Arizona Form 140py - Part-Year Resident Personal Income Tax Return

Arizona Form 140PY



Y. AZ Long-Term Health Care Savings Accounts

All qualified net long-term capital gains during the

period that you were an Arizona resident.

Beginning 2013, you may subtract amounts you paid into a

You must complete the worksheet at the end of these

long-term health care savings account established under

instructions, Worksheet for Net Long-Term Capital Gain

Arizona law.

An individual may establish a long-term

Subtraction for Assets Acquired after December 31, 2011, to

health care savings account with an account Administrator

take the allowable subtraction.

who will manage the account.

For more information

regarding the subtraction for contributions made to a long-

Line E37

- Total Net Short-Term Capital Gain

term health care savings account, see A.R.S. § 43-1032.

or (Loss)

The total amount you may subtract is equal to the amount of

Enter the total amount of net short-term capital gain included in

your contributions that are included in your federal adjusted

your federal adjusted gross income.

gross income.

Include the amount of the allowable

Line E38

- Total Net Long-Term Capital Gain or

subtraction on line D35.

(Loss)

Do not include any amounts already excluded in the

Enter the amount from the worksheet, line 12, column (c).

computation of your federal adjusted gross income on line

Line E39

- Net Long-Term Capital Gain From

D35.

Assets Acquired After December 31, 2011

Z. Other Adjustments

Enter the amount from the worksheet, line 12, column (e).

Other special adjustments may be necessary. Call one of the

Line E40

- Net Long-Term Capital Gain

numbers listed on page 1 if any of the following apply.



Subtraction From Income

You are a previously certified defense contractor that

Multiply the amount on line E39 by 10% (.10) and enter the

elected to amortize under A.R.S. § 43-1024.



result here and on page 1, line 19.

You sold or disposed of property that was held for the

production of income and your basis was computed

Totaling Your Income

under the Arizona Income Tax Act of 1954.



You were an Arizona resident before December 31,

Line 14 - Federal Adjusted Gross Income

1975, and you are receiving IRA distributions from your

IRA account to which you made contributions before

You must complete your federal return before completing

December 31, 1975.

your Arizona return. You must complete a 2013 federal



return to determine your federal adjusted gross income, even

You were an Arizona resident before December 31,

if not filing a federal return.

1975, and you are receiving distributions from your

qualified self-employment retirement plan to which you

Arizona uses federal adjusted gross income as a starting

made contributions before December 31, 1975.

point to determine Arizona taxable income. Enter your



You deferred exploration expenses determined under

federal adjusted gross income from page 2, line B18.

IRC § 617 in a taxable year ending before January 1,

Line 15 - Arizona Income

1990, and you have not previously taken a subtraction

for those expenses.

Enter your Arizona income from page 2, line B19, of your return.

Line 16 - Additions to Income

Line D36 - Subtractions From Income

Enter the amount from page 2, line C24, of your return.

Add lines D30 through D35. Enter the total here and on the

front of your return, line 18.

Line 17 - Subtotal

Add line 15 and line 16 and enter the total.

Part E

Net Long-Term Capital Gain

Line 18 - Subtractions From Income

Subtraction from Income

Enter the amount from page 2, line D36, of your return.

Note: If you reported a net capital gain or (loss) on your

Line 19 - Net Capital Gain or (Loss) and Net

federal tax return, you must enter the amount of qualified

Long-Term Capital Gain Subtraction

Arizona net gain or (loss), on page 1, line 19, box 19A. See

the instructions for line 19.

Box 19A – Net Capital Gain or (loss)

If you entered an amount in box 19A, you must complete



If you reported a net capital gain or (loss) on your

lines E37 and E38. If you are taking a subtraction for any

federal tax return, enter the amount of qualified Arizona

net long-term capital gain from assets acquired after

net capital gain or (loss), in box 19A.

December 31, 2011, you must also complete lines E39 and E40. If



you do not complete Part E, you cannot take the subtraction.

If you entered an amount in box 19A, you must

complete page 2, Part E, lines E37 and E38.

Beginning in 2013, you may subtract a percentage of any net

long-term capital gain included in your federal adjusted

Line 19 – Subtraction for net long-term capital gain from

gross income that is derived from an investment in an asset

assets acquired after December 31, 2011

acquired after December 31, 2011. For 2013, the percentage

You must complete page 2, Part E, to take this subtraction.

is 10% (.10).

If you do not complete Part E, you cannot take the

As a part-year resident, you may take the allowable

subtraction for any net long-term capital gain included in

subtraction for only those qualified net long-term capital

federal adjusted gross income from assets acquired after

gains that are from the following.

December 31, 2011.



Qualified net long-term capital gains sourced to Arizona

Enter the amount from page 2, line E40.

during the period that you were an Arizona nonresident.

Arizona Form 140py - Part-Year Resident Personal Income Tax Return - 2013 Page 16

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