Form Ar1000-Co - Individual Income Tax - Schedule Of Check-Off Contributions

Form Ar1000-Co - Individual Income Tax - Schedule Of Check-Off Contributions - 2015 Page 2

INSTRUCTIONS FOR AR1000-CO

GENERAL INSTRUCTIONS:

Check the appropriate box and enter the designated amount for each check-off contribution in the box provided.

Total your contributions and enter the amount in Box 10. Contributions are limited to whole dollar

amounts only.

FOR TAXPAYERS WHO ARE DUE A REFUND:

Attach this schedule to any return claiming a check-off contribution. Enter the amount in Box 10 on Line 47

of Form AR1000F/AR1000NR or Line 27 of Form AR1000S. The total amount you contribute will reduce your

refund by a corresponding amount.

If this schedule is not attached to your return or if the amount in Box 10 is not entered on your return, your

contribution will not be recognized and the amount will be refunded to you.

FOR TAXPAYERS WHO OWE ADDITIONAL TAXES:

Detach this schedule and submit a separate check for the total amount of your check-off contributions. (You

can send a check for check-off contributions #1 through #8. You cannot send a check for check-off

contribution #9.) Mail to: Arkansas Individual Income Tax, P.O. Box 3628, Little Rock, AR 72203.

FOR INFORMATION ABOUT PROGRAMS/ORGANIZATIONS ON AR1000-CO GO TO:

1. Arkansas Disaster Relief Program:

2. Arkansas Game and Fish Foundation:

3. Arkansas School for the Blind:

Arkansas School for the Deaf:

4. Baby Sharon’s Children’s Catastrophic Illness Program:

5. Organ Donor Awareness Education Program:

6. Area Agencies on Aging Program:

7. Military Family Relief Program:

8. Newborn Umbilical Cord Blood Initiative:

9. Arkansas Tax Deferred Tuition Savings Program:

AR1000-CO Instr. (R 6/12/15)

Form Ar1000-Co - Individual Income Tax - Schedule Of Check-Off Contributions - 2015 Page 2