Federal Carryover Worksheet 2018 • Keep for your records Name(s) Shown on Return Social Security Number 2017 State and Local Income Tax Information (a) (b) (c) (d) (e) (0 (0) State or Paid With Estimates Pd Total With- Paid With Total Over- Applied Local ID Extension After 12131 held/Pmts Return payment Amount Totals . . 2017 State Extension Information (a) State (b) Paid With Extension 2017 State Estimates Information (a) State (c) Estimates Paid After 12/31 2017 State Taxes Due Information (a) State (e) Paid With Return 2017 State Refund Applied Information (a) State (0) Applied Amount 2017 State Tax Refund Information (a) State (d) Total Withheld/Pmts (0 Total Overpayment 2017 Locality Extension Information (a) Locality (b) Paid With Extension 2017 Locality Estimates Information (a) Locality (c) Estimates Paid Atter 12/31 2017 Locality Taxes Due Information (a) Locality (e) Paid With Return 2017 Locality Refund Applied Information (a) Locality (0) Applied Amount 2017 Locality Tax Refund Information (a) Locality (d) Total Withheld/Pmts (0 Total Overpayment EFTA01221859