Arizona Form 140 - Resident Personal Income Tax Return - 2011 Page 9
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19ARIZONA FORM
Credit for Contributions Made or
322
2011
Fees Paid to Public Schools
For the calendar year 2011, or
fiscal year beginning
and ending
.
Attach to your return.
Your Name as shown on Form 140, 140NR, 140PY or 140X
Your Social Security No.
000000000
Spouse’s Name as shown on Form 140, 140NR, 140PY or 140X (if joint return)
Spouse’s Social Security No.
000000000
Return to Credit 301
Current Year’s Credit
1a Contributions Made or Qualifying Fees Paid to:
School district in which school is located:
Name of public school located in Arizona:
Address of school:
00
Amount of contributions made or fees paid to school named on line 1a ....................
1a
1b Contributions Made or Qualifying Fees Paid to:
School district in which school is located:
Name of public school located in Arizona:
Address of school:
00
Amount of contributions made or fees paid to school named on line 1b ....................
1b
If you made contributions or paid qualifying fees to more than 2 schools, attach a separate schedule.
00
1c Total contributions made and fees paid to public schools in Arizona during 2011 .........................................
1c
00
2
Single taxpayers or heads of household, enter $200 here. Married taxpayers enter $400 here ..................
2
3
Current year’s credit: enter the smaller of line 1c or line 2. If you are married filing a separate return,
00
enter one-half of the smaller of line 1c or line 2 .............................................................................................
3
Available Credit Carryover
(a)
(b)
(c)
(d)
Taxable Year
from which you are
Available Carryover:
carrying the credit
Original Credit Amount
Amount Previously Used
Subtract column (c) from column (b).
$
.00 $
.00 $
.00
4
2006
$
.00 $
.00 $
.00
5
2007
$
.00 $
.00 $
.00
6
2008
$
.00 $
.00 $
.00
7
2009
$
.00 $
.00 $
.00
8
2010
$
.00
9 TOTAL AVAILABLE CARRYOVER .........................................................
Total Available Credit
00
10
Current year’s credit: Enter the amount from line 3 ...................................................................................... 10
00
11
Available credit carryover from line 9, column (d) ..........................................................................................
11
00
12
Total Available Credit: Add line 10 and line 11. Enter the total here and see the instructions ..................... 12
Return to Credit 301
ADOR 10941 (11)
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