Fillable Form 2020: *VA760P120888* Form 760PY Virginia Part-Year Resident (Virginia Department of Motor Vehicles)

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Form 2020: *VA760P120888* Form 760PY Virginia Part-Year Resident (Virginia Department of Motor Vehicles)

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2020
Virginia Part-Year Resident Income Tax Return
Due May 1, 2021
*VA760P120888*
Form
760PY
Page 1
Your Birth Date (mm-dd-yyyy)
Spouse’s Birth Date (mm-dd-yyyy)
B
Spouse
Filing Status 4
ONLY
A
You
Include Spouse if
Filing Status 2
Complete the Schedule of Income rst and submit it with your Form 760PY.
00 00
1
FEDERAL ADJUSTED GROSS INCOME from Schedule of Income, Part 1,
Line 7, Column 1. ............................................................................................
1
2 Additions from Schedule 760PY ADJ, Line 3. ................................................. 2 00 00
3 Add Lines 1 and 2. ......................................................................................... 3 00 00
4
Qualifying Age Deduction. Enter Birth Dates above. Complete Age Deduction
Worksheet in instructions. Enter Spouse's Age Deduction on Line 4b, Column
B when using Filing Status 4 ONLY. Otherwise, claim Your Age Deduction on
Line 4a, Column A and Spouse's on Line 4b, Column A. ................................
4a
00
4b 00 00
5 Social Security Act and equivalent Tier 1 Railroad Retirement Act benets
reported as taxable income on federal return and attributable to your period of
residence in Virginia. .......................................................................................
5 00 00
6 State income tax refund or overpayment credit reported as income on your
federal return and received while a Virginia resident. Claim in the same column
you reported adjusted gross income on Line 1................................................
6 00 00
7 Income attributable to your period of residence outside Virginia from Schedule of
Income, Part 1, Line 9, Column 3. ...................................................................
7 00 00
8
Subtractions from Schedule 760PY ADJ, Line 7. ............................................
8 00 00
9
Add Lines 4a, 4b, 5, 6, 7, and 8.....................................................................
9 00 00
10
Virginia Adjusted Gross Income (VAGI). Subtract Line 9 from Line 3. .....
10 00 00
11 Itemized Deductions from Virginia Schedule A paid while a Virginia resident.
See Instructions.. .............................................................................................
11 00 00
12
If you do not claim itemized deductions on Line 11, enter standard deduction
from Standard Deductions Worksheet in instructions. .....................................
12 00 00
- -
- -
For Local Use
DATE OF BIRTH
LTD $_________
Va. Dept. of Taxation
2601039 Rev. 06/20
Filing Status Enter Filing Status Code in box below.
1 = Single (Column A) - Federal head of household? YES
2 = Married, Filing Joint return (Column A)
3 = Married, Filing Separate returns (Column A)
4 = Married, Filing Separately on this combined return (Columns A and B)
If Filing Status 3, enter spouse's SSN in the Spouse's Social Security Number
box at top of form and, enter Spouse’s Name_______________________________
Exemptions Enter the number of exemptions being claimed.
You/
Spouse
Dependents 65 or Over Blind
A - You
Enter the numbers for both You
and Spouse if Filing Status 2
B - Spouse
Filing Status 4 Only
{
Check
Applicable
Boxes
Amended Return
Reason Code
Qualifying Farmer, Fisherman or Merchant
Seaman
Combined
Social Security for You and
Spouse reported as taxable income on
Federal Return
$ ______________________.00
Dependent on Another’s Return
Earned Income Credit Claimed on federal return
$ ______________________.00
Overseas on Due Date
See instructions before completing line items.
Enclose a complete copy of your federal tax return and all other required Virginia enclosures.
Dates of VA Residence
(mm-dd-yyyy)
YOUR
First Name
MI Your Last Name Check if deceased Sux
A
Your Social Security Number
You - From You - To
SPOUSE’S First Name (ling status 2 or 4)
MI Spouse’s Last Name Check if deceased Sux
B
Spouse's Social Security Number
Spouse - From Spouse - To
Present Home Address (Number and Street, or Rural Route)
VA Driver’s License Information
Customer ID
You __________________________________________
Spouse __________________________________________
Issue Date (mm-dd-yyyy)
You __________________________________________
Spouse __________________________________________
City, Town or Post Oce
State ZIP Code Locality Code
B
Spouse
Filing Status 4 ONLY A
You Include Spouse if
Filing Status 2
13 Prorated exemption amount from Schedule of Income, Part 2, Line 11.
See instructions ....................................................................................................
13
00 00
14 Deductions from Schedule 760PY ADJ, Line 9. ...................................................
14
00 00
15 Add Lines 11, 12, 13 and 14. ..............................................................................
15
00 00
16 Virginia Taxable Income. Subtract Line 15 from Line 10. ...............................
16
00 00
17 Tax amount from Tax Table or Tax Rate Schedule. ..............................................
17
00 00
18 Total Tax. Add Line 17, Column A and Line 17, Column B. ............................................................................
18
00
19a Your Virginia income tax withheld. Enclose copies of Forms W-2, W-2G, 1099 and VK-1 ..................................
19a
00
19b Spouse's Virginia income tax withheld. Enclose copies of Forms W-2, W-2G, 1099 and VK-1 ...........................
19b
00
20 Combined 2020 Estimated Tax Payments. ...........................................................................................................
20
00
21 2019 overpayment credited to 2020 estimated taxes. ..........................................................................................
21
00
22 Extension Payment - Enter amount paid on Form 760IP. .....................................................................................
22
00
23 Tax Credit for Low-Income Individuals or Virginia Earned Income Credit from Schedule 760PY ADJ, Line 17. ..
23
00
24 Total credit for taxes paid to another state from Schedule OSC...........................................................................
24
00
25 Credits from Schedule CR, Section 5, Line 1A. ..................................................................................................
25
00
26 Total payments and credits. Add Lines 19a through 25. ...............................................................................
26
00
27 If Line 18 is larger than Line 26, enter the dierence. This is the INCOME TAX YOU OWE. ..............................
27
00
28 If Line 26 is larger than Line 18, enter the dierence. This is the OVERPAYMENT AMOUNT. ...........................
28
00
29 Amount of overpayment on Line 28 to be CREDITED TO 2021 ESTIMATED INCOME TAX. ................................
29
00
30 Virginia529 and ABLEnow Contributions from Schedule VAC, Section I, Line 6 .................................................
30
00
31 Other Voluntary Contributions from Schedule VAC, Section II, Line 14 ...............................................................
31
00
32 Addition to Tax, Penalty and Interest from enclosed Schedule 760PY ADJ, Line 21. .........................................
32
00
33 Sales and Use Tax is due on Internet, mail order, and out-of-state purchases (Consumer’s Use Tax).
See instructions. ................................Check here if no sales and use tax is due.........................................
33
00
34 Add Lines 29 through 33. ...................................................................................................................................
34
00
35 If you owe tax on Line 27, add Lines 27 and 34 - OR - If Line 28 is an overpayment and Line 34 is larger than
Line 28, enter the dierence. Enclose payment or pay at www.tax.virginia.gov.....AMOUNT YOU OWE ..
Check here if paying by credit or debit card - See instructions. ............................................................
35
00
36 If Line 28 is larger than Line 34, subtract Line 34 from Line 28. ............................................ YOUR REFUND. ..... 36 00
*VA760P220888*
2020 Form 760PY Page 2
Your Name Your SSN
I (We) authorize the Department of Taxation to discuss this return with my (our) preparer.
I agree to obtain my Form 1099-G at www.tax.virginia.gov.
Your Bank Routing Transit Number
Your Bank Account Number
Checking
Savings
If the Direct Deposit section below is not completed, your refund will be issued by check.
DIRECT BANK DEPOSIT
Domestic Accounts Only.
No International Deposits.
I (We), the undersigned, declare under penalty of law that I (we) have examined this return and to the best of my (our) knowledge, it is a true, correct
and complete return.
Your Signature
Your Phone Number Date
Spouse’s Signature (If a joint return, both must sign) Spouse’s Phone Number Date
Preparer’s Name Preparer’s Phone Number Date
Firm’s Name (or Yours if Self-Employed) Preparer’s PTIN Vendor Code Filing Election Code ID Theft PIN
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Form 2020: *VA760P120888* Form 760PY Virginia Part-Year Resident (Virginia Department of Motor Vehicles)

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Completed 1 April 2021

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