Taxpay n s ' r e ame Taxpay S s ' r e SN
20____ HIGHLAND PARK
SCHEDULE TC, PART-YEAR RESIDENT TAX CALCULATION - HP-1040, PAGE 1, LINES 23a AND 23b Attachment 1
A part-year resident is required to complete and attach this schedule to the Highland Park return Revised 07/06/2014
1. Box A to report dates of residency of the taxpayer and spouse during the tax year
2. Box B to report the former address of the taxpayer and spouse
3. Column A to report all income from their federal income tax return
4. Column B to report all income taxable on their federal return that is not taxable to Highland Park
5. Column C to report income taxable as a resident and compute tax due on this income at the resident tax rate
6. Column D to report income taxable as a nonresident and compute tax due on this income at the nonresident tax rate
A. PART-YEAR RESIDENCY PERIOD From To B. PART-YEAR RESIDENT'S FORMER ADDRESS
Taxpay r e Taxpay r e
Spouse Spouse
Column A Column B Column C Column D
INCOME Federal Return Data Exclusions and Adjustments Taxable Taxable
Resident Income Nonresident Income
1. Wages, salaries, tips, etc. (Attach Form(s) W-2) 1 .00 .00 .00 .00
2. Taxa e r e t n i e l b t s 2 .00 .00 .00 NOT TAXABLE
3. O n i d r d i v i d y r a ends 3 .00 .00 .00 NOT TAXABLE
4. Taxable refunds, credits or offsets 4 .00 .00 NOT APPLICABLE NOT TAXABLE
5. i l A mon e r y c v i e ed 5 .00 .00 .00
6. Business income or (loss) (Att. copy of fed. Sch. C) 6 .00 .00 .00 .00
Capital gain or (loss) Mark if Sch.
7. (Att. copy of Sch. D) 7a D not 7b .00 .00 .00 .00
required
8. Other gains or (losses) (Att. copy of Form 4797) 8 .00 .00 .00 .00
9. Taxa R I e l b b i r t s i d A o i t u ns 9 .00 .00 .00 .00
10. Taxable pensions and annuities (Att. Form 1099-R) 10 .00 .00 .00 .00
Rental real estate, royalties, partnerships, S corps.,
11. trusts, etc. (Attach copy of fed. Sch. E) 11 .00 .00 .00 .00
12. Reserved 12 .00 .00 .00
13. Farm income or (loss) (Att. copy of fed. Sch. F) 13 .00 .00 .00 .00
14. Unem o l p yme c t n ompens o i t a n 1 4 .00 .00 NOT APPLICABLE NOT TAXABLE
15. So s l a i c ec b y t i r u en s t i f e 1 5 .00 .00 NOT APPLICABLE NOT TAXABLE
16. Other income (Att. statement listing type and amt) 16 .00 .00 .00 .00
17. Total additions (Add lines 2 through 16) 17 .00 .00 .00 .00
18. Total income (Add lines 1 through 16) 18 .00 .00 .00 .00
DEDUCTIONS SCHEDULE See instructions. Deductions must be allocated on the same basis as related income.
IRA deduction (Attach copy of page 1 of
1. federal return & evidence of payment) 1 .00 .00 .00 .00
Self-employed SEP, SIMPLE and qualified
2. plans (Attach copy of page 1 of fed. return) 2 .00 .00 .00 .00
Employee business expenses (See
3. instructions & att. copy of fed. Form 2106) 3 .00 .00
Moving expenses (Into Highland Park
4. area only) (Attach copy of federal Form 4 .00 .00 .00 .00
3903)
Alimony paid (DO NOT INCLUDE CHILD
5. SUPPORT. (Att. copy of page 1 of fed. 5 .00 .00 .00 .00
return)
6. Renaissance Zone deduction (Att. Sch. RZ) 6 .00 .00
19. Total deductions (Add lines 1 through 6) 19 .00 .00
2 0 . a T n i l a t o com d r e t f a e edu o i t c n ( s Su a r t b n i l t c 1 e o r f 9 m n i l 1 e ) 8 20a .00 .00
20b. Losses transferred between columns C and D (If line 20a is a loss in either column C or D, see instructions) 20b .00 .00
2 0 . c T n i l a t o com a r e t f a e u j d t s me n i L ( t n 2 e 0 e l a s n i l s 2 e 0 ) b 20c .00 .00
21. Exemptions (Enter the number of exemptions from Form HP-1040, page 2, box 1h, on line 21a; 21a 21b .00
multiply line 21a by $600; and enter on line 21b)
(If the amount on line 21b exceeds the amount of resident income on line 20c,
enter unused portion on line 21c) 21c .00
22a. Total income subject to tax as a resident (Subtract line 21b from line 20c; if zero or less,enter zero) 22a .00
22b. Total income subject to tax as a nonresident (Subtract line 21c from line 20c; if zero or less,enter zero) 22b .00
23a. Tax at resident rate (MULTIPLY LINE 22a BY 2% (0.02) THE RESIDENT TAX RATE) 23a .00
23b. Tax at nonresident rate (MULTIPLY LINE 22b BY 1% (0.01), THE NONRESIDENT TAX RATE) 23b .00
(ENTER HERE AND ON FORM HP-1040, PAGE 1, LINE 23b,
23c. Total tax (Add lines 23a and 23b) AND PLACE A MARK (X) IN BOX 23a OF FORM HP-1040) 23c .00