Arizona Form 140x - Individual Amended Return - 1999
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1
2ARIZONA FORM
1999
Individual Amended Return
140X
66
For calendar year 19_____ or fiscal year beginning _______________, 19_____ and ending _____________________ , _______ .
Your social security number
Your first name and initial
Last name
1
If a joint return, spouse's first name and initial
Last name
Spouse's social security number
1
Present home address - number and street, rural route
Apt. No.
Daytime telephone
IMPORTANT!
You must enter
(
)
2
your SSN(s) above.
City, town or post office
State
ZIP code
Home telephone
94
For DOR use only
3
(
)
Name and address on original return (if same, write "Same")
On Original
On This
Check box to indicate both filing status and residency status
Return
Return
88
4 Married filing joint return ..............................................................................
4
5 Head of household - name of qualifying dependent
5
6 Married filing separate return. Enter spouse's social security number
81
above and full name here
6
7 Single ...........................................................................................................
7
Check only one:
97
Form 140 ...........................................................
1
8
8 Resident ......................................................................................................
Form 140A ........................................................
2
9
9 Nonresident .................................................................................................
Form 140EZ ......................................................
3
Form 140NR .....................................................
4
10
10 Part-year resident ........................................................................................
Form 140PY ......................................................
5
11
11 Part-year resident active military .................................................................
Enter corrected percentage of
%
Arizona residency if 140NR, or 140PY
12 Nonresident active military ..........................................................................
12
(a)
(b)
(c)
IMPORTANT: In order for your amended return to be processed, you must enter an amount in
AMOUNT REPORTED
AMOUNT TO BE
CORRECTED
columns (a), (b) and (c) for lines 13 through 16, lines 18 through 23, lines 25, 29, 30, 33, 35 and 36.
ON ORIGINAL
ADDED (SUBTRACTED)
AMOUNT
13
13 Federal adjusted gross income/Arizona gross income.........................................................
14
14 Additions to income .............................................................................................................
15 Subtotal. Add line 13 and line 14 .......................................................................................
15
16
16 Dependent Exemptions .......................................................................................................
17
Enter number of dependents you are claiming on line 16 of this amended return.
18
18 Age 65 or over, blind or qualifying parent or ancestor exemptions .....................................
19
19 Subtractions from income ....................................................................................................
20 Arizona adjusted gross income. Subtract lines 16, 18, and 19 from line 15 ......................
20
21
21 Deductions (Itemized or Standard) .....................................................................................
22
22 Personal exemptions ...........................................................................................................
23 Arizona taxable income. Subtract lines 21 and 22 from line 20 ..........................................
23
24 Tax from tax rate table:
Table X or Y (140, 140NR or 140PY)
Optional Table (140, 140A or 140EZ) .............................................
24
25 Tax from recapture of credits from Arizona Form 301, Part II .............................................
25
26
26 Subtotal of tax. Add lines 24 and 25, column (c) .......................................................................................................................................
27 Clean Elections Fund Tax reduction claimed on original return (1998 or 1999) .................
27
28 Reduced tax. Subtract line 27 from line 26 column (c) ......................................................
28
29 Family income tax credit ......................................................................................................
29
30 Credits from Arizona Form 301, Part II ................................................................................
30
31 Credit type - enter form number of each credit claimed ...................
31
3
3
3
3
32 Subtract lines 29 and 30 from from line 28 ................................................................................................................................................
32
33 Clean Elections Fund Tax Credit. See instructions ............................................................
33
34 Balance of tax. Subtract line 33 from line 32. If line 33 is more than line 32, enter zero .........................................................................
34
35 Payments (withholding, estimated, or extension) ................................................................
35
36
36 Property tax credit ................................................................................................................
37 Payment with original return. Plus all payments after it was filed ..............................................................................................................
37
38 Total payments and property tax credit. Add lines 35 through 37 column (c) ............................................................................................
38
39 Overpayment from original return ..............................................................................................................................................................
39
40
40 Balance of credits. Subtract line 39 from line 38 ........................................................................................................................................
41
41 REFUND/CREDIT DUE. If line 34 is less than line 40, subtract line 34 from line 40 and enter refund/credit amount ..............................
42
42 Amount to be applied to 2000 estimated tax. If zero, enter "0" ..................................................................................................................
43
43 AMOUNT OWED. If line 34 is more than line 40, subtract line 40 from line 34 and enter amount owed ..................................................
44 Enter the amount from line 19, column (c) that pertains to your federal retirement contribution ................
44
DOR USE ONLY
45 Is this amended return the result of a net operating loss? If yes, check the box. ..........................................................
YES
45
82
99
ADOR 06-0018 (99)
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