Tennessee Individual Income Tax Return Kit

Individual Income Tax Return Kit
Hall Individual Income Tax Return
RV-R0003501 (8/20)

TENNESSEE DEPARTMENT OF REVENUE
2020 Individual Income Tax Return

INC
250

Tax Year Beginning

Account Number (if known)

Check all that apply:

Tax Year Ending

FEIN

Amended return

SSN

Spouse’s SSN

Taxpayer has filed for federal extension

(If filing jointly, include first names and initials of both spouses)
Name

The due date of this return is the 15th day of the
fourth month following the end of your fiscal year.

Spouse’s Name

Remit amount on Line 8 to:
Tennessee Department of Revenue
Andrew Jackson State Office Building
500 Deaderick Street
Nashville, TN 37242

Legal Residence Address
State

City

ZIP Code

Because a portion of the tax goes back to the city or county of residence, please provide
the county and city (if within an incorporated municipality) of the taxpayer’s legal
residence on the lines below.
City

County

You may file your return and payment at
https://tntap.tn.gov/eservices
Should you need assistance, please contact the
Taxpayer Services Division by calling:
800-342-1003 or 615-253-0600

Exemptions: (If you have checked one of the boxes in this section, please see instructions before continuing with this form.)
Age 65+ Limited Income

Quadriplegic - self

Legally Blind - self

Quadriplegic - spouse

Legally Blind - spouse

Check Filing Status:
Single

Married Filing Jointly
Enter spouse’s SSN above

Married Filing Separately
Enter spouse’s SSN above

Trust

Estate

Partnership

LLC - Multi Member

LLC - Single Member
Round to the nearest dollar
(Use blue or black ink)

1. Gross taxable income (from Schedule A) ........................................................................... (1)
2. Exemption amount ($2,500 if married filing jointly, $1,250 for any other filing status) (2)
3. Amount subject to tax (subtract Line 2 from Line 1) ....................................................... (3)
4. Income tax (1% of Line 3) ..................................................................................................... (4)
5. Enter amount paid with extension request, original return, and/or prepayment(s) ..... (5)
6. Penalty .................................................................................................................................... (6)
7. Interest ................................................................................................................................... (7)
8. Total amount due (add Lines 4, 6, and 7; subtract Line 5) ................................................ (8)
9. Refund (if Line 5 exceeds total of Lines 4, 6, and 7, enter overpayment here) .............. (9)

FOR OFFICE USE ONLY

If taxpayer is
deceased, enter date
of death in the boxes at
right.

Enter taxpayer's phone number in the boxes below

If taxpayer’s spouse is
deceased, enter date
of death in the boxes.

Taxpayer’s Email Address:

Schedule A - Taxable Dividends and Interest

List taxable dividends from all sources, including holding companies and mutual funds. Also, include capital gain and nondividend
distributions. List all bonds, notes, mortgages, and other taxable interest. (See instructions.)
Description
Income Type
Enter I for interest
or D for dividends.

Amount
Round to the nearest dollar.

Total taxable dividends and interest. Enter on Line 1 ...................................................................................
Schedule B - Non-Taxable Dividends and Interest
List dividends from national and Tennessee chartered bank stock, credit unions, building or savings and loan companies, and Tennessee licensed
insurance companies. List interest on bonds of the U.S. government and its agencies, Tennessee bonds, interest from credit unions, certificates
of deposit, accounts not represented by a written instrument, passbook accounts, savings accounts, bank money market accounts, "NOW”
accounts, and commercial paper maturing in six months or less. (See instructions.)
Income Type
Description
Enter I for interest
or D for dividends.

Amount
Round to the nearest dollar.

Total non-taxable dividends and interest ........................................................................................................

Under penalties of perjury, I declare that I have examined this report, and to the best of my knowledge
and belief, it is true, correct, and complete.
Taxpayer's Signature
Tax Preparer's Signature
Preparer's Address
Preparer's Email Address

Spouse’s Signature
Preparer's PTIN
City

Date
Date

Telephone
State

ZIP Code

General Information
Who should file
The following people are required to file an Individual Income Tax Return (also see Schedule A):
• A person whose legal domicile* is in Tennessee and whose taxable interest and dividend income exceeded
$1,250 ($2,500 if married, filing jointly) during the tax year.
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A person who moved into or out of Tennessee during the year and whose taxable interest and dividend
income during the period of Tennessee residency exceeded $1,250 ($2,500 if married, filing jointly).

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A person whose legal domicile* is in another state, but who maintained a residence in Tennessee for more
than six months of the year and whose taxable interest and dividend income exceeded $1,250 ($2,500 if
married, filing jointly). Military personnel and full-time students who have legal domicile in another state are
not required to file.

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A person, bank, etc. acting as a Tennessee fiduciary (e.g., administrator, executor, guardian, trustee, or other
acting in a similar capacity) who received $1,250 or more in taxable interest and dividend income for the
benefit of Tennessee residents. However, if a grantor trust does not obtain an FEIN, the trustee, instead of
filing a return, must report the total amount of income received by the trustee to the grantor, who is liable
for the tax. Also, the trustee of a charitable remainder trust is not responsible for payment of tax. The
trustee must report to each resident beneficiary the amount of taxable income distributed to him, and the
beneficiary is liable for the tax.
Trustees who receive taxable income on behalf of nonresident beneficiaries are not required to file a return.
However, when taxable income is received on behalf of both resident and nonresident beneficiaries, only the
taxable income of any resident beneficiary is required to be reported on Schedule A and on Line 1of the
return. Nonresident income may be reported on Schedule B. An executor or administrator of a Tennessee
estate must pay tax on income received by the estate, until stocks and bonds have been transferred to the
beneficiaries, even if the beneficiaries are nonresidents. A trust or estate is entitled to only one exemption of
$1,250 regardless of the number of beneficiaries.

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A Tennessee partnership whose taxable interest and dividend income exceeded $1,250. The partnership is
liable for the tax, if any.

* When determining your legal domicile, you should consider where you are registered to vote, where you
maintain your driver’s license, and where you maintain your permanent or principal residence (as opposed to a
special-purpose or temporary residence, such as a vacation home, etc.).
Filing and making payments
Most taxpayers file on a calendar year basis, meaning their tax year begins on January 1 and ends on December
31. A taxpayer filing on a calendar year basis must file a return by April 15 of the following year. If a taxpayer’s tax
year is something other than the calendar year, the taxpayer must include its fiscal year beginning and end dates.
For a taxpayer on a fiscal year filing, the return is due by the 15th day of the fourth month following the end of the
fiscal year.
Taxpayers may file and make their tax payments online by visiting the Department’s website at
www.tn.gov/revenue. Alternatively, taxpayers may mail their returns and payments to the Department at the
address listed on the front of the return. Make checks or postal money orders payable to Tennessee Department
of Revenue. Tax may be paid in cash at the Nashville office or the regional offices (Chattanooga, Jackson, Johnson
City, Knoxville, and Memphis).

Taxpayers may request an extension to file their returns by completing the Application for Extension of Filing Time.
The extension request must be made on or before the due date of return. The request should be mailed to the
Department at the address listed on the front of the return.
Distribution of income taxes collected
Three-eighths of the income taxes collected are distributed among the cities and counties of the state. In order
for the taxes to be properly distributed, please provide the name of the county and city (if the taxpayer resides
within an incorporated municipality) of the taxpayer’s legal residence in the appropriate space on the return.
Exemptions
For tax years beginning January 1, 2015, any person 65 years of age or older having a total annual income derived
from any and all sources of $37,000 or less, or $68,000 or less for joint filers are completely exempt from the tax.
If a person is certified by a medical doctor as a quadriplegic, the taxable income that is derived from circumstances
resulting in the individual becoming a quadriplegic is exempt. However, when taxable interest and dividend income
is received jointly by a quadriplegic and a spouse who is not a quadriplegic, or who is quadriplegic but the taxable
income was not derived from circumstances resulting in such spouse becoming quadriplegic, only one-half of the
jointly received income will be exempt from the tax. Under the circumstances, the spouse who is not quadriplegic or
whose quadriplegic condition did not result in the income, is entitled to only a $1,250 exemption.
A person who is legally blind is exempt from the tax. Legal blindness means that vision does not exceed 20/200 in
the better eye with correcting lenses or that the widest diameter of the visual field subtends an angle no greater
than 20 degrees.
To receive the exemption, single filers must send a written statement from their physician, certifying their blindness
to the Department of Revenue. Single filers who are blind are not required to file a return. For joint filers, when
taxable income is received by a blind person and a sighted spouse, only the taxable income of the sighted person is
required to be reported in Schedule A and on Line 1 of the return. The income of the blind person is exempted and
may be reported on Schedule B. If the taxable dividend/interest income is received jointly by a blind person and a
sighted spouse, only one-half of the jointly received income will be exempt from tax. The sighted person is entitled to
only a $1,250 exemption on a jointly filed return. A physician’s statement for the blind spouse is required with the
return.
Instructions
Line 1: Enter the total taxable dividends and interest from Schedule A.
Line 2: Enter the annual exemption amount that is allowed against total taxable interest and dividend income. The
exemption amount is $2,500 for married persons filing jointly and $1,250 for any other filing status.
Line 3: Subtract Line 2 from Line 1.
Line 4: Multiply the income tax rate of 1% by Line 3.
Line 5: Enter any amount previously paid with an extension request or an original return or any prepayment.
Line 6: Penalty is calculated at a rate of 5% for each 30-day period, or portion thereof, that a return is delinquent,
up to a maximum of 25% of the delinquent amount. The minimum penalty is $15 for the delinquent filing of
a return.
Line 7: Interest is due on any amount of tax that is paid after the statutory due date of the return. The interest rate
is determined in accordance with Tenn. Code Ann. § 67-1-801. The current interest rate can be found at
www.tn.gov/revenue under Tax Resources.
Line 8: Add Lines 4, 6, and 7, and subtract Line 5.
Line 9: If Line 5 is more than the total of Lines 4, 6, and 7, enter the amount here. This is the amount requested to
be refunded. If you are filing an amended return and the amount is $200 or more, a Report of Debts form
must be completed and filed with the return.

Schedule A – Taxable Dividends and Interest
The following are types of income subject to the Hall income tax. Include any of these types of income on Schedule
A. Indicate whether the income is interest or dividends, include a brief description of the income, and include the
amount. Enter the total amount of taxable income on Line 1 of the return.
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Dividends from stock in:
o all corporations
o insurance companies not licensed to do business in Tennessee
o all holding companies, including those formed by banks, savings and loan associations, and
insurance companies
o state-chartered banks outside Tennessee not doing business in Tennessee
Income from investment trusts and mutual funds, including capital gain distributions, whether in cash or
additional stock (Note, the portion of income derived from bonds of the U.S. government and its agencies or
bonds of the state of Tennessee and its counties and municipalities is exempt.)
Any distribution which does not qualify as a return of capital and is otherwise taxable. In order to qualify as
a return of capital, it must be shown that part of the shareholder's investment is being returned to the
shareholder and that, as a result, the capital of the company is actually reduced or the number of shares
decreases. The status or classification of the transaction for federal income tax purposes is not controlling.
Market value of stock in a corporation given by another corporation as a dividend in the regular course of
business
Distributions based on stock ownership to shareholders of an S corporation
Interest from the following, if the instrument matures in more than six months from the date of issuance
(except certificates of deposit):
o bonds of states, counties, and municipalities outside Tennessee
o bonds of foreign governments
o church bonds
o bonds, mortgages, deeds of trust, personal notes, promissory notes, installment notes, commercial
paper, or other written instruments, issued by any person, firm, corporation, joint-stock company,
business, trust or partnership
Interest and dividends you received as a beneficiary of a trust or estate located outside Tennessee, unless
derived from a nontaxable source
Dividends or interest from money market funds which are not bank money market accounts
Dividends or interest from the Federal National Mortgage Association, the Government National Mortgage
Association, and the Federal Home Loan Mortgage Corporation (Note, these are not agencies of the U.S.
government.)
Income credited to a limited partner’s capital account, if the partner has a certificate evidencing transferable
interest in the partnership (usually a publicly-traded partnership)

Income is considered taxable when it is:
1. received in cash;
2. paid by check or other negotiable instrument or equivalent that is mailed to taxpayer, regardless of date
received;
3. credited on books of a bank, banking institution, broker or any agent of taxpayer; or
4. received in merchandise or other commodities of intrinsic value.
Schedule B – Non-taxable Dividends and Interest
The following are types of income that are not subject to the Hall income tax. Include any of these types of income
on Schedule B. Indicate whether the income is interest or dividends, include a brief description of the income, and
include the amount.
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Dividends from stock in:
o national banks (except holding companies)

Tennessee-chartered state banks (except holding companies)
federal savings and loan associations and/or savings and loans in Tennessee (except holding
companies)
o insurance companies licensed to do business in Tennessee (except holding companies)
o mutual funds and investment trusts to the extent the fund or trust invests in U.S. bonds or
Tennessee municipal bonds
Dividends on insurance policies
Interest from the following, if the instrument matures in six months or less from the date of issuance:
o bonds, mortgages, deeds of trust, personal notes, promissory notes, commercial paper, or other
written instrument, issued by any person, firm, corporation, joint-stock company, business, trust or
partnership
Interest from the following regardless of the date of maturity:
o bonds of the state of Tennessee and its counties and municipalities
o bonds of the U.S. government and its agencies
o certificates of deposit issued by any bank, savings and loan association or credit union
o repurchase agreements or similar evidences of indebtedness (A repurchase agreement is an
investment instrument whereby a person buys a security, and the seller, usually a broker, agrees to
repurchase the security on a certain date for a certain price.)
Interest from insurance policies if interest is payable on demand
Interest from savings accounts, checking accounts or money market accounts in any bank, savings and loan
association or credit union (except money market funds)
Interest or dividends from credit unions
Income described by a partnership or S corporation as portfolio or pass-through interest or dividends,
unless actually paid to a partner with a certificate of transferable interest or to a shareholder
Earnings or distributions from education and Roth IRAs that are not subject to federal income tax
Distributions of income or earnings from federally recognized retirement accounts, including IRAs
Capital gains from the sale of real estate, stock, etc. (Capital gain distributions from mutual funds are
taxable.)
Distributions paid on or after July 1, 2006, to shareholders of publicly-traded real estate investment trusts
(REITS) (Distributions paid prior to this date are taxable.)
Earnings or distributions received on or after July 1, 2006, from health savings accounts (HSAs) (Earnings
received prior to this date are taxable to the extent they are derived from sources taxable for Tennessee
income tax purposes.)
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