Form Ar1000td - Arkansas Lump-Sum Distribution Averaging - 2014
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1
2AR1000TD
2014
CLICK HERE TO CLEAR FORM
ARKANSAS INDIVIDUAL INCOME TAX
LUMP-SUM DISTRIBUTION AVERAGING
Attach to AR1000F/AR1000NR
See Instructions on Reverse Side
Name
Social Security Number
PART I
Complete this part to see if you qualify to use the AR1000TD
YES
NO
1.
Was this a distribution of a plan participant’s entire balance from all of an employer’s qualified plans of one kind
(pension, profit-sharing, or stock bonus)? If “No”, do not use this form .................................................................1
Did you roll over any part of the distribution? If “Yes”, do not use this form...........................................................2
2.
Was this distribution paid to you as a beneficiary of a plan participant who was born before January 2, 1936? ...........3
3.
Were you (a) a plan participant who received this distribution (b) born before January 2, 1936, and
4.
(c) a participant in the plan for at least 5 years before the year of the distribution? ..........................................................4
If you answered “No” to both questions 3 and 4, do not use this form.
5a. Did you use Form AR1000TD for a previous distribution from your own plan? If “Yes”, do not use this form .......5A
5b. If you are receiving this distribution as a beneficiary of a plan participant who died, was the AR1000TD used for a
previous distribution received for that plan participant? If “Yes”, do not use this form ....................................................5B
PART II
10 YEAR AVERAGING
Complete Part I above to see if you qualify for 10 year averaging before completing Part II
1.
Income from Form 1099-R, Box 2a: (Enter on this line instead of on AR1000F/AR1000NR) ..................................................1
2.
Current actuarial value of annuity from Form 1099-R, Box 8: (If none, enter -0-) ................................................................2
Total taxable amount: (Add Lines 1 and 2. If total is $70,000 or more, skip Lines 4 through 7 and enter amount on Line 8) .....3
3.
4.
Multiply Line 3 by 50% (.50); but do not enter more than $10,000: ............................................4
5.
Subtract $20,000 from Line 3 and enter the difference
If result is zero or less, enter -0-: ..................................................... 5
6.
Multiply Line 5 by 20% (.20): ......................................................................................................6
7.
Minimum distribution allowance: (Subtract Line 6 from Line 4) ............................................................................................7
8.
Subtract Line 7 from Line 3:..................................................................................................................................................8
9.
Multiply Line 8 by 10% (.10): ................................................................................................................................................9
10.
Tax on the amount on Line 9: (Use tax rate schedule on reverse side)..............................................................................10
11.
Multiply Line 10 by ten (10). If Line 2 is zero, skip Lines 12 through 17, and enter on Line 18: ......................................... 11
12.
Divide Line 2 by Line 3: (Carry to four places to the right of the decimal) ..........................................................................12
13.
Multiply Line 7 by Line 12: ..................................................................................................................................................13
14.
Subtract Line 13 from Line 2:..............................................................................................................................................14
15.
Multiply Line 14 by 10% (.10): ............................................................................................................................................15
16.
Tax on amount on Line 15: (Use tax rate schedule on reverse side)..................................................................................16
17.
Multiply Line 16 by ten (10):................................................................................................................................................17
18.
Subtract Line 17 from Line 11: (Enter this amount on Line 29 of Form AR1000F/AR1000NR) ..........................................18
AR1000TD (R 2/3/14)
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