Name:
EIN:
AZ Form 220 (2012)
Page 3 of 4
Schedule A - Annualized Income Installment Method and/or Adjusted Seasonal Installment Method Under IRC § 6655(e)
Part I - Annualized Income Installment Method
(a)
(b)
(c)
(d)
First ____
First ____
First ____
First ____
1 Annualization periods. See instructions ...............................................................
1
Months
Months
Months
Months
2 Enter taxable income for each annualization period .............................................
2
3 Annualization amounts. See instructions .............................................................
3
4 Annualization taxable income. Multiply line 2 by line 3 ........................................
4
5 Calculate the tax on the amount in each column on line 4. See instructions ......
5
6 Enter tax from recapture of tax credits for each payment period. See instructions ...
6
7 Subtotal tax. Add lines 5 and 6 ............................................................................
7
8 For each period, enter the amount of nonrefundable tax credits. See instructions ...
8
9 Arizona tax liability. Subtract lines 8 from line 7. If zero or less, enter zero ........
9
10 Clean Elections Fund Tax Credit. See instructions ..............................................
10
11 Tax liability after Clean Elections Fund tax credit. Subtract line 10 from line 9....
11
12 Refundable tax credits. See instructions .............................................................
12
13 Claim of right adjustment. See instructions .........................................................
13
14 Net liability. Subtract the sum of lines 12 and 13 from line 11. If zero or less,
enter zero..............................................................................................................
14
15 Applicable percentage ..........................................................................................
15
22.5%
45%
67.5%
90%
16 Multiply line 14 by line 15......................................................................................
16
17 Add the amount in all preceding columns from page 4, Part III, line 52. See instr. ..
17
18 Annualized income installments. Subtract line 17 from line 16. If zero or less,
enter zero..............................................................................................................
18
Part II - Adjusted Seasonal Installment Method
(Caution: Use this method only if the base period percentage of any 6
(a)
(b)
(c)
(d)
consecutive months is at least 70%. See the instructions for more information.)
First 3
First 5
First 8
First 11
Months
Months
Months
Months
19 Enter taxable income for the following periods:
a Taxable year beginning in 2009 ........................................................................
19a
b Taxable year beginning in 2010 ........................................................................
19b
c Taxable year beginning in 2011 ........................................................................
19c
20 Enter taxable income for each period for taxable year beginning in 2012 ............
20
(a)
(b)
(c)
(d)
First 4
First 6
First 9
Entire
Months
Months
Months
Year
21 Enter taxable income for the following periods:
a Taxable year beginning in 2009 ........................................................................
21a
b Taxable year beginning in 2010 ........................................................................
21b
c Taxable year beginning in 2011 ........................................................................
21c
22 Divide the amount in each column on line 19a by the amount in column (d)
on line 19a ............................................................................................................
22
23 Divide the amount in each column on line 19b by the amount in column (d)
on line 19b ............................................................................................................
23
24 Divide the amount in each column on line 19c by the amount in column (d)
on line 19c ............................................................................................................
24
ADOR 10342 (12)