Form TC-40C Fillable Schedule C - Retirement Credit Schedule
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

$16 000 if married filing separately $25 000 if single $32 000 if head of household $32 000 if married filing jointly or qualifying widow(er) (checkbox) Unchecked (checkbox) Unchecked (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 1 Date of birth (if born after 1952 you do not qualify for the credit) 10 Enter total of line 9 for both columns 11 Add line 4 and line 10 12 Enter total income from your TC 40 line 6 13 Enter nontaxable interest income (federal form 1040 or 1040A line 8b) (see inst ) 14 Modified adjusted gross income (add line 12 and line 13) 15 Enter: 16 Subtract line 15 from line 14 (not less than "0 ) 17 Multiply line 16 by 2 5% ( 025) 18 Retirement Credit subtract line 17 from line 11 (not less than "0") 2 Enter X if you were age 65 or older by December 31 2013 3 Enter total number of X s on line 2 4 Multiply the number on line 3 by $450 40307 5 Enter X if you were under age 65 and born before January 1 1953 6 If you entered an X on line 5 enter $288 in the same column otherwise enter "0" 7 Enter total qualified retirement income for taxpayer checked on line 5 (see inst ) 8 Multiply the amount on line 7 for each column by 6% ( 06) 9 Enter the lesser of line 6 or line 8 for each column Attach completed schedule to your 2013 Utah income tax return Enter this amount on your TC 40A Part 3 using code 18 mm dd yy Part 2 Age 65 or Older Credit Part 3 Under Age 65 Retirement Income Credit Part 4 Calculation of Credit Part1 Taxpayer Information Retirement Tax Credit Schedule Rev 12/13 Spouse Spouse Submit this page ONLY if data entered TC 40C Your last name Your social security number