|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
c. Check Form originally filed: |
|
Form 40 |
Form 40A |
E40 |
Form 40NR |
|
|
Form 41 – Fiduciary (Estate or Trust) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
d. Has your Federal return been audited for the year being changed? |
Yes |
|
No |
|
|
|
|
|
|
|
|
|
If “Yes,” attach copy of Federal report. If “No,” have you been advised that it will be? |
Yes |
No |
|
|
|
|
|
e. Check here if the change pertains to a net operating loss carryback or carryforward. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
A. As originally |
|
B. Net change – |
C. Correct |
|
PLEASE FOLLOW LINE BY LINE INSTRUCTIONS FOR COMPLETION OF THIS FORM |
|
|
reported or as adjusted |
Increase or (Decrease) |
|
|
|
amount |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(See Instructions) |
|
– Explain on Page 2 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
Total income |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . |
. |
. |
|
1 |
|
|
|
|
|
|
|
|
|
2 |
Adjustments to income . . |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . |
. |
. |
|
2 |
|
|
|
|
|
|
|
|
Income |
3 |
Adjusted gross income (subtract line 2 from line 1) |
. . |
. . . . . . . . |
. |
. |
|
3 |
|
|
|
|
|
|
|
|
4 |
. . . . . . . . . . . Standard or Itemized Deductions |
. . |
. . . . . . . . |
. |
. |
|
4 |
|
|
|
|
|
|
|
|
and |
5 |
Subtract line 4 from line 3 |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . |
. |
. |
|
5 |
|
|
|
|
|
|
|
Deductions |
6 |
Federal income tax deduction |
. . |
. . . . . . . . |
. |
. |
|
6 |
|
|
|
|
|
|
|
|
|
7 |
. . . . . . . . . . . . . . . .Net income (subtract line 6 from line 5) |
. . |
. . . . . . . . |
. |
. |
|
7 |
|
|
|
|
|
|
|
|
|
8 |
Personal and dependent exemption or Fiduciary exemption |
. . . . . . . . |
. |
. |
|
8 |
|
|
|
|
|
|
|
|
|
9 |
Taxable income (subtract line 8 from line 7) |
. . . . . . . . . . . |
. . |
. . . . . . . . |
. |
. |
|
9 |
|
|
|
|
|
|
|
|
|
|
10a |
Income Tax (including previous voluntary contribution) . . . |
. . |
. . . . . . . . |
. |
. |
|
10a |
|
|
|
|
|
|
|
|
|
|
b |
Consumer Use Tax |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . |
. |
. |
|
10b |
|
|
|
|
|
|
|
Tax Liability |
11 |
. . . . . . . . . . . . . . . . . . . . . . . . .Total (add lines 10a and 10b) |
. . |
. . . . . . . . |
. |
. |
|
11 |
|
|
|
|
|
|
|
|
|
12 |
. . . . . . . . .Credits from Sch. CR and/or Sch. OC |
. . |
. . . . . . . . |
. |
. |
|
12 |
|
|
|
|
|
|
|
|
|
13 |
. . . . . . . . . .Net tax liability (subtract line 12 from line 11) |
. . |
. . . . . . . . |
. |
. |
|
13 |
|
|
|
|
|
|
|
|
|
14 |
Alabama income tax withheld |
. . |
. . . . . . . . |
. |
. |
|
14 |
|
|
|
|
|
|
|
|
|
15 |
Estimated tax payments . |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . |
. |
. |
|
15 |
|
|
|
|
|
|
|
Payments |
16 |
. . . . . . . . . . . . . . . . .Amount of tax paid with original return |
. . |
. . . . . . . . |
. |
. . . |
. . . . |
. |
. . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . . . |
. |
16 |
|
|
|
17 |
. . . . . . . .Other payments |
. . . . . . . . . . . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . |
. |
. . . |
. . . . |
. |
. . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . . . |
. |
17 |
|
|
|
18 |
. . . . . . . . . . . . . . . . . . . . . . .Total (add lines 14 through 17) |
. . |
. . . . . . . . |
. |
. . . |
. . . . |
. |
. . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . . . |
. |
18 |
|
|
|
19 |
Overpayment, if any, as shown on return (or as previously adjusted by Alabama Department of Revenue) |
. |
19 |
|
|
Refund |
20 |
. . . . . . . . . . . . . . . . . . . . . . . . . .Subtract line 19 from line 18 |
. . |
. . . . . . . . |
. |
. . . |
. . . . |
. |
. . . . . . . . . . . . . . . . . . . |
. . |
. . . . . . . . . . |
. |
20 |
|
|
21 |
BALANCE DUE. If line 13, column C is more than line 20, enter difference. Pay in full with this return. |
|
|
|
|
or |
|
|
(If applicable, include interest from due date and penalties.) |
|
|
|
|
|
|
|
|
Balance Due |
|
|
Tax $_____________________ + Interest $_____________________ + Penalties $_____________________ = |
|
21 |
• |
|
|
22 |
REFUND to be received. If line 13, column C is less than line 20, enter difference |
. . |
. . . . . . . . . . |
. |
22 |
• |
|
|
|
I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer. |
|
|
RECEIVING STAMP |
|
|
|
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and |
|
|
|
|
|
|
Please |
|
statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other |
|
|
|
|
|
|
|
than taxpayer) is based on all information of which preparer has any knowledge. |
|
|
|
|
|
|
|
|
|
Sign |
|
▼ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Here |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Your signature |
|
|
|
|
|
|
|
Date |
|
|
|
|
|
|
|
|
|
|
|
▼ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Spouse’s signature (if filing jointly, BOTH must sign even if only one had income) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Paid |
|
Preparer’s |
▼ |
|
|
|
|
|
|
|
Date |
|
|
|
|
|
|
|
|
|
|
Signature |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Preparer’s |
|
Firm’s name (or yours, |
|
|
|
|
|
|
|
|
|
Telephone |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Use Only |
|
if self employed) |
▼ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
and address |
|
|
|
|
|
|
|
Preparer’s SSN or PTIN |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|