Attach completed schedule to your 2003 Utah income tax return
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Non or Part Year Resident Utah Income Tax Liability
TC-40C Rev. 12/03
YOU MUST complete the worksheet below and enter the totals from line 28 of COLUMN A and COLUMN B below in the corresponding boxes on line 17 of your state income tax return. Enter the COLUMN A total in "Box a" and the COLUMN B total in "Box b" on line 17 of your return.
Complete columns A and B to determine your Utah income and total income. Column A - UTAH INCOME AND ADJUSTMENTS Column B - FEDERAL INCOME AND ADJUSTMENTS INCOME: Include all income/loss 1) earned or received from Utah The amounts entered in this column are income and adjustments sources while not a Utah resident; and 2) received while a Utah from all sources, and are found on your federal return, as noted resident. This includes all pension, annuity, dividend and interest below. income received while a Utah resident, even if it is not from a Utah source. ADJUSTMENTS: Enter the amount of each adjustment applicable to federal income. ADJUSTMENTS: Enter the amount of each adjustment applicable to Utah income. This includes payments to qualified IRA or selfemployed retirement plans, alimony paid while a Utah resident, moving expenses when moving into Utah, etc.
INCOME 1. Wages, salaries, tips, etc. (1040/1040A line 7, 1040EZ line 1) 2. Taxable interest income (1040/1040A line 8a, 1040EZ line 2) 3. Ordinary dividends (1040/1040A line 9a) 4. Taxable refunds, credits or offsets of state and local income tax (1040 line 10) 5. Alimony received (1040 line 11) 6. Business income/loss (1040 line 12) 7. Capital gain/loss (1040 line 13a, 1040A line 10a) 8. Other gain/loss (1040 line 14) 9. IRA distributions (1040 line 15b, 1040A line 11b) 10. Pensions and annuities (1040 line 16b, 1040A line 12b) 11. Rental real estate, royalties, partnerships, S corporation, trusts, etc. (1040 line 17) 12. Farm income/loss (1040 line 18) 13. Unemployment compensation (1040 line 19, 1040A line 13, 1040EZ line 3) 14. Social Security benefits (1040 line 20b, 1040A line 14b) 15. Other income (1040 line 21) 16. Total income (add lines 1 through 15) ADJUSTMENTS 17. Educator expense (1040 line 23, 1040A line 16) 18. IRA deductions (1040 line 24, 1040A line 17) 19. Student loan interest deduction (1040 line 25, 1040A line 18) 20. Tuition and fees deductions (1040 line 26, 1040A line 19) 21. Moving expenses (1040 line 27 - deduct in "Column A" only expenses from moving into or within Utah) 22. One-half of self-employment tax (1040 line 28) 23. Self-employed health insurance deduction (1040 line 29) 24. Self-employed SEP, SIMPLE, and qualified plans (1040 line 30)
25. Penalty on early withdrawal of savings (1040 line 31) 26. Alimony paid (1040 line 32a)
COLUMN A - UTAH COLUMN A - UTAH COLUMN B - FEDERAL
00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00
Enter total here and in "Box a" on line 17.
00 00 00 00 00 00 00 00 00 00 00 00 00 00 00 00
COLUMN B - FEDERAL
00 00 00 00 00 00 00 00 00 00 00 00
Enter total here and in "Box b" on line 17.
27. Total adjustments (add lines 17 through 26) 28. Subtract line 27 from line 16 for both COLUMNS A & B. COLUMN B total must equal the FAGI amount on TC-40, line 4. Attach this completed SCHEDULE to your Utah tax return.