Arizona Form 321 - Credit For Contributions To Qualifying Charitable Organizations - 2015
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1
2Credit for Contributions
Arizona Form
2015
321
to Qualifying Charitable Organizations
Include with your return.
For the calendar year 2015 or fiscal year beginning
M M D D
2 0 1 5 and ending
M M D D Y Y Y Y
.
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 1
Current Year’s Credit
SECTION A – Contributions to Qualifying Charitable Organizations
Complete Section A if you made cash contributions to a qualifying charitable organization other than a qualifying foster care charitable
organization. Do not include donations to a qualifying foster care charitable organization in Section A.
NOTE: If you made cash contributions to more than three qualifying charities, include a separate schedule.
(a)
(b)
(c)
Name of Qualifying Charity
Location of Qualifying Charity
Cash Amount
to which you made cash contributions
(City, State)
00
1a
00
1b
00
1c
Total Cash Contributions: Add the amounts in column (c) of lines 1a, 1b, and 1c. Also, add any
1d
00
amount included on a separate schedule .............................................................................................
1d
00
Single Taxpayers or heads of household, enter $200. Married taxpayers, enter $400 ......................
2
2
00
Enter the smaller of line 1d or line 2 ....................................................................................................
3
3
If you did not make any cash contributions to a qualifying foster care organization, and
your filing status is:
■ Single, head of household, or married filing joint, do the following:
□ Enter the total amount from line 3 in Part 3, line 15.
□ Skip Section B, and go to Part 2.
■ Married filing separate (see instructions)
□ In most cases, enter one-half (1/2) of the amount from line 3 in Part 3, line 15.
□ Skip Section B, and go to Part 2.
If you made any cash contributions to a qualifying foster care charitable organization,
do the following:
□ Enter amount from line 3 in Section B, line 5.
□ Complete Section B.
SECTION B – Contributions to Qualifying Foster Care Charitable Organizations
Complete Section B to claim a credit for cash contributions made to a qualifying foster care charitable organization that provides foster
care services to foster children in Arizona.
NOTE: If you made cash contributions to more than three qualifying foster care charities, include a separate schedule.
(a)
(b)
(c)
Name of Qualifying Foster Care Charity
Location of Qualifying Charity
to which you made cash contributions
(City, State)
Cash Amount
00
4a
00
4b
00
4c
Total Cash Contributions: Add the amounts in column (c) of lines 4a, 4b, and 4c. Also, add any
4d
00
amount included on a separate schedule .............................................................................................
4d
00
Enter the amount from Section A, line 3 ..............................................................................................
5
5
00
Add line 4d and line 5, enter the total ..................................................................................................
6
6
00
Single taxpayers or heads of household, enter $400. Married taxpayers filing joint, enter $800 .......
7
7
Enter the smaller of line 6 or line 7. In most cases, if you are married filing a separate return, enter
8
00
one-half (1/2) of the smaller of line 6 or line 7. See instructions .........................................................
8
Continued on page 2
ADOR 10643 (15)
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