Filing Status/ |
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$1,500 Single |
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$1,500 Married filing separate. Complete Spouse SSN |
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Exemptions |
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$3,000 Married filing joint |
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$3,000 Head of Family (with qualifying person). Complete Schedule HOF. |
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5a |
Alabama Income Tax Withheld (from Schedule W-2, line 18, column G) |
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A – Alabama tax withheld |
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B – Income |
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5b |
Wages, salaries, tips, etc. (from Schedule W-2, line 18, column I plus J):. |
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5a |
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5b |
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Income |
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Interest and dividend income (also attach Schedule B if over $1,500) |
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6 |
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and |
7 |
Other income (from page 2, Part I, line 9) |
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7 |
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Adjustments |
8 |
Total income. Add amounts in the income column for line 5b through line 7 . . |
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8 |
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9 |
Total adjustments to income (from page 2, Part II, line 16) |
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9 |
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10 |
Adjusted gross income. Subtract line 9 from line 8 |
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10 |
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Deductions |
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Check box a, if you itemize deductions, and enter amount from Schedule A, line 27. |
Box a or b MUST be checked |
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Check box b, if you do not itemize deductions, and enter standard deduction (see instructions) |
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If claiming a deduc- |
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a |
Itemized Deductions |
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b |
Standard Deduction |
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11 |
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tion on line 12, you |
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must attach page |
12 |
Federal tax deduction (see instructions) |
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1,2 and Schedule 1 |
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of your Federal |
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DO NOT ENTER THE FEDERAL TAX WITHHELD FROM YOUR FORM W-2(S) |
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Return, if applica- |
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ble. |
13 |
Personal exemption (from line 1, 2, 3, or 4) |
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13 |
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14 |
Dependent exemption (from page 2, Part III, line 2) |
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14 |
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15 |
Total deductions. Add lines 11, 12, 13, and 14 |
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15 |
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16 |
Taxable income. Subtract line 15 from line 10 |
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16 |
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17 |
Income Tax due. Enter amount from tax table or check if from |
Form NOL-85A |
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17 |
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Tax |
18 |
Net tax due Alabama. Check box if computing tax using Schedule OC |
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18 |
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Staple Form(s) W-2, |
19 |
Additional taxes (from Schedule ATP, Part I, Line 3) |
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19 |
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W-2G, and/or 1099 |
20 |
Alabama Election Campaign Fund. You may make a voluntary contribution to the following: |
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here. Attach Schedule |
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W-2 to return. |
a |
Alabama Democratic Party |
$1 |
$2 |
none |
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20a |
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b |
Alabama Republican Party |
$1 |
$2 |
none |
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20b |
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21 |
Total tax liability and voluntary contribution. Add lines 18, 19, 20a, and 20b |
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21 |
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22 |
Alabama income tax withheld (from column A, line 5a) |
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22 |
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23 |
2021 estimated tax payments/Automatic Extension Payment |
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24 |
Amended Returns Only — Previous payments (see instructions) |
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24 |
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Payments |
25 |
Refundable Credits. Enter the amount from Schedule OC,Section F, line F4. |
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25 |
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26 |
Payments from Schedule CP, Section B, Line 1 . |
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26 |
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27 |
Total payments. Add lines 22, 23, 24, 25 and 26 |
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27 |
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28 |
Amended Returns Only – Previous refund (see instructions) |
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28 |
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29 |
Adjusted Total Payments. Subtract line 28 from line 27 |
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29 |
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AMOUNT |
30 |
If line 21 is larger than line 29, subtract line 29 from line 21, and enter AMOUNT YOU OWE and add line 31. |
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Place payment, along with Form 40V, loose in the mailing envelope. (FORM 40V MUST ACCOMPANY PAYMENT.) |
30 |
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YOU OWE |
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31 |
Penalties (from Schedule ATP, Part II, line 3) (see instructions) |
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31 |
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OVERPAID |
32 |
If line 29 is larger than line 21, subtract line 21 from line 29, and enter amount OVERPAID |
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32 |
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33 |
. . . . . . . . . . . . . . . .Amount of line 32 to be applied to your 2022 estimated tax |
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33 |
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Donations |
34 |
Total Donation Check-offs from Schedule DC, line 2 |
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34 |
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REFUND |
35 |
REFUNDED TO YOU. (CAUTION: You must sign this return on the reverse side.) |
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If line 32 is greater than zero, subtract lines 31, 33 and 34 from line 32 |
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35 |
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