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Get MA DoR 1-NR/PY 2020-2023

42 43 2017 overpayment applied to your 2018 estimated tax from 2017 Form 1 line 47 or Form 1-NR/PY line 51. 2018 FORM 1-NR/PY PAGE 2 4 EXEMPTIONS a. Personal exemptions. If single or married filing separately enter 4 400. GO TO MASS.GOV/DOR FOR MORE INFORMATION. Form 1-NR/PY Massachusetts Nonresident/Part-Year Tax Return 2018 TAXPAYER S FIRST NAME M. YOU MUST COMPLETE AND ENCLOSE SCHEDULE HC. FILL OUT IN BLACK INK. Massachusetts Department of Revenue FILE YOUR RETURN ELEC TRONICALLY FOR A FASTER REFUND. I. LAST NAME TAXPAYER S SOCIAL SECURITY NUMBER SPOUSE S FIRST NAME SPOUSE S SOCIAL SECURITY NUMBER MAILING ADDRESS no. street apt. /suite/postal box. If you have a foreign address also complete line below. CITY/TOWN STATE ZIP FOREIGN PROVINCE/STATE/COUNTY FOREIGN POSTAL CODE Fill in if see instructions FOREIGN COUNTRY OR COUNTRY CODE Original return Amended return 1 Taxpayer State Election Campaign Fund this contribution will not change your tax or reduce your refund 1 Spouse. Total Fill in if veteran of U*S* armed services who served in Operation Enduring Freedom Iraqi Freedom Noble Eagle or Sinai Peninsula*. Spouse Fill in appropriate oval s if taxpayer s is deceased* See instructions. Fill in if under age 18. See instructions. Fill in if name or address has changed since 2017. Fill in if noncustodial parent. Fill in if filing Schedule TDS* See instructions. Fill in one only. See instructions Nonresident Part-year resident Filing as both nonresident and part-year resident 5 IF A LOSS MARK AN X IN BOX a b Total federal adjusted gross income from U*S* Form 1040 line 7 1040NR line 35 or 1040NR-EZ line 10. b a Total federal income from U*S* Form 1040 line 6 1040NR line 23 or 1040NR-EZ line 7. 1 FILING STATUS* Fill in one only. Single Married filing joint return both must sign return Head of household see instructions You are a custodial parent who has released claim to exemption for child ren 2 PART-YEAR RESIDENTS ONLY Dates as Massachusetts resident. from MM D D Y Y Y Y 3 Total days as Massachusetts resident. to SIGN HERE* Under penalties of perjury I declare that to the best of my knowledge and belief this return and enclosures are true correct and complete. YOUR SIGNATURE DATE SPOUSE S SIGNATURE / / / / Be sure to enclose any forms or schedules W-2 W-2G 1099 3K-1 SK-1 PWH or LOA that show Massachusetts withholding. If head of household enter 6 800. If married filing jointly enter 8 800. 4a b. Number of dependents do not include yourself or your spouse. Must enclose Schedule DI. Total 1 000 4b c* Age 65 or over before 2019 You 1 700 4c d. Blindness 2 200 4d e. Medical/dental from U*S* Schedule A line 4. 4e f* Adoption* See instructions. 4f g. TOTAL EXEMPTIONS* Add lines 4a through 4f* Enter here and on line 22a*. 4g INCOME* Nonresidents report in lines 5 through 11 Massachusetts source income only. Use line 13 if appropriate. Part-year residents report in lines 5 through 11 income earned and/or received while a resident. Do not use lines 13 or 14.

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