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TC-40A
Rev. 12/08
40083
Code
Income Tax Supplemental Schedule
Last name SSN Code
Part 1 - Additions to Income (write the code and amount of each addition to income)
5 5 5 5 5 1 3 4 5 6 Lump sum distribution Medical Savings Account (MSA) addback * Utah Educational Savings Plan (UESP) addback * Reimbursed adoption expenses * Child's income excluded from parent's return
* to the extent previously deducted from Utah income
5 6 6 6
7 0 1 9
Municipal bond interest Untaxed income of a resident trust Untaxed income of a nonresident trust Equitable adjustments
Total additions to income (add all additions to income and enter total here and on TC-40, line 5)
Part 2 - Deductions from Income (write the code and amount of each deduction from income)
Code Code
7 1 7 7
Interest from U.S. Government Obligations Native American income: Enrollment number & Tribe Your Spouse's
78 7 8 8 8 9 0 2 5
Railroad retirement income Equitable adjustments State tax refund included on 1040, line 10 Nonresident active duty military pay State tax refund distributed to beneficiary
Total deductions from income (add all deductions from income and enter total here and on TC-40, line 7)
Part 3 - Apportionable Nonrefundable Credits (write the code and amount of each credit)
Code
0 4 1 8 2 0 2 2
Capital gain transactions credit Retirement tax credit from attached TC-40C ......... Utah Educational Savings Plan (UESP) credit Medical Care Savings Plan (MSA) credit
"X" if age 65 or older:
TP
Spouse
Total apportionable nonrefundable credits (add all credits and enter total here and on TC-40, line 22)
Part 4 - Nonapportionable Nonrefundable Credits (write the code and amount of each credit)
Code
0 1 0 2 0 3 0 5 0 6 0 7 0 8
At-home parent credit Qualified sheltered workshop credit - name: Carryover of 2004, 2005 or 2006 energy credit Clean fuel vehicle credit Historic preservation credit Enterprise zone credit Low-income housing credit
10 11 12 13 17 19 21
Recycling market dev. zone credit Tutoring disabled dependent credit Research activities credit Research machinery/equipment credit Tax paid to another state (attach TC-40S) Live organ donation expenses credit Renewable residential energy systems credit
Total nonapportionable nonrefundable credits (add all credits and enter total here and on TC-40, line 25)
Attach completed schedule to your 2008 Utah Income Tax return
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TC-40A
SSN
40084
Continued - Income Tax Supplemental Schedule
Last name
Page 2
Part 5 - Refundable Credits (write the code and amount of each refundable credit)
Code Code
3 9 4 0 4 1
Renewable commercial energy systems Targeted business tax credit Special needs adoption credit
47 48
Agricultural off-highway gas/undyed diesel Farm operation hand tools
Total refundable credits (add all refundable credits and enter total here and on TC-40, line 37)
Attach completed schedule to your 2008 Utah Income Tax return