Arizona Form 140 - Resident Personal Income Tax Return - 2015

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Arizona Form
FOR CALENDAR YEAR
Resident Personal Income Tax Return
2015
140
Reset
Check box 82F
82F
if filing under extension
66F
OR FISCAL YEAR BEGINNING
AND ENDING
.
Your First Name and Middle Initial
Last Name
Your Social Security Number
Enter
1
your
Spouse’s First Name and Middle Initial (if box 4 or 6 checked)
Last Name
Spouse’s Social Security No.
SSN(s).
1
Current Home Address - number and street, rural route
Apt. No.
Daytime Phone (with area code)
2
94
City, Town or Post Office
State
ZIP Code
Last Names Used in Last Four Prior Year(s) (if different)
3
97
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
4
Married filing joint return
NOTE: Yellow fields are Read-Only.
88
5
Head of household:
Enter name of qualifying child or dependent on next line:
You can not enter data in the yellow fields.
They calculate as you enter data in the
6
Married filing separate return:
Enter spouse’s name and Social Security Number above.
white fields.
7
Single
  Enter the number claimed. Do not put a check mark.
If the field doesn't seem to calculate,
8
Age 65 or over (you and/or spouse)
continue filling in the white fields and the
If completing lines 8
81 PM
80 RCVD
calculations will "catch up".
9
Blind (you and/or spouse)
through 11, also complete
10
Dependents:
Do not include self or spouse.
Use GREEN buttons to move around the
lines 38 through 41.
11
Qualifying parents and grandparents
form.
(Box 10): Dependent Information: Children and other dependents. For more space, (check)
and complete page 3.
(a)
(b)
(c)
(d)
(e)
(f)
NO. OF MONTHS
FIRST AND LAST NAME
SOCIAL SECURITY NO.
RELATIONSHIP
if this person
if you did not claim
LIVED IN YOUR
did not qualify as a
this person on your
(Do not list yourself or spouse.)
dependent on your
federal return due to
HOME IN 2015
Go To Extra Space for Dependents and Qualifying Parents
federal return
educational credits
10
a
10
b
10
c
(Box 11): Qualifying parents and grandparents. See instructions. For more space, (check)
and complete page 3.
(a)
(b)
(c)
(d)
(e)
(f)
NO. OF MONTHS
FIRST AND LAST NAME
SOCIAL SECURITY NO.
RELATIONSHIP
if
if
LIVED IN YOUR
(Do not list yourself or spouse.)
age 65 or over
died in 2015
HOME IN 2015
11
a
11
b
00
12 Federal adjusted gross income (from your federal return) ................................................................................... 12
00
13 Non-Arizona municipal interest.................................................................................................................................... 13
00
14 Partnership Income:
............................................................................................................................ 14
See instructions
00
15 Total federal depreciation ............................................................................................................................................ 15
00
16 Other additions to income:
...................................................................... 16
See instructions and include your own schedule
00
17 Subtotal:
....................................................................................................... 17
Add lines 12 through 16 and enter the total
00
18 Total net capital gain or (loss):
..................................................................... 18
See instructions
00
19 Total net short-term capital gain or
loss
:
.................................................... 19
(
)
See instructions
00
20 Total net long-term capital gain or (loss):
20
Enter the amount from your worksheet, line 14, col. (a)
21 Net long-term capital gain from assets acquired after December 31, 2011.
Enter the
00
............................................................................... 21
amount from your worksheet, line 14, col. (c)
00
22 Multiply line 21 by 25% (.25) and enter the result ....................................................................................................... 22
00
23 Net capital gain derived from investment in qualified small business.......................................................................... 23
00
24 Recalculated Arizona depreciation .............................................................................................................................. 24
This box may be blank or may contain a printed barcode of data from your return
.
00
I M P O R T A N T - Please Read
25 Partnership Income:
......... 25
See instructions
00
26
. 26
Adjustment for I.R.C. §179 expense not allowed
- This form is provided in a fill-in format.
00
27 Interest on U.S. obligations ....................... 27
- When this form is printed using the PRINT button on the upper right
00
28
28
Exclusion for fed., AZ state or local govt. pensions
corner of this return, a two dimensional (2D) barcode is generated that
00
includes the data entered in the form.
29
. 29
Arizona state lottery winnings on federal return
00
30
30
U.S. Social Security or Railroad Retirement Act
- Using a 2D barcode vastly speeds up processing your return.
00
31 Certain wages of American Indians ........... 31
- Do NOT handwrite any data on the form other than your signature(s).
00
32
32
Pay received for being an active service member
00
33 Net operating loss adjustment ................... 33
- Use the PRINT button on this form to print this return.
00
34
...... 34
Contributions to 529 College Savings Plans
- Use the BLACK ink setting of your printer to print this return. Do not use
00
35 Other Subtractions:
........... 35
See instructions
the color ink setting.
0
00
36 Subtract lines 22 through 35 from line 17.. 36
AZ Form 140 (2015)
ADOR 10413 (15)
Page 1 of 3
1250
v1d

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