Print Form
AMENDED INDIVIDUAL
SF-1040X
TAX RETURN
Enter calendar y
ear of ending date of f scal year of this return
i
YEAR
MO / DAY / YEAR
Part I
Identification and Information
First name, initial, spouse's name and initial
Last name
Social security number
PLEASE
Present home address (number & street, including apartment)
TYPE OR
Spouse's social security number
PRINT
City or Town
State
Zip Code
Alabama
IMPORTANT: Please answer all questions, fill in applicable items, and explain changes on pg. 2.
Enter name and address on original return. (if same as above write same) If changing from separate to joint return, enter names and
addresses used on original returns. (Note you cannot change your filing status from joint to separate after the filing date)
On original Return
Residency
Resident
Non-resident
Part-year resident from __________ to __________
Status
On this Return
Claimed
Resident
Non-resident
Part-year resident from __________ to __________
Exemptions:
Single Married filing
*Married filing
Filing
On original Return _______
On This Return _______
jointly
separately
Status
On original Return
A As originally
B Net change
C Correct
Claimed
Reported or
(increase or decrease
Amount
On this Return
*Give name & SSN of Spouse: ______________________________
_
as last adjusted
explain on pg. 2)
Part II
INCOME, ADDITIONS AND DEDUCTIONS
1 TOTAL W-2 INCOME: (wages, salaries, tips, etc.) (Attach all W-2's)
A. Residents: enter total W-2 Income. B. Non-residents (See instructions)
2 ADDITIONS TO INCOME: All other income: (interest, dividends, business
ADDITIONS TO INCOME: All other income: (interest, dividends, business
2
income, capital gains, rents, royalties, partnerships, estates, trusts, etc)
3 SUBTRACTIONS FROM INCOME (All allowed losses and adjustments)
(See instructions)
(ATTACH ALL SCHEDULES AND EXPLANATIONS)
4 ADJUSTED INCOME (Add lines 1 and 2 less line 3)
5 EXEMPTIONS: Multiply the number of exemptions claimed by $750.00
(for 1999 thru 2008 use $1500.00,and $600.00 for 1998 and prior years)
6 TAXABLE INCOME (line 4 less line 5)
7 TAX - Multiply amount on line 6 by one of the following
A RESIDENT - 1% (.01)
B NON-RESIDENT - 1/2% (.005)
C PART-YEAR RESIDENT - 1% (.01) Tax on line 29 (SF-1040 Sch PY pg 1)
Part III
CREDIT AND PAYMENTS
8 SPRINGFIELD tax withheld (Attach W-2 supplied by employer)
9 Estimate payments (including credit from overpayment)
10 Credits for income tax paid to another MI municipality or by a partnership
11 TOTAL PAYMENT AND CREDITS (Add lines 8, 9, and 10)
A Amount paid with original return, plus additional tax paid after filing
A
B Total credits and payments. Add lines 11 and 12 of column C
B
Part IV
REFUND OR BALANCE DUE
C
C Refund, if any shown on original return line 35 or 36
D Enter the difference between lines B and C (See instructions)
D
12 If line 7, column C, is greater than line D, enter BALANCE DUE
PAY IN FULL
12
13
13 If line 7 Column C is less than line D enter REFUND to be received
If line , Column , is less than line , enter REFUND to be received
7
C
D
REFUND
REFUND
13
13