Form In-113 - Income Adjustment Schedules - 2000
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2VT. DEPT. OF TAXES, Montpelier, Vermont 05609-1401 / (802) 828-2865
2000 VT
Income Adjustment Schedules
Nonresidents and Part-Year Residents Must Complete Schedules I and II
Residents with Adjustments Complete Schedule II
ATTACH TO FORM IN-111
PRINT in BLUE or BLACK INK
Taxpayer’s Social Security Number
Taxpayer’s Last Name
First Name
Initial
SCHEDULE I. Enter figures as they appear on your federal return in Column A and list the Vermont portion in Column B. See instructions.
Place an “X” in the box to indicate a loss amount.
ATTACH COPY OF FEDERAL RETURN
B. Vermont Portion $
A. Federal Amount $
1. Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
1.
2. Interest and dividends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
2.
3. Non-Vermont municipal bond interest
from IN-112, Schedule A, Line 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
3.
4. Taxable refunds of state and local income taxes . . . . . . . . . . . . . . . . . 4.
4.
5. Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.
5.
6. Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.
6.
7. Capital gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.
7.
8. Taxable IRA distributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
8.
9. Taxable pensions and annuities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.
9.
10. Partnerships/S Corporations & LLCs . . . . . . . . . . . . . . . . . . . . . . . . 10.
10.
11. Rents, royalties, estates, trusts, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
11.
12. Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
12.
13. Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.
13.
14. Taxable social security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.
14.
15. Other income: Specify___________________________ . . 15.
15.
16. TOTAL INCOME (Add Lines 1–15). . . . . . . . . . . . . . . . . . . . . . . . . . . 16.
16.
Be sure to put your name and Social Security number at the top of this page.
Attach copies of pages 1 and 2 of your federal tax return and these adjustment schedules to your Vermont return.
continued on back
Form IN-113
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