Fillable Form 2601031: *VA0760117888* 2017 Virginia Resident Form 760 (Virginia Department of Motor Vehicles)

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Form 2601031: *VA0760117888* 2017 Virginia Resident Form 760 (Virginia Department of Motor Vehicles)

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*VA0760117888*
2017 Virginia Resident Form 760
Individual Income Tax Return
File by May 1, 2018 - PLEASE USE BLACK INK
- - - Do you need to le? See Line 9 and Instructions - - -
1. Adjusted Gross Income from federal return - Not federal taxable income ....................................... 1
2. Additions from enclosed Schedule ADJ, Line 3. ...................................................................................2
3. Add Lines 1 and 2 ................................................................................................................................3
4. Age Deduction. See Instructions. Be sure to provide date of birth above.
4
5. SocialSecurityandequivalentTier1RailroadRetirementbenetsiftaxableonfederalreturn ........... 5
6. StateIncomeTaxrefundoroverpaymentcredit(reportedasincomeonfederalreturn) ......................6
7. Subtractions from enclosed Schedule ADJ, Line 7 ..............................................................................7
8. Add Lines 4, 5, 6 and 7 ........................................................................................................................8
9. Virginia Adjusted Gross Income (VAGI) - Subtract Line 8 from Line 3. Enter the result on this line.
Note:Iflessthan$11,950forFilingStatus1or3;or$23,900forFilingStatus2,yourtaxis$0.00 ....9
10. Itemized Deductions from federal return .............................................................................................10
11. StateandLocalIncomeTaxesclaimedonfederalScheduleA ........................................................... 11
12. Subtract Line 11 from Line 10 if claiming itemized deductions. Otherwise, enter standard deduction:
Filing Status: 1 = $3,000; 2 = $6,000; 3 = $3,000 ................................................................................ 12
13. Exemptions.SumoftotalfromExemptionSectionAplusExemptionSectionB .................................13
14. Deductions from Schedule ADJ, Line 9 ............................................................................................... 14
15. Add Lines 12, 13 and 14 ....................................................................................................................15
16. Virginia Taxable Income - Subtract Line 15 from Line 9 ................................................................16
2601031
Rev. 08/17
Social Security Number
Filing Status Enter in box (1 = Single, 2 = Joint, and 3 = Married Filing Separately)
Yourrstname M.I. Lastnameincludingsufx
Spouse’srstname(jointreturnsonly) M.I. Lastnameincludingsufx
NumberandStreet-Ifthisisachange,youmustllinoval
City,townorpostofce State ZIP Code
Fill in all ovals that apply:
Federal head of household? YES
Name or Filing Status changed
Virginia return not ledlastyear
Dependent on another’s return
Qualifyingfarmer,shermanor
merchant seaman
Amended Return - Result of NOL? YES
Overseas on due date
FederalScheduleCled
Earned Income Credit
on federal return
Amount claimed:
Code
First 4 letters
of last name
loss
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loss
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- -
BirthDate(mm-dd-yyyy)
- -
- -
Locality
Code
. 00
,
+
,
OfceUse
$_________
LTD
DTD
Exemptions Add Sections A and B. Enter the sum on Line 13.
+ + + = X $800 =
Spouse 65
or over
You 65
or over
Spouse
Blind
You
Blind
+ + = X $930 =
1
Total Section A
Spouse if
Filing Status 2
You
Dependents
=
Spouse
. 00
,
. 00
,
You
You
Spouse
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_______________________________
You
Spouse
Total Section B
VA Driver’s License Information
- -
- -
Issue Date
Customer ID
You
Spouse
Deceased
WEB
*VA0760217888*
Page 2
2017 Form 760
Your SSN
DIRECT BANK DEPOSIT
Domestic Accounts Only.
No International Deposits.
Bank Routing Transit Number
Checking
Savings
Bank Account Number
If the Direct Deposit section below is not completed, your refund will be issued by check.
17. AmountofTaxfromTaxTableorTaxRateSchedule(roundtowholedollars) ...................................17
18. SpouseTaxAdjustment(STA).FilingStatus2
only. Enter Spouse’s VAGI in box here
and STA amount on Line 18. 18
19. Net Amount of Tax - Subtract Line 18 from Line 17 .......................................................................19
20. Virginiaincometaxwithheldfor2017.EnclosecopiesofFormsW-2,W-2G,1099and/orVK-1.
20a. Your Virginia withholding ..........................................................................................................20a
20b.Spouse’sVirginiawithholding(FilingStatus2only) .................................................................20b
21. Estimatedtaxpaymentsfortaxableyear2017(fromForm760ES) ....................................................21
22. Amountof2016overpaymentappliedtoward2017estimatedtax ......................................................22
23. ExtensionPayments(fromForm760IP) .............................................................................................23
24.
TaxCreditforLow-IncomeIndividualsorEarnedIncomeCreditfromSch.ADJ,Line17
.........................24
25. CreditforTaxPaidtoAnotherStatefromScheduleOSC,Line21.
You must enclose Schedule OSC and a copy of all other state returns. .............................................25
26. 26
27. Credits from enclosed Schedule CR, Section 5, Part 1, Line 1A ....................................................27
28. Add Lines 20a through 27 .................................................................................................................28
29. IfLine28islessthanLine19,subtractLine28fromLine19.ThisistheTaxYouOwe ....................29
30. IfLine19islessthanLine28,subtractLine19fromLine28.ThisisYourTaxOverpayment ...........30
31. Amountofoverpaymentyouwantcreditedtonextyear’sestimatedtax ............................................31
32. Virginia College Savings Plan Contributions from Schedule VAC, Section I, Line 6 ..........................32
33. Other Voluntary Contributions from Schedule VAC, Section II, Line 14 ..............................................33
34. AdditiontoTax,PenaltyandInterestfromenclosedScheduleADJ,Line21. ..................................... 34
35. SalesandUseTaxisdueonInternet,mailorder,andout-of-statepurchases(Consumer’sUseTax).
See instructions. ......................... fill in oval if no sales and use tax is due. ......................................35
36. Add Lines 31 through 35 ...................................................................................................................36
37. IfyouowetaxonLine29,addLines29and36.OR If Line 30 is less than Line 36, subtract Line 30
from Line 36. Enclose payment or pay at www.tax.virginia.gov. ......... AMOUNT YOU OWE ......37
fill in oval if paying by credit or debit card - see instructions
38. If Line 30 is greater than Line 36, subtract Line 36 from Line 30. ............ YOUR REFUND ..............38
è
Preparer’s PTIN
Firm Name
Your Signature Date
Spouse’s Signature
Date
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.
Preparer’s Name
Filing Election
Phone Number
Your
Phone
Spouse‘s
Phone
I(We)authorizetheDept.ofTaxationtodiscussthisreturnwithmy(our)preparer.
IagreetoobtainmyForm1099-Gatwww.tax.virginia.gov.
Ofce
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WEB
Reserved for future use. ......................................................................................................................
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Form 2601031: *VA0760117888* 2017 Virginia Resident Form 760 (Virginia Department of Motor Vehicles)

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Completed 5 February 2022

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