Credit for Contributions to Charities
ARIZONA FORM
2006
That Provide Assistance to the Working Poor
321
For the calendar year 2006, or
fi scal year beginning
and ending
.
Attach to your return
NAME(S) AS SHOWN ON FORM 140, 140NR, 140PY OR 140X
YOUR SOCIAL SECURITY NO.
SPOUSE’S SOCIAL SECURITY NO.
Return to Credit 301
Part I
Current Year’s Credit
1a Name of qualifying charity to which you made cash contributions:
00
Amount of cash contributed to organization named on line 1a.......................
1a
1b Name of qualifying charity to which you made cash contributions:
00
Amount of cash contributed to organization named on line 1b.......................
1b
NOTE: If you made cash contributions to more than two qualifying charities, attach a separate schedule.
00
1c Total: Add lines 1a and 1b. Also, add any amount included on a separate schedule ....................
1c
2 Potential credit: Single taxpayers or heads of household, enter the lesser of line 1c or $200.
00
Married taxpayers, enter the lesser of line 1c or $400 ....................................................................
2
00
3 Total contributions allowable as an itemized deduction for 2006....................
3
4 Baseline year: ___________
5 Total contributions deducted as an itemized deduction on your Arizona
00
return for the baseline year listed on line 4.....................................................
5
00
6 Subtract line 5 from line 3. If line 5 is greater than line 3, no credit is available. ............................
6
00
7 Current year’s credit: Enter the lesser of line 2 or line 6 ................................................................
7
Part II Available Credit Carryover
(a)
(b)
(c)
(d)
Taxable Year
from which you are
Original
Amount
Available Carryover:
carrying the credit
Credit Amount
Previously Used
Subtract column (c) from column (b).
8
2001
$
$
$
9
2002
$
$
$
10
2003
$
$
$
11
2004
$
$
$
12
2005
$
$
$
13
TOTAL AVAILABLE CARRYOVER .........................................
$
Part III Total Available Credit
14 Current year’s credit: Enter the amount from Part I, line 7 .............................................................
14
00
15 Enter the amount of available carryover from Part II, line 13, column (d) .......................................
15
00
16 Total Available Credit: Add line 14 and line 15, and enter the total here. See page 2 of
the instructions. ...............................................................................................................................
16
00
ADOR 91-5457 (06)
Return to Credit 301