Form 2 - Montana Individual Income Tax Return - 2014

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Form 2
2014 Montana Individual Income Tax Return
Staples
M M D D 2 0 1 4
M M D D 2 0 Y Y
For the year Jan 1 – Dec 31, 2014 or the tax year beginning
and ending
First Name and Initial
Last Name
Social Security Number
Deceased? Date of Death
Mark all
that apply.
M M D D 2 0 Y Y
Spouse’s First Name and Initial
Spouse’s Social Security Number
Deceased? Date of Death
Last Name
Amended
Return
M M D D 2 0 Y Y
Mailing Address
City
State Zip+4
NOL
Carryback
1 Single
2 Married filing jointly
Filing Status
3a Married filing separately on the same form
Mark only one
3b Married filing separately on separate forms
box.
3c Married filing separately and spouse not filing
Spouse’s SSN (for lines 3b and 3c)
4 Head of household
Residency
5a Resident full year
Resident Part-Year Required Information
Status
North Dakota reciprocity
5b Nonresident full year
Date of change
M M D D Y Y Y Y
Mark only one
(see instructions on page 2)
box.
5c Resident part-year
State moved to
State moved from
First Name
Last Name
Social Security Number
Relationship
Mark if Disabled
Column A (for single,
joint, separate, or head
Column B (for spouse
of household)
when filing separately
6a X Yourself
65 or older
Blind
Enter number marked ...........
6a
using filing status 3a)
6b
Spouse
65 or older
Blind
Enter number marked ...........
6b
6c Enter the total number of dependents. If more than 4 dependents, see instructions on page 3 ............
6c
6d Add lines 6a through 6c and enter total exemptions here ......................................................................
6d
Enter amounts on lines 7 through 38 corresponding to your federal return. Round to nearest dollar. If no entry, leave blank.
7 Wages, salaries, tips, etc. Include federal Form(s) W-2 .........................................................................
7
00
00
8a Taxable interest. Include federal Schedule B if required ........................................................................
8a
00
00
8b Tax-exempt interest. Do not include on line 8a ...
8b
00
00
9 Ordinary dividends. Include federal Schedule B if required ....................................................................
9
00
00
10 Taxable refunds, credits, or offsets of state and local income taxes ......................................................
10
00
00
11 Alimony received ....................................................................................................................................
11
00
00
.......
12 Business income or (loss). Include federal Schedule C or C-EZ.
NAICS:
12
00
00
13 Capital gain or (loss). Include federal Schedule D if required ................................................................
13
00
00
14 Other gains or (losses). Include federal Schedule 4797 .........................................................................
14
00
00
15a IRA distributions.
15a
00
00
Taxable amount ........ 15b
00
00
16a Pensions and annuities.
16a
00
00
Taxable amount ........ 16b
00
00
17 Rental real estate, royalties, partnerships, S corporations, trusts. Include federal Schedule E .............
17
00
00
18 Farm income or (loss). Include federal Schedule F ................................................................................
18
00
00
19 Unemployment compensation ................................................................................................................
19
00
00
20a Social security benefits. 20a
00
00
Taxable amount ......... 20b
00
00
21 Other income; list type.
Amount ............
21
00
00
22 Add the amounts in columns A and B for lines 7 thru 21. This is your total income. ...........................
22
00
00
*14CE0101*
*14CE0101*

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