Arizona Form 340 - Credit For Donations To The Military Family Relief Fund - 2012
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1ARIZONA FORM
Credit for Donations to
340
2012
the Military Family Relief Fund
For the calendar year 2012, or
M M D D Y Y Y Y
M M D D Y Y Y Y
fiscal year beginning
and ending
.
Attach to your return.
Your Name as shown on Form 140, 140NR, 140PY or 140X
Your Social Security Number
Spouse’s Name as shown on Form 140, 140NR, 140PY or 140X (if a joint return)
Spouse’s Social Security Number
YES
NO
1 Did you receive a receipt from the Arizona Department of Veterans’
Services that indicates that your contribution qualifies for this credit? ......
1
If you answered “No,” STOP! You do not qualify for this credit.
2 Total qualified donations made to the Military Family Relief Fund
during 2012 ................................................................................................
2
00
3 Single taxpayers or heads of household, enter $200 here. Married
taxpayers enter $400 here .........................................................................
3
00
4 Current year’s credit before tax: Enter the smaller of line 2 or line 3.
In most cases, if you are married filing a separate return, enter
one-half (½) of the smaller of line 2 or line 3. See instructions for line 4.
Also enter this amount on Form 301, Part I, line 23 ..................................
4
00
Print Form
ADOR 10395 (12)
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