARD FROM 2012

26AMOUNT OF ESTIMATED PAYMENTS MADE FOR 2013

27AMOUNT PAID WITH EXTENSION REQUEST

28TOTAL REFUNDABLE TAX CREDITS AND PAYMENTS – Add Lines 19 and 20 through 27. Do not include amounts on Lines 19A and 19B.

29OVERPAYMENT – If Line 28 is greater than Line 18, subtract Line 18 from Line 28. Otherwise, enter zero “0” on Lines 29 through 35 and go to Line 36.

30UNDERPAYMENT PENALTY – If you are a farmer, check the box.

adJusted oveRPayMent – If Line 29 is greater than Line 30, subtract Line 30 from Line 29 and enter the

31result here. If Line 30 is greater than Line 29, enter zero “0” on Lines 31 through 35, subtract Line 29 from Line 30, and enter the balance on Line 36.

32TOTAL DONATIONS – From Schedule D, Line 26

24

25

26

27

28

29

30

31

32

ReFund due

33 SUBTOTAL – Subtract Line 32 from Line 31. This amount of overpayment is available for credit or refund.

34 AMOUNT OF LINE 33 TO BE CREDITED TO 2014 INCOME TAX				CRedit
AMOUNT TO BE REFUNDED – Subtract Line 34 from Line 33.
35 Enter a “1” in box if you want to receive your refund on a MyRefund Card.				ReFund
Enter a “2” in box if you want to receive your refund by paper check.
Enter a “3” in box if you want to receive your refund by direct deposit and complete
information below. If information is unreadable, you will receive your refund on a
MyRefund Card.
if you do not make a refund selection, you will receive your refund on a MyRefund Card.
diReCt dePosit inFoRMation:
			Will this refund be forwarded to a inancial
type:	Checking	Savings	institution located outside the United States?
Routing			Account
Number			Number

33

34

35

YesNo

it-540-2d (Page 4 of 4)

aMounts due Louisiana

36AMOUNT YOU OWE – If Line 18 is greater than Line 28, subtract Line 28 from Line 18 and enter the balance here.

37additionaL donation to tHe MiLitaRy FaMiLy assistanCe Fund

38additionaL donation to tHe CoastaL PRoteCtion and RestoRation Fund

Social Security Number

36

37

38

39

additionaL donation to Louisiana CHaPteR oF tHe nationaL MuLtiPLe sCLeRosis soCiety Fund

39

40 additionaL donation to Louisiana Food Bank assoCiation

41additionaL donation to tHe snaP FRaud and aBuse deteCtion and PRevention Fund

42INTEREST

43DELINQUENT FILING PENALTY

44DELINQUENT PAYMENT PENALTY

45UNDERPAYMENT PENALTY – If you are a farmer, check the box.

46 BALANCE DUE LOUISIANA – Add Lines 36 through 45.

Pay tHis aMount.

40

41

42

43

44

45

46

Your Signature

Date

Signature of paid preparer other than taxpayer

Spouse’s Signature (If filing jointly, both must sign.)

Date

Telephone number of paid preparer

Date

Name	Address
					Field
individual income tax Return					Flag
Calendar year return due 5/15/2014				Mail to:

FoR oFFiCe use onLy
											Social Security Number, PTIN, or
Department of Revenue											FEIN of paid preparer
											sPeC
											Code

1adjusted overpayment - From IT-540-2D, Line 31

	donations oF Line 1
	2	the Military Family assistance	2
		Fund
	3	Coastal Protection and	3
		Restoration Fund
	4	snaP Fraud and abuse detection	4
		and Prevention Fund
	5	The START Program	5
	6	Wildlife Habitat and Natural Heritage	6
		Trust Fund
	7	Louisiana Cancer Trust Fund	7
	8	Louisiana Animal Welfare	8
		Commission
	9	National Lung Cancer Partnership	9
	10	Louisiana Chapter of the National	10
		Multiple Sclerosis Society Fund
	11	Louisiana Food Bank Association	11
		Louisiana Bicentennial Commission
	12	and Battle of New Orleans	12
		Bicentennial Commission
	13	Make-A-Wish Foundation of the	13
		Texas Gulf Coast and Louisiana

				1
	14	Louisiana Association of United			14
		Ways/LA 2-1-1
	15	Center of Excellence for Autism			15
		Spectrum Disorder
	16	Alliance for the Advancement of			16
		End of Life Care
	17	American Red Cross			17
	18	New Opportunities Waiver Fund			18
	19	Friends of Palmetto Island State			19
		Park
	20	Dreams Come True, Inc.			20
	21	Louisiana Coalition Against			21
		Domestic Violence, Inc.
	22	Decorative Lighting on the			22
		Crescent City Connection
	23	Operation and Maintenance of			23
		the New Orleans Ferries
	24	Louisiana National Guard Honor			24
		Guard for Military Funerals
	25	Bastion Community of Resilience			25