FTFD162
Schedule A: Capital Gains (Attach Federal Schedule D)
For net capital gains realized from:
(B)
Federal
(A)
Jan 1, 2016 - Jun 30, 2016 ............... 45% is tax exempt
Schedule D
All Income
Arkansas Only
Jul 1, 2016 - Dec 31, 2016 ............... 50% is tax exempt
1.
(QWHU IHGHUDO ORQJWHUP FDSLWDO JDLQ RU ORVV UHSRUWHG RQ /LQH
00
00
00
6FKHGXOH ' )RUP ...............................................................................1
00
00
(QWHU DGMXVWPHQW if any IRU GHSUHFLDWLRQ GLIIHUHQFHV LQ IHGHUDO DQG VWDWH DPRXQWV
00
00
$UNDQVDV ORQJWHUP FDSLWDO JDLQ RU ORVV DGG (or subtract) /LQH DQG /LQH
(QWHU IHGHUDO QHW VKRUWWHUP FDSLWDO ORVV if any, UHSRUWHG RQ /LQH IHGHUDO
00
00
00
6FKHGXOH ' )RUP
00
00
(QWHU DGMXVWPHQW if any IRU GHSUHFLDWLRQ GLIIHUHQFHV LQ IHGHUDO DQG VWDWH DPRXQWV
00
00
$UNDQVDV QHW VKRUWWHUP FDSLWDO ORVV DGG (or subtract) /LQH DQG /LQH
00
00
D $UNDQVDV QHW FDSLWDO JDLQ RU ORVV FRPELQH OLQHV DQG D
,I /LQH D LV PRUH WKDQ XVH
WORKSHEET.
,I /LQH D LV D ORVV VNLS WR OLQH
,I /LQH D LV D JDLQ DQVZHU TXHVWLRQV $ DQG %
Yes
No
Yes
No
Question A:
$Q\ WUDQVDFWLRQV GXULQJ -DQ -XQH RI "
NO
YES
,I
WKHQ HQWHU ]HUR RQ OLQH E LI
FRQWLQXH WR 4XHVWLRQ %
Question B:
'LG WUDQVDFWLRQV LQ -DQ -XQH UHVXOW LQ D QHW JDLQ"
Yes
No
Yes
No
NO
YES
,I
WKHQ HQWHU ]HUR RQ OLQH E LI
WKHQ HQWHU WKH -DQ -XQH QHW ORQJWHUP FDSLWDO JDLQ RQ
OLQH E
00
00
E 1HW ORQJWHUP FDSLWDO JDLQ -DQ -XQH WUDQVDFWLRQV RQO\E
00
00
F (QWHU WKH 60$//(5 RI /LQH D RU EF
00
00
7c
IURP /LQH 7a................................................................................................7d
G 6XEWUDFW /LQH
00
00
H 0XOWLSO\ /LQH F E\ SHUFHQW H
00
00
I 0XOWLSO\ /LQH G E\ SHUFHQW I
$UNDQVDV WD[DEOH DPRXQW DGG /LQHV H DQG I RU LI /LQH D LV D ORVV HQWHU WKH ORVV
00
00
,I WKH
WORKSHEET
ZDV XVHG WKHQ /LQH
(QWHU IHGHUDO VKRUWWHUP FDSLWDO JDLQ if any, UHSRUWHG RQ /LQH
00
00
00
IHGHUDO 6FKHGXOH ' )RUP
00
00
(QWHU DGMXVWPHQW if any IRU GHSUHFLDWLRQ GLIIHUHQFHV LQ IHGHUDO DQG VWDWH DPRXQWV
00
00
$UNDQVDV VKRUWWHUP FDSLWDO JDLQ DGG (or subtract) /LQH DQG /LQH
7RWDO WD[DEOH $UNDQVDV FDSLWDO JDLQ RU ORVV DGG /LQHV DQG (Loss limited to $3,000)
00
00
(QWHU KHUH DQG RQ $5) $515..............12
Schedule B: Income Distribution (Attach Federal K-1s)
%HQH¿FLDULHV¶ VKDUH RI LQFRPH ___________________________
1XPEHU RI EHQH¿FLDULHV ZKR UHFHLYHG GLVWULEXWLRQV ___________
FIRST AND LAST NAME or
SSN/FEIN
ADDRESS
ST
ZIP
AMOUNT
NAME OF ESTATE OR TRUST
00
00
00
00
00
Mail TAX DUE WR 6WDWH ,QFRPH 7D[ 3 2 %R[ /LWWOH 5RFN $5
0DLO AMENDED WR
6WDWH ,QFRPH 7D[ 3 2 %R[ /LWWOH 5RFN $5
Mail REFUND WR 6WDWH ,QFRPH 7D[ 3 2 %R[ /LWWOH 5RFN $5
0DLO NO TAX DUE WR 6WDWH ,QFRPH 7D[ 3 2 %R[ /LWWOH 5RFN $5
$5) 5