The Arizona 140 form is the official Resident Personal Income Tax Return used by individuals to report their income and calculate their tax liability in the state of Arizona. This form is essential for residents filing their taxes for either the calendar year or a fiscal year. Understanding its components is crucial for ensuring compliance and maximizing potential refunds.
The Arizona Form 140 is an essential document for residents filing their personal income tax returns. This form caters to individuals and couples, allowing them to report their income, claim exemptions, and calculate their tax liabilities for the calendar or fiscal year. At its core, the form collects vital information such as names, Social Security numbers, and addresses, ensuring that the Arizona Department of Revenue can accurately process returns. Taxpayers can choose between filing as single, married filing jointly, or married filing separately, each option influencing the calculations and potential deductions. The form also includes sections for detailing dependents, which can significantly affect tax outcomes. Furthermore, it allows for the inclusion of various credits and deductions, such as those for age, blindness, and qualifying dependents, making it a comprehensive tool for managing state tax obligations. Understanding how to navigate the Arizona Form 140 can lead to a smoother filing process and potentially greater tax savings.
NO TAPE.
ARIZONA FORM
Resident Personal Income Tax Return
FOR
140
CALENDAR YEAR
OR FISCAL YEAR BEGINNING
M
D
Y
AND ENDING
.
66
2012
82F
Check box 82F if filing under extension
Your First Name and Middle Initial
Last Name
Enter
Your Social Security No.
1
Spouse’s First Name and Middle Initial (if box 4 or 6 checked)
your
Spouse’s Social Security No.
SSN(s)
Current Home Address - number and street, rural route
Apt. No. Daytime Phone (with area code)
Home Phone (with area code)
2
94
City, Town or Post Office
State Zip Code
3
corner.leftupper
STATUSFILING
4
Married filing joint return
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
5
Head of household
NAME OF QUALIFYING CHILD OR DEPENDENT
6
Married filing separate return. Enter spouse’s name and Social Security No. above.
7
Single
staple2;pageto
EXEMPTIONS
Enter the number claimed. Do not put a check mark.
8
Age 65 or over (you and/or spouse)
88
9
Blind (you and/or spouse)
10
Dependents. From page 2, line A2 – do not include self or spouse.
11
Qualifying parents and grandparents. From page 2, line A5.
81
80
12
Federal adjusted gross income (from your federal return)
.....................................................................................................
00
13
Additions to income (from page 2, line B12)
Form
14
Subtractions from income (from page 2, line C17 or line C30)
after
15
Arizona adjusted gross income. Add lines 12 and 13 then subtract line 14
documents
16
Deductions: Check box and enter amount. See instructions, pages 14 and 15...
16I ITEMIZED 16S
STANDARD
19
......................................................Compute the tax using amount on line 18 and Tax Table X, Y or Optional Tax Tables
17
Personal exemptions. See page 15 of the instructions
18
Arizona taxable income: Subtract lines 16 and 17 from line 15. If less than zero, enter zero
other
20
Tax from recapture of credits from Arizona Form 301, Part II, line 35
or
21
Subtotal of tax: Add lines 19 and 20
22
Family income tax credit (from worksheet on page 16 of instructions)
schedules
23
Credits from Arizona Form 301, Part II, line 68, or Forms 310, 321, 322, and 323 if Form 301 is not required
24
Credit type: Enter form number of each credit claimed
..............
25
AZ
Clean Elections Fund Tax Credit for donations made prior to August 2, 2012 (from worksheet on page 18 of the instructions)
26
Balance of tax: Subtract lines 22, 23 and 25 from line 21.
and
If the sum of lines 22, 23 and 25 is more than line 21, enter zero
...........
27
Arizona income tax withheld during 2012
federal
28
Arizona estimated tax payments for 2012
required
29
2012 Arizona extension payment (Form 204)
30
Increased Excise Tax Credit (from Form 140PTC or worksheet on page 19 of the instructions)
31
Property Tax Credit from Form 140PTC
any
32
Other refundable credits: Check the box(es) and enter the amount
321 Form 308-I 322
Form 342
33
Total payments/refundable credits: Add lines 27 through 32
Place
34
TAX DUE: If line 26 is larger than line 33, subtract line 33 from line 26 and enter amount of tax due. Skip lines 35, 36 and 37
35
OVERPAYMENT: If line 33 is larger than line 26, subtract line 26 from line 33 and enter amount of overpayment
36
Amount of line 35 to be applied to 2013 estimated tax
TAPE.
37
Balance of overpayment: Subtract line 36 from line 35
38 - 47 Voluntary Gifts to:
NO
Aid to Education
38
Arizona Wildlife
39
Child Abuse Prevention
40
Domestic Violence Shelter
41
HERE.
I Didn’t Pay Enough Fund
42
National Guard Relief Fund
43
Neighbors Helping Neighbors
44
Special Olympics
45
PAYMENT
Veterans’ Donations Fund
46
Political Gift
47
50
Check applicable boxes 501....
Annualized/Other
502
Farmer or Fisherman 503
Form 221 attached 504
MSA Penalty
48
Voluntary Political Gift (check only one):
481
Americans Elect
482
Democratic
483
Green
484
Libertarian
485
Republican
49
.................................................................................................Estimated payment penalty and MSA withdrawal penalty
STAPLE
51
Total of lines 38 through 47 and 49
52
REFUND: Subtract line 51 from line 37.
If less than zero, enter amount owed on line 53
Direct Deposit of Refund: Check box 52A if your deposit will be ultimately placed in a foreign account; see instructions.
52A
ROUTING NUMBER
ACCOUNT NUMBER
C
Checking or
98
S
Savings
53
AMOUNT OWED: Add lines 34 and 51.
Make check payable to Arizona Department of Revenue; include SSN on payment.
ADOR 10413 (12)
Your Name (as shown on page 1)
PART A: Dependents, Qualifying Parents and Grandparents - do not list yourself or spouse
If completing Part A, also complete Part C, lines C15 and/or C16 and C17.
A1 List children and other dependents. If more space is needed, attach a separate sheet.
NO. OF MONTHS LIVED
FIRST AND LAST NAME
SOCIAL SECURITY NO.
RELATIONSHIP
IN YOUR HOME IN 2012
A2 Enter total number of persons listed in A1 here and on the front of this form, box 10; also complete Part C below... TOTAL
A3 a Enter the names of the dependents listed above who do not qualify as your dependent on your federal return:
A2
b Enter dependents listed above who were not claimed on your federal return due to education credits:
A4 List qualifying parents and grandparents. If more space is needed, attach a separate sheet.
You cannot list the same person here and also on line A1. For information on who is a
qualifying parent or grandparent, see page 6 of the instructions.
A5 Enter total number of persons listed in A4 here and on the front of this form, box 11
TOTAL
A5
PART B: Additions to Income
B6
Non-Arizona municipal interest
B7
Ordinary income portion of lump-sum distributions excluded on your federal return
B8
Total federal depreciation. Also see the instructions for line C22
B9
Medical savings account (MSA) distributions. See page 7 of the instructions
B10
I.R.C. §179 expense in excess of allowable amount. Also see the instructions for line C26
B11
Other additions to income. See instructions and attach your own schedule
B12
Total: Add lines B6 through B11. Enter here and on the front of this form, line 13
PART C: Subtractions From Income
C13
Exemption: Age 65 or over. Multiply the number in box 8, page 1, by $2,100
C14
Exemption: Blind. Multiply the number in box 9, page 1, by $1,500
C15
Exemption: Dependents. Multiply the number in box 10, page 1, by $2,300
C16
Exemption: Qualifying parents and grandparents. Multiply the number in
box 11, page 1, by $10,000
C17
Total exemptions: Add lines C13 through C16.
If you have no other subtractions from
income, skip lines C18 through C30 and enter the amount on line C17 on Form 140, Page 1, line 14
C18
Interest on U.S. obligations such as U.S. savings bonds and treasury bills
C19
Exclusion for federal, Arizona state or local government pensions (up to $2,500 per taxpayer)
C20
Arizona state lottery winnings included as income on your federal return (up to $5,000 only)
C21
U.S. Social Security or Railroad Retirement Act benefits included as income on your federal return (the taxable amount) .
C22
Recalculated Arizona depreciation
C23
Certain wages of American Indians
C24
Income tax refund from other states. See instructions
C25
Deposits and employer contributions into MSAs. See page 11 of the instructions
C26
Adjustment for I.R.C. §179 expense not allowed
..............................................................................................................
C27
Pay received for active service as a member of the reserves, national guard or the U.S. armed forces
C28
Net operating loss adjustment. See instructions before you enter any amount here
C29
Other subtractions from income. See instructions and attach your own schedule
C30
Total: Add lines C17 through C29. Enter here and on the front of this form, line 14
Part D: Last Name(s) Used in Prior Years – if different from name(s) used in current year
D31
HERE
!
I have read this return and any attachments with it. Under penalties of perjury, I declare that to the best of my knowledge and belief, they are
true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
SIGN
YOUR SIGNATURE
DATE
OCCUPATION
PLEASE
SPOUSE’S SIGNATURE
SPOUSE’S OCCUPATION
PAID PREPARER’S SIGNATURE
FIRM’S NAME (PREPARER’S IF SELF-EMPLOYED)
(
)
PAID PREPARER’S TIN
PAID PREPARER’S ADDRESS
PAID PREPARER’S PHONE NO.
If you are sending a payment with this return, mail to Arizona Department of Revenue, PO Box 52016, Phoenix, AZ, 85072-2016.
If you are expecting a refund or owe no tax, or owe tax but are not sending a payment, mail to Arizona Department of Revenue, PO Box 52138, Phoenix, AZ, 85072-2138.
AZ Form 140 (2012)
Page 2 of 2
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