Form Ar1000s - Arkansas Individual Income Tax Return - 2005 Page 2
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1
2Part 1
INTEREST INCOME
Part 2
DIVIDEND INCOME
Interest on bank deposits, notes, mortgages, from indi-
Dividends and other distributions on stock are fully tax-
viduals, corporation bonds, savings and loan deposits and
able. There is no dividend exclusion applicable to Arkan-
credit union deposits are taxable. Interest on obligations
sas.
of other states and subdivisions are fully taxable.
List below the names of the dividend source and desig-
List below the names of the interest source and desig-
nate the ownership by writing Y (Yours), S (Spouse’s) or
nate the ownership by writing Y (Yours), S (Spouse’s) or J
J (Joint).
(Joint).
Y S J
Y S J
NAME OF PAYER
AMOUNT
NAME OF PAYER
AMOUNT
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
Total Interest Income: Enter here and on Line 9. ..........
Total Dividend Income: Enter here and on Line 9. .........
00
00
CHECKLIST FOR AR1000S FILERS
CLICK HERE TO CLEAR FORM
This checklist is to help you make sure that your form is filled out correctly. Errors may delay your refund.
1. Is your name and address correct on the preprinted label? If not, did you enter the name and
address for you and your spouse in the space provided?
2. Did you enter the Social Security Number(s) for you and your spouse in the space provided?
3. Did you use the correct filing status column and taxable income to find your tax in the tax table?
4. Did you attach your W-2 Form(s)?
5. Did you add and subtract correctly when figuring your refund or amount you owe?
6. Did you sign and date your return?
7. Did you keep for your records a copy of your return?
Please note the due date: APRIL 17, 2006.
Page ARS2 (R 11/05)
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