DO NOT WRITE OR STAPLE IN THIS AREA
2013
R
DELAWARE INDIVIDUAL RESIDENT
INCOME TAX RETURN
FORM 200-01
Reset
or Fiscal year beginning
and ending
Your Social Security No.
Spouse’s Social Sec. No.
Print Form
Your Last Name
First Name and Middle Initial,
Jr.,Sr.,III,etc.
Spouse’s Last Name
Spouse’s First Name,
Jr.,Sr.,III,etc.
Present Home Address (Number and Street)
Apt. #
City
State
Zip Code
FILING STATUS (MUST CHECK ONE)
. 1
Single, Divorced,
. 3
Married or Entered into a Civil
5.
Head of
Household
Union & Filing Separate Forms
Widow(er)
If you were a part-year resident in 2013, give the dates you resided in
Form DE2210
Delaware.
Joint or Entered
Married or Entered into a Civil Union
4.
2.
2013
into a Civil Union
& Filing Combined Separate on this form
2013
To
From
Attached
Month
Day
Month
Day
Column A
Column B
Column A is for Spouse information, Filing Status 4 only. All other filing statuses use Column B.
Begin Return on Page 2, Line 29, then enter amount from Line 42 here...
1
1.
00
00
DELAWARE ADJUSTED GROSS INCOME.
>
2a. If you elect the DELAWARE STANDARD DEDUCTION check here.....
Filing Statuses 1, 3 & 5 Enter $3250 in Column B;
Filing Status 2 Enter $6500 in Column B;
*DF20113019999*
Filing Status 4 Enter
$3250 in Column A and in Column B
If you elect the DELAWARE ITEMIZED DEDUCTIONS check here.....
b.
Filing Statuses 1, 2, 3 and 5, enter Itemized Deductions from reverse side, Line 48 in Column B
Filing status 4 enter Itemized Deductions from reverse side, Line 48 in Columns A and B
2
00
00
ADDITIONAL STANDARD DEDUCTIONS
3.
(Not Allowed with Itemized Deductions - see instructions)
Multiply the number of boxes checked below by $2500. If you are filing a combined separate return (Filing status 4), enter the total for
each appropriate column. All others enter total in Column B.
Column A - if SPOUSE was: 65 or over
Blind
Column B - if YOU were: 65 or over
Blind
3
00
00
4.
- Add Lines 2 & 3 and enter here........................................................................
4
00
00
TOTAL DEDUCTIONS
5.
- Subtract Line 4 from Line 1, and Compute Tax on this Amount...............................
5
00
00
TAXABLE INCOME
6.
Tax Liability from Tax Rate Table/Schedule
Column A
Column B
See Instructions...............................................................
6
00
00
7.
Tax on Lump Sum Distribution
7
00
00
(Form 329)............
- Add Lines 6 and 7 and enter here.................................................................................
8.
8
TOTAL TAX
00
00
>
9a.
PERSONAL CREDITS If you are Filing Status 3, see instructions on Page 6.
If you use Filing Status 4, enter the total for each appropriate column. All others enter total in Column B.
Enter number of exemptions claimed on Federal return
X $110.......................................................
$
.........
9a
00
00
On Line 9a, enter the number of exemptions for:
Column A
Column B
Spouse 60 or over (Column A)
S elf 60 or over (Column B)
9b. CHECK BOX(ES)
Enter number of boxes checked on Line 9b.
X $110....................................................................
9b
00
00
Tax imposed by State of
.
10
10.
00
00
(Must attach copy of DE Schedule I and other state return) ..........
11.
Volunteer Firefighter Co.# - Spouse (Column A)
Self (Column B)
. Enter credit amount........
11
00
00
12.
Other Non-Refundable Credits (see instructions on Page 7)...........................................................................
12
00
00
Child Care Credit.
13.
13
00
00
Must attach Form 2441. (Enter 50% of Federal credit) .........................................
14.
14
Earned Income Tax Credit.
00
00
See instructions on Page 8 for ALL required documentation
..............
Total Non-Refundable Credits. Add Lines 9a, 9b, 10, 11, 12, 13 & 14 and enter here....................................
15.
15
00
00
Subtract Line 15 from Line 8. If Line 15 is greater than Line 8, enter “0” (Zero)........................
16.
16
BALANCE.
00
00
Delaware Tax Withheld
17.
17
.............
00
00
(Attach W2s/1099s)
18. 2013 Estimated Tax Paid & Payments with Extensions.
18
00
00
19. S Corp Payments and Refundable Business Credits....
19
00
00
20. 2013 Capital Gains Tax Payments
20
00
00
(Attach Form 5403)
....
TOTAL Refundable Credits. Add Lines 17, 18, 1 9 , and 2 0 a nd enter here.............................................
21.
21
>
00
00
. If Line 16 is greater than Line 21, subtract 21 from 16 and enter here..........................
22.
22
00
00
BALANCE DUE
>
. If Line 21 is greater than Line 16, subtract 16 from 21 and enter here........................
23.
23
00
00
OVERPAYMENT
>
24
24.
00
CONTRIBUTIONS TO SPECIAL FUNDS
...........
If electing a contribution, complete and attach DE Schedule III
25.
AMOUNT OF LINE 23 TO BE APPLIED TO 2014 ESTIMATED TAX ACCOUNT
25
.............................. ENTER >
00
26.
PENALTIES AND INTEREST DUE. If Line 22 is greater than $400, see estimated tax instructions..............
26
00
ENTER >
NET BALANCE DUE (For Filing Status 4, see instructions, page 9).....................................................
27.
27
PAY IN FULL >
00
For all other filing statuses, enter Line 22 plus Lines 24 and 26
28
28.
NET REFUND (For Filing Status 4, see instructions, page 9).................................
00
ZERO DUE/TO BE REFUNDED >
For all other filing statuses, subtract Lines 24, 25 and 26 from Line 23