Arizona Form 140x - 6 Individual Amended Income Tax Return

Arizona Form 140X

financial institution (such as a mutual fund, brokerage firm or

Make your check payable to Arizona Department of Revenue.

credit union) instead of sending you a check.

Write your SSN and tax year on the front of your check or

money order and include your payment with Form 140X.

Check the box on line

A if the direct deposit will ultimately

be placed in a foreign account. If you check box

A, do not

The department cannot accept checks or money orders in

enter your routing or account numbers. If this box is checked,

foreign currency. You must make payment in U.S. dollars.

we will not direct deposit your refund. We will mail you a

Electronic payment from your checking or savings

check instead.

account

NOTE: We are not responsible for a lost refund if you enter

You can make an electronic payment from your checking or

the wrong account information. Check with your financial

savings account to pay your balance due. There is no fee to

institution to get the correct routing and account numbers and

use this method.

To make an electronic payment, go to

to make sure your direct deposit will be accepted.

and click on the “Make a Payment” link.

Routing Number

Be sure to enter the correct account number and routing

number for your checking or savings account. You may be

MAKE SURE YOU ENTER THE CORRECT ROUTING

charged a $25 NSF (non-sufficient funds) fee if you provide

NUMBER.

an incorrect number. Check with your financial institution for

The routing number must be nine digits. The first 2 digits must

to get the correct account and routing number.

be 01 through 12 or 21 through 32. Otherwise, the direct

The “E-Check” option in the “Payment Method” drop-down

deposit will be rejected and a check sent instead. On the

box will debit the amount from the checking or savings

following sample check, the routing number is 250250025.

account that you specify. If you make an electronic payment

from your checking or savings account, you will receive a

Please keep this confirmation

confirmation number.

number as proof of payment.

Credit card payment

You can pay with your Discover, MasterCard, Visa, or

American Express credit card. Go to and

click on the “Make a Payment” link and choose the credit card

option.

This will take you to a third party vendor site

(provider). The provider will charge you a convenience fee

based on the amount of your tax payment. The provider will

tell you what the fee is during the transaction; you will have

the option to continue or cancel the transaction.

If you

Your check may state that it is payable through a financial

complete the credit card transaction, you will receive a

institution different from the one at which you have your

confirmation number.

Please keep this confirmation

checking account. If so, do not use the routing number on that

number as proof of payment.

check. Instead, contact your financial institution for the correct

Line 52 - Net Operating Loss Carryback Question

routing number to enter here.

If you are filing this amended return as a result of a net

Account Number

operating loss carryback, check the box on line 52 and enter

MAKE SURE YOU ENTER THE CORRECT ACCOUNT

the tax year in which the net operating loss was incurred. This

NUMBER.

may speed up the processing of your refund.

The account number can be up to 17 characters (both numbers

Page 2 Instructions

and letters). DO NOT include hyphens, spaces or special

symbols. Enter the number from left to right and leave any

For examples of how to complete page 2 of Form 140X, see

unused boxes blank. On the sample check the account number

pages 10 and 11.

is 20202086. Be sure not to include the check number.

Part 1 - Dependent Exemptions

Line 51 - Amount Owed

If you need additional lines to list all of your dependents,

If line 39 is more than line 47, you owe additional tax.

including qualifying parents and grandparents, complete page

Subtract line 47 from line 39 and enter the difference. You

3, Dependent Information – Continuation Sheet, and include

may pay only with a check, electronic check, money order, or

this page with your return.

Be sure to check the box

credit card. The department will bill you for any interest and

indicating you are completing page 3. Do not include page

3 with your return if you do not use it.

penalty due.

Check or money order

Line(s) 15a, 15b, 15c, etc.

Enter the information for all individuals you are claiming as a

NOTE: Include your check or money order with your return.

dependent in box 15, on page 1. Enter that dependent’s name,

Please do not send cash.

Arizona Form 140x - 6 Individual Amended Income Tax Return - 2016 Page 8

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