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Form Ar1000a - Arkansas Individual Income Tax Amended Return Full Year Resident - 2001 Page 2

28. NET TAX: (From Line 27) ........................................................................................................................................................ 28

PAYMENTS

29. Arkansas Income Tax withheld: ...................................................................................................... 29

30. Estimated tax paid or credit brought forward from last year: ......................................................... 30

31. Early childhood program: Certification No.: ____________ (Attach Federal Form 2441 or

1040A, Sch. 2 and Certification Form AR1000EC; 20% of Federal credit allowed) ...................... 31

32. Amount Paid with Return: ............................................................................................................... 32

33. Amount Paid after Return was filed: ............................................................................................... 33

34. TOTAL PAID: (Add Lines 29 through 33. Enter here) .................................................................... 34

35. Enter prior Overpayment/Refund/Estimate carried forward: .......................................................... 35

36. TOTAL PAYMENTS: (Subtract Line 35 from Line 34. Enter here) ................................................. 36

REFUND OR TAX DUE

37. AMOUNT TO BE REFUNDED TO YOU: (If Line 36 is greater than Line 28, enter the difference here) ........................... 37

38. AMOUNT DUE: (If Line 28 is greater than Line 36, enter the difference here). .................................................................. 38

PLEASE SIGN HERE

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and

belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Your Signature

Occupation

Date

Spouse’s Signature

Occupation

Date

Paid Preparer’s Signature

ID Number/SSN

Date

May the Arkansas Revenue

Firm Name (Or yours, if self employed)

Telephone