
22. Income tax paid to other states. Include Form 39R and a copy of other state return ...... 22
23. Total credits from Form 39R, Part E, line 4. Include Form 39R ...................................... 23
24. Total business income tax credits from Form 44, Part I, line 12. Include Form 44 ........ 24
25. TOTAL CREDITS. Add lines 22 through 24 ............................................................................................................. 25
26. Subtract line 25 from line 21. If line 25 is more than line 21, enter zero .................................................................. 26
42. Grocery credit. Computed Amount (from worksheet) .................................................................. ______________
To donate your grocery credit to the Cooperative Welfare Fund, check the box and enter zero on line 42.
To receive your grocery credit, enter the computed amount on line 42 .................................................................... 42
43. Maintaining a home for family member age 65 or older, or developmentally disabled. Include Form 39R .............. 43
44. Special fuels tax refund ________________ Gasoline tax refund ___________________ Include Form 75 44
45. Idaho income tax withheld. Include Form(s) W-2 and any 1099(s) that show Idaho withholding ............................ 45
46. 2012 Form 51 payment(s) and amount applied from 2011 return ............................................................................. 46
47. Pass-through income tax. Withheld ____________ Paid by entity _____________ Include Form(s) ID K-1 .... 47
48. Hire One Act credit for new employees. Include Form 72 ........................................................................................ 48
49. TOTAL PAYMENTS AND OTHER CREDITS. Add lines 42 through 48 .................................................................... 49
52. TOTAL DUE. Add lines 50 and 51. Make check or money order payable to the Idaho State Tax Commission ........ 52
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Check box if penalty is due to an ineligible withdrawal from an Idaho medical savings account ....................
TAX DUE or REFUND. See instructions, page 10. If line 41 is more than line 49, GO TO LINE 50. If line 41 is less than line 49, GO TO LINE 53.
PAYMENTS and OTHER CREDITS. Complete the grocery credit refund worksheet on page 9.
DONATIONS. See instructions, page 8. I want to donate to:
OTHER TAXES. See instructions, page 8.
CREDITS. Limits apply. See instructions, page 8.
50. TAX DUE. Subtract line 49 from line 41 .........................................................................................................
27. Fuels tax due. Include Form 75 ................................................................................................................................ 27
28. Sales/Use tax due on Internet, mail order, and other nontaxed purchases ...................................................... 28
29. Total tax from recapture of income tax credits from Form 44, Part II, line 7. Include Form 44 ................................. 29
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31. Permanent building fund. Check the box if you are receiving Idaho public assistance payments .................. 31
32. TOTAL TAX. Add lines 26 through 31 ....................................................................................................................... 32
Form 40 - 2012
EFO00089p2 07-20-12
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21. Tax amount from line 20 ............................................................................................................................................
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53. OVERPAID. Line 49 minus lines 41 and 51. This is the amount you overpaid ....................................................... 53
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51. Penalty ____________ Interest from the due date ____________ Enter total ..............................................
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54. REFUND. Amount of line 53 to be refunded to you .......................................................................................
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55. ESTIMATED TAX. Amount of line 53 to be applied to your 2013 estimated tax ...................................................... 55
33. Nongame Wildlife Conservation Fund ........... ________ 34. Idaho Children's Trust Fund ............ _________
35. Special Olympics Idaho ................................. ________ 36. Idaho Guard and Reserve Family ... _________
37. American Red Cross of Greater Idaho Fund .. ________ 38. Veterans Support Fund ................... _________
39. Idaho Foodbank ............................................ ________ 40. Opportunity Scholarship Program ... _________
41. TOTAL TAX PLUS DONATIONS. Add lines 32 through 40 ...................................................................................... 41
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{"6U¦}
Routing No.
AMENDED RETURN ONLY. Complete this section to determine your tax due or refund. See instructions.
57. Total due (line 52) or overpaid (line 53) on this return ............................................................................................... 57
58. Refund from original return plus additional refunds ................................................................................................... 58
59. Tax paid with original return plus additional tax paid ................................................................................................. 59
60. Amended tax due or refund. Add lines 57 and 58 and subtract line 59 ....................................................................
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Your signature Spouse's signature (if a joint return, BOTH MUST SIGN)
Date
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Checking
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Preparer's EIN, SSN, or PTIN
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Under penalties of perjury, I declare that to the best of my knowledge and belief this return is true, correct and complete. See instructions.
Account No.
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