Az Form 309, 2014, Credit For Taxes Paid To Another State Or Country Page 2
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1
2Your Name (as shown on page 1)
Your Social Security Number
Schedule of Income Allocation
Complete this schedule only if you are an Arizona resident who is also considered to be a resident of another state under
the laws of that other state (dual resident); otherwise skip this schedule. See pages 2 and 8 of the instructions.
(a)
(b)
(c)
(d)
Amount entered in
Amount entered in
column (c) that would be
Amount entered
column (a) reported
sourced to your statutory
Amount reported
in column (a)
on your 2014 return
state of residence as
on your 2014
reported on your
filed to your statutory
income of a nonresident
federal return
2014 Form 140
state of residence
of that state
$
00 $
00 $
00 $
00
1
Wages, salaries, tips, etc. ..................
$
00 $
00 $
00 $
00
2
Interest...............................................
$
00 $
00 $
00 $
00
3
Dividends ...........................................
4
Business income or (loss) from
$
00 $
00 $
00 $
00
federal Schedule C ............................
5
Gains or (losses) from
$
00 $
00 $
00 $
00
federal Schedule D ............................
6
Rents, royalties, partnerships,
estates, trusts, small business
$
00 $
00 $
00 $
00
corporations from federal Schedule E
7
Other income reported on
$
00 $
00 $
00 $
00
your federal return .............................
$
00 $
00 $
00 $
00
8
Total Income: Add lines 1 through 7 .
9
Other federal adjustments: List on lines 9a through 9c:
$
00 $
00 $
00 $
00
9a
$
00 $
00 $
00 $
00
9b
$
00 $
00 $
00 $
00
9c
9d Total adjustments: Add lines 9a
$
00 $
00 $
00 $
00
through 9c for each column ...............
10
Adjusted Gross Income: Subtract
$
00 $
00 $
00 $
00
line 9d from line 8 for each column....
ADOR 10136 (14)
AZ Form 309 (2014)
Page 2 of 2
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