Form Ar1000anr - Arkansas Individual Income Tax Amended Return

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AR1000ANR
ARKANSAS INDIVIDUAL INCOME TAX
AMENDED RETURN
Calendar Year or Fiscal Year Ending
NONRESIDENTS AND PART-YEAR
Your Social Security Number
File Date
Amount Paid
FOR OFFICE
USE ONLY
First Name(s) and Initial(s) (List both if applicable)
Last Name
Spouse’s Social Security Number
Present Address (Number and Street, Apartment Number or Rural Route)
Preparer’s Identification Number
City, State, and Zip Code
Telephone Numbers
Home:
Work:
Nonresidents - List state of residence
Part-Year Residents - Dates you were a resident of Arkansas
From:
To:
CHECK ONLY ONE BOX:
4.
MARRIED FILING SEPARATELY ON THE SAME RETURN
1.
SINGLE (Or widowed/divorced at end of tax year being amended)
5.
MARRIED FILING SEPARATELY ON DIFFERENT RETURNS
2.
MARRIED FILING JOINT (Even if only one had income)
Enter spouse’s name here and SSN above _______________
3.
HEAD OF HOUSEHOLD (See Instructions)
If the qualifying person is your child but not your dependent,
6.
QUALIFYING WIDOW(ER) with dependent child.
enter this child’s name here: ___________________________
Year spouse died: (See Instructions) ____________________
7A.
YOURSELF
65 or OVER
65 SPECIAL
BLIND
DEAF
HEAD OF HOUSEHOLD/
QUALIFYING WIDOW(ER)
SPOUSE
65 or OVER
65 SPECIAL
BLIND
DEAF
X $ ___ =
00
7B. First name(s) of dependents: (Do not list yourself or spouse)
.....
Multiply number of boxes checked from Line 7A
00
X $ ___ =
____________________________________________
..........
Multiply number of dependents from Line 7B
7C. First name of developmentally disabled individual(s): (See Instr.)
Multiply number of developmentally disabled
X $500 =
00
____________________________________________
........................................
individuals from Line 7C
00
7D. TOTAL PERSONAL CREDITS: (Add Lines 7A, 7B and 7C. Enter total here and on Line 19) .................................................7D
Has your tax return been adjusted by the IRS? If yes, attach reports.
Yes
No
PART 1: ORIGINAL
PART 2: AMENDED
A.
B.
C.
A.
B.
C.
Your/Joint
Spouse’s
Arkansas
Your/Joint
Spouse’s
Arkansas
INCOME
Income
Income
Income Only
Income
Income
Income Only
00
00
00
00
00
00
8. Total Income: .............................. 8
8
00
00
00
00
00
00
9. Adjustments to Income: .............. 9
9
00
00
00
00
00
00
10. Adjusted Gross Income: ........... 10
10
00
00
00
00
11. Itemized/Standard Deductions: .11
11
00
00
00
00
12. Net Taxable Income: ................. 12
12
TAX COMPUTATION
00
00
13. Select tax table: (Enter tax from applicable tax table). ............................................................ 13
LOW INCOME
REGULAR
Table 1
Table 2
00
14. Combined Tax: (Enter total from Lines 13A and 13B). ........................................................................................................14
00
15. Income Tax Surcharge: [If applicable, Multiply Line 14 by 3% (.03); Texarkana residents use tax surcharge schedule] ...15
00
16. Enter tax from ten (10) year averaging schedule: (Attach AR1000TD) ...............................................................................16
00
17. IRA and qualified plan withdrawal and overpayment penalties: (Attach Federal Form 5329 if required) ............................17
00
18. Total Tax: (Add Lines 14 through 17. Enter here) ................................................................................................................18
TAX CREDITS
00
19. Personal Tax Credit(s): (Enter total from Line 7D) .................................................................. 19
00
20. Working Taxpayer Credit: (If Applicable; Attach AR1328) ...................................................... 20
00
21. State Political Contributions Credit: (Attach Schedule) ........................................................... 21
00
22. Other State Tax Credit(s): {Attach copy of other State return(s)} ............................................ 22
00
23. Child Care Credit(s): (20% of Federal credit allowed, Attach Fed. Form 2441 or Sch. 2) ............... 23
00
24. Credit for Adoption Expenses: (Attach Form 8839) ................................................................. 24
00
25. Phenylketonuria Disorder Credit: (Attach AR1113) ................................................................. 25
00
26. Business and Incentive Tax Credits: (Attach Schedule and certificate) .................................. 26
00
27. TOTAL CREDITS: (Add Lines 19 through 26) .....................................................................................................................27
00
28. NET TAX: (Subtract Line 27 from Line 18. Enter here) .......................................................................................................28
AR1000ANR (R 11/06)

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