Arizona PDF Forms

Arizona PDF Forms

Homepage Fill Out Your Arizona 140 Form
Table of Contents

The Arizona Form 140 is a crucial document for residents filing their personal income tax returns in the state. This form accommodates various filing statuses, including single, married filing jointly, married filing separately, and head of household. It collects essential information such as personal details, Social Security numbers, and home addresses. Taxpayers must report their federal adjusted gross income, along with any additions or subtractions specific to Arizona tax regulations. The form also allows for the declaration of personal exemptions, including those for dependents and qualifying parents or grandparents. Taxpayers can calculate their Arizona taxable income by deducting allowable deductions from their adjusted gross income. Additionally, the form provides sections for claiming various tax credits, reporting tax withheld, and detailing estimated tax payments made throughout the year. Understanding the layout and requirements of the Arizona Form 140 is vital for ensuring accurate and timely tax submissions, ultimately helping residents navigate their tax obligations with ease.

Guide to Writing Arizona 140

Completing the Arizona 140 form requires careful attention to detail. This form is essential for residents filing their personal income tax returns in Arizona. It is important to ensure that all sections are filled out accurately to avoid any potential issues with the Arizona Department of Revenue.

  1. Begin by indicating the tax year at the top of the form, specifying the calendar year or fiscal year.
  2. If applicable, check the box for filing under extension.
  3. Enter your first name, middle initial, and last name, followed by your Social Security number.
  4. If you are filing jointly, provide your spouse’s first name, middle initial, last name, and Social Security number.
  5. Fill in your current home address, including the street number, apartment number (if applicable), city, state, and zip code.
  6. Provide your daytime and home phone numbers, including area codes.
  7. Choose your filing status by marking the appropriate box: married filing jointly, head of household, married filing separately, or single.
  8. List the number of exemptions you are claiming, including age and blindness status, as well as dependents and qualifying parents or grandparents.
  9. Transfer your federal adjusted gross income from your federal return to the form.
  10. Complete the additions to income section, if applicable, and add the total to your federal adjusted gross income.
  11. In the subtractions from income section, include any applicable deductions and subtract them from the total income.
  12. Calculate your Arizona taxable income by subtracting the deductions from your adjusted gross income.
  13. Compute your tax based on the taxable income and any applicable credits.
  14. Fill out the payments and credits section, including any Arizona income tax withheld, estimated tax payments, and other refundable credits.
  15. Determine the balance of tax due or the overpayment amount by comparing your total payments to your total tax liability.
  16. Complete the voluntary gifts section if you wish to make donations to specified funds.
  17. Sign and date the form, ensuring that both you and your spouse (if applicable) provide signatures.
  18. Mail the completed form to the appropriate address based on whether you are sending a payment or expecting a refund.

Common Questions

What is the Arizona Form 140?

The Arizona Form 140 is the Resident Personal Income Tax Return used by individuals to report their income and calculate their state tax liability. This form is typically used by residents of Arizona for the calendar year or a fiscal year that they select. It includes sections for personal information, income, deductions, and credits.

Who needs to file Form 140?

What information do I need to complete Form 140?

What are the exemptions I can claim on Form 140?

How do I calculate my Arizona taxable income?

What if I owe taxes or expect a refund?

Can I file Form 140 electronically?

What are the deadlines for filing Form 140?

Dos and Don'ts

When filling out the Arizona 140 form, there are important guidelines to follow to ensure accuracy and compliance. Here’s a list of things you should and shouldn’t do:

  • Do double-check all personal information, including names and Social Security numbers, for accuracy.
  • Do follow the instructions carefully, especially regarding the sections for dependents and income adjustments.
  • Do use black or blue ink only; avoid using pencil or colored ink.
  • Do sign and date the form before submitting it to avoid delays in processing.
  • Do keep a copy of your completed form for your records.
  • Don’t use tape or staples on the form; it can cause issues during processing.
  • Don’t leave any required fields blank; if something does not apply, write "N/A."
  • Don’t forget to include all necessary documentation, such as W-2s or 1099s.
  • Don’t submit the form without checking for errors, as mistakes can lead to penalties.
  • Don’t send the form to the wrong address; ensure you use the correct mailing address based on your situation.

Similar forms

The Arizona Form 140 is similar to the Federal Form 1040, which serves as the individual income tax return for U.S. taxpayers. Both forms require personal information such as names, Social Security numbers, and addresses. Each form also includes sections for reporting income, deductions, and credits. While the Federal Form 1040 focuses on federal tax obligations, the Arizona Form 140 is tailored to meet state-specific requirements, allowing for the inclusion of state tax credits and adjustments unique to Arizona.

Another document that shares similarities with the Arizona Form 140 is the Arizona Form 140A. This form is designed for individuals with simpler tax situations, such as those who do not itemize deductions. Like the Form 140, it requires basic personal information and income reporting. However, the Form 140A has a more streamlined approach, omitting certain sections found in the 140, which makes it easier for taxpayers with straightforward financial circumstances to complete their state tax return.

The Arizona Form 140NR is also comparable to the Arizona Form 140, as it is used by non-residents who earn income in Arizona. Both forms require similar personal and income details. However, the Form 140NR specifically addresses the income that is sourced from Arizona, allowing non-residents to calculate their tax liability based solely on the income earned within the state. This distinction is crucial for ensuring that non-residents are only taxed on their Arizona-sourced income.

In addition, the Arizona Form 140PY is relevant for part-year residents. This form is similar to the Arizona Form 140 in that it requires personal information and income reporting. However, it is specifically designed for individuals who have lived in Arizona for only part of the tax year. Taxpayers must report their income earned while residing in Arizona, making it essential to differentiate between in-state and out-of-state earnings for accurate tax calculations.

The Arizona Form 204 is another document that bears resemblance to the Arizona Form 140. This form is used for filing an extension for individual income tax returns. Both forms require the taxpayer's personal information and provide a mechanism for reporting income. However, the Form 204 is specifically focused on granting additional time to file, rather than reporting tax liability, which is the primary purpose of the Form 140.

Lastly, the Arizona Form 140PTC is similar to the Arizona Form 140 in that it addresses tax credits related to property taxes. While the Form 140 serves as the primary income tax return, the Form 140PTC allows taxpayers to claim property tax credits. Both forms require personal information and have sections for reporting income, but the Form 140PTC is specifically designed to assist taxpayers in receiving credits that reduce their overall tax burden related to property taxes paid in Arizona.

Key takeaways

Here are some important points to keep in mind when filling out and using the Arizona 140 form:

  • Complete Information: Ensure that all personal details, including names, Social Security numbers, and addresses, are accurate and complete.
  • Filing Status: Choose the correct filing status, such as single, married filing jointly, or head of household, as this affects your tax calculations.
  • Exemptions: Carefully calculate the number of exemptions you can claim. This includes age, blindness, and dependents.
  • Income Reporting: Report your federal adjusted gross income accurately. This is the starting point for your Arizona taxable income.
  • Deductions: Decide between itemizing your deductions or taking the standard deduction. This choice impacts your taxable income.
  • Credits and Payments: Be sure to include any tax credits you qualify for, as these can reduce your overall tax liability.
  • Submission Instructions: Follow the mailing instructions carefully. Send payments to the specified address and ensure you use the correct forms if you are expecting a refund.

Common mistakes

  1. Neglecting to sign the form: A common mistake is failing to sign the Arizona 140 form. Without a signature, the return is considered incomplete and may be rejected by the Arizona Department of Revenue.

  2. Incorrect Social Security Numbers: Entering the wrong Social Security Number (SSN) can lead to delays in processing the return. It is crucial to double-check that all SSNs are accurate.

  3. Missing or incorrect filing status: Selecting the wrong filing status can affect tax calculations. Be sure to choose the status that accurately reflects your situation, whether it’s single, married filing jointly, or head of household.

  4. Omitting dependents: Some individuals forget to list all eligible dependents. This can lead to missed tax credits and deductions, ultimately resulting in a higher tax bill.

  5. Not following instructions: Ignoring the specific instructions provided for the form can lead to errors. Each section has detailed guidelines that should be carefully reviewed before submission.

  6. Failure to report all income: Some taxpayers mistakenly omit certain sources of income, which can lead to penalties. All income, including side jobs and freelance work, must be reported.

  7. Incorrect calculations: Errors in basic math can occur, especially when adding or subtracting figures. It is advisable to double-check all calculations to ensure accuracy.

  8. Forgetting to attach necessary documents: Supporting documents, such as W-2 forms and other income statements, should be included if required. Missing documents can delay processing.

  9. Submitting without a payment method: If there is a tax due, failing to include a payment method can result in penalties. Ensure that payment information is clearly provided if applicable.

  10. Using tape or staples: The form specifically states not to use tape or staples when submitting. Following this guideline is essential to avoid complications with processing.

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NO TAPE.

ARIZONA FORM

Resident Personal Income Tax Return

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR

 

 

140

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CALENDAR YEAR

 

 

 

 

OR FISCAL YEAR BEGINNING

 

M

 

M

 

D

 

D

 

 

Y

Y

 

 

 

Y

 

 

Y

 

 

AND ENDING

 

M

M

 

 

D

 

D

Y

 

 

 

Y

 

 

Y

 

 

Y

 

.

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)

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

your

 

 

 

 

Spouse’s Social Security No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SSN(s)

.

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

140

 

12

 

Federal adjusted gross income (from your federal return)

.....................................................................................................

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

 

00

 

13

 

Additions to income (from page 2, line B12)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

Subtractions from income (from page 2, line C17 or line C30)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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after

 

15

 

Arizona adjusted gross income. Add lines 12 and 13 then subtract line 14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15

 

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

documents

 

16

 

Deductions: Check box and enter amount. See instructions, pages 14 and 15...

16I ITEMIZED 16S

 

STANDARD

16

 

00

 

19

 

......................................................Compute the tax using amount on line 18 and Tax Table X, Y or Optional Tax Tables

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

00

 

 

 

17

 

Personal exemptions. See page 15 of the instructions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

 

00

 

 

 

18

 

Arizona taxable income: Subtract lines 16 and 17 from line 15. If less than zero, enter zero

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18

 

00

other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20

 

Tax from recapture of credits from Arizona Form 301, Part II, line 35

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20

 

00

or

 

21

 

Subtotal of tax: Add lines 19 and 20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

 

00

 

22

 

Family income tax credit (from worksheet on page 16 of instructions)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

 

00

schedules

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

Credits from Arizona Form 301, Part II, line 68, or Forms 310, 321, 322, and 323 if Form 301 is not required

 

 

 

 

 

 

 

 

 

23

 

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

 

Credit type: Enter form number of each credit claimed

 

 

 

 

 

 

 

 

 

 

 

 

24

 

 

 

3

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

..............

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

 

00

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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26

 

00

and

 

 

If the sum of lines 22, 23 and 25 is more than line 21, enter zero

...........

 

 

 

 

 

 

 

 

 

 

27

 

Arizona income tax withheld during 2012

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27

 

00

federal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28

 

Arizona estimated tax payments for 2012

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28

 

00

required

 

29

 

2012 Arizona extension payment (Form 204)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29

 

00

 

30

 

Increased Excise Tax Credit (from Form 140PTC or worksheet on page 19 of the instructions)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30

 

00

 

 

 

31

 

Property Tax Credit from Form 140PTC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31

 

00

any

 

32

 

Other refundable credits: Check the box(es) and enter the amount

 

321 Form 308-I 322

 

 

 

 

Form 342

32

 

00

 

33

 

Total payments/refundable credits: Add lines 27 through 32

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33

 

00

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

 

 

 

 

 

 

 

 

 

34

 

00

 

 

 

 

...........

 

 

 

 

 

 

 

 

 

 

 

 

35

 

OVERPAYMENT: If line 33 is larger than line 26, subtract line 26 from line 33 and enter amount of overpayment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35

 

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36

 

Amount of line 35 to be applied to 2013 estimated tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36

 

00

TAPE.

37

 

Balance of overpayment: Subtract line 36 from line 35

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37

 

00

 

38 - 47 Voluntary Gifts to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

 

 

 

 

Aid to Education

38

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

Arizona Wildlife

 

 

 

 

 

 

 

 

 

39

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

 

 

 

 

Child Abuse Prevention

 

40

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

Domestic Violence Shelter

 

 

 

41

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HERE.

 

 

 

 

I Didn’t Pay Enough Fund

 

42

 

 

 

 

 

 

 

 

 

 

 

 

 

00

National Guard Relief Fund

 

 

 

43

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

 

 

 

 

 

 

Neighbors Helping Neighbors

44

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

Special Olympics

 

 

 

 

 

 

 

 

 

45

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

PAYMENT

 

 

 

 

Veterans’ Donations Fund

46

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

Political Gift

 

 

 

 

 

 

 

 

 

47

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

00

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

49

00

STAPLE

51

 

Total of lines 38 through 47 and 49

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

51

00

52

 

REFUND: Subtract line 51 from line 37.

If less than zero, enter amount owed on line 53

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

52

00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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.

53

00

ADOR 10413 (12)

Your Name (as shown on page 1)

Your Social Security No.

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.

 

NO. OF MONTHS LIVED

 

 

FIRST AND LAST NAME

SOCIAL SECURITY NO.

RELATIONSHIP

IN YOUR HOME IN 2012

 

 

 

 

 

 

 

 

 

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

 

B6

 

00

B7

Ordinary income portion of lump-sum distributions excluded on your federal return

 

B7

 

00

B8

Total federal depreciation. Also see the instructions for line C22

 

B8

 

00

B9

Medical savings account (MSA) distributions. See page 7 of the instructions

 

B9

 

00

B10

I.R.C. §179 expense in excess of allowable amount. Also see the instructions for line C26

B10

 

00

B11

Other additions to income. See instructions and attach your own schedule

B11

 

00

B12

Total: Add lines B6 through B11. Enter here and on the front of this form, line 13

B12

 

00

PART C: Subtractions From Income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C13

 

Exemption: Age 65 or over. Multiply the number in box 8, page 1, by $2,100

 

C13

 

 

 

00

 

 

 

 

C14

 

Exemption: Blind. Multiply the number in box 9, page 1, by $1,500

 

C14

 

 

 

00

 

 

 

 

C15

 

Exemption: Dependents. Multiply the number in box 10, page 1, by $2,300

 

C15

 

 

 

00

 

 

 

 

C16

 

Exemption: Qualifying parents and grandparents. Multiply the number in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

box 11, page 1, by $10,000

 

 

 

 

 

 

C16

 

 

 

00

 

 

 

 

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

 

 

 

C17

 

00

C18

 

Interest on U.S. obligations such as U.S. savings bonds and treasury bills

 

 

 

 

 

 

 

C18

 

00

C19

 

Exclusion for federal, Arizona state or local government pensions (up to $2,500 per taxpayer)

 

 

 

 

 

 

 

C19

 

00

C20

 

Arizona state lottery winnings included as income on your federal return (up to $5,000 only)

 

 

 

 

 

 

 

C20

 

00

C21

 

U.S. Social Security or Railroad Retirement Act benefits included as income on your federal return (the taxable amount) .

C21

 

00

C22

Recalculated Arizona depreciation

 

 

 

 

 

 

 

 

 

 

 

C22

 

00

C23

 

Certain wages of American Indians

 

 

 

 

 

 

 

 

 

 

 

C23

 

00

C24

 

Income tax refund from other states. See instructions

 

 

 

 

 

 

 

 

C24

 

00

C25

 

Deposits and employer contributions into MSAs. See page 11 of the instructions

 

 

 

 

 

 

 

C25

 

00

C26

 

Adjustment for I.R.C. §179 expense not allowed

..............................................................................................................

 

 

 

 

 

 

 

 

 

 

C26

 

00

C27

 

Pay received for active service as a member of the reserves, national guard or the U.S. armed forces

 

 

 

C27

 

00

C28

 

Net operating loss adjustment. See instructions before you enter any amount here

 

 

 

 

 

 

 

C28

 

00

C29

 

Other subtractions from income. See instructions and attach your own schedule

 

 

 

 

 

 

 

C29

 

00

C30

Total: Add lines C17 through C29. Enter here and on the front of this form, line 14

 

 

 

 

 

 

 

C30

 

00

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

 

 

 

 

 

 

DATE

 

SPOUSE’S OCCUPATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAID PREPARER’S SIGNATURE

 

 

DATE

 

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.

ADOR 10413 (12)

AZ Form 140 (2012)

Page 2 of 2

Form Breakdown

Fact Name Details
Purpose The Arizona 140 form is used for filing the Resident Personal Income Tax Return for individuals in Arizona.
Filing Period This form is applicable for the calendar year or fiscal year, as indicated by the taxpayer.
Governing Law The Arizona 140 form is governed by Arizona Revised Statutes (ARS) Title 43, which covers state taxation.
Extension Filing Taxpayers can check a box on the form to indicate they are filing under an extension, allowing for additional time to submit their return.