Form It-540b - Louisiana Nonresident And Part-Year Resident - 1999
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3IT-540B
1999 LOUISIANA Nonresident and Part-year Resident
Please use black ink only.
PLEASE PRINT IN ALL CAPITAL LETTERS.
Your first name and initial
Last name
(If joint return, also give spouse’s name and initial.)
Your Social
1
Security Number
Spouse’s Social
2
Security Number
Present home address
(number and street including apartment number or rural route)
IMPORTANT!
You must print your SSN(s) above.
City, town, or post office
State
ZIP
Area code and
daytime
telephone number
Filing status:
Mark only one box. It must agree with federal return.
If this is an amended
If your name or address
return, mark this box.
has changed, mark this box.
1
2
Married
3
Married filing
Single
filing jointly
separately
If the qualifying person is not your dependent, print name here.
4
Head of
Qualifying
5
household
widow(er)
_____________________________________________________
6 EXEMPTIONS:
You must claim an exemption for yourself on Line 6A even if someone else claimed you on their federal tax return.
Total of
A.
Yourself
65 or
Blind
B.
Spouse
65 or
Blind
6A & 6B
over
over
C.
Number of dependents
(Print number from Line 6C of federal return and print names below.) .........................................................................
6C
________________________________________________________________________________________________________________
D.
Total exemptions
(Total of 6A, 6B, and 6C.) ..................................................................................................................................................
6D
07
FEDERAL ADJUSTED GROSS INCOME
Print the amount from your federal
-
,
,
.
Form 1040, Line 33, OR federal Form 1040A, Line 18, OR federal Form
00
1040EZ, Line 4. If your federal adjusted gross income is less than zero, print zero.
.............................. 7
,
,
.
08
LOUISIANA INCOME -
Print the amounts from your federal
00
return that are taxable to Louisiana. Attach a schedule. ....................................................................
8
,
,
.
09
ADJUSTMENTS TO INCOME -
Print any adjustments to income
00
from your federal return that apply to Louisiana income.
............................................................... 9
10
TOTAL LOUISIANA INCOME -
Subtract Line 9 from Line 8. If less than zero,
,
,
.
00
................................................................................................................................. 10
leave blank.
11
RATIO OF LOUISIANA INCOME TO FEDERAL ADJUSTED GROSS INCOME
.
(Divide Line 10 by Line 7. Carry out two decimal places in the percentage. DO NOT ROUND UP.
%
The percentage cannot exceed 100%.)
..................................................................................................................................... 11
NR
IF YOU DID NOT ITEMIZE YOUR DEDUCTIONS ON YOUR FEDERAL RETURN,
LEAVE LINES 12A, 12B, AND 12C BLANK AND GO TO LINE 12D.
12A FEDERAL ITEMIZED DEDUCTIONS -
Leave blank if you did not itemize.
,
,
.
If you did itemize, print the amount of your federal itemized deductions from
00
federal Form 1040, Schedule A, Line 28.
........................................................................................ 12A
12B FEDERAL STANDARD DEDUCTION -
Leave blank if you did not itemize.
,
.
If you did itemize and you marked filing status box: 1, print $4,300; 2 or 5,
00
print $7,200; 3, print $3,600; 4, print $6,350.
................................................................................. 12B
,
,
.
12C EXCESS FEDERAL ITEMIZED DEDUCTIONS -
Subtract Line 12B
00
..................................... 12C
from Line 12A and print the balance here. If less than zero, leave blank.
,
,
.
00
12D FEDERAL TAX LIABILITY -
............................................................................ 12D
See instructions.
,
,
.
00
12E TOTAL -
................................................................................................ 12E
Add Lines 12C and 12D.
12F ALLOWABLE DEDUCTIONS -
Multiply Line 12E
,
,
.
00
by the ratio on Line 11.
................................................................................................................... 12F
,
,
.
13
LOUISIANA NET INCOME -
Subtract Line 12F from Line 10.
00
If less than zero, leave blank.
........................................................................................................... 13
Over
For office use only.
Field
Routing
Extension
flag
code
claimed
6030
6 03 01
6 6
1 2 3 1 1 9 9 9
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