ARIZONA FORM |
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FOR |
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Individual Amended Income Tax Return |
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CALENDAR YEAR |
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140X |
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20 |
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YY |
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OR FISCAL YEAR BEGINNING |
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M |
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D |
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D |
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Y |
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AND ENDING |
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Y |
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. 66 |
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Your First Name and Initial |
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Last Name |
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Your Social Security No. |
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1 |
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You must |
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enter your |
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Spouse’s First Name and Initial (if box 4 or 6 checked) |
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Last Name |
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Spouse’s Social Security No. |
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1 |
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SSN(s). |
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Present Home Address - number and street, rural route Apt. No. |
Daytime Phone (with area code) |
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Home Phone (with area code) |
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2 |
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City, Town or Post Office |
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Zip Code |
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REVENUE USE ONLY. DO NOT MARK IN THIS AREA. |
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3 |
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ORIGINAL |
THIS |
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Check box to indicate both fi ling and residency status: |
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RETURN RETURN |
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Status |
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4 |
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Married fi ling joint return |
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4 |
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5 |
Head of household. ► |
NAME OF QUALIFYING CHILD OR DEPENDENT |
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5 |
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Filing |
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Married filing separate return: Enter spouse’s name and |
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88 |
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.................................................................. |
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► 6 |
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Social Security No. above |
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7 |
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Single |
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7 |
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81 |
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80 |
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Residency |
8 |
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Resident |
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8 |
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97 |
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Nonresident |
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9 |
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Original Form Filed: (Check only one) |
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10 |
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Part-year resident |
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1Form 140 |
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1 |
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Part-year resident active military |
11 |
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2Form 140A |
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2 |
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Nonresident active military |
12 |
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3Form 140EZ |
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3 |
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Exemptions |
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Age 65 or over: Enter the number claimed |
13 |
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4Form 140NR |
................................................................ |
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4 |
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14 |
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Blind: Enter the number claimed |
14 |
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5Form 140PY |
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5 |
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Dependents: Enter the number claimed |
15 |
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If 140NR or 140PY, enter corrected percentage of |
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16 |
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Qualifying parents or ancestors |
16 |
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..........................Arizona residency |
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86 |
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IMPORTANT: You must enter an amount in columns (a), (b), and (c) for lines 17 |
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ORIGINAL AMOUNT |
AMOUNT TO ADD |
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CORRECTED |
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REPORTED |
OR SUBTRACT |
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AMOUNT |
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and/or 18, lines 19 through 25, lines 27, 31, 32, 35, and lines 37 through 40. |
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(a) |
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(b) |
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(c) |
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17 |
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Federal adjusted gross income |
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17 |
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18 |
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Form 140NR and 140PY fi lers only: Enter Arizona gross income |
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18 |
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return. |
19 |
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Additions to income |
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19 |
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20 |
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Subtotal: Form 140, 140A, 140EZ filers: Add lines 17 and line 19. |
Form 140NR or |
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140PY filers: Add lines 18 and 19 |
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20 |
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21 |
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Subtractions from income |
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21 |
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the |
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22 |
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Arizona adjusted gross income: Subtract line 21 from line 20 |
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of |
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23 |
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Deductions (itemized or standard) |
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23 |
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page |
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24 |
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Personal exemptions |
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24 |
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25 |
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Arizona taxable income: Subtract lines 23 and 24 from line 22 |
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last |
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26 |
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Tax from tax table: |
Table X or Y (140, 140NR or 140PY) |
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Optional Table (140, 140A or 140EZ) |
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26 |
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27 |
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Tax from recapture of credits from Arizona Form 301, Part II |
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27 |
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28 |
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Subtotal of tax: Add lines 26 and 27, column (c) |
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28 |
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2 |
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W- |
29 |
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Clean Elections Fund Tax Reduction claimed on original return |
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29 |
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Attach |
30 |
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Reduced tax: Subtract line 29 from line 28, column (c) |
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30 |
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31 |
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Family income tax credit |
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31 |
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32 |
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Credits from Arizona Form 301 or Forms 310, 321, 322 or 323 |
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32 |
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PAYMENT. |
33 |
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Credit type: Enter form number of each credit claimed |
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33 |
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34 |
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..............................................................................................................................................Subtract lines 31 and 32 from line 30 |
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34 |
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35 |
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Clean Elections Fund Tax Credit. See instructions |
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35 |
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36 |
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Balance of tax: Subtract line 35 from line 34. If line 35 is more than line 34, enter “zero” |
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36 |
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37 |
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Payments (withholding, estimated, or extension) |
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37 |
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ATTACH |
38 |
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Increased Excise Tax Credit |
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38 |
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39 |
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Property Tax Credit |
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39 |
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40 |
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Other refundable credits |
40A1 329 40A2 |
330 |
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40 |
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41 |
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Payment with original return plus all payments after it was filed |
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41 |
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NOT |
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42 |
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Total payments and refundable credits: Add lines 37 through 41, column (c) |
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42 |
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43 |
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Overpayment from original return or as later adjusted. See instructions |
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44 |
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Balance of credits: Subtract line 43 from line 42 |
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44 |
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45 |
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REFUND/CREDIT DUE: If line 36 is less than line 44, subtract line 36 from line 44, and enter amount of refund/credit |
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45 |
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46 |
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Amount of line 45 to be applied to 2010 estimated tax. If zero, enter “0” |
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46 |
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47 |
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AMOUNT OWED: If line 36 is more than line 44, subtract line 44 from line 36, and enter the amount owed. |
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Payment enclosed. |
47 |
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48 |
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Check box 48 if this amended return is the result of a net operating loss, and enter the year the loss was incurred |
48 |
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2 0 Y Y |
ADOR 91-5380f (09) |
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REVENUE USE ONLY |
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82 |
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99 |
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