Arizona Form 140a Instruction - Resident Personal Income Tax Return

Form 140A

Line 43 - Domestic Violence Shelter Fund

If you owe money to any Arizona state agency, court,

county, incorporated city or town and certain federal

You may give some or all of your refund to the Domestic

agencies, your refund may go to pay some of the debt. If so,

Violence Shelter Fund. You may also give more than your

the department will let you know by letter.

entire refund.

Tax Tip: If you change your address before you get your

Gifts go to the Domestic Violence Shelter Fund. This fund

refund, let the department know. Write to: Refund Desk,

provides financial aid to shelters for victims of domestic

Arizona Department of Revenue, 1600 W Monroe, Phoenix,

violence.

AZ 85007. Include your SSN in your letter.

Line 44 - I Didn’t Pay Enough Fund

Direct Deposit of Refund

You may give some or all of your refund to the I Didn’t Pay

Enough Fund. You may also give more than your entire refund.

Complete the direct deposit line if you want us to directly

deposit the amount shown on line 52 into your account at a

Gifts that you make to the I Didn’t Pay Enough Fund will aid

bank or other financial institution (such as a mutual fund,

the state by going to the Arizona general fund.

brokerage firm or credit union) instead of sending you a check.

Line 45 - National Guard Relief Fund

NOTE: Check the box on line 52A if the direct deposit will

You may give some or all of your refund to the National

ultimately be placed in a foreign account. If you check box

Guard Relief Fund. You may also give more than your

52A, do not enter your routing or account numbers. If this

entire refund.

box is checked, we will not direct deposit your refund. We

Gifts go to the National Guard Relief Fund. This fund provides

will send you a check instead.

financial aid to families of Arizona National Guard members

Why Use Direct Deposit?

when the National Guard member is placed on active duty and is

serving in a combat zone.



You will get your refund fast – even faster if you e-file!



Line 46 - Neighbors Helping Neighbors Fund

Payment is more secure since there is no check to get lost.



It is more convenient. No trip to the bank to deposit

You may give some or all of your refund to the Neighbors

your check.

Helping Neighbors Fund. You may also give more than your



Saves tax dollars. A refund by direct deposit costs less

entire refund.

to process than a check.

Gifts go to the Neighbors Helping Neighbors Fund. This fund

provides eligible recipients with emergency aid in paying

NOTE: We are not responsible for a lost refund if you enter

energy utility bills and conserving energy.

the wrong account information. Check with your financial

institution to get the correct routing and account numbers

Line 47 - Special Olympics Fund

and to make sure your direct deposit will be accepted.

You may give some or all of your refund to the Special

Routing Number

Olympics Fund. You may also give more than your entire

refund.

MAKE

SURE

YOU

ENTER

THE

CORRECT

ROUTING NUMBER.

Gifts go to the Special Olympics Fund. This fund helps provide

programs of the Arizona Special Olympics.

The routing number must be 9 digits. The first 2 digits must

be 01 through 12 or 21 through 32. Otherwise, the direct

Line 48 - Veterans’ Donations Fund

deposit will be rejected and a check sent instead. On the

You may give some or all of your refund to the Veterans’

sample check below, the routing number is 250250025.

Donations Fund. You may also give more than your entire refund.

Your check may state that it is payable through a financial

Gifts go to the Veterans’ Donations Fund, which may be used

institution different from the one at which you have your

for veterans in Arizona.

checking account. If so, do not use the routing number on

that check. Instead, contact your financial institution for the

Line 49 - Political Gift

correct routing number to enter here.

Gifts go to one of the following political parties:



Account Number

Democratic



Green

MAKE

SURE

YOU

ENTER

THE

CORRECT



Libertarian

ACCOUNT NUMBER.



Republican

The account number can be up to 17 characters (both

You may give some or all of your refund to a political party.

numbers and letters). DO NOT include hyphens, spaces or

You may also give more than your entire refund.

special symbols. Enter the number from left to right and

Line 50 - Political Party

Check the box for the political party to which you wish to give.

You may select only one party. If you do not select a political

party, the department will return the amount on line 49.

Figuring Your Refund or Tax Due

Line 52 - Refund

Subtract line 51 from line 38. Enter your refund on line 52

and skip line 53.

Arizona Form 140a Instruction - Resident Personal Income Tax Return - 2011 Page 11

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