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Form 321 - Credit For Contributions To Charities That Provide Assistance To The Working Poor - 1998

Credit for Contributions to Charities That

1998

ARIZONA FORM

321

Provide Assistance to the Working Poor

For the calendar year 1998, or fiscal year

beginning _________________________,

19 ______, and ending _________________________,

19 ______

Attach to your return

Your social security number

Name(s) as shown on Form 140, 140NR, 140PY or 140X

Spouse's social security number

1 a

Name of qualifying charity to which you made

Amount contributed to organization

named on line 1a.

1 b

Name of qualifying charity to which you made

Amount contributed to organization

named on line 1b.

If you made contributions

to more than 2 qualifying charities, attach a separate

1 c

Total. Add lines 1a and 1b. Also add any amount included on a separate schedule

1 d

Potential credit - lesser of 1c or $200

1 e

Total contributions deducted as an itemized deduction for 1998 (from Federal Schedule A)

Baseline year:

Total contributions deducted as an itemized deduction on your Arizona return for the

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

baseline year listed on line 2. .............................................................................................................

Subtract line 3 from line 1e (If line 3 is greater than line 1e, no credit is available)

Current year's credit -

enter the lesser of line 1d or line 4

For 1998, skip lines 6 through 13. Enter the amount from line 5 on Arizona Form 301, Part I, line 15.

Available Credit

Carryover

(a)

(b)

(c)

(d)

(e)

(f)

Carryover credit from

taxable year ending

Original credit amount

Amount previously used

Available carryover -

subtract line 8

from line 7

Total available carryover

Total

Current year's credit - enter the amount from line 5. .......................................................................................................

Available

Available carryover from line 10, column (f) ....................................................................................................................

Credit

Total available credit. Add line 11 and line 12. Enter the total ........................................................................................

Enter the total available credit on Arizona Form 301, Part I, line 15.

ADOR 03-0011 (98)