Arizona Form 140A PDF Details

If you're a resident of Arizona, you're probably familiar with Form 140A – the state's individual income tax return. However, if you've never filed this form before, or are unsure of what to include on it, you may be wondering what exactly goes into it. This article will provide an overview of Form 140A and explain what is required in order to complete it. So whether you're a first-time filer or just need a refresher course, keep reading for all the information you need on Arizona's individual income tax return!

QuestionAnswer
Form NameArizona Form 140A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
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Arizona Form 140A Resident Personal Income Tax Return (Short Form)

STOP If your Arizona taxable income is $50,000 or more, you must use Arizona Form 140.

FOR

CALENDAR YEAR

2013

ONE STAPLE. NO TAPE.

1

1

2

3

or other documents after Form 140A page 2; staple to upper left corner.

 

82F

 

Check box 82F if filing under extension

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Your

First Name and Middle Initial

 

 

Last Name

 

 

Enter

 

Your Social Security No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

your

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spouse’s First Name and Middle Initial (if box 4 or 6 checked)

 

Last Name

 

Spouse’s Social Security No.

 

 

 

 

SSN(s)

.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Home Address - number and street, rural route

 

 

 

Apt. No.

 

 

 

 

Phone (with area code)

 

 

 

 

 

 

 

Daytime

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, Town or Post Office

State

 

ZIP Code

 

 

 

 

94

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Names

Used in Prior Years

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATUS

 

4

 

 

 

 

Married filing joint return

 

 

 

 

 

 

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

88

 

 

 

 

 

 

 

 

 

 

 

FILING

 

5

 

 

 

 

Head of household – Enter name of qualifying child or dependent on next line:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Married filing separate return. Enter spouse’s name and Social Security No. above.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 

 

 

 

Single

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ExEMPTIONS

 

 

 

Enter the number claimed. Do not put a check mark.

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

Age 65 or over (you and/or spouse)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

 

 

 

Blind (you and/or spouse)

 

 

 

 

 

 

 

PM

 

 

 

RCVD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

81

 

 

80

 

 

 

10

 

 

 

 

Dependents. From page 2, line A2 - do not include self or spouse.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

 

 

 

 

Qualifying parents and grandparents. From page 2, line A5.

 

 

 

 

 

 

 

 

 

 

 

 

12

 

................................................................................................Federal adjusted gross income (from your federal return)

 

 

 

 

 

 

 

 

 

12

 

 

 

 

 

00

13

 

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

 

 

 

 

 

13

 

 

 

 

 

00

14

 

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

 

 

 

 

 

 

 

 

 

14

 

 

 

 

 

00

15

 

Exemption – Dependents: Multiply the number in box 10 by $2,300

 

 

 

 

 

 

 

 

 

15

 

 

 

 

 

00

16

 

Exemption – Qualifying parents and grandparents: Multiply the number in box 11 by $10,000

 

 

 

 

 

16

 

 

 

 

 

00

17

 

Total subtractions: Add lines 13 through 16

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

 

 

 

 

 

 

 

 

 

17

 

 

 

 

 

00

18

 

Arizona adjusted gross income: Subtract line 17 from line 12

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

00

19

 

Standard deduction: If you checked filing status box 4 or 5, enter $9,883. If you checked box 6 or 7, enter $4,945.

19

 

 

 

 

 

00

20

 

Personal exemptions. See pages 6 and 7 of the instructions

 

 

 

 

 

 

 

 

 

20

 

 

 

 

 

00

21

 

Arizona taxable income: Subtract lines 19 and 20 from line 18. If less than zero, enter zero. If $50,000 or more, use Form 140 .

21

 

 

 

 

 

00

22

 

Amount of tax from Optional Tax Tables

 

 

 

 

 

 

 

 

 

 

22

 

 

 

 

 

00

23

 

Family income tax credit (from worksheet on page 8 of the instructions)

 

 

 

 

 

23

 

 

 

 

 

00

24

 

Balance of tax: Subtract line 23 from line 22. If less than zero, enter zero

 

 

 

 

 

24

 

 

 

 

 

00

25

 

Arizona income tax withheld during 2013

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

 

 

 

 

 

 

 

 

 

25

 

 

 

 

 

00

26

 

2013 Arizona extension payment (Form 204)

 

 

 

 

 

 

 

 

 

26

 

 

 

 

 

00

27

 

Increased Excise Tax Credit (from worksheet on page 9 of the instructions)

 

 

 

 

 

27

 

 

 

 

 

00

28

 

Property Tax Credit (from Form 140PTC)

 

 

 

 

 

 

 

 

 

 

28

 

 

 

 

 

00

29

 

Total payments/credits: Add lines 25 through 28

 

 

 

 

 

 

 

 

 

29

 

 

 

 

 

00

30

 

TAX DUE: If line 24 is larger than line 29, subtract line 29 from line 24, and enter amount of tax due. Skip line 31

30

 

 

 

 

 

00

31

 

OVERPAYMENT: If line 29 is larger than line 24, subtract line 24 from line 29, and enter the amount of overpayment

31

 

 

 

 

 

00

and AZ schedules

32 - 41 Voluntary Gifts to:

 

Solutions Teams Assigned to School..

32

Child Abuse Prevention

34

I Didn’t Pay Enough Fund

36

Neighbors Helping Neighbors

38

Veterans’ Donations Fund

40

42Voluntary Political Gift (check only one):

00

00

00

00

00

Arizona Wildlife

33

Domestic Violence Shelter

35

National Guard Relief Fund

37

Special Olympics

39

Political Gift

41

00

00

00

00

00

Place any required federal

 

421Americans Elect 422Democratic 423Green 424Libertarian 425Republican

 

 

 

 

43

Total voluntary gifts: Add lines 32 through 41

43

 

00

44

REFUND: Subtract line 43 from line 31.

If less than zero, enter amount owed on line 45

44

 

00

 

Direct Deposit of Refund: Check box 44A if your deposit will be ultimately placed in a foreign account; see instructions. 44A

 

 

 

 

 

ROUTING NUMBER

 

ACCOUNT NUMBER

CChecking or

 

 

 

 

98

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

45

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SSavings

45

 

00

AMOUNT OWED: Add lines 30 and

43. Make check payable to Arizona Department of Revenue; include SSN on payment

 

PLEASE BE SURE TO SIGN THE RETURN ON THE REVERSE SIDE OF THIS PAGE.

ADOR 10414 (13)

Your Name (as shown on page 1)

Your Social Security No.

PART A: Dependents, Qualifying Parents and Grandparents – do not list yourself or spouse

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 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A2

Enter total number of persons listed in A1 here and on the front of this form, box 10

TOTAL A2

 

A3

a Enter the names of the dependents listed above who do not qualify as your dependent on your federal return. See

 

 

 

page 6 of the instructions.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A5 Enter total number of persons listed in A4 here and on the front of this form, box 11

TOTAL

A5

PLEASE SIGN 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.

 

 

 

 

 

 

 

YOUR SIGNATURE

 

 

 

DATE

 

OCCUPATION

 

 

 

 

 

 

 

SPOUSE’S SIGNATURE

 

 

 

DATE

 

SPOUSE’S OCCUPATION

 

 

 

 

 

 

 

PAID PREPARER’S SIGNATURE

 

DATE

 

FIRM’S NAME (PREPARER’S IF SELF-EMPLOYED)

PAID PREPARER’S STREET ADDRESSPAID PREPARER’S TIN

 

 

 

(

)

PAID PREPARER’S CITY

STATE

ZIP CODE

 

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 10414 (13)

AZ Form 140A (2013)

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