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Arizona Form A1-R

Line 12 -

Quarterly Reconciliation for 2000

Enter the gross change in the amount of wages (as shown on

Lines 1 through 5 -

the federal Forms W-2, W-2c, W-2G, and 1099-R submitted

Complete these lines. Answer questions 1 and 2 if the

with the amended Arizona Form A1-R). If the gross change is

amounts in columns (a), (b) and (c) of line 5 are NOT identical.

a decrease, enter the amount as a bracketed number.

If this is an amended return, enter the amended amounts on

Line 13 -

lines 1 through 5.

Enter the gross change in the amount of Arizona income tax

Underpayment of Tax for 2000

withheld (as shown on the federal Forms W-2, W-2c, W-2G,

and 1099-R submitted with the amended Arizona Form A1-R).

Line 6 -

If the gross change is a decrease, enter the amount as a

If you have an underpayment of tax for 2000 on line 6, submit

bracketed number.

an amended Form A1-QRT for each underpaid quarter. Remit a

NOTE: File amended Forms A1-QRT for the affected

separate payment with each amended Form A1-QRT for each

calendar quarters in 2000 to report the correct liability after

underpaid quarter. Enter your state withholding number on

the amended Form A1-R is filed to report any changes in the

your check. The department will calculate the amount of

amount of Arizona income tax withheld.

interest and any applicable penalties and send a billing notice

after the amended return is processed.

Overpayment of Tax for 2000

Line 7 -

If you have an overpayment of tax for 2000 on line 7, submit

an amended Form A1-QRT for each overpaid quarter. After

the amended return is processed and payments are confirmed,

a credit notice will be generated. The department will apply

the credit to any existing liabilities. Do not use a credit until a

credit notice has been received.

A refund will not be issued unless a written request detailing

the justification is submitted to the department. The top

portion of the credit notice, or a copy, should be attached to

the written request. No refund will be issued once the credit is

applied to a liability.

Federal Form Transmittal Information for an

Original Form A1-R

Line 8 -

Enter the total number of Arizona employees for the calendar

year.

Line 9 -

Enter the total amount of wages paid to Arizona employees

for 2000 (as shown on federal Forms W-2, W-2c, W-2G, and

1099-R).

Line 10 -

Enter the total number of federal Forms W-2, W-2c, W-2G, and

1099-R submitted with this return.

Amended Federal Form Transmittal Information

for an Amended Form A1-R

Line 11 -

Enter the total number of federal Forms W-2, W-2c, W-2G, and

1099-R submitted with the amended Arizona Form A1-R.

Arizona Form A1-R - General Instructions For Withholding Reconciliation Tax Return - 2000 Page 2

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