Form Ar1000s - Arkansas Individual Income Tax Return - 2006

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S
2006 AR1000S
ARKANSAS INDIVIDUAL INCOME TAX RETURN
Full Year Resident/Short Form
Dept. Use Only
Jan 1 - Dec 31, 2006 or fiscal year ending __________ , 20 ___
FIRST NAME(S) AND INITIAL(S)
LAST NAME(S)
YOUR SOCIAL SECURITY NUMBER
(List both spouses if applicable)
(See Instructions)
MAILING ADDRESS
SPOUSE’S SOCIAL SECURITY NUMBER
(Number and Street, P.O. Box or Rural Route)
You MUST enter
CITY, STATE AND ZIP CODE
IMPORTANT
your SSN(s) above
HOME TELEPHONE:
WORK TELEPHONE:
1.
SINGLE (Or widowed before 2006 or divorced at end of 2006)
4.
MARRIED FILING SEPARATELY ON THE SAME RETURN
2.
MARRIED FILING JOINT (Even if only one had income)
5.
IF FILING STATUS 5, USE AR1000/AR1000NR - LONG FORM
3.
HEAD OF HOUSEHOLD (See Instructions)
6.
QUALIFYING WIDOW(ER) with dependent child
If the qualifying person is your child but not your dependent,
Year spouse died:(See Instructions) _____________________
enter child’s name here: ______________________________
Check this box if you have filed an au-
HAVE YOU FILED A FEDERAL EXTENSION?
IF SO, CHECK THE APPROPRIATE BOX
tomatic Federal Extension Form 4868
7A.
YOURSELF
65 or OVER
65 SPECIAL
BLIND
DEAF
HEAD OF HOUSEHOLD/
QUALIFYING WIDOW(ER)
SPOUSE
65 or OVER
65 SPECIAL
BLIND
DEAF
X $22=
00
Multiply number of boxes checked from Line 7A
7B. First name(s) of dependent(s): (Do not list yourself or spouse)
00
X $22=
________________________________________________ Multiply number of dependent(s) from Line 7B
00
7C. TOTAL PERSONAL CREDITS: (Add Lines 7A and 7B. Enter total here and on Line 16) ..................................................7C
(A)
(B)
ROUND ALL AMOUNTS TO WHOLE DOLLARS
Your/Joint
Spouse’s Income
Income
Status 4 Only
00
00
8.
Wages, salaries, tips, etc: ...................................................................................................
8
8
00
00
9.
Interest income/dividend income:
(If interest or dividends are over $1,500, attach page ARS2)
....
9
9
00
00
10.
Miscellaneous income:
(List type and amount. See instructions)
.......................................
10
10
TOTAL INCOME: (Add Lines 8 through 10) ...................................................................
11.
11
00
11
00
LOW INCOME Table 1
REGULAR Table 2
12.
Select tax table:
NOTE:
If you qualify for the Low Income Table, enter zero (0) on Line 12
00
Standard Deduction: (See Instructions) .............................................................................
12
00
12
00
00
13.
Taxable Income: (Subtract Line 12 from Line 11) ...............................................................
13
13
00
00
14.
Enter tax from table: ...........................................................................................................
14
14
TOTAL TAX: (Add Lines 14A and 14B) .........................................................................................................................
15.
15
00
16.
Personal Tax Credits: (Enter total from Line 7C) ................................................................
16
00
(20% of Federal Credit Allowed, Attach Federal Form 2441 or Sch. 2)
17.
Child Care Credit:
..
17
00
TOTAL CREDITS: (Add Lines 16 and 17) ....................................................................................................................
00
18.
18
NET TAX: (Subtract Line 18 from Line 15. If Line 18 is greater than Line 15, enter 0) .................................................
00
19.
19
00
20.
Arkansas Income Tax withheld:
[Attach State copies of W-2 Form(s)]
...............................
20
21.
Early Childhood Program: Certification Number ________________________________
(20% of Fed. credit allowed, Attach Fed. Form 2441 or Sch. 2 and Cert. Form AR1000EC)
21
00
..........
TOTAL PAYMENTS: (Add Lines 20 and 21) ................................................................................................................
22.
22
00
AMOUNT OF OVERPAYMENT/REFUND: (If Line 22 is greater than Line 19, enter difference) .............................
23.
23
00
00
24.
Amount of Check-Off Contribution:
(Attach Schedule AR1000-CO)
..................................
24
AMOUNT TO BE REFUNDED TO YOU: (Subtract Line 24 from Line 23) ..............................................
REFUND
00
25.
25
AMOUNT DUE: (If Line 22 is less than Line 19, enter the difference; If over $1,000 see instructions) ......
TAX DUE
26.
26
00
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 knowl-
edge 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.
SIGN HERE
Date
Occupation
Your Signature
May the Arkansas Revenue
Agency discuss this return with
the preparer of the return?
Date
Occupation
Spouse’s Signature
Yes
No
Paid Preparer’s Signature
ID Number/Social Security Number
For Department Use Only
A
B
Preparer’s Name:
City/State/Zip:
C
Address:
Telephone Number:
D
Mail REFUND returns to:
DFA State Income Tax, P. O. Box 1000, Little Rock, AR 72203-1000
Mailing Information
E
Mail TAX DUE returns to:
DFA State Income Tax, P. O. Box 2144, Little Rock, AR 72203-2144
Mail NO TAX DUE returns to: DFA State Income Tax, P. O. Box 8026, Little Rock, AR 72203-8026
F
Please Note: DUE DATE IS APRIL 15, 2007
Page ARS1 (R 08/06)

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