Form Schedule IN-155 Fillable Federal Itemized Deductions Addback
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

1 2 3 4 1 Enter amount of itemized deductions from Federal Form 1040 Schedule A Line 29 1 10 800 12 350 n/a n/a 10 Enter amount of gifts to charity from Federal Form 1040 Schedule A Line 19 10 11 Enter the amount of state and local income taxes from Line 4 of this schedule 11 12 Add Lines 9 through 11 12 13 850 15 100 16 350 17 600 13 Subtract Line 12 from Line 1 of this schedule 13 14 Multiply Line 2 of this schedule by 2 5 14 15 Subtract Line 14 from Line 13 If negative enter zero (0) 15 2 Enter allowable federal standard deduction for your filing status 2 3 Subtract Line 2 from Line 1 3 4 Enter amount of state and local income taxes from Federal Form 1040 Schedule A Line 5a 4 5 Enter amount from your 2015 Federal Form 1040 Line 10 If entry is zero enter the lesser 6 Enter the lesser amount from 2014 Vermont Schedule IN 154 Line 3 or Line 6 6 7 550 8 800 10 050 11 300 7 850 9 400 n/a n/a 7 Enter the lesser of Line 5 or Line 6 7 8 Subtract Line 7 from the lesser of Line 3 or Line 4 This is the 2015 addback amount 8 9 Enter amount of medical and dental expenses from Federal Form 1040 Schedule A Line 4 9 Check to Enter this amount on Form IN 111 Line 12c indicate negative (continued on next page) *151551100* *151551200* Adjusted 2015 Addback Adjustment for Recapture of Excess 2014 Addback amount of Line 3 or Line 4 on Form IN 111 Line 12c and continue to page 2 of this schedule 5 ATTACH TO FORM IN 111 Deductions Addback Enter amount from Line 1 Enter amount from Line 2 Enter this amount on Form IN 111 Line 12d Federal Itemized For those born before Jan 2 1951 or blind and entry Head of Household 9 250 If the difference is less than zero (0) check the box on Form IN 111 Line 12c to indicate a negative number If the difference is less than zero check the box to indicate a negative number If your itemized deductions are limited go to the Department s website for further instructions If your itemized deductions are limited go to www tax vermont gov for further instructions IN 155 Married Filing Jointly or Qualifying Widow(er) 12 600 Married Filing Separately 6 300 number on Federal Form 1040 Line 39a is PART A 2015 State and Local Income Tax Addback PART B Deductions above two and a half (2 5) times the Federal Standard Deduction Please PRINT in BLUE or BLACK INK SCHEDULE Schedule IN 155 Schedule IN 155 page 2 of 2 Single 6 300 Standard Taxpayer s Last Name First Name Initial Taxpayer s Social Security Number Taxpayer s Last Name Social Security Number VERMONT You must complete this schedule if you filed Federal Form 1040 Schedule A