Fillable Form Ar1000s - Arkansas Individual Income Tax Return

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2015 AR1000S

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ITS1151

ARKANSAS INDIVIDUAL

CHECK BOX IF

INCOME TAX RETURN

AMENDED RETURN

Dept. Use Only

Full Year Resident/Short Form

-DQ 'HF RU ¿VFDO \HDU HQGLQJ _________ , 20 ___

PRIMARY NAME

LAST NAME

PRIMARY SOCIAL SECURITY NUMBER

SPOUSE NAME

LAST NAME

SPOUSE’S SOCIAL SECURITY NUMBER

MAILING ADDRESS (Number and Street, P.O. Box or Rural Route)

(QWHU 661V DERYH

CITY, STATE AND ZIP CODE

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extension or an automatic federal extension

MARRIED FILING SEPARATELY ON THE SAME RETURN

SINGLE (Or widowed before 2015 or divorced at end of 2015)

IF FILING STATUS 5, USE AR1000F/AR1000NR - LONG FORM

MARRIED FILING JOINT (Even if only one had income)

HEAD OF HOUSEHOLD (See Instructions)

48$/,)<,1* :,'2:(5 ZLWK GHSHQGHQW FKLOG

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7A.

YOURSELF

65 or OVER

65 SPECIAL

BLIND

DEAF

HEAD OF HOUSEHOLD/ QUALIFYING WIDOW(ER)

(Filing Status 3 Only)

(Filing Status 6 Only)

SPOUSE

65 or OVER

65 SPECIAL

BLIND

DEAF

0XOWLSO\ QXPEHU RI ER[HV FKHFNHG IURP $

X $26=

7B. Dependents

(Do not list yourself or spouse)

First Name

Last Name

Dependent’s Social Security Number Dependent’s relationship to you

7B.

0XOWLSO\ QXPEHU RI GHSHQGHQWV IURP % ...........................................................................................................

X $26 =

7C. TOTAL PERSONAL TAX CREDITS: (Add Lines 7A and 7B. Enter total here and on Line 16)..................................7C

Your/Joint

Spouse’s Income

(A)

(B)

ROUND ALL AMOUNTS TO WHOLE DOLLARS

Income

Status 4 Only

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$WWDFK :V

.............................................................................

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..........

(If interest or dividends are over $1,500, attach page S2)

10.

0LVFHOODQHRXV LQFRPH

........................................

(List type and amount. See instructions)

11.

TOTAL INCOME: (Add Lines 8 through 10) ...................................................................

NOTE:

12.

6HOHFW WD[ WDEOH

LOW INCOME 7DEOH

REGULAR 7DEOH

If you qualify for the Low Income Table, enter zero (0) on Line 12

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13.

7D[DEOH ,QFRPH (Subtract Line 12 from Line 11)...............................................................

14.

(QWHU WD[ IURP WDEOH

15.

TOTAL TAX: (Add Lines 14A and 14B)..........................................................................................................................

16.

3HUVRQDO 7D[ &UHGLWV (Enter total from Line 7C).................................................................

17.

&KLOG &DUH &UHGLW

(20% of federal credit allowed, attach federal Form

2441).................................

18.

TOTAL CREDITS: (Add Lines 16 and 17).....................................................................................................................

19.

NET TAX: (Subtract Line 18 from Line 15. If Line 18 is greater than Line 15, enter 0)..................................................

20.

$UNDQVDV ,QFRPH 7D[ ZLWKKHOG

[Attach state copies of W-2

Form(s)]................................

21.

AMENDED RETURNS ONLY

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22.

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$WWDFK IRUP 6HH LQVW

________________________

23.

TOTAL PAYMENTS: (Add Lines 20 through 22).............................................................

24.

AMENDED RETURNS ONLY

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25.

$GMXVWHG 7RWDO 3D\PHQWV

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26.

AMOUNT OF OVERPAYMENT/REFUND: (If Line 25 is greater than Line 19, enter difference)..............................

27.

$PRXQW RI &KHFNRII &RQWULEXWLRQV

(Attach Schedule

AR1000-CO)..................................

28.

AMOUNT TO BE REFUNDED TO YOU: (Subtract Line 27 from Line 26) ...............................................REFUND

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complete Form ARDD DQG DWWDFK LW WR \RXU UHWXUQ 'LUHFW GHSRVLW LV QRW DYDLODEOH IRU DPHQGHG UHWXUQV

29.

AMOUNT DUE: (If Line 25 is less than Line 19, enter difference; If over $1,000 see inst.) ........................TAX DUE

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$GPLQ :ULWH 661 RQ SD\PHQW )RU FUHGLW FDUG VHH LQVW

PLEASE SIGN HERE:

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowl-

edge and belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

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Date

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SIGN HERE

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Date

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