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EFTA00025624 | EFTA00025767 1 2017 Form 1, pg. 2 MA17001021019 Massachusetts Resident Income Tax Return ■ 3. 4. 5. 6. 7. 8a. 8b. 9. 10. 11a. 1lb. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. Wages, salaries, tips Taxable pensions and annuities Mass. bank interest: a. Business/profession income/loss a. 1214 - b. exemption 200 STATEMENT 1 —99490 b. Farming income/loss 3 4 = 5 = 6 Rental, royalty and REAM partnership, S corp., trust incomeAoss 7 Unemployment 8a Mass. lottery winnings 8b Other income from Schedule X, line 5 9 TOTAL 5.1% INCOME 10 Amount paid to Soc. Sec., Medicare, R.R., U.S. or Mass. Retirement 11a Amount your spouse paid to Soc. Sec., Medicare, R.R., U.S. or Mass. Retirement 11b Child under age 13, or disabled dependent/spouse care expenses 12 Number of dependent member(s) of household under age 12. or dependents age 65 or over (not you or your spouse) as of 12/31/17. or disabled dependent(s) Not more than two. a. x $3,600= 13 Rental deduction. a. • 2 = 14 Other deductions from Schedule V, line 19 15 Total deductions. Add lines 11 through 15 16 5.1% INCOME AFTER DEDUCTIONS. Subtract line 16 from line 10. Not less than '0' 17 Exemption amount 18 5.1% INCOME AFTER EXEMPTIONS. Subtract line 18 from line 17. Not less than '0" 19 INTEREST AND DIVIDEND INCOME 20 TOTAL TAXABLE 5.1% INCOME. Add lines 19 and 20 21 1014 -99490 839 -97637 2000 85388 87388 0 9800 0 236950 236950 BE SURE TO INCLUDE THIS PAGE WITH FORM 1. PAGE 1 75M 1 1140.17 OCTOBER 12, 2018 10:42:28 EFTA00025767
February 13, 2026 at 4:55 AM