Form Ar1000a - Amended Return Full Year Resident - 2010 Page 2
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2ITA102
27. NET TAX: (From Line 26) ......................................................................................................................................................... 27
00
PAYMENTS
00
28. Arkansas Income Tax withheld: ........................................................................................................... 28
00
29. Estimated tax paid or credit brought forward from preceding tax year: .............................................. 29
30. Early childhood program: Certification No. __________________ : (20% of federal credit allowed;
00
Attach federal Form 2441 and Certification Form AR1000EC) ................................................... 30
00
31. Amount Paid with Return: ................................................................................................................... 31
00
32. Amount Paid after Return was filed: ................................................................................................... 32
00
33. TOTAL PAID: (Add Lines 28 through 32. Enter here) ......................................................................... 33
00
34. Enter prior Overpayment/Refund/Estimate carried forward: ............................................................... 34
00
35. TOTAL PAYMENTS: (Subtract Line 34 from Line 33. Enter here) ...................................................... 35
REFUND OR TAX DUE
00
36. AMOUNT TO BE REFUNDED TO YOU: (If Line 35 is greater than Line 27, enter the difference here) ................REFUND 36
00
37. AMOUNT DUE: (If Line 27 is greater than Line 35, enter the difference here) ......................................................TAX DUE 37
Complete and attach Form AR1000V to your check or money order payable in U.S. Dollars to “Dept. of Finance and
Administration” for the tax due.
Include your SSN on the check or money order. To pay by credit card, see Instructions.
PLEASE SIGN HERE
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Your Signature
Occupation
Date
Spouse’s Signature
Occupation
Date
Paid Preparer’s Signature
ID Number/SSN
Date
Firm Name (Or yours, if self employed)
Telephone
May the Arkansas Revenue
Agency discuss this return with
the preparer shown to the left?
Yes
No
Address
City, State, Zip
Mail to:
Amended Tax Group
P. O. Box 3628
Little Rock, AR 72203
EXPLANATION OF CHANGES TO INCOME, DEDUCTIONS, AND CREDITS (REQUIRED): Attach supporting forms and
schedules for items changed and give explanations for each change. If you do not attach the required information, processing
of your Form AR1000A may be delayed. Include your name and Social Security Number on any attachments.
Has your tax return been adjusted by the IRS? If yes, attach notices.
Yes
No
AR1000A (R 10/21/2010)
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