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Form 200-01X Fillable Resident Amended Income Tax Return
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)
& Filing Combined Separate on this form (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (NotallowedwithItemizedDeductions SeeInstructions)CHECK BOX(ES) (Print Form) Print Form (radiobutton) Unchecked (radiobutton) Unchecked (radiobutton) Unchecked (radiobutton) Unchecked (radiobutton) Unchecked (radiobutton) Unchecked (Reconcile your Federal totals to the (Reset the Form) Reset (Rev 12/30/14) Toll free telephone number (Delaware only) 1 800 292 7826 (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) *DF21114019999* *DF21114029999* 1 DELAWARE ADJUSTED GROSS INCOME 10 Tax imposed by State of (Must attach copy of other state return) 11 Vol Firefighter Co # Spouse (Column A) Self (Column B) Enter credit amount 12 Other Non Refundable Credits (See Instructions) 13 Child Care Credit (Must attach Form 2441 ) (Enter 50% of Federal Credit ) 14 Earned Income Tax Credit (See Instructions) 15 Total Non Refundable Credits Add Lines 9a 9b 10 11 12 13 & 14 and enter here 16 BALANCE Subtract Line 15 from Line 8 If Line 15 is greater than Line 8 enter 0 (Zero) 17 Delaware Tax Withheld (attach W2s/1099) 18 Estimated Tax Paid & Payments with Extensions 19 S Corp Payments & Refundable Business Credits 2014 Capital Gains Tax Payments 2014 To 22 TOTAL Refundable Credits Add Lines 17 18 19 20 and 21 and enter here 23 Refund Received (if any see instructions) 24 Estimated tax carryover and/or Special Funds contributions as shown on original return 25 Subtract Lines 23 and 24 from Line 22 26 BALANCE DUE If Line 16 is greater than Line 25 subtract 25 from 16 and enter here 27 OVERPAYMENT If Line 25 is greater than Line 16 subtract 16 from 25 and enter here 28 AMOUNT OF LINE 27 TO BE APPLIED TO YOUR ESTIMATED TAX ACCOUNT (See Instructions) ENTER > 29 PENALTIES AND INTEREST DUE ENTER > 2a If you elect the DELAWARE STANDARD DEDUCTION check here 3 ADDITIONAL STANDARD DEDUCTIONS 30 NET BALANCE DUE (Line 26 plus Lines 28 and 29 PAY IN FULL > 31 NET REFUND (subtract Lines 28 and 29 from Line 27) ZERO DUE/TO BE REFUNDED > 32 Enter Federal AGI amount See Instructions 33 Interest on State & Local obligations other than Delaware 33 34 Fiduciary adjustment oil depletion 34 35 TOTAL Add Lines 33 and 34 35 36 Subtotal Add Lines 32 and 35 37 Interest received on U S Obligations 37 38 Pension/Retirement Exclusions (See Instructions ) 39 Delaware State t ax refund 4 TOTAL DEDUCTIONS Add Lines 2 & 3 and enter here 40 40 41 SUBTOTAL Add Lines 37 38 39 and 40 and enter here 41 42 Subtotal Subtract Line 41 from Line 36 43 Exclusion for certain persons 60 and over or disabled 43 44 TOTAL Add Lines 41 and 43 45 DELAWARE ADJUSTED GROSS INCOME Subtract line 44 from Line 36 Enter here and on Front Line 1 45 46 Enter total Itemized Deductions (See Ins tructions) 46 47 Enter Foreign Taxes Paid (See I nstructions) 47 48 Enter Charitable Mileage Deduction (See Instructions) 48 49 SUBTOTAL Add Lines 46 47 and 48 and enter here 49 5 TAXABLE INCOME Subtract Line 4 from Line 1 and Compute Tax on this Amount 50a Enter State Income Tax included in Line 46 above (See Instructions) 50a 50b Enter Form 700 Tax Credit Adjustment (See Instructions) 50b 51 TOTAL Subtract Line 50a and 50b from Line 49 Enter here and on Front Line 2 (See Instructions) 51 6 Tax Liability from Tax Rate Table/Schedule 7 Tax on Lump Sum Distribution (Form 329) 8 TOTAL TAX Add Lines 6 and 7 and enter here 9a Enter number of exemptions claimed on Federal return X $110 9b CHECK BOX(ES) Spouse 60 or over (Column A) Self 60 or over (Column B) A DETAILED EXPLANATION OF ALL CHANGES MUST BE PROVIDED IN THIS SPACE ALL SUPPORTING SCHEDULES AND/OR DOCUMENTATION MUST BE ATTACHED allocate deductions between spouses you must prorate in accordance with income Amount paid (If any see instructions) and ending ATTACH CHECK City State Zip Code COLUMN A COLUMN A COLUMN B COLUMN B COMPLETE ALL SECTIONS OF THIS RETURN NAMES AND SSN S MUST MATCH ORIGINAL CORRECTED AMOUNTS Delaware DELAWARE 2014 Delaware NOL Carry forward DF21114019999 DF21114029999 DO NOT WRITE OR STAPLE IN THIS AREA duciary adjustment work opportunity tax credit Enter number of boxes checked on Line 9b X $110 FILING STATUS (MUST CHECK ONE) Filing Status 2 Enter $6500 in Column B Filing Status 4 Enter $3250 in Column A and in Column B Filing status 4 enter itemized deductions from reverse side Line 51 in Columns A and B Filing Status 4 ONLY Filing Statuses 1 2 3 and 5 enter Itemized Deductions from reverse side Line 51 in Column B Filing Statuses 1 3 & 5 Enter $3250 in Column B FORM 200 01 X 2014 Page 2 FORM 200 01 X RESIDENT AMENDED Form DE2210 Attached Filing Status 4 ONLY All other filing statuses FORMS HAS THE DELAWARE DIVISION OF REVENUE ADVISED YOU YOUR ORIGINAL RETURN IS BEING AUDITED? Head of HERESTAPLE Household IF NO PLEASE EXPLAIN IF THE CHANGES PERTAIN TO THE DE RETURN ONLY LIST THE LINE NUMBERS BEING AMENDED If SPOUSE was 65 or over and/or Blind If YOU were 65 or over and/or Blind If you elect the DELAWARE ITEMIZED DEDUCTIONS check here b If you were a part year resident in 2014 give the dates you resided in into a Civil Union IS AN AMENDED FEDERAL RETURN BEING FILED? IS THIS AMENDED RETURN BEING FILED AS A PROTECTIVE CLAIM? YES NO Joint or Entered LABELSTAPLE Married or Entered into a Civil 5 Married or Entered into a Civil Union MODIFICATIONS TO FEDERAL ADJUSTED GROSS INCOME Month Day Month Day NET REFUND (LINE 31): P O BOX 8765 WILMINGTON DE 19899 8765 NOTE: IF YOUR ORIGINAL RETURN WAS FILED USING TWO SEPARATE FORMS YOU MUST FILE TWO SEPARATE AMENDED FORMS On Line 9a enter the number of exemptions for: Column A Column B or Fiscal year beginning PERSONAL INCOME TAX RETURN Present Home Address (Number and Street) Apt # REMIT FORM TO: NET BALANCE DUE (LINE 30): P O BOX 508 WILMINGTON DE 19899 0508 RESIDENT AMENDED SECTION A ADDITIONS (+) SECTION C ITEMIZED DEDUCTIONS (MUST ATTACH FEDERAL SCHEDULE A) If SECTIONB SUBTRACTIONS ( ) SIGNATURE OF PREPARER PREPARER S EIN OR SSN PREPARER S PHONE DATE Single Divorced 3 Spouse Information Spouse s Last Name Spouse s First Name Jr Sr III etc STREET ADDRESS OF PREPARER CITY STATE ZIP Under penalties of perjury I declare thatI have examined this return including accompanying schedules and statements and b elieve it is true correct and complete Union & Filing Separate Forms Widow(er) YES NO You OR You or You plus Spouse You plus Spouse Your Last Name First Name and Middle Initial Jr Sr III etc YOUR SIGNATURE DATE TELEPHONE NUMBER SPOUSE SIGNATURE (If Filing Joint) Your Social Security No Spouse s Social Security No ZERO DUE (LINE 31): P O BOX 8711 WILMINGTON DE 19899 8711