Form Tc-40 - Individual Income Tax Return Instructions - 2011 Page 17

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Keep form TC-675H with your records. If you have any
• $600 for a married couple fi ling jointly with no dependents,
questions about UESP accounts, call UESP at 801-321-7188
and
or 1-800-418-2551, or visit .
• $900 for all taxpayers (any fi ling status) with dependents.
Note: Any credit that is more than the tax liability may not
There is no form for this credit. Keep all related documents
be carried back or forward.
with your records.
Calculation of Health Benefi t Plan Credit
(22) Medical Care Savings Account (MSA) Tax Credit
1. Amount paid for health benefi t plan
$________
(UC §59-10-1021)
If you made a qualifi ed investment in a Medical Care Savings
2. Excluded amount (see instructions)
(________)
Account (MSA) and did not deduct that investment on your
3. Subtract line 2 from line 1
$________
4. Multiply line 3 by 5% (.05).
$________
federal form 1040, you may use the MSA amount to calculate
5. Enter maximum credit allowed per return
your Utah credit.
$300 for single taxpayer with no dependents
The Utah resident account holder of an MSA receives form
$600 for married fi ling jointly with no dependents
TC-675M, Statement of Withholding for Utah Medical Savings
$900 for all taxpayer(s) with dependents
$________
Account, from the account administrator. Include the sum of
6. Enter the lesser of line 4 or line 5. This is your credit.
lines 5 and 6, on line 1 of the calculation below. Keep form
Enter this amount on TC-40A, Part 3, using code 23. $________
TC-675M with your records.
Note: Any credit that is more than the tax liability may not
Calculation of Medical Care Savings Account Tax Credit
be carried back or forward.
1. Eligible amount for credit from line 5 and line 6
________
of form TC-675M
$
See incometax.utah.gov/credits/health-benefit-plans-
________
2. Multiply line 1 by 5% (.05). This is your MSA credit. $
credit for more information.
Enter this amount on TC-40A, Part 3, using code 22.
(24) Qualifying Solar Project Credit
Note: Any credit that is more than the tax liability may not
(UC §59-10-1024)
be carried back or forward.
You may claim a credit of 25% of the amount paid to buy one
or more solar units from a qualifying political subdivision, up
(23) Health Benefi t Plan Credit
to a maximum credit of $2,000. This is in addition to any other
(UC §59-10-1023)
energy credit you claim.
Amounts itemized or otherwise deducted in
determining federal taxable income, or used to claim a
A qualifying solar unit is a portion of the electrical output of
federal credit, cannot be used for this Utah credit.
an active solar project constructed, controlled or owned by
a qualifying political subdivision, which generates electricity
You may claim a credit of 5% of the amount paid for a health
furnished to and for the benefi t of one or more residential
benefi t plan only if you, your spouse on a joint return, or any
units, and is sold to the taxpayer in exchange for a credit on
dependent claimed on your return is not insured under a health
the taxpayer's electric bill.
benefi t plan maintained and funded in whole or in part by your,
your spouse’s or your dependent’s current or former employer,
Calculation of Qualifying Solar Project Credit
or another person’s employer. You cannot claim this credit if
1. Amount paid for solar unit(s)
$________
you choose not to participate in a plan maintained and funded
2. Multiply line 1 by 25% (.25)
$________
by a current or former employer. You also cannot use pre-tax
3. Maximum allowable credit
2,000
deductions from wages through employer-sponsored programs,
4. Enter lesser of line 2 or line 3. This is your credit.
$________
such as a cafeteria or fl ex plan, to claim the credit.
Enter this amount on TC-40A, Part 3, using code 24.
Excluded Amounts
Note: Any credit that is more than the tax liability may be
The credit is 5% of amounts paid for health benefi t plans (but
carried forward for the next four years.
not self-insurance) after deducting the following:
There is no form for this credit. Keep all related documents
1. Amounts used to calculate a credit for health insurance
with your records.
costs of eligible individuals (IRC Section 35),
2. Income exclusions for employer-provided coverage under
Contact your city or electrical utility provider for more
an accident or health plan (IRC Section 106),
information.
3. Cafeteria or employer plans covering all employees who
may choose among two or more cash and qualifi ed benefi ts
(IRC Section 125),
4. Trade or business expenses for self-employed individuals
up to 100% of premiums paid, but not more than your net
business income (IRC Section 162),
5. Medical and dental expenses deducted on federal Schedule
A that are more than 7.5% of your federal adjusted gross
income (IRC Section 213), and
6. All dental, vision, supplemental health, or Medicare
supplemental policies if not part of your health benefi t plan.
The maximum credit is:
• $300 for a single taxpayer (including married fi ling sepa-
rately, head of household, and qualifying widow(er)) with
no dependents,

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