Instructions For Arizona Form 221 - Underpayment Of Estimated Tax By Individuals - 2011 Page 2

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Form 221
Line 5 -
2. The total tax shown on your 2011 federal income tax
return minus your federal withholding is less than
Enter the Arizona income tax withheld shown on the
$1,000.
Form(s) W-2 from your employer. Also enter the Arizona
To request a penalty exception because either 1 or 2 above
income tax withheld shown on your Form(s) 1099-R
apply, do the following.
(distributions from pensions, annuities, etc.). Do not include
any income tax withheld for another state.
Check the box on line 1.
Line 6 -
Do not complete the rest of Form 221.
Attach Form 221 to Form 140, 140PY, or 140NR.
Subtract line 5 from line 4. If less than $1,000, you do not
owe the penalty, stop here and do not file Form 221.
Penalty Waivers
Line 7 -
If you have an underpayment on line 15, the department will
Multiply the amount on line 4 by 90% (.9). Enter the result.
waive all or part of the penalty for that underpayment if the
department determines that either 1 or 2 below applies.
Line 8 -
1. The underpayment was due to a casualty, disaster, or
Enter your 2010 tax liability (after tax credits). Only enter
other unusual circumstances, and it would be
an amount on line 8 if you filed an Arizona personal income
inequitable to impose the penalty.
tax return for 2010. If you did not file an Arizona personal
income tax return for 2010, skip this line.
2. In 2010 or 2011, you retired after age 62 or became
disabled, and your underpayment was due to reasonable
Line 9 -
cause.
If you completed line 8, enter the smaller of line 7 or line 8.
To request a waiver for an underpayment described in either
If you did not complete line 8, enter the amount from line 7.
1 or 2 above, do the following.
Line 10 -
Check the box on line 1.
In columns (a) through (d), enter the due dates for your
Complete Form 221 through line 30 without regard to
federal estimated income tax payments. Enter a date here
the waiver. Write the amount you want waived in
only if these dates are different from the preprinted dates.
parentheses in the area next to line 30. Subtract this
Line 11 -
amount from the total penalty you figured without
regard to the waiver, and enter the result on line 30.
Divide the amount on line 9 by four (4). Enter the result in
each column. In some cases you did not have to make your
Attach Form 221 and a statement to your return
payments in four equal installments. If you did not have to
explaining why you could not meet the estimated tax
make your payments in four equal installments, check the
requirements. Also show the time period for which you
box and enter the amount of your required payment(s) in the
are requesting a waiver.
proper column. You did not have to make payments in four
If you are asking for a penalty waiver due to a casualty,
equal installments if you made your payments under any of
disaster, or other unusual conditions, attach documentation
the following methods.
such as copies of police and insurance company reports.
1. The annualized income installment method. If you use
If you are asking for a penalty waiver due to retirement
the annualized income installment method, complete the
or disability, attach documentation that shows your
worksheet on Form 221, page 2. Also enter the amount from
retirement date (and your age on that date) or the date
line 23 of that worksheet in each column of line 11. If you
you became disabled.
use the annualized income installment method, you must
Lines 2 - 15
check the box on line 11.
Complete lines 2 through 15 to see if you underpaid your
2. File and pay by January 31, 2012. If you file your
2011 estimated income tax payments.
Arizona return by January 31, 2012, and pay in full the
amount stated on the return as payable, you do not have to
Line 2 -
make the fourth estimated tax payment. Fiscal year filers
Enter your 2011 income tax liability from Form 140, page 1,
must file and pay by the last day of the month following the
line 24, or Form 140PY, page 1, line 27, or Form 140NR,
close of the fiscal year.
page 1, line 27.
3. Farmer or fisherman. If you report as a farmer or
NOTE: If you compute your tax liability under the claim of
fisherman for federal purposes, you only have to make one
right provisions enter the net tax liability as computed under
installment for a taxable year. The due date for this installment
the claim of right provisions.
for a calendar year filer was January 17, 2012. The due date
for a fiscal year filer is the 15th day of the first month after the
Line 3 -
end of the fiscal year. You do not have to make this payment
Enter any tax credits claimed on your 2011 income tax return.
if you file your Arizona return on or before March 1, 2012,
and pay in full the amount stated on the return as payable.
Line 4 -
Fiscal year filers must file and pay on or before the first day of
Subtract line 3 from line 2.
the third month after the end of the fiscal year.
2

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