Arizona Form 322 - Credit For Contributions Made Or Fees Paid To Public Schools - 2012

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ARIZONA FORM
Credit for Contributions Made or
322
2012
Fees Paid to Public Schools
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 joint return)
Spouse’s Social Security Number
Part I
Current Year’s Credit
1 Contributions Made or Qualifying Fees Paid to:
Name of public school located in Arizona:
Address of school:
School district name and number:
Amount of contributions made or fees paid to school named on line 1 .....................................................
1
2 Contributions Made or Qualifying Fees Paid to:
Name of public school located in Arizona:
Address of school:
School district name and number:
Amount of contributions made or fees paid to school named on line 2 .....................................................
2
NOTE: If you made contributions or paid qualifying fees to more than two schools,
attach a separate schedule.
3 Total contributions made and fees paid to public schools in Arizona during 2012: Add lines 1, 2, and
any amounts from additional schedules ....................................................................................................
3
4 Single taxpayers or heads of household, enter $200 here. Married taxpayers enter $400 here ..............
4
5 Current year’s credit: Enter the smaller of line 3 or line 4. In most cases, if you are married filing a
separate return, enter one-half of the smaller of line 3 or line 4. See instructions ....................................
5
Part II
Available Credit Carryover
(a)
(b)
(c)
(d)
Taxable Year
Available Carryover:
from which you are
Original
Amount
Subtract column (c)
carrying the credit
Credit Amount
Previously Used
from column (b).
2007
.00
.00
.00
6
2008
.00
.00
.00
7
2009
.00
.00
.00
8
2010
.00
.00
.00
9
2011
.00
.00
.00
10
.00
11 TOTAL AVAILABLE CARRYOVER ...............................................................
Part III Total Available Credit
12 Current year’s credit: Enter the amount from Part I, line 5 .......................................................................
12
13 Available credit carryover from Part II, line 11, column (d) ........................................................................
13
14 Total Available Credit: Add line 12 and line 13. Enter the total here and see the instructions .................
14
ADOR 10941 (12)

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