Arizona Form 140 - Resident Personal Income Tax Return 2011 printable pdf download

ARIZONA FORM

FOR

Resident Personal Income Tax Return

CALENDAR YEAR

140

2011

. 66

M M D D Y Y Y Y

OR FISCAL YEAR BEGINNING

AND ENDING

Check box 82F if filing under extension

82F

Your First Name and Initial

Last Name

Your Social Security No.

You must

enter your

Spouse’s First Name and Initial (if box 4 or 6 checked)

Last Name

Spouse’s Social Security No.

SSN(s).

Current Home Address - number and street, rural route

Apt. No. Daytime Phone (with area code)

Home Phone (with area code)

City, Town or Post Office

State

Zip Code

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

Married filing joint return

NAME OF QUALIFYING CHILD OR DEPENDENT

Head of household ..........................

Married filing separate return. Enter spouse’s name and Social Security No. above.

Single

Age 65 or over (you and/or spouse)

Enter the

number

Blind (you and/or spouse)

claimed.

Dependents.

From page 2, line A2 – do not include self or spouse.

Do not put a

check mark.

Qualifying parents and grandparents.

From page 2, line A5.

This box may be blank or may contain a printed barcode of data from your return.

12 Federal adjusted gross income ................ 12

13 Additions to income

. 13

(from page 2, line B12)

14 Subtractions

(from page 2, line C17 or C30) ...

........ 15

15 Arizona AGI:

Lines (12 + 13)

line 14

ITEMIZED

STANDARD

17 Personal exemptions ................................ 17

18 AZ taxable income:

Line 15

lines (16 + 17)

19 Compute tax:

use line 18 and proper tax table

20 Tax from recapture of credits .................... 20

21 Subtotal of tax:

............ 21

Add lines 19 and 20

YOURSELF

SPOUSE 23

22 - 23

24 Reduced tax:

... 24

Subtract line 23 from line 21

25 Family income tax credit

(instructions p. 16)

26 Credits

. 26

(from Forms 301, 310, 321, 322, 323)

27 Credit type:

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

Enter form number of each credit claimed

28 Clean Elections Fund Tax Credit

........................................................................ 28

(from worksheet on page 18 of the instructions)

29 Balance of income tax:

... 29

Subtract lines 25, 26 and 28 from line 24. If the sum of lines 25, 26 and 28 is more than line 24, enter zero

30 Unpaid Arizona use tax

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

(from worksheet on page 18 of instructions)

...................................................................................................................................... 31

31 Balance of tax:

Add lines 29 and 30

32 Arizona income tax withheld during 2011 ............................................................................................................................. 32

33 Arizona estimated tax payments for 2011 ............................................................................................................................. 33

34 2011 Arizona extension payment (Form 204) ....................................................................................................................... 34

35 Increased Excise Tax Credit

.............................................................................. 35

(from worksheet on page 19 of the instructions)

36 Property Tax Credit from Form 140PTC ............................................................................................................................... 36

37 Other refundable credits: Check the box(es) and enter the amount ..........................

Form 308-I

Form 342 37

38 Total payments/refundable credits:

............................................................................................... 38

Add lines 32 through 37

.............. 39

39 TAX DUE:

If line 31 is larger than line 38, subtract line 38 from line 31 and enter amount of tax due. Skip lines 40, 41 and 42

.............................. 40

40 OVERPAYMENT:

If line 38 is larger than line 31, subtract line 31 from line 38 and enter amount of overpayment

41 Amount of line 40 to be applied to 2012 estimated tax ......................................................................................................... 41

42 Balance of overpayment:

............................................................................................................. 42

Subtract line 41 from line 40

Aid to Education

43 - 53 Voluntary Gifts to ...........................

(entire refund only) .........

Arizona Wildlife .............

Domestic Violence

Citizens Clean Elections ..

Child Abuse Prevention ...

Shelter .........................

Neighbors Helping

I Didn’t Pay Enough Fund

National Guard Relief Fund

Neighbors .....................

Special Olympics ...........

Veterans’ Donations Fund

Political Gift ..................

54 Check only one if making a political gift ................

Democratic

Green

Libertarian

Republican

55 Estimated payment penalty and MSA withdrawal penalty .................................................................................................... 55

56 Check applicable boxes .....

Annualized/Other

Farmer or Fisherman

Form 221 attached

MSA Penalty

57 Total of lines 43 through 53 and 55 ....................................................................................................................................... 57

58 REFUND:

................................................................ 58

Subtract line 57 from line 42. If less than zero, enter amount owed on line 59

Direct Deposit of Refund: Check box

if your deposit will be ultimately placed in a foreign account; see instructions.

ROUTING NUMBER

ACCOUNT NUMBER

Checking or

Savings

59 AMOUNT OWED:

Add lines 39 and 57. Make check payable to Arizona Department of Revenue; include SSN on payment.