Are there any general guidelines for assessing when I may be hit with the alternative minimum tax? For example, my spouse and I together earn $100,000. Do we still need to worry about AMT liability when I exercise ISOs?
Yes. People who live in high-tax states and itemize tax deductions or who have significant personal exemptions can easily owe more in AMT than in regular taxes. See the figures in the table below, which estimate the tipping point for the positive adjustments (e.g., ISO exercises) that, when added back to your taxable income, can trigger the AMT...
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