Form AL8379 Injured Spouse Allocation
In the case of a spouse wanting to file for tax allocation due to an injury, the following form has to be completed and submitted.
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Ala bam a D epartm ent o f R eve nu e
In ju re d S pouse A llo ca tio n
S EE IN STR U CTIO NS FO RM
A\b8379 \b\b /\b 2
P A RT I – Should y o u f ile t h is f o rm \f Y o u m ust c o m ple te th is p art.
1 E nte r th e ta x y e ar fo r w hic h y o u a re filin g th is fo rm . � ______________ A nsw er th e fo llo w in g q uestio ns fo r th at y e ar.
2 D id y o u ( o r w ill y o u) file a jo in t r e tu rn ?
� Y es. G o to lin e 3 .
� N o. S to p h ere .D o n ot file th is fo rm . Y o u a re n ot a n in ju re d s p ouse .
3 D id ( o r w ill) th e A la bam a D epartm ent o f R eve nu e u se th e jo in t o ve rp aym ent to p ay a ny o f th e A la bam a in co m e ta x le gally e nfo rc e able p ast d ue
debt( s ) o w ed o nly b y y o ur s p ouse ? ( S ee in str u \btio ns)
� Y es. Go to lin e 4 .
� N o. S to p h ere .D o n ot file th is fo rm . Y o u a re n ot a n in ju re d s p ouse .
Note : If t\f e p ast d ue a m ount is fo r a jo in t s ta te ta x, y o u m ay q ualif y fo r in no\be nt s p ouse r e lie f fo r t\f e y e ar to w \fi\b \f t\f e o ve rp aym ent w as
applie d. S ee In noce nt S pouse R elie f, in t\f e in str u \btio ns fo r m ore in fo rm atio n.
4 A re y o u le gally o blig ate d to p ay th is p ast d ue a m ount?
� Y es. S to p h ere . Do n ot file th is fo rm . Y o u a re n ot a n in ju re d s p ouse .
Note : If t\f e p ast d ue a m ount is fo r a jo in t s ta te ta x, y o u m ay q ualif y fo r in no\be nt s p ouse r e lie f fo r t\f e y e ar to w \fi\b \f t\f e o ve rp aym ent w as
applie d. S ee In noce nt S pouse R elie f, in t\f e in str u \btio ns fo r m ore in fo rm atio n.
� N o.G o to lin e \f .
5 D id y o u m ake a nd r e port p aym ents , s u ch a s A la bam a in co m e ta x w it h hold in g o r e stim ate d ta x p aym ents ?
� Y es. Skip lin e 6 a nd g o t o P art II a nd c o m ple te th e r e st o f th is fo rm .
� No. Go to lin e 6 .
\b D id y o u h ave e arn ed in co m e, s u ch a s w ages, s a la rie s, o r s e lf e m plo ym ent in co m e?
� Y es. Go to P art II.
� N o. Do n ot file th is fo rm . Y o u a re n ot a n in ju re d s p ouse .
P A RT II – In fo rm atio n A bout t h e J o in t T a x R etu rn f o r W hic h T his F orm Is F ile d
7 E nte r th e fo llo w in g in fo rm atio n e xa ctly a s it is s h ow n o n th e ta x r e tu rn fo r w hic h y o u a re filin g th is fo rm .
The s p ouse 's n am e a nd s o cia l s e cu rit y n u m ber s h ow n fir s t o n th at ta x r e tu rn m ust a ls o b e s h ow n fir s t b elo w .
FIR ST N \bM \f, IN IT I\b L, \b N D L \b ST N \bM \f S H O W N F IR ST O N T H \f R \fTU RN SO CI\b L S \fC UR IT Y N U M B\fR S H O W N F IR ST If In ju re d S pouse ,
ch eck h ere �
FIR ST N \bM \f, IN IT I\b L, \b N D L \b ST N \bM \f S H O W N S \fC O ND O N T H \f R \fTU RN SO CI\b L S \fC UR IT Y N U M B\fR S H O W N S \fC O ND If In ju re d S pouse ,
ch eck h ere �
8 C heck th is b ox o nly if y o u a re d iv o rc e d o r le gally s e para te d fr o m th e s p ouse w it h w hom y o u file d th e jo in t r e tu rn a nd y o u w ant y o ur r e fu nd is su ed in y o ur n am e o nly .......... �
9 D o y o u w ant a ny in ju re d s p ouse r e fu nd m aile d to a n a ddre ss d if fe re nt fr o m th e o ne o n y o ur jo in t r e tu rn ? ........................ � Yes � N o
If " Y e s," e nte r th e a ddre ss:_ _____________________________________________________________________________________________ ___ _
NUM B\fR \b N D S TR \f\fT CIT Y, S T\b T \f , Z IP C O D\f
PA RT III – Allo catio n B etw een S pouses o f It e m s o n t h e J o in t T a x R etu rn (s e e in str u \btio ns)
Allo cate d It e m s (\f ) A m ount s h ow n o n jo in t r e tu rn (b ) A llo c\fte d t o in ju re d s p ouse (c ) A llo c\fte d t o o th er s p ouse
1 0 In co m e: a. W ages.........................
b. All o th er in co m e................
11 A dju stm ents to in co m e......................
12 S ta ndard d eductio n o r Ite m iz e d d eductio ns ...
13 P ers o nal E xe m ptio n .........................
14 D ependent E xe m ptio n .......................
15 C re dit s .....................................
1 \b A la bam a in co m e ta x w it h held ................
17 P aym ents ..................................
PA RT IV – Sig natu re . Com ple te th is p art o nly if y o u a re filin g F orm A L8379 b y it s e lf a nd n ot w it h y o ur ta x r e tu rn .
U nder p enalt ie s o f p erju ry , I d ecla re th at I h ave e xa m in ed th is fo rm a nd a ny a cco m panyin g s ch edule s o r s ta te m ents a nd to th e b est o f m y k n ow le dge a nd b elie f, th ey a re tr u e, c o rre ct,
a nd c o m ple te . D ecla ra tio n o f p re pare r ( o th er th an ta xp aye r) is b ase d o n a ll in fo rm atio n o f w hic h p re pare r h as a ny k n ow le dge.
IN JU R\fD S PO US\fÕS S IG N\bT U R\f D\bT \f PH O N\f N UM B\fR ( O PTIO N\bL)
PR IN T/T Y P\f P R \fP\b R \fR ÕS N \bM \f PR \fP\b R \fR ÕS S IG N\bT U R\f D\bT \f
Check if PTIN
s e lf � e m plo ye d �
Fir m Õs n am e Fir m Õs E IN
Fir m Õs a ddre ss Phone N o.
K eep a c o py o f
th is fo rm fo r
yo ur r e co rd s
P\fid
P re p \fre r
U se O nly
F orm A L8379
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