Fillable FORM 200-01: R DELAWARE INDIVIDUAL RESIDENT INCOME TAX (Department of Technology and Information)

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FORM 200-01: R DELAWARE INDIVIDUAL RESIDENT INCOME TAX (Department of Technology and Information)

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DELAWARE INDIVIDUAL RESIDENT
INCOME TAX RETURN
FORM 200-01
2020
R
DO NOT WRITE OR STAPLE IN THIS AREA
For Fiscal year beginning
Your Social Security No.
and ending
Spouse’s Social Security No.
Your Last Name First Name and Middle Initial Jr., Sr., III, etc.
Spouse’s Last Name Spouse’s First Name, Jr., Sr., III, etc.
Present Home Address (Number and Street) Apt. #
City State Zip Code
Form DE2210 If you were a part-year resident in 20
, give the dates you resided in Delaware:
20
20
Attached
1. Single, Divorced,
Widow(er)
3. 5. Head of
Household
2. Joint 4. Married & Filing Combined Separate on this form
FILING STATUS (MUST CHECK ONE)
Column A Column B
Married & Filing Separate
Forms
2a.
b.
If you elect the DELAWARE STANDARD DEDUCTION check here..............
Filing Statuses 1, 3 & 5 enter $3250 in Column B;
Filing Status 2 enter $6500 in Column B;
Filing Status 4 enter $3250 in Column A and in Column B
If you elect the DELAWARE ITEMIZED DEDUCTIONS check here
...............
2
3.
4.
Filing Statuses 1, 2, 3 and 5, enter itemized deductions from reverse side, Line 48 in Column B
Filing Status 4 enter itemized deductions from reverse side, Line 48 in Columns A and B
Column A - if SPOUSE was: 65 or over Blind
1.
DELAWARE ADJUSTED GROSS INCOME. Begin Return on Page 2, Line 29, then enter amount from Line 42 here.. >
1
Blind Column B - if YOU were: 65 or over
ADDITIONAL STANDARD DEDUCTIONS
(Not Allowed with Itemized Deductions - see instructions)
4), enter the total for each appropriate column. All others enter total in Column B.
3
4
5.
TOTAL DEDUCTIONS - Add line 2 & 3 and enter here......................................................................................................
5
6.
7.
8.
TAXABLE INCOME - Subtract Line 4 from Line 1, and Compute Tax on this amount................................................
Column B Column ATax Liability from Tax Rate Table/Schedule
See Instructions..........................................................
Tax on Lump Sum Distribution (Form 329).................
6
7
8
9a.
9b.
10.
12.
11.
13.
14.
15.
16.
17.
18.
19.
TOTAL TAX - Add Lines 6 and 7 and enter here......................................................................................................>
20.
21.
22.
23.
PERSONAL CREDITS If you are Filing Status 3, see instructions on Page 6.
If you use Filing Status 4, enter the total for each appropriate column. All others enter total in Column B.
On Line 9a, enter the number of exemptions for:
Enter number of exemptions
____________
x $110....................................................
Column A
CHECK BOX(ES)
Column B
Self 60 or over (Column B) Spouse 60 or over (Column A)
Enter number of boxes checked on Line 9b __________ x $110...........................................................................
Tax imposed by State of ______. (Must attach copy of DE Schedule I and other state return.) .....................
______ Self (Column B) ______. Enter credit amount..............
Other Non-Refundable Credits (see instructions on Page 7) .................................................................................
Child Care Credit. Must attach Form 2441. (Enter 50% of Federal credit) .......................................................
Earned Income Tax Credit. See instructions on Page 8 for ALL required documentation.............................
Total Non-Refundable Credits. Add Lines 9a, 9b, 10, 11, 12, 13 & 14 and enter here ...........................................
BALANCE. Subtract Line 15 from Line 8. If Line 15 is greater than Line 8, enter “0” (Zero)................................
Delaware Tax Withheld (Attach W2s/1099s)...................
TOTAL Refundable Credits. Add Lines 17, 18, 19, and 20 and enter here.............................................................>
BALANCE DUE. If Line 16 is greater than Line 21, subtract 21 from 16 and enter here........................................>
9a
Estimated Tax Paid & Payments with Extensions...
Corp Payments and Refundable Business Credits.
Capital Gains Tax Payments (Attach Form 5403)..
9b
10
OVERPAYMENT. If Line 21 is greater than Line 16, subtract 16 from 21 and enter here.......................................>
11
12
13
14
15
16
17
18
19
20
21
22
23
24.
25.
26.
27.
28.
CONTRIBUTIONS TO SPECIAL FUNDS If electing a contribution, complete and attach DE Schedule III................................................
AMOUNT OF LINE 23 TO BE APPLIED TO
202
ESTIMATED TAX ACCOUNT.................................................................................ENTER >
PENALTIES AND INTEREST DUE. If Line 22 is greater than $800, see estimated tax instructions....................................................ENTER >
NET BALANCE DUE (For Filing Status 4, see instructions, page 9)
............................................................................................PAY IN FULL >
24
25
26
27
28
NET REFUND (For Filing Status 4, see instructions, page 9) ......................................................................
ZERO DUE/TO BE REFUNDED >
ATTACH LABEL HERESTAPLE CHECK HERE
STAPLE W-2 FORMS HERE
*DF20120019999*
DF20120019999
Reset
Print Form
Page 2
DELAWARE RESIDENT FORM 200-01, PAGE 2
COLUMNS:
(Reconcile your Federal
29.
30.
Enter Federal AGI amount from Federal 1040 .............................................................................
29
30
Interest on State & Local obligations other than Delaware .........................................................................................
31.
32.
33.
Fiduciary adjustment, oil depletion .............................................................................................................................
Subtotal. Add Lines 29 and 32 ...........................................
31
32
33
TOTAL - Add Lines 30 and 31 ....................................................................................................................................
SECTION B - SUBTRACTIONS (-)
MODIFICATIONS TO FEDERAL ADJUSTED GROSS INCOME
SECTION A - ADDITIONS (+)
34.
SECTION C - ITEMIZED DEDUCTIONS (MUST ATTACH DELAWARE SCHEDULE A) If columns A and B are used and you are unable to specifically
allocate deductions between spouses, you must prorate in accordance with income.
35.
36.
SECTION D - DIRECT DEPOSIT INFORMATION If you would like your refund deposited directly to your
checking or savings account, complete boxes a, b, c and d below. See instructions for details.
Interest received on U.S. Obligations .........................................................................................................................
Pension/Retirement Exclusions
............
please see instructions on Page 10 ............................................................................................................................
34
35
36
37.
38.
39.
40.
41.
42.
Subtotal. Subtract Line 38 from Line 33 ............................
SUBTOTAL. Add Lines 34, 35, 36 and 37, and enter here ........................................................................................
Exclusion for certain persons 60 and over or disabled (See instructions on Page 11) ...............................................
37
38
TOTAL - Add Lines 38 and 40 .....................................................................................................................................
DELAWARE ADJUSTED GROSS INCOME. Subtract line 41 from Line 33. Enter here and on Front, Line 1 ...........
39
40
41
42
43.
44.
45.
46.
47.
48.
Enter total Itemized Deduction from Schedule A ...................................... ........................
Enter Charitable Mileage Deduction (See instructions on Page 11) ...........................................................................
Enter Foreign Taxes Paid (See instructions on Page
11) ...........................................................................................
SUBTOTAL - Add Lines 43, 44, and 45 and enter here ..............................................................................................
Enter Form 700 Tax Credit Adjustment (See instructions on Page 11) .......................................................................
43
TOTAL - Subtract Line 47 from Line 46. Enter here and on Front, Line 2 (See instructions) ................... ...
44
45
46
47
48
a. Routing Number Checking Savingsb. Type:
c. Account Number d. Is this refund going to or through an account that
is located outside of the United States?
Yes No
NOTE: If your refund is adjusted by $100.00 or more, a paper check will be issued and mailed to the address on your return.
Your Signature Signature of Paid Preparer Date Date
Address
Home Phone
Date
City
BE SURE TO SIGN YOUR RETURN BELOW AND KEEP A COPY FOR YOUR RECORDS
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and believe it is true, correct and complete.
State Business Phone Zip
E-Mail Address EIN, SSN or PTIN Business Phone E-Mail Address
BALANCE DUE W/PAYMENT ENCLOSED (LINE 27)
DELAWARE DIVISION OF REVENUE
P.O. BOX 508
WILMINGTON, DE 19899-0508
REFUND (LINE 28):
DELAWARE DIVISION OF REVENUE
P.O. BOX 8710
WILMINGTON, DE 19899-8710
ALL OTHER RETURNS:
DELAWARE DIVISION OF REVENUE
P.O. BOX 8711
WILMINGTON, DE 19899-8711
*DF20120029999*
DF20120029999
(Rev 210201)
MAKE CHECK PAYABLE TO: DELAWARE DIVISION OF REVENUE
PLEASE REMEMBER TO ATTACH APPROPRIATE SUPPORTING SCHEDULES WHEN FILING YOUR RETURN
Filing Status 4 ONLY
Spouse Information
COLUMN A
You or You plus Spouse
COLUMN B
2020
R
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FORM 200-01: R DELAWARE INDIVIDUAL RESIDENT INCOME TAX (Department of Technology and Information)

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Completed 18 May 2021

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