Form Ar1002nr - Nonresident Fiduciary Return

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STATE OF ARKANSAS
AR1002NR
Nonresident Fiduciary Return
1999
For 1999 or Fiscal Year beginning _____________________ and ending _____________________19 _________
Name of Estate or Trust
FEDERAL IDENTIFICATION NUMBER
Address - Street and Number, P. O. Box or Rural Route
Date trust was created, or, if an estate, date of decedent’s death.
City, Town or Post Office, State and Zip Code
ORIGINAL RETURN
AMENDED RETURN
FINAL RETURN
A. FEDERAL RETURN
B. ARKANSAS INCOME
01. Dividends: .................................................................................................................... 1
00
1
00
02. Interest Income: .......................................................................................................... 2
00
2
00
03. Income from Partnerships, Fiduciaries, etc.: ................................................................ 3
00
3
00
04. Rent and Royalty Income: ........................................................................................... 4
00
4
00
05. Net Profit from Trade or Business: .............................................................................. 5
00
5
00
06. Capital Gain(s): ........................................................................................................... 6
00
6
00
07. Other Income: .............................................................................................................. 7
00
7
00
08. Total Income: ............................................................................................................... 8
00
8
00
09. Interest Paid: ................................................................................................................ 9
00
9
00
10. Taxes Paid: ..................................................................................................................10
00 10
00
11. Other Deductions:.........................................................................................................11
00 11
00
12. Total Deductions: .........................................................................................................12
00 12
00
13. Adjusted Income:..........................................................................................................13
00 13
00
14. Amounts to be distributed to beneficiaries: .................................................................14
00 14
00
15. Net Taxable Income: ....................................................................................................15
00 15
00
16. Enter Tax from REGULAR TAX TABLE 2 using the Amount on Line 15, Column A: ............................................................... 16
00
17. Personal Tax Credit:......................................................................................................17
20
00
18. Other State Tax Credits: ...............................................................................................18
00
19. Business and Incentive Tax Credits: ............................................................................19
00
20. Total Tax Credits:(Add Lines 17 through 19). ........................................................................................................................ 20
00
21. Tax Liability: (Subtract Line 20 from Line 16). ...................................................................................................................... 21
00
21A. Enter the Amount from Line 15, Column B: ................................................................21A
00
21B. Enter the Amount from Line 15, Column A: ................................................................21B
00
21C. Divide Line 21A by Line 21B and enter percentage here: ....................................................................................................21C
00
21D. Apportioned Tax Liability: (Multiply Line 21 by Line 21C). .................................................................................................21D
00
22. Estimated Tax Paid or Credit brought forward from last year: ....................................22
00
23. Tax paid with Extension: ..............................................................................................23
00
24. Payments with Original Return: (See Instructions). ....................................................24
00
25. Total Payments: ...........................................................................................................25
00
26. Overpayments received: (See Instructions). ................................................................26
00
27. Balance of payments subject to liability: .............................................................................................................................. 27
00
28. Overpayment: ....................................................................................................................................................................... 28
00
29. Amount to be applied to 2000 Estimated Tax: ............................................................29
00
30. AMOUNT TO BE REFUNDED TO YOU: .................................................................................................................................. 30
00
31. AMOUNT DUE: ...................................................................................................................................................................... 31
00
Beneficiaries share of income: _____________________________________
Number of Beneficiaries to receive distribution: _______________________
FIRST NAME
MI
LAST NAME
SSN
ADDRESS
ST
ZIP
AMOUNT
00
00
00
00
00
OFFICE USE ONLY
Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief, the statements are true and complete.
A
Taxpayer’s Signature ___________________________________
B
Date
_______________________________________
C
Preparer’s Signature ___________________________________
Date
_______________________________________
D
E
Name _______________________________________________
ID/SSN
_______________________________________
F
Address _____________________________________________
City, State and Zip __________________________________
G
H
Mail TAX DUE to: State Income Tax, P. O. Box 2144, Little Rock, AR 72203-2144
Mail AMENDED to:
State Income Tax, P. O. Box 3628, Little Rock, AR 72203-3628
Mail REFUND to: State Income Tax, P. O. Box 1000, Little Rock, AR 72203-1000
Mail NO TAX DUE to: State Income Tax, P. O. Box 8026, Little Rock, AR 72203-8026
AR1002NR (R 11/99)

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