Arizona Form 140 - Resident Personal Income Tax Return

Resident Personal Income Tax Return

ARIZONA FORM

2001

140

M M

D D

M M

D D

Or scal year beginning

2001, and ending

2002

Your rst name and initial

Last name

Your Social Security Number

If a joint return, spouse’s rst name and initial

Last name

Spouse’s Social Security Number

Present home address - number and street, rural route, apt. no.

Daytime phone: (

)

Home phone: (

)

City, town or post ofce

State

Zip Code

FOR DOR USE ONLY

Married ling joint return

Head of household - name of qualifying child or dependent:

Married ling separate return. Enter spouse’s Social Security Number above

and full name here. ?

Single

Age 65 or over (you and/or spouse)

Enter the

number

Blind (you and/or spouse)

CHECK ONE if ling under an extension:

claimed. Do

Dependents. From page 2, line A2 - do not include self or spouse.

not put a

4 month extension

82D

check mark.

Qualifying parents and ancestors of your parents. From page 2, line A5.

6 month extension

82F

THIS BOX MAY BE BLANK OR MAY CONTAIN A PRINTED BARCODE OF DATA FROM YOUR RETURN

12 Federal adjusted gross income ..................... 12

13 Additions to income (from page 2, line B12) . 13

14 Add lines 12 and 13....................................... 14

15 Subtractions from income.............................. 15

16 Arizona AGI. Subtract line 15 from line 14..... 16

ITEMIZED

STANDARD ..... 17

18 Personal exemptions..................................... 18

19 AZ Taxable Inc. Line 16 minus lines 17 & 18. 19

20 Compute tax. Use line 19 & proper tax table. 20

21 Tax from recapture of credits......................... 21

22 Subtotal of tax. Add lines 20 and 21............. 22

23 - 24 Clean Elections Fund Tax Reduction .....

YOURSELF

SPOUSE........ 24

25 Reduced tax. Subtract line 24 from line 22.........................................................................................................................................

26 Family income tax credit from worksheet on page 13 of instructions ................................................................................................... 26

27 Credits from Arizona Form 301, line 61, or Forms 310, 321, 322, and 323 if Form 301 is not required............................................... 27

28 Credit type. Enter form number of each credit claimed:

29 Subtract lines 26 and 27 from line 25. If the sum of lines 26 and 27 is more than line 25, enter zero. ............................................... 29

30 Clean Elections Fund Tax Credit. From worksheet on page 15............................................................................................................ 30

31 Balance of tax. Subtract line 30 from line 29. If line 30 is more than line 29, enter zero. .................................................................... 31

32 Arizona income tax withheld during 2001 ............................................................................................................................................. 32

33 Arizona estimated tax payments for 2001 ............................................................................................................................................ 33

34 Amount paid with 2001 Arizona extension request (Form 204) ............................................................................................................ 34

35 Increased Excise Tax Credit from worksheet on page 16..................................................................................................................... 35

36 Property Tax Credit from Form 140PTC

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

37 Other refundable credits. Check box(es) and enter amount(s):

313

326

327

329

330 .....

38 Total payments/refundable credits. Add lines 32 through 37. .............................................................................................................. 38

39 TAX DUE. If line 31 is larger than line 38, subtract line 38 from line 31 and enter amount of tax due. Skip lines 40, 41 and 42........ 39

40 OVERPAYMENT. If line 38 is larger than line 31, subtract line 31 from line 38 and enter amount of overpayment. ......................... 40

41 Amount of line 40 to be applied to 2002 estimated tax......................................................................................................................... 41

42 Balance of overpayment. Subtract line 41 from line 40. ...................................................................................................................... 42

43 - 50

Aid to Education Fund (enter entire refund only)

Arizona Wildlife Fund

Citizens Clean Elections Fund

Child Abuse Prevention Fund

VOLUNTARY

Domestic Violence Shelter Fund

Neighbors Helping Neighbors Fund

GIFTS

Special Olympics Fund

Political Gift

51 Check only one if making a political gift:

Democratic

Green

Libertarian

Natural Law

Reform

Republican

52 Estimated payment penalty and MSA withdrawal penalty .................................................................................................................... 52

53 Check applicable boxes:

Annualized/Other

Farmer or Fisherman

Form 221 attached

MSA Penalty

54 Total of lines 43, 44, 45, 46, 47, 48, 49, 50 and 52............................................................................................................................... 54

55 REFUND. Subtract line 54 from line 42. If less than zero, enter amount owed on line 56. ................................................................ 55

56 AMOUNT OWED. Add lines 39 and 54. Make check payable to Arizona Department of Revenue; include SSN on payment.

ADOR 91-5335 (01) slw