Form Ar1002 - Fiduciary Return - State Of Arkansas

AR1002

2004

STATE OF ARKANSAS

Fiduciary Return

For calendar year 2004 or Fiscal Year beginning _________________ and ending __________________ 20 __

Type of Entity:

Name of Estate or Trust

Decedent’s estate

Simple trust

Complex trust

Federal Identification Number

Address - Street and Number, P. O. Box or Rural Route

ESBT

Grantor trust

Charitable trust

City, Town, or Post Office, State and Zip Code

Date trust created

Bankruptcy estate

Pooled income fund

ORIGINAL RETURN

AMENDED RETURN

FINAL RETURN

A. FEDERAL RETURN

B. ARKANSAS INCOME

1. Interest Income: ........................................................................................................ 1

2. Ordinary Dividends: ................................................................................................... 2

3. Net Profit from Trade or Business: (Attach Schedule) .................................................. 3

4. Capital Gains: (See Instructions) ................................................................................ 4

5. Rents, Royalties, Partnerships, other Estates and Trusts, etc: (Attach Schedule) .......... 5

6. Farm Income or (Loss): ............................................................................................. 6

7. Other Income: ........................................................................................................... 7

8. Total Income: (Add Lines 1 through 7) ........................................................................ 8

9. Interest ..................................................................................................................... 9

10. Taxes ....................................................................................................................... 10

11. Fiduciary Fees .......................................................................................................... 11

12. Charitable Deduction ................................................................................................ 12

13. Attorney, Accountant, and Return Preparer Fees ........................................................ 13

14. Other Deductions ..................................................................................................... 14

15. Total Deductions: (Add Line 9 through Line 14) .......................................................... 15

16. Adjusted Income (Subtract Line 15 from Line 8) ......................................................... 16

17. Amounts to be Distributed to Beneficiaries: ................................................................ 17

18. Net Taxable Income: (Subtract Line 17 from Line 16) ................................................. 18

19. Enter Tax from REGULAR TAX TABLE 2 using the Amount on Line 18, Column B: ................................................ 19

20. 3% surcharge (Multiply Line 19 by .03) ....................................................................................................................... 20

21. Total Tax (Add Lines 19 and 20) ................................................................................................................................. 21

22. Personal Tax Credit: ................................................................................................. 22

23. Other State Tax Credit: .............................................................................................. 23

24. Business and Incentive Tax Credit: ............................................................................ 24

25. Total Tax Credits: (Add Line 22 through Line 24) .......................................................................................................... 25

26. Tax Liability: (Subtract Line 25 from Line 21) ............................................................................................................... 26

27. Estimated Tax Paid or Credit Brought Forward From Last Year: .................................. 27

28. Tax Paid with Extension: ........................................................................................... 28

29. Payments Made With or After the Filing of Original Return: (See Instructions) ............. 29

30. Total Payments: (Add Line 27 through Line 29) .......................................................... 30

31. Overpayments Received: (See Instructions) .............................................................. 31

32. Net Payments: (Subtract Line 31 from Line 30) ........................................................................................................... 32

33. Amount of Overpayment: (If Line 32 is greater than Line 26, enter difference) .............................................................. 33

34. Amount to be Applied to 2005 Estimated Tax: ............................................................ 34

35. AMOUNT TO BE REFUNDED TO YOU: (Subtract Line 34 from Line 33) ............................................................ 35

36. AMOUNT DUE: (If Line 32 is less than Line 26, enter difference) ................................................................................. 36

May the Arkansas Revenue

Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief, the

Agency discuss this return with

statements are true and complete.

the preparer shown to the left?

Yes

Fiduciary’s Signature _________________________________________________ Date _________________________

OFFICE USE ONLY

Preparer’s Signature _________________________________________________ Date _________________________

Name ___________________________________________________________ ID/SSN ________________________

Address ________________________________________________________________________________________

City, State, and Zip ________________________________________________________________________________

AR1002 (R 08/04)

Form Ar1002 - Fiduciary Return - State Of Arkansas - 2004

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