Arizona Form 202 - Personal Exemption Allocation Election - 2013
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1
2ARIZONA FORM
202
2013
Personal Exemption Allocation Election
M M D D Y Y Y Y
M M D D Y Y Y Y
For calendar year 2013, or fiscal year beginning
and ending
.
• The spouse claiming more than one-half (1/2) of the total personal exemption must attach the original election
to his or her Arizona income tax return.
• The spouse claiming less than one-half (1/2) of the total personal exemption must attach a copy of the election
to his or her Arizona income tax return.
• Both spouses must sign and date this form on page 2.
Name of Spouse – claiming more than one-half (1/2) of the total exemption
Social Security Number
Name of Spouse – claiming less than one-half (1/2) of the total exemption
Social Security Number
Who Must File Form 202
The following taxpayers must complete Form 202:
1. Married taxpayers filing separate returns, claiming no dependents, with one spouse claiming a personal exemption of more than
$2,100 of the $4,200 exemption. Complete Part I or Part II.
2. Married taxpayers filing separate returns, claiming at least one dependent, with one spouse claiming a personal exemption of more
than $3,150 of the $6,300 exemption. Complete Part III or Part IV.
3. A married person who qualifies to file as head of household, with one spouse claiming a personal exemption of more than $3,150
of the $6,300 exemption. Complete Part III or Part IV.
Once you make this election for the tax year, you cannot change the agreed upon amounts for that year without making
another election. You must complete a new Form 202, and each spouse must file an amended Arizona income tax return
(Form 140X) to change an election.
Original Election
Amended Election
If one spouse is a full-year resident and the other spouse is a part-year resident or nonresident, the full-year resident
should complete the appropriate column in Part I or Part III, and the part-year resident or nonresident should complete the
appropriate column in Part II or Part IV.
SPOUSE CLAIMING
SPOUSE CLAIMING
Part I: For Full-Year Residents Only (Form 140 or 140A)
MORE THAN 1/2
LESS THAN 1/2
Claiming No Dependents
$
4,200.00 $
4,200.00
1 Total personal exemption allowed married taxpayers claiming no dependents .............................. 1
2 Amount of personal exemption each spouse is claiming on his or her separate Arizona return.
Enter the result here. Also enter the result on Form 140, page 1, line 19, or Form 140A, page 1,
line 20. If one spouse is a nonresident or part-year resident, that spouse should complete
$
.00 $
.00
Part II below .................................................................................................................................... 2
Part II: For Part-Year Residents (Form 140PY) or
SPOUSE CLAIMING
SPOUSE CLAIMING
Nonresidents (Form 140NR) Claiming No Dependents
MORE THAN 1/2
LESS THAN 1/2
$
4,200.00 $
4,200.00
1 Total personal exemption allowed (prior to prorating) married taxpayers claiming no dependents. 1
2 Amount of personal exemption each spouse is claiming (prior to prorating) on his or her
separate Arizona return. If you are a part-year resident who is an active duty military member
who either began or gave up Arizona residency during 2013, skip lines 3 and 4, and
enter this amount on Form 140PY, page 1, line 22. If you are a nonresident who is an active
military member, skip lines 3 and 4, and enter this amount on Form 140NR, page 1, line 22.
$
.00 $
.00
All other taxpayers complete lines 3 and 4 ..................................................................................... 2
3 If you are a part-year resident, enter your Arizona percentage from Form 140PY, page 2,
line B20. If you are a nonresident, enter your Arizona percentage from
%
%
Form 140NR, page 2, line B17 ....................................................................................................... 3
4 Multiply line 2 by the percentage on line 3. If you are a part-year resident, enter the result here
and on Form 140PY, page 1, line 22. If you are a nonresident, enter the result here and on
$
.00 $
.00
Form 140NR, page 1, line 22 . ......................................................................................................... 4
ADOR 10167 (13)
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