Arizona Form 221 - Underpayment Of Estimated Tax By Individuals - 2013
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1
2ARIZONA FORM
221
2013
Underpayment of Estimated Tax by Individuals
Attach to your return.
Name (first, middle initial, last) If joint return, also give spouse’s name and middle initial.
Social Security Number
Part A Calculation of Underpayment
1 I am claiming an exception from the imposition of the estimated payment penalty because I qualified for federal relief
under IRC §6654. Check box and see instructions ..............................................................................................................
1
00
2 Amount of tax for 2013 from Form 140, page 1, line 23, or form 140PY, page 1, line 26, or Form 140NR, page 1, line 26 .
2
00
3 Tax credits claimed on your 2013 Arizona return ..................................................................................................................
3
00
4 Subtract line 3 from line 2 .....................................................................................................................................................
4
00
5 Arizona tax withheld during 2013. Do not include any estimated tax payments or extension payments on this line ...........
5
00
6 Subtract line 5 from line 4. If less than $1,000, stop here. You do not owe the penalty. Do not file Form 221 ..................
6
00
7 Multiply line 4 by 90% (.90) ...................................................................................................................................................
7
00
8 Enter the immediately preceding year’s tax liability after tax credits. See instructions ........................................................
8
00
9 Required Annual Payment: Enter the lesser of line 7 or line 8 ..........................................................................................
9
(a)
(b)
(c)
(d)
10 Payment date .......................................................................................... 10
Apr-15-2013
Jun-17-2013
Sep-16-2013
Jan-15-2014
11 Divide the amount on line 9 by the number of payments required
for the year (usually four). Enter the result in appropriate columns.
Check this box if you use any other installment method. If you
annualize, complete the worksheet on page 2 of this form and enter the
amount from line 23 of that worksheet in each column of line 11 ........... 11
12 Estimated tax paid and income tax withheld. See instructions .............. 12
13 Overpayment: See instructions .............................................................. 13
14 Add lines 12 and 13 ................................................................................ 14
15 Underpayment: Subtract line 14 from line 11; or
Overpayment: Subtract line 11 from line 14 ......................................... 15
Part B Underpayment of Estimated Tax Penalty
16 Rate Period One: 3% (Apr-15-13 through Jun-30-13)
Computation starting date for this period ................................................ 16
Apr-15-13
Jun-17-13
17 Number of days after the date on line 16 through the date the amount
on line 15 was paid or June 30, 2013 whichever is earlier ..................... 17 Days:
Days:
Number of days on line 17
18
× 3% × underpayment on line 15
365
18
19 Rate Period Two: 3% (Jul-1-13 through Sep-30-13)
Computation starting date for this period ................................................ 19
Jun-30-13
Jun-30-13
Sep-16-13
20 Number of days after the date on line 19 through the date the amount
on line 15 was paid or September 30, 2013 whichever is earlier ............ 20 Days:
Days:
Days:
Number of days on line 20
21
× 3% × underpayment on line 15
365
21
22 Rate Period Three: 3% (Oct-1-13 through Dec-31-13)
Computation starting date for this period ................................................ 22
Sep-30-13
Sep-30-13
Sep-30-13
23 Number of days after the date on line 22 through the date the amount
on line 15 was paid or December 31, 2013 whichever is earlier ............. 23 Days:
Days:
Days:
Number of days on line 23
24
× 3% × underpayment on line 15
365
24
25 Rate Period Four: 3% (Jan-1-14 through Apr-15-14)
Computation starting date for this period ................................................ 25
Dec-31-13
Dec-31-13
Dec-31-13
Jan-15-14
26 Number of days after the date on line 25 through the date the amount
on line 15 was paid or April 15, 2014 whichever is earlier ...................... 26 Days:
Days:
Days:
Days:
underpayment on line 15 plus any penalty
Number of days on line 26
27
× 3% ×
from Rate Periods 1, 2 and 3 if the
365
27
underpayment is unpaid as of Jan-1-14
28 Penalty:
Column (a) - Add lines 18, 21, 24, 27. Enter total on line 28 of col. a.
Column (b) - Add lines 18, 21, 24, 27. Enter total on line 28 of col. b.
Column (c) - Add lines 21, 24, 27. Enter total on line 28 of col. c.
Column (d) - Enter the amount from column d, line 27 .......................... 28
29 Penalty Limitation.
In columns a through d, list the smaller of
line 15 x 10% or the amount from line 28 ............................................... 29
00
30 TOTAL PEnALTy: Add the amounts in columns a, b, c, and d, line 29 (see instructions) ................................................. 30
ADOR 10642 (13)
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