Arizona Form 140 - Resident Personal Income Tax Return - 2002

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ARIZONA FORM

Resident Personal Income Tax Return

2002

140

M M

/ D D

D D

M M

/ D D

D D

Or ﬁ scal year beginning

2002, and ending

2003

Your ﬁ rst name and initial

Last name

Your Social Security Number

If a joint return, spouse’s ﬁ rst name and initial

Last name

Spouse’s Social Security Number

Present home address - number and street, rural route, apt. no.

IMPORTANT

Daytime phone: (

)

You must enter your SSNs.

Home phone: (

)

City, town or post ofﬁ ce

State

Zip Code

FOR DOR USE ONLY

Married ﬁ ling joint return

Head of household - name of qualifying child or dependent:

Married ﬁ ling separate return. Enter spouse’s Social Security Number above

and full name here.

►

Single

Age 65 or over (you and/or spouse)

Enter the

number

Blind (you and/or spouse)

CHECK ONE if ﬁ ling under an extension:

claimed. Do

Dependents. From page 2, line A2 - do not include self or spouse.

4 month extension

not put a

82D

check mark.

6 month extension

Qualifying parents and ancestors of your parents. From page 2, line A5.

82F

12 Federal adjusted gross income (from your federal return).................................................................................................................... 12

13 Additions to income (from page 2, line B12) ......................................................................................................................................... 13

14 Add lines 12 and 13 .............................................................................................................................................................................. 14

15 Subtractions from income (from page 2, line C17 or line C28). Enter the number from line C26a:

............................ 15

16 Arizona adjusted gross income. Subtract line 15 from line 14. ............................................................................................................ 16

17 Deductions. Check box and enter amount. See instructions, page 12.

ITEMIZED

STANDARD.................... 17

18 Personal exemptions. See page 12 of the instructions........................................................................................................................ 18

19 Arizona taxable income. Subtract lines 17 and 18 from line 16. If less than zero, enter zero ............................................................ 19

20 Compute the tax using amount on line 19 and Tax Rate Table X, Y or Optional Tax Rate Tables........................................................ 20

21 Tax from recapture of credits from Arizona Form 301, line 33 .............................................................................................................. 21

22 Subtotal of tax. Add lines 20 and 21. ................................................................................................................................................... 22

23 - 24

Clean Elections Fund Tax Reduction. See instructions, page 13.

YOURSELF

SPOUSE .......................... 24

25 Reduced tax. Subtract line 24 from line 22.......................................................................................................................................... 25

26 Family income tax credit from worksheet on page 14 of instructions ................................................................................................... 26

27 Credits from Arizona Form 301, line 61, or Forms 310, 321, 322, and 323 if Form 301 is not required............................................... 27

28 Credit type. Enter form number of each credit claimed:

29 Subtract lines 26 and 27 from line 25. If the sum of lines 26 and 27 is more than line 25, enter zero. ............................................... 29

30 Clean Elections Fund Tax Credit. From worksheet on page 16........................................................................................................... 30

31 Balance of tax. Subtract line 30 from line 29. If line 30 is more than line 29, enter zero. ................................................................... 31

32 Arizona income tax withheld during 2002 ............................................................................................................................................. 32

33 Arizona estimated tax payments for 2002............................................................................................................................................. 33

34 Amount paid with 2002 Arizona extension request (Form 204) ............................................................................................................ 34

35 Increased Excise Tax Credit from worksheet on page 16

......................................................................................................................................................

36 Property Tax Credit from Form 140PTC ............................................................................................................................................... 36

37 Other refundable credits. Check box(es) and enter amount(s):

313

326

327

329

330 ...... 37

38 Total payments/refundable credits. Add lines 32 through 37. .............................................................................................................. 38

39 TAX DUE. If line 31 is larger than line 38, subtract line 38 from line 31 and enter amount of tax due. Skip lines 40, 41 and 42. ...... 39

40 OVERPAYMENT. If line 38 is larger than line 31, subtract line 31 from line 38 and enter amount of overpayment........................... 40

41 Amount of line 40 to be applied to 2003 estimated tax ......................................................................................................................... 41

42 Balance of overpayment. Subtract line 41 from line 40. ...................................................................................................................... 42

43 - 50 Voluntary Gifts to:

Aid to Education

Arizona Wildlife 44

Citizens Clean Elections 45

(enter entire refund only)

Domestic Violence Shelter 47

Child Abuse Prevention 46

Neighbors Helping 48

Neighbors

Political Gift 50

Special Olympics 49

51 Check only one if making a political gift:

Democratic

Libertarian

Republican

52 Estimated payment penalty and MSA withdrawal penalty .................................................................................................................... 52

53 Check applicable boxes:

Annualized/Other

Farmer or Fisherman

Form 221 attached

MSA Penalty

54 Total of lines 43, 44, 45, 46, 47, 48, 49, 50 and 52............................................................................................................................... 54

55 REFUND. Subtract line 54 from line 42. If less than zero, enter amount owed on line 56. ................................................................ 55

Direct Deposit of Refund: See instructions.

ROUTING NUMBER

ACCOUNT NUMBER

Checking or

Savings

56 AMOUNT OWED. Add lines 39 and 54. Make check payable to Arizona Department of Revenue; include SSN on payment.

ADOR 91-0011 (02)