
*21000140*
1 •
$1,500 Single 3 •
$1,500 Married filing separate. Complete Spouse SSN •
2 •
$3,000 Married filing joint 4 •
$3,000 Head of Family (with qualifying person). Complete Schedule HOF.
5a Alabama Income Tax Withheld (from Schedule W-2, line 18, column G)...........................
5b
Wages, salaries, tips, etc. (from Schedule W-2, line 18, column I plus J):...............................
6 Interest and dividend income (also attach Schedule B if over $1,500) ..........................................................
7 Other income (from page 2, Part I, line 9)...................................................................................
8 Total income. Add amounts in the income column for line 5b through line 7 ....................................................
9 Total adjustments to income (from page 2, Part II, line 16) ....................................................................
10 Adjusted gross income. Subtract line 9 from line 8 ........................................................................
11 Check box a, if you itemize deductions, and enter amount from Schedule A, line 27.
Check box b, if you do not itemize deductions, and enter standard deduction (see instructions)
• a Itemized Deductions • b Standard Deduction ..........................
12 Federal tax deduction (see instructions).......................................................
DO NOT ENTER THE FEDERAL TAX WITHHELD FROM YOUR FORM W-2(S)
13 Personal exemption (from line 1, 2, 3, or 4)....................................................
14 Dependent exemption (from page 2, Part III, line 2).............................................
15 Total deductions. Add lines 11, 12, 13, and 14 ............................................................................
16 Taxable income. Subtract line 15 from line 10 .............................................................................
17 Income Tax due. Enter amount from tax table or check if from •
Form NOL-85A ...........................................
18 Net tax due Alabama. Check box if computing tax using Schedule OC • , otherwise enter amount from line 17 ................
19 Additional taxes (from Schedule ATP, Part I, Line 3).........................................................................
20 Alabama Election Campaign Fund. You may make a voluntary contribution to the following:
a Alabama Democratic Party
$1
$2
none....................................................................
b Alabama Republican Party
$1
$2
none....................................................................
21 Total tax liability and voluntary contribution. Add lines 18, 19, 20a, and 20b.................................................
22 Alabama income tax withheld (from column A, line 5a) ........................................
23 2021 estimated tax payments/Automatic Extension Payment ....................................
24 Amended Returns Only — Previous payments (see instructions) .................................
25 Refundable Credits. Enter the amount from Schedule OC,Section F, line F4......................
26 Payments from Schedule CP, Section B, Line 1 ...............................................
27 Total payments. Add lines 22, 23, 24, 25 and 26 ...........................................................................
28 Amended Returns Only – Previous refund (see instructions)..................................................................
29 Adjusted Total Payments. Subtract line 28 from line 27 ....................................................................
30 If line 21 is larger than line 29, subtract line 29 from line 21, and enter AMOUNT YOU OWE and add line 31.
Place payment, along with Form 40V, loose in the mailing envelope. (FORM 40V MUST ACCOMPANY PAYMENT.)
31 Penalties (from Schedule ATP, Part II, line 3) (see instructions) ..................................
32 If line 29 is larger than line 21, subtract line 21 from line 29, and enter amount OVERPAID .........................
33 Amount of line 32 to be applied to your 2022 estimated tax .....................................
34 Total Donation Check-offs from Schedule DC, line 2 ...........................................
35 REFUNDED TO YOU. (CAUTION: You must sign this return on the reverse side.)
If line 32 is greater than zero, subtract lines 31, 33 and 34 from line 32 ..........................................
22
23
24
25
26
31
33
34
CHECK BOX IF AMENDED RETURN •
Alabama Individual Income Tax Return
RESIDENTS & PART-YEAR RESIDENTS
FORM
40 2021
Your first name Initial Last name
• • •
Spouse’s first name Initial Last name
• • •
Present home address (number and street or P.O. Box number)
•
City, town or post office State ZIP code
• • •
Check if address
Foreign Country
•
is outside U.S.
For the year Jan. 1 - Dec. 31, 2021, or other tax year: Beginning: Ending:
•
Box a or b MUST be checked
30
32
35
Donations
REFUND
5b
6
7
8
9
10
15
16
17
18
19
20a
20b
21
27
28
29
Filing Status/
Exemptions
Income
and
Adjustments
Tax
Staple Form(s) W-2,
W-2G, and/or 1099
here. Attach Schedule
W-2 to return.
5a
Payments
AMOUNT
YOU OWE
OVERPAID
11
12
13
14
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
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•
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•
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•
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•
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•
•
•
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•
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•
•
ADOR
B – IncomeA – Alabama tax withheld
Your social security number
•
•
Check if primary is deceased
Primary’s deceased date (mm/dd/yy)
•
Spouse’s social security number
•
•
Check if spouse is deceased
Spouse’s deceased date (mm/dd/yy)
•
Deductions
If claiming a deduc-
tion on line 12, you
must attach page
1,2 and Schedule 1
of your Federal
Return, if applica-
ble.