Form Ar1000nr - Arkansas Individual Income Tax Return 2015 Page 2

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ITNR152

NR2

Primary SSN _______- _____- ________

(A)

Your/Joint

(B) Spouse’s Income

Income

Status 4 Only

24.

ADJUSTED GROSS INCOME: (From Line 23, Columns A and B) ..............................24

6HOHFW WD[ WDEOH (Check the appropriate box)

LOW INCOME 7DEOH

REGULAR 7DEOH

,I \RX TXDOLI\ IRU WKH /RZ ,QFRPH 7D[ 7DEOH HQWHU ]HUR RQ /LQH $ ,I QRW WKHQ

}

Enter

Itemized Deductions (See Instructions, Line 25 and

attach AR3)

the larger

,I \RXU VSRXVH LWHPL]HV RQ D VHSDUDWH UHWXUQ FKHFN KHUH

of your:

Standard Deduction (See Instructions, Line 25) .........................25

26.

NET TAXABLE INCOME: (Subtract Line 25 from Line 24) ..........................................26

27.

TAX: (Enter tax from tax table) ..........................................................................................27

&RPELQHG WD[ (Add amounts from Line 27, Columns A and B) ......................................................................................28

(QWHU WD[ IURP /XPS 6XP 'LVWULEXWLRQ $YHUDJLQJ 6FKHGXOH

(Attach AR1000TD)

.......................................................... 29

$GGLWLRQDO WD[ RQ ,5$ DQG TXDOL¿HG SODQ ZLWKGUDZDO DQG RYHUSD\PHQW

(Attach federal Form 5329, if required)

............ 30

31.

TOTAL TAX: (Add Lines 28 through 30) ......................................................................................................................31

3HUVRQDO 7D[ &UHGLWV (Enter total from Line 7D) .............................................................32

33.

Child Care Credit:

(20% of federal credit allowed; Attach federal Form 2441)

..........................33

34.

Other Credits:

(Attach AR1000TC)

.....................................................................................34

35.

TOTAL CREDITS: (Add Lines 32 through 34) .............................................................................................................35

36.

NET TAX: (Subtract Line 35 from Line 31. If Line 35 is greater than Line 31, enter 0) ................................................ 36

36A. Enter the amount from Line 23, Column C: ............................................................... 36A

36B. Enter the total amount from Line 23, Columns A and B: ......................................... 36B

36C. Divide Line 36A by 36B: (See Instructions) ...................................................................................................................

36C

36D. APPORTIONED TAX LIABILITY: (Multiply Line 36 by Line 36C) .........................................................................

36D

$UNDQVDV LQFRPH WD[ ZLWKKHOG

[Attach state copies of W-2 and/or 1099R Form(s)]

.........37

(VWLPDWHG WD[ SDLG RU FUHGLW EURXJKW IRUZDUG IURP ....................................................

3D\PHQW PDGH ZLWK H[WHQVLRQ (See Instructions) .............................................................39

40.

$0(1'(' 5(78516 21/<

- Previous payments: (See instructions) .............................40

(DUO\ FKLOGKRRG SURJUDP &HUWL¿FDWLRQ 1XPEHU

(20% of federal credit; Attach federal Form 2441 and Form AR1000EC)

................................

42.

TOTAL PAYMENTS: (Add Lines 37 through 41) .........................................................................................................42

43.

$0(1'(' 5(78516 21/<

- Previous refund: (See instructions) .............................................................................. 43

$GMXVWHG 7RWDO 3D\PHQWV (Subtract Line 43 from Line 42)..............................................................................................44

45.

AMOUNT OF OVERPAYMENT/REFUND: (If Line 44 is greater than Line 36D, enter difference) ......................... 45

$PRXQW WR EH DSSOLHG WR HVWLPDWHG WD[ .....................................................................46

47.

Amount of Check-off Contributions:

(Attach Schedule AR1000-CO)

.................................47

48.

AMOUNT TO BE REFUNDED TO YOU: (Subtract Lines 46 and 47 from Line 45) ............................. REFUND 48

DIRECT DEPOSIT? ,I \RX ZDQW \RXU UHIXQG GLUHFW GHSRVLWHG \RX PXVW FKHFN WKLV ER[

and

complete Form ARDD and attach it to your return. (Direct deposit is not available for amended returns.)