Form TC-40A Fillable Schedule A - Income Tax Supplemental Schedule
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(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) * to the extent previously deducted or credited on Utah return 01 At home parent credit 12 Research activities credit 02 Qualified sheltered workshop credit name: 13 04 Capital gain transactions credit 22 Medical Care Savings Account (MSA) credit 05 Clean fuel vehicle credit 19 06 Historic preservation credit 21 Renewable residential energy systems credit 07 Enterprise zone credit 25 08 Low income housing credit 27 Veteran employment tax credit 17 Tax paid to another state (attach TC 40S) 18 Retirement tax credit (attach TC 40C) 23 20 Utah Educational Savings Plan (UESP) credit 24 Qualifying solar project credit 39 Renewable commercial energy systems 47 Agricultural off highway gas/undyed diesel 40 Targeted business tax credit 48 40404 40405 41 Special needs adoption credit 51 Lump sum distributions 57 Municipal bond interest 53 Medical Savings Account (MSA) addback* 60 54 Utah Educational Savings Plan (UESP) addback* 61 Untaxed income of a nonresident trust 56 Child s income excluded from parent s return 69 71 Interest from U S Government Obligations 78 Railroad retirement income 77 Native American Income: Tribe 79 88 Nonresident military spouse income Amount Attach completed schedule to your Utah Income Tax Return Code Amount Code Code Code Code Code Code Enrollment Number Code 82 Nonresident active duty military pay Income Tax Supplemental Schedule TC 40A Pg 1 Income Tax Supplemental Schedule TC 40A Pg 2 Last name Part 1 Additions to Income (write the code and amount of each addition to income) Part 2 Subtractions from Income (write the code and amount of each subtraction from income) Part 3 Apportionable Nonrefundable Credits (write the code and amount of each credit) Part 4 Nonapportionable Nonrefundable Credits (write the code and amount of each credit) Code Part 5 Refundable Credits (write the code and amount of each refundable credit) Code Amount Submit page ONLY if data entered Total additions to income (add all additions to income and enter total here and on TC 40 line 5) Total apportionable nonrefundable credits (add all Part 3 credits and enter total here and on TC 40 line 24) Total nonapportionable nonrefundable credits (add all Part 4 credits and enter total here and on TC 40 line 26) Total refundable credits (add all refundable credits and enter total here and on TC 40 line 38) Total subtractions from income (add all subtractions from income and enter total here and on TC 40 line 8)