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Utah Free Printable TC-40D, Utah Dependent with a Disability Exemption for 2021 Utah Dependent with a Disability Exemption

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Dependent with a Disability Exemption
TC-40D, Utah Dependent with a Disability Exemption

Clear form Utah State Tax Commission TC-40D Dependent with a Disability Exemption for the tax year ending _______________. Rev. 1/18 You must obtain an authorized certification signature below in order to claim the exemption. Do not send this form with your return. Keep this form and all related documents with your records. See instructions on reverse side. Taxpayer's name Social Security number Name of person/child with a disability Social Security number Please select one of the following:  Part 1 - Dependent Child with a Disability (21 years of age or younger) To qualify as a dependent child with a disability, all of the following conditions must be met: 1. The dependent is 21 years of age or younger; 2. The dependent is claimed as a dependent on the taxpayer’s federal individual income tax return; 3. The dependent is not the taxpayer or the taxpayer’s spouse; and 4. The dependent is: a. an eligible student with a disability (see instructions for eligibility); OR b. identified under Utah Department of Health guidelines as qualified for the Baby Watch Early Intervention Program for Infants and Toddlers.  Part 2 - Dependent Adult with a Disability (18 years of age or older) To qualify as a dependent adult with a disability, all of the following conditions must be met: 1. The dependent is 18 years of age or older; 2. The dependent is claimed as a dependent on the taxpayer’s federal individual income tax return; 3. The dependent is not the taxpayer or the taxpayer’s spouse; 4. The dependent is eligible for services under Title 62A, Chapter 5, Services for People with Disabilities; and 5. The dependent is not enrolled in an education program for students with disabilities under Utah Code §53A-15-301. REQUIRED - Authorized Certification Signature This form is not valid unless signed by a person authorized to certify the dependent as qualified. If you checked: Part 1, obtain the signature of: a. a school district or charter school representative if the dependent is an eligible student with a disability, or b. a representative of the Utah Department of Health. Part 2, obtain the signature of a Division of Services for People with Disabilities support coordinator, the primary care physician, or a licensed psychologist familiar with the dependent. Authorized certification signature (required) Date signed X Print name Title/Agency Telephone number Dependent with a Disability Exemption Instructions Do not send this form with your return. Keep this form and all related documents with your records. General Instructions Taxpayers claiming an exemption for a dependent with a disability (see Utah Code §59-10-1018) must complete a form TC-40D each year. Form TC-40D must be signed by an authorized person certifying the dependent with a disability qualifies for the exemption on the taxpayer’s Utah individual income tax return. Dependent Child with a Disability A “dependent child with a disability” is a person 21 years of age or younger who: TC-40D_i For more information, contact the special education office of your local school district or charter school, your local school, or: Utah State Office of Education 250 East 500 South P.O. Box 144200 Salt Lake City, UT 84114-4200 801-538-7500 Note: A principal or representative from the school in which the student is enrolled is authorized to certify the student’s eligibility. Dependent Adult with a Disability A “dependent adult with a disability” is a person 18 years of age or older who: • The taxpayer claims as a dependent on the federal individual income tax return; • The taxpayer claims as a dependent on the federal individual income tax return; • Is not the taxpayer or the taxpayer’s spouse; • Is not the taxpayer or the taxpayer’s spouse; and • • Is an eligible student with a disability, or identified under guidelines of the Department of Health as qualified for the Baby Watch Early Intervention Program for Infants and Toddlers. Is eligible for services under Title 62A, Chapter 5, Services for People with Disabilities; and • Is not enrolled in an education program for students with disabilities authorized under Utah Code §53A-15-301. For more information and certification for an eligible student with a disability, see below. For more information and certification for the Baby Watch Early Intervention Program, contact: Utah Department of Health Baby Watch Early Intervention Program P.O. Box 144720 Salt Lake City, UT 84114-4720 801-584-8226 or 1-800-961-4226 utahbabywatch.org For more information, contact: Division of Services for People with Disabilities (DSPD) 195 North 1950 West Salt Lake City, UT 84116 1-844-275-3773 dspd.utah.gov Note: If a person is enrolled in DSPD services, a DSPD support coordinator may certify the person’s eligibility. If not receiving DSPD services, a primary care physician or licensed psychologist may certify. Eligible Student with a Disability An “eligible student with a disability” is a person who: • • • Is not receiving residential services from the Division of Services for People with Disabilities created under Utah Code §62A-5-102 or a school established under Title 53A, Chapter 25b, Utah Schools for the Deaf and the Blind; Is enrolled in an education program for students with disabilities authorized under Utah Code §53A-15-301, or has received a scholarship under Title 53A, Chapter 1a, Part 7, Carson Smith Scholarships for Students with Special Needs Act; and An IEP team has found to be eligible under special education rules of the State Board of Education (Title 63G, Chapter 3, Utah Administrative Rulemaking Act) as having a disability classified as autism, deafness, preschool developmental delay, dual sensory impairment (deaf/blind), hearing impairment, intellectual disability, multi-disability, orthopedic impairment, other health impairment, traumatic brain injury, or visual impairment. _____________________ Get tax forms at tax.utah.gov/forms-pubs/forms, or by calling 801-297-6700 or 1-800-662-4335 ext. 6700 (if outside the Salt Lake area). If you need an accommodation under the Americans with Disabilities Act, email [email protected], or call 801-297-3811 or TDD 801-297-2020. Please allow three working days for a response.
Extracted from PDF file 2020-utah-form-tc-40d.pdf, last modified December 2003

More about the Utah Form TC-40D Individual Income Tax TY 2020

We last updated the Dependent with a Disability Exemption in February 2021, so this is the latest version of Form TC-40D, fully updated for tax year 2020. You can download or print current or past-year PDFs of Form TC-40D directly from TaxFormFinder. You can print other Utah tax forms here.

Other Utah Individual Income Tax Forms:

TaxFormFinder has an additional 55 Utah income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form TC-40 Utah Individual Income Tax Return
Form TC-547 Individual Income Tax Return Payment Coupon
Form TC-546 Individual Income Tax Prepayment Coupon (This is NOT an extension form)
Form TC-40W TC-40 Withholding Schedules
Form TC-40B Schedule B - Non or Part-year Resident Utah Income Schedule

Download all UT tax forms View all 56 Utah Income Tax Forms


Form Sources:

Utah usually releases forms for the current tax year between January and April. We last updated Utah Form TC-40D from the State Tax Commission in February 2021.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Utah Form TC-40D

We have a total of nine past-year versions of Form TC-40D in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2020 Form TC-40D

TC-40D, Utah Dependent with a Disability Exemption

2019 Form TC-40D

TC-40D, Utah Dependent with a Disability Exemption

2018 Form TC-40D

TC-40D, Utah Dependent with a Disability Exemption

2017 Form TC-40D

TC-40D, Utah Dependent with a Disability Exemption

2016 Form TC-40D

TC-40D, Utah Dependent with a Disability Exemption

2015 Form TC-40D

TC-40D, Utah Dependent with a Disability Exemption

Dependent with a Disability Exemption 2014 Form TC-40D

TC-40D, Dependent with a Disability Exemption

Dependent with a Disability Exemption 2013 Form TC-40D

TC-40D, Dependent with a Disability Exemption

2012 Form TC-40D

TC-40D, Dependent with a Disability Exemption


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