Form 39NR 2022 Part-year Resident and Nonresident Supplemental Schedule Names as shown on return Social Security number A. Additions. See instructions, page 40. Column A - Federal Column B - Idaho 1. Non-Idaho state and local bond interest and dividends .......................... ▪ 1 00 ▪ 00 2. Idaho college savings account withdrawal .............................................. ▪ 2 00 ▪ 00 3. Bonus depreciation. Include federal Form 4562s. Check the box if you have a current year loss limitation. See instructions ▪ ... ▪ 3 00 ▪ 00 4. Other additions. Include explanation ....................................................... ▪ 4 00 ▪ 00 5. Total additions. Add lines 1 through 4. Enter here and on Form 43, line 29 ........ ▪ 5 00 ▪ 00 B. Subtractions. See instructions, page 41. 1. Idaho net operating loss carryover ▪ Idaho net operating loss carryback ▪ Enter total here 1 00 00 2. State income tax refund. See instructions ............................................... ▪ 2 00 ▪ 00 3. Interest from U.S. government obligations .............................................. ▪ 3 00 ▪ 00 4. Child/dependent care. Include federal Form 2441 .................................. ▪ 4 00 ▪ 00 5. Social Security & railroad benefits included in Form 43, line 28, Column A ........ ▪ 5 00 ▪ 00 6. Idaho capital gains deduction. Include Form CG ..................................... ▪ 6 00 ▪ 00 7. Idaho resident - active duty military pay earned outside of Idaho ............ ▪ 7 00 ▪ 00 8. Idaho medical savings account. Contributions Interest Financial institution Account number 8 00 ▪ 00 9. Idaho college savings program ................................................................ 9 00 ▪ 00 10. Adoption expenses .................................................................................. ▪ 10 00 ▪ 00 11. Home for the aged and/or developmentally disabled. Complete Part F, line 3 .... 11 00 ▪ 00 12. Idaho lottery winnings, less than $600 per prize ...................................... 12 00 ▪ 00 13. Income earned on a reservation by an American Indian ......................... 13 ▪ 00 14. Workers’ compensation insurance ........................................................... 14 00 ▪ 00 15. Partner’s and shareholder’s pass-through subtractions ............................ ▪ 15 00 ▪ 00 16. Energy efficiency upgrades ..................................................................... ▪ 16 00 ▪ 00 17. Technological equipment donation .......................................................... ▪ 17 00 ▪ 00 18. Health insurance premiums ..................................................................... ▪ 18 00 ▪ 00 19. Long-term care insurance ....................................................................... ▪ 19 00 ▪ 00 20. Alternative energy device deduction ....................................................... Year Type of Device Total Cost Percentage Acquired a. 2022 $ X 40% = 20a 00 ▪ 00 b. 2021 $ X 20% = 20b 00 ▪ 00 c. 2020 $ X 20% = 20c 00 ▪ 00 d. 2019 $ X 20% = 20d 00 ▪ 00 e. Add lines 20a through 20d. Can’t exceed $5,000 .............................. 20e 00 ▪ 00 21. Add lines 1 through 19 and 20e .............................................................. 21 00 00 22. Idaho qualified retirement benefits deduction.......................................... a. If single, enter $40,140; if married filing jointly, enter $60,210 ............ ▪ 22a 00 b. Federal Railroad Retirement received ................................................ ▪ 22b 00 See instructions, c. Social Security benefits received ........................................................ ▪ 22c 00 page 47, for qualified retirement benefits to d. Balance. Subtract lines 22b and 22c from line 22a. If less than zero, enter zero... 22d 00 be included on lines e. Qualified retirement benefits included in federal gross income ........... ▪ 22e 00 22e and 22g. f. Column A benefits. Smaller of line 22d or line 22e .............................. ▪ 22f 00 g. Qualified retirement benefits included in Idaho gross income ............. 22g ▪ 00 h. Divide line 22g by line 22e .................................................................. 22h % i. Column B benefits deduction. Multiply line 22f by line 22h ................. 22i ▪ 00 23. Nonresident military pay included in Form 43, line 28, Column A ........... ▪ 23 00 24. Bonus depreciation. Include federal Form 4562s ................................... ▪ 24 00 ▪ 00 25. First-time home buyer. Contributions Interest Financial institution Account number By checking the box, I attest that I am a first-time home buyer. ▪ See instructions. 25 ▪ 00 EFO00087 03-01-2023 Page 1 of 2 |
Form 39NR 2022 (continued) Names as shown on return Social Security number 26. Other subtractions. Include explanation ................................................. ▪ 26 00 ▪ 00 27. Total subtractions. Column A, add lines 21, 22f, 23, 24, and 26. Column B, add lines 21, 22i, 24, 25, and 26. Enter here and on Form 43, line 30 ........ 27 00 ▪ 00 C. Credit for income tax paid to other states by part-year residents. See instructions, page 50. Nonresidents can’t claim this credit. Idaho residents on active military duty, complete Part D below. This credit is being claimed for taxes paid to: ▪ (State name) 1. Idaho adjusted income from Form 43, line 31, Column B ...................... 1 00 2. Federal adjusted gross income earned in other state adjusted for Include a copy of the Idaho modifications. See instructions ..................................................... ▪ 2 00 income tax return and a separate Form 39NR 3. Amount of income taxed by Idaho and also taxed by another state ............. ▪ 3 00 for each state for which 4. Idaho tax, Form 43, line 42 ..................................................................... 4 00 a credit is claimed. 5. Divide line 3 by line 1. Enter percentage here ........................................ 5 % 6. Multiply line 4 by line 5 ................................................................................................................... 6 00 7. Other state’s tax due minus its income tax credits. See instructions ...... ▪ 7 00 8. Divide line 3 by line 2. Enter percentage here ........................................ 8 % 9. Multiply line 7 by line 8 ................................................................................................................... 9 00 10. Enter the smaller of lines 6 or 9 here and on Form 43, line 43 ...................................................... ▪ 10 00 D. Credit for income tax paid to other states by Idaho residents on active military duty. See instructions, page 50. This credit is being claimed for taxes paid to: ▪ (State name) 1. Idaho tax, Form 43, line 42 ..................................................................... 1 00 Include a copy of the 2. Other state’s adjusted income. See instructions ..................................... ▪ 2 00 income tax return and a separate Form 39NR 3. Idaho adjusted income from Form 43, line 31, Column B ....................... 3 00 for each state for which 4. Divide line 2 by line 3. Enter percentage here ........................................ 4 % a credit is claimed. 5. Multiply line 1 by line 4. Enter amount here ................................................................................... 5 00 6. Other state’s tax due minus its income tax credits ......................................................................... ▪ 6 00 7. Enter the smaller of lines 5 or 6 here and on Form 43, line 43 ...................................................... ▪ 7 00 E. Credits for Idaho educational entity and Idaho youth and rehabilitation facility contributions, and live organ donation expenses. See instructions, page 51. 1. Credit for Idaho educational entity contributions ............................................................................ ▪ 1 00 2. Credit for Idaho youth and rehabilitation facility contributions ....................................................... ▪ 2 00 3. Credit for live organ donation expenses ........................................................................................ ▪ 3 00 4. Total credits. Add lines 1 through 3. Enter total here and on Form 43, line 44 .............................. 4 00 F. Maintaining a home for a family member age 65 or older or a family member with a developmental disability. See instructions, page 52. 1. Did you maintain a home for an immediate family member age 65 or older (not including you and your spouse) and provide more than one-half of that person’s support? ................................ Yes No 2. Did you maintain a home for an immediate family member with a developmental disability (including you and your spouse) and provide more than one-half of that person’s support? ................ Yes No 3. List each family member you’re claiming: Family Member’s Name Family Member’s Relationship to Person Family Member’s Check here if Social Security Filing Return Birthdate Developmentally First Name Last Name Number (mm/dd/yyyy) Disabled 4. Total amount claimed ($100 for each qualifying member but not more than $300). Enter here and on Form 43, line 64. (Credit can’t be claimed if you took $1,000 deduction on Part B, line 11.) .......... 4 00 G. Dependents: (Continued from Form 43, page 1, line 6) First Name Last Name Social Security Number Birthdate (mm/dd/yyyy) EFO00087 03-01-2023 Page 2 of 2 |
Form 39NR — Instructions 2022 Part-year Resident and Nonresident Supplemental Schedule Complete Form 39NR if you’re filing Form 43. If • Compute the Idaho adjusted basis and any you’re filing Form 40, complete Form 39R. gains or losses from the sale or exchange of the property using the Idaho depreciation amounts Part A — Additions • If the federal depreciation (including gains and Line 1 Non-Idaho State and Local Bond Interest losses) is more than the Idaho depreciation and Dividends (including Idaho gains and losses), include Column A: Enter the amount of interest and the difference on this line; otherwise, enter the dividends, less the related expenses, you received difference on Part B, line 24 from municipal bonds of other state governments, Include on this line your distributive share of bonus including their counties or cities, or from obligations depreciation from Form ID K-1, Part IV, line 22. of any foreign country. This income isn’t taxed Don’t enter any amounts for property acquired during on your federal return. Include any amount 2008 and 2009. passed through to you from Form ID K-1, Part IV, Column A, line 21. Column A: If the federal depreciation is more than the depreciation calculated without the bonus Column B: Enter the amount in Column A earned depreciation, include the difference on this line. while an Idaho resident or part-year resident. This includes your apportioned share passed through If you’re a shareholder of an S corporation or a partner from S corporations, partnerships, trusts, and in a partnership that has Idaho source income, include estates from Form ID K-1, Part IV, Column B, your distributive share of bonus depreciation from line 21. Form ID K-1, Part IV, Column A, line 22. If you’re required to file an Idaho return, you must Column B: If the federal depreciation is more report any amounts allocated or apportioned to Idaho. than the depreciation calculated without the bonus depreciation, include the difference on this line. Line 2 Idaho College Savings Account Enter on this line your apportioned share of bonus Withdrawal depreciation from Form ID-K-1, Part IV, Column B, Column A: If you made a nonqualified withdrawal line 22. The amount must be included as part of from an Idaho college savings account, enter the Form 43, line 27, Idaho Adjusted Gross Income. amount withdrawn minus any amounts reported on If you have a current year loss limitation for the your federal Form 1040 or 1040-SR. following: Include withdrawals from Idaho college savings • At Risk (IRC Section 465) programs that are transferred to a qualified program • Passive Loss (IRC Section 469) operated by another state or a qualified Achieving a Better Life Experience (ABLE) program. The • Partnership Basis (IRC Section 704(d)) amount added back is limited to your contributions • Shareholder Basis (IRC Section 1366(d) deducted in the year of transfer and the previous Check the box and include Form DBDA. tax year. Line 4 Other Additions Column B: If you made a nonqualified withdrawal Complete this worksheet using the instructions from an Idaho college savings account, enter the below to determine your other additions. total amount withdrawn. Column A Column B Line 3 Bonus Depreciation 1. Federal net operating If you claimed bonus depreciation for federal loss ................................... purposes for property acquired before 2008 or 2. Capital loss carryforward .... after 2009: 3. Retirement plan lump-sum • Complete a separate federal Form 4562 or distributions ....................... detailed computation for Idaho depreciation 4. Partner and shareholder purposes as if the special depreciation Idaho additions .................. allowance hadn’t been claimed EIN00046 03-01-2023 Page 40 of 64 |
Form 39NR — Instructions 2022 (continued) 5. Idaho medical savings Idaho Medical Savings Account Withdrawals account withdrawals .......... Columns A and B: If you withdraw funds from an 6. Non-Idaho passive losses Idaho medical savings account and don’t use the incurred before taxpayer funds to pay eligible medical expenses, Idaho taxes was an Idaho resident ...... the withdrawal. Report this amount as an other 7. First-time home buyer addition. Eligible medical expenses include: savings account • Medical care withdrawals ...................... • Vision care 8. Total. Add lines 1 through 7. • Dental care Enter these amounts in the appropriate columns on line • Medical insurance premiums and long-term 4 of Form 39NR ................. care expenses If you make a taxable withdrawal and you’re under Federal Net Operating Loss (NOL) age 59 1/2, penalty applies to the withdrawal. The penalty is 10% of the amount withdrawn. Report the Column A: Enter the NOL carryforward or carryback penalty on Form 43, line 72, and check the box for an included on your federal return. The federal NOL unqualified withdrawal. carryforward or carryback isn’t the same as Idaho’s. The Idaho NOL is reported on Part B, line 1. First-time Home Buyer Savings Account Column B: Make no entry in Column B. Columns A and B: If you withdraw funds from an Idaho first-time home buyer savings account and Capital Loss Carryforward don’t use the funds to pay eligible home costs, Idaho Column A: Enter any capital losses included on taxes the withdrawal. Report this amount as an other federal Form 1040 or 1040-SR, line 7 that were addition. Eligible home costs include: incurred in another state or capital losses from • Down payment for the purchase of an Idaho activities not taxable by Idaho. home See the Capital Gain or Loss Adjustment • Cost, fees, taxes, or payments for the Worksheet on page 27 to compute your Idaho purchase of an Idaho home capital gain (loss) and required addition if necessary. Part B — Subtractions Column B: Make no entry in Column B. Line 1 Idaho Net Operating Loss (NOL) Carryover and Carryback Retirement Plan Lump-sum Distributions Columns A and B: Enter the Idaho NOL carryover. Column A: Enter the taxable amount of a lump-sum Include Form 56 or a schedule showing the application distribution from a retirement plan reported on of the loss. Don’t include losses from sources that federal Form 4972. The amount taxable by Idaho weren’t taxable by Idaho or that were incurred before includes the ordinary income portion and the becoming a resident or part-year resident. amount eligible for the federal capital gain election. If this is an amended return to claim an NOL Column B: Enter any amount in Column A received carryback, enter the amount of the NOL carryback. while an Idaho resident. Include Form 56 or a schedule showing the application of the loss. Partner and Shareholder Idaho Additions Column A: Include the amount of the state, municipal, Enter the total of the NOL carryover and carryback and local income tax additions from Form ID K-1, amounts. Part IV, Column B, line 20, and the other additions Line 2 State Income Tax Refund from Form ID K-1, Part IV, Column B, line 23. Column A: Enter all state income tax refunds Column B: Include your apportioned share of the included on federal Schedule 1, line 1. state, municipal, and local income tax additions from Form ID K-1, Part IV, Column B, line 20, and the other additions from Form ID K-1, Part IV, Column B, line 23. EIN00046 03-01-2023 Page 41 of 64 |
Form 39NR — Instructions 2022 (continued) Column B: Enter state income tax refunds and 3. Enter excluded benefits from Part III of state tax rebates for Idaho servicemembers Form 2441 .............................................. included on Idaho Form 43, line 19. 4. Subtract line 3 from line 2. If zero or Line 3 Interest from U.S. Government Obligations less, stop. You can’t claim the Idaho doesn’t tax interest income received from deduction ................................................ U.S. government obligations. See page 29 for 5. Enter your earned income ...................... examples of U.S. government obligations. 6. If married filing a joint return, enter your Idaho taxes interest income received from the spouse’s earned income. All others Federal National Mortgage Association (FNMA) and enter the amount from line 5 .................. the Government National Mortgage Association 7. Enter the smallest of lines 1, 4, 5, or 6 (GNMA). here and on Form 39NR, Part B, line 4, Column A ................................................. If you have interest income from a mutual fund that invests in both nonexempt securities and exempt 8. If married filing a joint return, enter the U.S. government securities, you can deduct the total of lines 5 and 6 that are from Idaho portion of the interest earned that’s attributable to sources. All others enter the amount from line 5 from Idaho sources ............... direct U.S. government obligations. This amount must be identified by the mutual fund to be 9. If married filing a joint return, enter the deductible. total of lines 5 and 6. All others enter the amount from line 5 ............................ Column A: Enter the interest income you received 10. Divide line 8 by line 9. from U.S. government obligations if included on (Can’t exceed 100%) ............................. % federal Form 1040 or 1040-SR, line 2b. Your distributive share from Form ID K-1, Part IV, 11. Multiply line 7 by line 10. Enter this Column A, line 25 net of the expenses related to the amount here and on Form 39NR, federal obligations, should already be included on Part B, line 4, Column B ......................... federal Form 1040 or 1040-SR. Include federal Form 2441, Child and Dependent Care Column B: Enter on this line the interest and Expenses, with your return. related expenses included as part of Form 43, line 27. This includes your apportioned share of Line 5 Social Security and Railroad Benefits interest from Form ID K-1, Part IV, Column B, Idaho doesn’t tax Social Security or Social Security line 25 minus expenses relating to U.S. interest. equivalent benefits, benefits paid by the Railroad Retirement Board, or Canadian Social Security Line 4 Child and Dependent Care benefits (OAS, QPP or CPP) that are taxable on your If you claimed the federal Credit for Child and federal return. Dependent Care Expenses, you’re allowed an Idaho deduction for the child care expenses you Exempt payments from the Railroad Retirement paid for the care of your dependents. The Idaho Board include: deduction is a different amount than the federal • Retirement, supplemental, and disability annuities credit. • Unemployment and sickness benefits Complete this worksheet to determine your Idaho Enter the taxable amount of Social Column A: child or dependent care deduction. Refer to federal Security benefits from Form SSA-1099 or Form 2441 to determine amounts to enter on lines 1 Social Security Equivalent railroad benefits from through 6. Form RRB-1099 included on your federal Form 1040 Worksheet or 1040-SR, line 6b. Don’t enter the amount reported on Form 1040 or 1040-SR, line 6a. 1. Enter the amount of qualified expenses you incurred and paid in 2022. Don’t Enter the taxable amount of non-Social Security include amounts paid by your employer equivalent railroad benefits from Form RRB-1099R or excluded from taxable income ........... included on your federal Form 1040 or 1040-SR, line 2. Enter $3,000 for one child or dependent 5b. Don’t enter the amount reported on Form 1040 or or $6,000 for more than one child or 1040-SR, line 5a. dependent cared for during the year ..... EIN00046 03-01-2023 Page 42 of 64 |
Form 39NR — Instructions 2022 (continued) If subtracting benefits from the Railroad Retirement have to compute the amount of income earned outside Board, you must include Form RRB-1099 or of Idaho. See your unit of assignment or use your RRB-1099-R with your return. orders to make the computation. Include a copy of Disability pension paid by the Federal Railroad your worksheet. Retirement Act may be included as wages on National Guard or Reserve pay, including annual Form 1040 or 1040-SR, line 1 if you’re under the training pay, doesn’t qualify as active duty pay unless minimum retirement age. you’ve been called into full-time duty for 120 days or more. If you’re a commissioned officer of the Column B: Enter Social Security and railroad Public Health Service or of the National Oceanic benefits included on Idaho Form 43, line 19. and Atmospheric Administration militarized by the President of the United States and attached to the Line 6 Idaho Capital Gains Deduction armed forces, your active duty military wages earned Columns A and B: If you had capital gain net outside Idaho qualify for this deduction. Enter these income from the sale of qualified Idaho property wages on this line. described below, you may be able to deduct 60% of the capital gain net income reported on federal Line 8 Idaho Medical Savings Account Schedule D. Contributions and Interest (a) Real property held for at least 12 months, or Columns A and B: You can contribute up to $10,000 (b) Tangible personal property used in a ($20,000 if married filing a joint return) to an Idaho revenue-producing enterprise and held for at medical savings account and deduct the contribution. least 12 months Deductible contributions don’t include reimbursements • See page 32 for the definition of that were redeposited into your Idaho medical savings revenue-producing enterprises account. Don’t include amounts deducted on federal Form 1040 or 1040-SR. (c) Cattle and horses held for at least 24 months and other livestock used for breeding held for An Idaho medical savings account generally is at least 12 months established with a bank, savings and loan, or credit (d) Timber held for at least 24 months union. The account is established to pay eligible medical expenses of the account holder and the (e) Certain sales of partnership interests. account holder’s dependents. See Idaho Code 63-3022H(3)(f) for more information. Include interest earned on the account on this line but only if included on Form 43, line 8. Add your qualifying Note: Gains from the sale of stocks and other contributions to the interest earned on the account and intangibles don’t qualify. enter the total on this line. Complete Idaho Form CG to compute your capital gains deduction. Line 9 Idaho College Savings Program You can deduct up to $6,000 ($12,000 if married filing Line 7 Idaho Resident-Military Pay Earned a joint return) per year in contributions to accounts Outside of Idaho in the Idaho College Savings Program (IDeal). Column A and B: If you’re serving in the United Contributions to an out-of-state qualified tuition States military on active duty that’s continuous program aren’t eligible for the deduction. Designate and uninterrupted for 120 days, Idaho doesn’t tax the account owner and beneficiary at the time you your active duty military wages for service outside establish the account. The account owner can of Idaho. The continuous 120 days don’t have to make withdrawals for a qualified eligible education be in the same tax year. This deduction applies to expense for the beneficiary as provided in 26 U.S.C. Idaho part-year residents who report military wages section 529. The person who withdraws the funds earned outside Idaho as Idaho income on Form 43, must report the amounts withdrawn as income. More line 7. information is available at idsaves.org or by calling (866) 433-2533. Enter the amount of wages in Columns A and B if included on Form 43, line 7. Don’t include military wages earned while stationed in Idaho. Your W-2 doesn’t show this amount separately, and you may EIN00046 03-01-2023 Page 43 of 64 |
Form 39NR — Instructions 2022 (continued) Line 10 Adoption Expenses If you maintain the home for the family member for Column A: If you adopt a child, you can deduct less than a full year, the deduction is allowed at some of the expenses incurred in the adoption. the rate of $83.33 for each month the home was You can claim legal and medical expenses incurred maintained. up to a maximum of $10,000 per adoption. Travel A family member is any person who meets the expenses don’t qualify. If you incur expenses in relationship test to be claimed as a dependent on two or more years, deduct the costs in the year income tax returns. Refer to the federal Form 1040 paid until you meet the $10,000 limit. Expenses instructions for more information. related to an unsuccessful attempt to adopt aren’t Maintaining a household means paying more than deductible. If you claim expenses in a year before one-half of the expenses incurred for the benefit of all the unsuccessful attempt to adopt, file an amended the household’s occupants. Social Security benefits return to add back any deduction claimed for the aren’t support provided by you but must be included unsuccessful attempt. in the computation of total support provided. Some Column B: Enter the amount included in Column examples of expenses of maintaining a household A in the proportion that total Idaho income bears include: to total income from all sources. Complete the • Property taxes following worksheet. • Mortgage interest 1. Total Idaho income from Form 43, line 20 ...... • Rent 2. T otal income from federal Form 1040 or • Utility charges 1040-SR, line 9 ....................................... • Upkeep and repairs 3. Divide line 1 by line 2. • Property insurance, and (Can’t exceed 100%) .............................. % • Food consumed on the premises 4. T otal adoption expenses from line 10, Column A ................................................. The amounts entered in Columns A and B must be 5. Multiply line 4 by line 3. Enter this the same. amount on line 10, Column B ................. Line 12 Idaho Lottery Winnings Line 11 Columns A and B: Enter the amount of Idaho lottery Home for the Aged prizes of less than $600 per award included in other Columns A and B: You can deduct $1,000 for income on Form 43, line 19. The amounts entered in each family member, not including yourself or your Columns A and B must be the same. spouse, who: Line 13 Income Earned on a Reservation by an • Is age 65 or older American Indian • You maintain a household for, and Column B: You can deduct all your income from • You provide more than one-half of the family working on the reservation only when all these criteria member’s support for the year are met: Developmentally Disabled • You’re enrolled in a federally recognized tribe You can deduct $1,000 for each family member, • You live and work on the reservation including yourself and your spouse, who: • The income is included on Form 43, line 7 of • Is developmentally disabled your tax return • You maintain a household for, and If you have no other income, you aren’t required • You provide more than one-half of the family to file. member’s support for the year Income earned off the reservation can’t be deducted. No more than three deductions of $1,000 are Income earned on the reservation can’t be deducted allowed. If you claim this deduction, you can’t claim if you live off the reservation. the $100 credit in Part F. See page 33 for the definition of developmental disability. EIN00046 03-01-2023 Page 44 of 64 |
Form 39NR — Instructions 2022 (continued) Line 14 Workers’ Compensation Insurance Columns A and B: Include your distributive share Columns A and B: A self-employed individual can from the appropriate column of Form ID K-1, Part IV, deduct the actual cost of amounts paid for workers’ line 26. The deduction from a pass-through entity can’t compensation insurance coverage in Idaho, if the be more than the amount of pass-through income cost isn’t deducted elsewhere. minus deductions of the entity making the contribution. Don’t enter amounts paid for coverage in other Line 18 Health Insurance Premiums states. The amounts entered in Columns A and B Deduct premiums you paid for health Column A: must be the same. insurance for yourself, your spouse, and your dependents if those premiums haven’t already been Line 15 Pass-through Subtractions deducted or excluded from your income. Column A: Include the amount of other subtractions included on Form ID K-1, Part IV, Column A, line 28. If you claimed a deduction for health insurance premiums on your federal Form 1040 or 1040-SR, Column B: Enter your Idaho apportioned share of Schedule A, use the worksheet on page 46 to the Idaho subtractions from Form ID K-1, Part IV, calculate the deduction allowed for health insurance Column B, line 28. premiums. The worksheet follows the priority that itemized deductions first apply to health insurance Line 16 Energy Efficiency Upgrade premiums, then to long-term care insurance. Columns A and B: To qualify for this deduction, your Idaho residence must have existed, been Idaho Medical Savings Account If you take money out of your Idaho medical savings under construction, or had a building permit issued account to pay medical insurance premiums, no on or before January 1, 2002, and must be your deduction is allowed. Since the health insurance primary residence. costs already are deducted or accounted for, they Energy efficiency upgrade means an energy can’t be deducted a second time. efficiency improvement to your residence’s envelope or duct system that meets or exceeds Salary Reduction Plans the minimum value for the improved component Premiums paid through a cafeteria plan or other established by the version of the International salary-reduction arrangement can’t be included in Energy Conservation Code (IECC) in effect in Idaho the Idaho deduction for health insurance costs. For during the tax year when the improvement is made. example, if your health insurance payments are Contact the Idaho Division of Building Safety at deducted from your paycheck pretax, they don’t qualify dbs.idaho.gov for more information. for the deduction. See page 30 for more on energy efficiency upgrades. Business Deductions The amount charged for labor to install the energy Premiums deducted as a business expense can’t efficiency upgrades is also deductible. be included in the Idaho deduction for health insurance costs, since these amounts are already Line 17 Technological Equipment Donation deducted. This includes amounts of self-employed Columns A and B: Enter the lesser of cost or fair health insurance premiums deducted in arriving at market value of technological equipment donated federal adjusted gross income. to one or more of the following Idaho educational institutions or libraries located in Idaho: Social Security Medicare A and B No deduction is allowed for the amount paid for • Public or nonprofit private elementary, or employer-required Social Security Medicare A. This secondary school is the amount listed as a deduction on almost every • Public or nonprofit private college or university federal Form W-2. • Public library or library district If you voluntarily enroll in Medicare B or Items that qualify for this deduction are limited Medicare D or aren’t covered under Social Security to computers, computer software and scientific and voluntarily enroll in Medicare A, you can deduct equipment, or apparatus manufactured within five the premiums you paid. years of the date of donation. The amount deducted can’t reduce Idaho taxable income to less than zero. Any unused deduction can’t be carried to another year. EIN00046 03-01-2023 Page 45 of 64 |
Form 39NR — Instructions 2022 (continued) Idaho Standard Deduction 12. Medical expense deduction not If you use the Idaho standard deduction instead of allocated to health insurance costs. itemizing your deductions for Idaho purposes, you Subtract line 1 from line 6. If less than don’t have to reduce your health insurance costs by zero, enter zero ....................................... any amount claimed as a federal itemized deduction. 13. Portion of long-term care insurance deduction allowed on federal Form 1040 or Federal Itemized Deduction Limitations 1040-SR, Schedule A. Enter the lesser of The following worksheets calculate your health lines 2 or 12 .......................................... insurance and long-term care insurance premium 14. Enter the total long-term care subtractions for Idaho purposes. insurance costs deducted elsewhere If you aren’t itemizing deductions for Idaho, skip on the federal return ................................ lines 1-6 and enter zeros on lines 8, 12, and 13. 15. Long-term care insurance deduction allowed. Subtract lines 13 and 14 from Health Insurance and Long-term Care Insurance line 11. Enter the amount on Form 39NR, Deduction Limitations line 19, Column A .......................................... 1. Amount claimed for health insurance costs on federal Form 1040 or 1040-SR, Column B: Enter the amount from line 5 of this Schedule A ............................................. worksheet. 2. Amount claimed for long-term care 1. Total Idaho income from Form 43, insurance on federal Form 1040 or line 20 ........................................................... 1040-SR, Schedule A .............................. 2. Total income from federal Form 1040 or 3. Additional medical expenses claimed 1040-SR, line 9 ............................................ on federal Form 1040 or 1040-SR, 3. Divide line 1 by line 2. Schedule A .............................................. (Can’t exceed 100%) ................................... % 4. Total medical expenses. Add lines 1, 4. Enter the amount from Form 39NR, 2 and 3 .................................................... line 18, Column A ........................................ 5. Enter 7.5% of federal adjusted gross 5. Allowable Idaho deduction. Multiply line 4 income .................................................... by line 3 ....................................................... 6. Medical expense deduction allowed on federal Form 1040 or 1040-SR, Line 19 Long-term Care Insurance Schedule A. (Subtract line 5 from line 4. If Column A: You can deduct the amount you paid in less than zero, enter zero.) ........................ premiums for qualified long-term care insurance that Health Insurance isn’t otherwise deducted or accounted for. 7. Enter the total paid for health insurance ..... Qualified long-term care insurance includes any 8. Portion of health insurance deduction insurance policy that provides coverage for at least 12 allowed on federal Form 1040 or consecutive months for yourself, your spouse, or your 1040-SR, Schedule A. Enter the lesser dependents for one or more necessary diagnostic, of lines 1 or 6 ........................................... preventive, therapeutic, rehabilitative, maintenance, 9. Enter the total health insurance or personal care services provided in a setting other costs deducted elsewhere on the than an acute care unit of a hospital. Group and federal return ................................................ individual annuities and life insurance policies that 10. Idaho health insurance deduction directly provide or that supplement long-term care allowed. Subtract lines 8 and 9 from line 7. insurance qualify. This includes a policy that provides Enter this amount on Form 39NR, line 18, for payment of benefits based on cognitive impairment Column A ................................................ or loss of functional capacity. Long-term Care Insurance Qualified long-term care insurance doesn’t include 11. Enter the total paid for long-term care any insurance policy that’s offered primarily to provide insurance ................................................. coverage for: • Basic Medicare supplement • Basic hospital expense • Basic medical surgical expense EIN00046 03-01-2023 Page 46 of 64 |
Form 39NR — Instructions 2022 (continued) • Hospital confinement indemnity • A fluid-to-air heat pump operating on a fluid • Major medical expense reservoir heated by solar radiation or geothermal resource but not an air-to-air heat pump unless it • Disability income or related asset protection uses geothermal resources as part of the system • Accident only • A natural gas or propane heating unit that • Specified disease or specified accident, or replaces a noncertified wood stove • Limited benefit health • An Environmental Protection Agency Life insurance policies that accelerate death (EPA)-certified wood stove or pellet stove meeting benefits generally don’t qualify. current industry and state standards that replaces a noncertified wood stove If you claimed a deduction for long-term care insurance on your federal Form 1040 or 1040-SR, A noncertified wood stove is a wood stove that Schedule A as an itemized deduction, calculate the doesn’t meet current EPA standards. You must take long-term care insurance allowed as a deduction by the noncertified wood stove to a site authorized by using the worksheet on the previous page. the Division of Environmental Quality (DEQ) within 30 days from the date of purchase of the qualifying Column B: Enter the amount from line 5 of this device. The DEQ will give you a receipt to verify it worksheet. received and destroyed the noncertified wood stove. 1. Total Idaho income from Form 43, You must install the natural gas or propane heating line 20 ........................................................... unit or the EPA-certified wood stove or pellet stove the 2. Total income from federal Form 1040 or same tax year that you surrender the nonqualifying 1040-SR, line 9 ............................................ wood stove to the DEQ. 3. Divide line 1 by line 2. (Can’t exceed 100%) ................................... % Lines 20a – 20d 4. Enter the amount from Form 39NR, Complete the lines that apply to the year you acquired line 19, Column A ........................................ the device. For example, if you acquired the device in 2019, complete line 20d. Enter the device type and 5. Allowable Idaho deduction. Multiply line 4 by line 3 ....................................................... total cost. Multiply the total cost by the appropriate percentage. Line 20e can’t be more than $5,000. Line 20 Alternative Energy Device Line 22 Idaho Qualified Retirement Benefits Deduction Deduction Columns A and B: If you install an alternative You may be able to deduct some of the qualifying energy device in your Idaho residence, you can retirement benefits and annuities you receive. deduct a portion of the amount actually paid or The Idaho Retirement Benefits Deduction has a accrued (billed but not paid). two-part qualification. You must qualify for both In the year the device is placed in service, you can parts to receive this deduction. deduct 40% of the cost to construct, reconstruct, remodel, install, or acquire the device, but not more Part One – Age, Disability, and Marital/Filing Status The recipients must be at least age 65 or be classified than $5,000. as disabled and be at least age 62. In the next three years after installation, you can The following individuals are classified as disabled: deduct 20% of these costs per year, but not more than $5,000 in any year. • An individual recognized as disabled by the Social Security Administration, the Railroad Qualifying devices include: Retirement Board, or the Office of Management • A system using solar radiation, wind, or and Budget geothermal resource primarily to provide • A veteran of a U.S. war with a service-connected heating or cooling or produce electrical power disability rating of 10% or more or any combination thereof • A veteran of a U.S. war with a nonservice-connected disability pension • A person who has a physician-certified permanent disability with no expectation of improvement EIN00046 03-01-2023 Page 47 of 64 |
Form 39NR — Instructions 2022 (continued) If you’re married, you can’t claim this deduction if Security retirement system. For example, you file separately. If you’re an unremarried widow benefits paid out of the city police retirement or widower of a pensioner and receive qualifying funds for the cities of Coeur d’Alene, Lewiston, survivor benefits, you may be eligible to claim and Pocatello may qualify for the deduction. the retirement benefit deduction if you meet the Similarly, benefits paid by PERSI relating to the age/disability requirements. old Idaho Falls Policemen’s Retirement Fund may qualify for the deduction. Part Two – Qualified Retirement Benefits If you received a 1099R and your account The recipients must meet the requirements in number includes the IFP (Idaho Falls Police) Part One, and their qualified retirement benefits designation, your benefits may qualify for the must be one of the following: deduction. Benefits paid out of the PERSI Base • Civil Service Employees: Retirement Plan don’t qualify for the deduction. annuities paid by the United States of America • Service Members: Retirement benefits paid by Civil Service Retirement System (CSRS), the the United States to a retired member of the U.S. Foreign Service Retirement and Disability military. System (FSRDS), or the offset programs of these two systems. To qualify for the deduction, Disability pension paid by the Federal Railroad employees must have established eligibility Retirement Act may not be included on your before 1984. Retirement annuities paid to a Form RRB-1099 or RRB-1099-R, if you’re under the retired federal employee under the Federal minimum retirement age. Instead it may be included Employees Retirement System (FERS) don’t on Form 1040 or 1040-SR, line 1 as wages. qualify for the deduction. If you received a The maximum amounts that can be deducted for CSA-1099, you can tell if your benefits are paid 2022 are: under the CSRS or FERS by looking at the first digit of the account number shown on your Married filing jointly: CSA-1099. If the first digit is 7, the benefits are • Recipient age 65 or older ......................... $60,210 paid out of FERS and don’t qualify. • Recipient age 62 or older and disabled ..... $60,210 If the first digit is 8, look at your Notice Single: of Annuity Adjustment from the Office of • Age 65 or older ........................................ $40,140 Personnel Management. The notice shows • Age 62 or older and disabled ................... $40,140 how much of your benefits are paid from These amounts must be reduced by retirement CSRS and how much are paid from FERS. benefits received by you and your spouse under the Only the portion paid from CSRS qualifies for Federal Social Security Act and the Federal Railroad this deduction. If the first digit is 0, 1, 2, 3, or 4, Retirement Act. the benefits are paid out of CSRS. Include with your return Form 1099s for all qualified • Idaho Firefighters: Retirement benefits paid retirement benefits claimed. by the Public Employee Retirement System of Idaho (PERSI) relating to the Firemen’s Line 22a. Enter $60,210 or $40,140, whichever Retirement Fund. applies to your filing status. Note: Only one deduction If you received a 1099R and your account is allowed even though you and your spouse receive number includes the FRF (Firemen’s more than one annuity. Retirement Fund) designation, your benefits Line 22b. Enter the amount of retirement benefits you may qualify for the deduction. Benefits paid out and your spouse received under the Federal Railroad of the PERSI Base Plan don’t qualify for the Retirement Act. deduction. Include on this line: • Police Officers of an Idaho City: Retirement benefits paid from the Policemen’s Retirement • The net Social Security equivalent benefit portion Fund that no longer admits new members from federal Form RRB-1099, Box 5 and, on January 1, 2012, was administered • The “total gross paid” amount from federal by an Idaho city or PERSI. Also, benefits Form RRB-1099-R, Box 7, minus any repayment paid by PERSI relating to Idaho police officer from Box 8, and employment not included in the federal Social EIN00046 03-01-2023 Page 48 of 64 |
Form 39NR — Instructions 2022 (continued) • Any railroad retirement disability benefit Column A: If the federal depreciation (including gains included as wages on federal Form 1040 or and losses) is less than the depreciation (including 1040-SR, line 1 gains and losses) calculated without the bonus depreciation, include the difference on this line. Line 22c. Enter the amount of retirement benefits you and your spouse received under the Federal If you’re a shareholder in an S corporation or a partner Social Security Act, Box 5 of your Form SSA-1099s. in a partnership that has Idaho-source income, include If you or your spouse received Canadian Social your distributive share of bonus depreciation from Security benefits that you included in your federal Form ID K-1, Part IV, Column A, line 27. taxable income, include those amounts received. Column B: If the federal depreciation (including Line 22e. Enter the amount of qualified retirement gains and losses) is less than the Idaho depreciation benefits included on Form 43, line 28, Column A. (including Idaho gains and losses), include the difference on this line. Line 22g. Enter the amount of qualified retirement benefits included in Idaho gross income. This Enter on this line your apportioned share of bonus amount must have been included on Form 43, depreciation from Form ID K-1, Part IV, Column B, line 28, Column B. line 27. The amount must be included as part of Form 43, line 27, Idaho Adjusted Gross Income. Line 22h. Divide line 22g, Column B, by line 22e, Column A. Round the percentage to the nearest Line 25 First-time Home Buyer Savings Account whole number. For example, 45.49% is entered as Contributions and Interest 45%; 45.50% is entered as 46%. You can contribute up to $15,000 ($30,000 if married filing a joint return) to a first-time home buyer savings Line 23 Nonresident Military Pay account and deduct the contribution. Deposits into a Column A: If you’re a nonresident of Idaho, enter first-time home buyer savings account can’t exceed the amount of military pay included on Form 43, $100,000 for the lifetime of the account. line 28, Column A. A first-time home buyer savings account is established Line 24 Bonus Depreciation in Idaho with a bank, savings and loan association, If you claimed the bonus depreciation for federal credit union, or trust company authorized to act as purposes for property acquired before 2008 or after a fiduciary. The account is used to pay the eligible 2009: home costs of the account holder or to reimburse the • Complete a separate federal Form 4562 or account holder’s eligible home costs in connection detailed computation for Idaho depreciation with a qualified home purchase. purposes as if the special depreciation Include interest earned on the account on line 25 but allowance hadn’t been claimed only if included on Form 43, line 8. Interest earned • Compute the Idaho adjusted basis and any on the account is tax deferred if the funds are used gains or losses from the sale or exchange for a qualified home purchase. Enter the name of the of the property using the Idaho depreciation financial institution and your account number in the amounts spaces provided. Add your contributions to the interest • If the federal depreciation (including gains and earned on the account, and enter the total on this line. losses) is less than the Idaho depreciation Check the box to attest that you’re a first-time home (including gains and losses), include the buyer. A first-time home buyer means an individual difference on this line; otherwise, enter the who: difference on Part A, line 3 • Resides in Idaho Include the federal Form 4562s or detailed • Has filed an Idaho income tax return for the most computations used to compute the depreciation and recent tax year gains and losses. • Doesn’t own, either individually or jointly, a Don’t enter any amounts for property acquired single-family or multi-family residence, and during 2008 and 2009. • Has never owned or purchased, either individually or jointly, a single-family residence in any location EIN00046 03-01-2023 Page 49 of 64 |
Form 39NR — Instructions 2022 (continued) Line 26 Other Subtractions Line 2. Enter the total portion of federal adjusted Columns A and B: Identify any other subtraction gross income derived in the other state modified you’re eligible for, and claim the amount on this line. to reflect Idaho additions and subtractions. In computing the income derived in the other state, Don’t include foreign taxes as a subtraction, since reverse any adjustments to federal taxable income they’re claimed as part of the Idaho itemized allowed by the other state that aren’t applicable to deduction if allowed. See the instructions for Idaho. Itemized or Standard Deductions. Don’t include other subtractions from Form ID K-1, Part IV, line 28 Enter your adjusted gross income from the other state on this line. Include those other subtractions on restated to a basis comparable to Idaho adjusted line 15. income. For example, if the other state taxes interest received from U.S. obligations, deduct this amount On this line in the applicable column, include from the other state’s adjusted gross income. Idaho interest from Idaho Build America Bonds included doesn’t tax this interest. on Form 43, line 28, Columns A and B. Don’t include on this line any interest from non-Idaho If your income derived in the other state includes Build America Bonds. income from an S corporation, partnership, trust, or estate, enter your share of the entity’s taxable income Part C — Credit for Income Tax Paid to correctly reported to the other state plus any other Other States by Part-year Residents Idaho adjusted gross income from sources in the other state. When both Idaho and another state tax the same income while you’re an Idaho resident, you may be Line 3. Enter the amount of income that’s taxed twice. Only income that’s taxed by Idaho and also taxed by eligible for a credit for tax paid to the other state. another state is double-taxed. Use this section to compute the credit. Include a complete copy of the other state’s income tax Line 4. Enter the tax shown on Form 43, line 42. return and Idaho Form 39NR with your income tax Divide line 3 by line 1. Round to four digits to Line 5. return. If your S corporation or partnership paid the right of the decimal point. For example, .66666 is income tax to another state on your behalf, include rounded to .6667 and should be entered as 66.67%. a copy of Form ID K-1 or the schedule received The percentage can’t exceed 100%. from the S corporation or partnership that paid the tax. If credit applies to more than one state, use a Line 7. Enter the other state’s tax due from its tax separate Form 39NR for each state. table or rate schedule less its income tax credits. Examples of income that both Idaho and another State and local tax (SALT) workaround payments state may tax include: or credits aren’t subtracted. If your income derived in the other state was reported on a composite or • Wages earned in another state that has an group return filed by an S corporation or partnership, income tax, such as Oregon or Utah, while enter your proportionate share of the tax paid by the living in Idaho S corporation or partnership minus your proportionate • Income from a business or profession earned share of the income tax credits. Income tax credits in another state that has an income tax, while a are those credits that relate to income tax excluding resident of Idaho SALT workaround payments or credits. An example of a credit that isn’t an income tax credit is a special fuels Line 1. Enter your Idaho adjusted income from or gasoline tax credit. Form 43, line 31, Column B, if you reported the double-taxed income on an individual income tax Line 8. Divide line 3 by line 2. Round to four digits to return in the other state. If the double-taxed income the right of the decimal point. For example, .66666 was reported to the other state and taxed as part of is rounded to .6667 and is entered as 66.67%. The an S corporation or partnership composite or group percentage can’t be more than 100%. return, enter your federal adjusted gross income from Form 43, line 28, Column A. Line 10. Your allowable credit for income tax paid to other states is the smaller of lines 6 or 9. Enter this amount on Form 43, line 43. EIN00046 03-01-2023 Page 50 of 64 |
Form 39NR — Instructions 2022 (continued) as part of an S corporation or partnership composite Part D — Credit for Income Tax Paid to or group return, enter your federal adjusted gross Other States by Idaho Residents on Active income from Form 43, line 28, Column A. Military Duty Line 4. Divide line 2 by line 3. Round to four digits When both Idaho and another state tax the same to the right of the decimal point. For example, income, you may be eligible for a credit for tax paid to .66666 is rounded to .6667 and should be entered the other state. as 66.67%. The percentage can’t exceed 100%. Use this section to compute the credit. You must Line 6. Enter the other state’s tax due from its tax include a complete copy of the other state’s income table or rate schedule less its income tax credits. If tax return and Idaho Form 39NR with your income your income derived in the other state was reported on tax return. If your S corporation or partnership paid a composite or group return filed by an S corporation income tax to another state on your behalf, include or partnership, enter your proportionate share of the a copy of Form ID K-1 or the schedule you received tax paid by the S corporation or partnership minus from the S corporation or partnership that paid the your proportionate share of the income tax credits. tax. If credit applies to more than one state, use a Income tax credits are those credits that relate to separate Form 39NR for each state. income tax. An example of a credit that isn’t an income Examples of income that both Idaho and another tax credit is a special fuels or gasoline tax credit. state may tax include: Line 7. Your allowable credit for income tax paid to • Wages earned in another state that has an other states is the smaller of lines 5 or 6. Enter this income tax, such as Oregon or Utah, while amount on Form 43, line 43. living in Idaho • Income from a business or profession earned Part E — Credits for Idaho Educational in another state that has an income tax, while a Entity and Idaho Youth and Rehabilitation resident of Idaho Facility Contributions, and Live Organ Line 1. Enter the tax shown on Form 43, line 42. Donation Expenses Line 1 Credit for Idaho Educational Entity Line 2. Enter the total portion of federal adjusted Contributions gross income derived in the other state, modified If you donated cash to qualified educational entities, to reflect Idaho additions and subtractions. In you can claim a tax credit. Donation of goods or computing the income derived in the other state, services don’t qualify. you must reverse any adjustments to federal taxable income allowed by the other state that Include amounts from Form ID K-1, Part VIII, line 55 aren’t applicable to Idaho. to calculate the credit amount. Enter your adjusted gross income from the other The credit is limited to the smallest of: state restated to a basis comparable to Idaho • One-half of the amount donated adjusted income. For example, if the other state • 50% of the tax on Form 43, line 42 taxes interest received from U.S. obligations, • $500 ($1,000 on a joint return) deduct this amount from the other state’s adjusted gross income. Idaho doesn’t tax this interest. • The tax on Form 43, line 42 minus the amount on Form 43, line 43 If your income derived in the other state includes income from an S corporation, partnership, trust, After calculating the credit amount, you can add any or estate, enter your share of the entity’s taxable amounts reported on Form ID K-1, Part XI, line 63 income correctly reported to the other state plus to that amount. The total credit can’t exceed $500 any other Idaho adjusted gross income from ($1,000 on a joint return). sources in the other state. See page 37 for the list of qualified educational entities. Line 3. Enter your Idaho adjusted income from Form 43, line 31, Column B, if you reported the double-taxed income on an individual income tax return in the other state. However, if the double-taxed income was reported to the other state and taxed EIN00046 03-01-2023 Page 51 of 64 |
Form 39NR — Instructions 2022 (continued) Line 2 Credit for Idaho Youth and Rehabilitation Qualified expenses are those incurred by the Facility Contributions taxpayer or dependent for travel, lodging, or lost wages and aren’t reimbursed to the taxpayer. The You can claim this credit if you donated cash or goods expenses must be directly related to the live organ to the following: donation by the taxpayer or a dependent of the • Qualified center for independent living taxpayer. • Youth or rehabilitation facility or its foundation, or • Nonprofit substance abuse center licensed by the Part F — Maintaining a Home for a Family Idaho Department of Health and Welfare Member Age 65 or Older or a Family Include amounts from Form ID K-1, Part VIII, line 56 to Member with a Developmental Disability calculate the credit amount. If you didn’t claim the $1,000 deduction on Part B, The credit is limited to the smallest of: line 11, you can claim a $100 credit for each family member, not including yourself or your spouse, who: • One-half of the amount donated • 20% of the tax on Form 43, line 42 • Is age 65 or older • $100 ($200 on a joint return) • You maintain a household for, and • The tax on Form 43, line 42 minus the • You provide more than one-half of the family amounts on Form 43 line 43 and Form 39NR, member’s support for the year Part E, line 1 If the home was maintained for the family member After calculating the credit amount, you can add less than a full year, the credit is allowed at the rate of any amounts reported on Form ID K-1, Part XI, $8.33 for each month the home was maintained. line 65 to that amount. The total credit can’t exceed You can claim this credit if your gross income is less $100 ($200 on a joint return). than the filing requirement. File Form 43 and include See page 38 for the list of qualified youth or Form 39NR. rehabilitation facilities and their foundations. Only residents, including Idaho residents on active Line 3 Credit for Live Organ Donation Expenses military duty outside Idaho, can claim this credit. A living taxpayer who donates (or whose dependent Lines 1 and 2. Answer the two questions. If you donates) a qualified organ that’s transplanted into answer yes to either question, you qualify. another individual can claim a credit for expenses related to the donation. Line 3. Enter the family member’s name, Social Security number, relationship, and date of birth for The credit can’t be more than the taxpayer’s tax whom you maintain a home and provide more than liability and is limited to the smaller of: one-half of their support. If the claim is for a family • The amount of live organ donation expenses member with a developmental disability, check paid by the taxpayer during the tax year, or the box. • $5,000 Line 4. Enter the total on Form 43, line 64. Any unused credit can be carried over for five years. To claim the credit, you must donate one or more of the following organs: • Human bone marrow • Any part of an: Intestine Kidney Liver Lung Pancreas EIN00046 03-01-2023 Page 52 of 64 |