Form Ar1000s - Arkansas Individual Income Tax Return - 2011 Page 2

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S2
Part 1
INTEREST INCOME
Part 2
DIVIDEND INCOME
Interest on bank deposits, notes, mortgages, from in-
Dividends and other distributions on stock are fully
dividuals, corporation bonds, savings and loan deposits,
taxable. There is no dividend exclusion applicable to
and credit union deposits are taxable. Interest on obliga-
Arkansas.
tions of other states and subdivisions is fully taxable.
List below the names of the dividend sources and des-
List below the names of the interest sources and desig-
ignate ownership by writing Y (Yours), S (Spouse’s) or
nate 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
00
00
Total Interest Income: Enter here and on Line 9 .....
Total Dividend Income: Enter here and on Line 9 ....
If you owe an amount due from Line 29, ARS1, you have the option of
paying by credit card.
or call (800) 272-9829
Page ARS2 (R 3/21/2011)

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