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Non and Part-year Resident Schedule |
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TC-40B |
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40106 |
SSN |
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Last name |
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2021 |
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USTC ORIGINAL FORM |
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Residency Status: • |
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Nonresident: Home state abbreviation: |
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Part-year resident from: |
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to |
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mm/dd/yy |
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mm/dd/yy |
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Income |
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Col. A - UTAH |
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Col. B - TOTAL |
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1 |
Wages, salaries, tips, etc. (1040 line 1) |
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.00 |
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.00 |
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2 |
Taxable interest income (1040 line 2b) |
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.00 |
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.00 |
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3 |
Ordinary dividends (1040 line 3b) |
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.00 |
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.00 |
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4 |
IRAs, pensions and annuities - taxable amount (1040 lines 4b and 5b) |
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.00 |
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.00 |
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5 |
Social Security benefits - taxable amount (1040 line 6b) |
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.00 |
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.00 |
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6 |
Taxable refunds/credits/offsets of state/local income taxes (1040, Schedule 1, line 1) |
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.00 |
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.00 |
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7 |
Alimony received (1040, Schedule 1, line 2a) |
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.00 |
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.00 |
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8 |
Business income or (loss) (1040, Schedule 1, line 3) |
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.00 |
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.00 |
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9 |
Capital gain or (loss) (1040, line 7) |
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.00 |
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.00 |
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10 |
Other gains or (losses) (1040, Schedule 1, line 4) |
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.00 |
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.00 |
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11 |
Rental real estate, royalties, partnerships, S corps, trusts, etc. (1040, Schd 1, line 5) |
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.00 |
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.00 |
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12 |
Farm income or (loss) (1040, Schedule 1, line 6) |
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.00 |
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.00 |
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13 |
Unemployment compensation (1040, Schedule 1, line 7) |
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.00 |
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.00 |
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14 |
Other income (1040, Schedule 1, line 9) |
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.00 |
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.00 |
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15 |
Additions to income from TC-40A, Part 1 (Utah portion only in Utah column) |
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.00 |
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.00 |
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16 |
Reserved |
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.00 |
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.00 |
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17 |
Reserved |
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.00 |
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.00 |
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18 |
Total income (loss) - add lines 1 through 17 for both columns A and B |
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.00 |
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.00 |
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Adjustments |
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Col. A - UTAH |
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Col. B - TOTAL |
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19 |
Educator expenses (1040, Schedule 1, line 11) |
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.00 |
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.00 |
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20 |
Certain bus. expenses of reservists, performing artists, etc. (1040, Schd 1, line 12) |
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.00 |
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.00 |
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21 |
Health savings account deduction (1040, Schedule 1, line 13) |
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.00 |
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.00 |
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22 |
Moving expenses (1040, Schedule 1, line 14) - col. A only expenses moving into Utah |
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.00 |
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.00 |
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23 |
Deductible part of self-employment tax (1040, Schedule 1, line 15) |
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.00 |
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.00 |
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24 |
Self-employed SEP, SIMPLE and qualified plans (1040, Schedule 1, line 16) |
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.00 |
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.00 |
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25 |
Self-employed health insurance deduction (1040, Schedule 1, line 17) |
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.00 |
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.00 |
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26 |
Penalty on early withdrawal of savings (1040, Schedule 1, line 18) |
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.00 |
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.00 |
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27 |
Alimony paid (1040, Schedule 1, line 19a) |
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.00 |
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.00 |
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28 |
IRA deduction (1040, Schedule 1, line 20) |
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.00 |
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.00 |
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29 |
Student loan interest deduction (1040, Schedule 1, line 21) |
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.00 |
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.00 |
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30 |
Reserved |
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.00 |
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.00 |
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31 |
Reserved |
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.00 |
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.00 |
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32 |
Taxable refunds/credits/offsets of state and local income taxes (1040, Schd 1, line 1) |
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.00 |
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.00 |
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33 |
Subtractions from income from TC-40A, Part 2 (Utah portion only in Utah column) |
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.00 |
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.00 |
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34 |
Reserved |
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.00 |
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.00 |
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35 |
Reserved |
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.00 |
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.00 |
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36 |
(see instructions): |
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.00 |
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.00 |
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37 |
Total adjustments - add lines 19 through 36 for both columns A and B |
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.00 |
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.00 |
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38 |
Subtract line 37 from line 18 for both columns A and B |
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.00 |
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.00 |
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Line 38, column B must equal TC-40, line 9 |
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Non or Part-year Resident Utah Tax |
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39 |
Divide line 38 column A by line 38 column B (to 4 decimal places, not more than 1.0000 or less than 0.0000) |
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39 |
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40 |
Subtract TC-40, line 24 from TC-40, line 23 and enter the result (not less than zero) here |
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40 |
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.00 |
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41 |
UTAH TAX - Multiply line 40 by the decimal on line 39. Enter on TC-40, page 2, line 25 |
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41 |
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.00 |
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Submit this page ONLY if data entered.
Attach completed schedule to your Utah Income Tax Return.