Arizona Form 140Py PDF Details

The Arizona Form 140Py is an important document for taxpayers in the state of Arizona. This form is used to report and pay the Pyment Income Tax. The deadline to submit this form is April 15th, and it must be filed electronically or postmarked by that date. Anyone who fails to file this form on time may face penalties and interest charges. Make sure you are familiar with the requirements of the Arizona Form 140Py so that you can file it correctly and on time.

Question	Answer
Form Name	Arizona Form 140Py
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	az_f_140py 2012 arizona fillable form 140py

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ARIZONA FORM										Part-Year Resident Personal Income Tax Return																																					FOR
	140PY																																														FOR
																																														CALENDAR YEAR
									OR FISCAL YEAR BEGINNING							M		M		D	D		Y		Y		Y	Y	AND ENDING								M					M			D						D		Y			Y				Y		Y			.
									OR FISCAL YEAR BEGINNING							M		M		D	D		Y		Y		Y	Y	AND ENDING								M					M			D						D		Y			Y			2012			Y			.

	82F					Check box 82F if filing under extension
	82F					Check box 82F if filing under extension

Your First Name and Middle Initial																								Last Name																									Enter										Your Social Security No.
	1																																																Enter
	1																																																your

Spouse’s First Name and Middle Initial (if box 4 or 6 checked)																								Last Name																																			Spouse’s Social Security No.
																								Last Name																																			Spouse’s Social Security No.
	1																																																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
	2																																																94

City, Town or Post Office												State			Zip Code
	3
			4				Married filing joint return																																REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
			4				Married filing joint return
			5				Head of household				►	NAME OF QUALIFYING CHILD OR DEPENDENT
			5				Head of household				►

			6				Married filing separate return. Enter spouse’s name and Social Security No. above.
			6
			7				Single
			7				Single
page 2; staplecorner.uppertoleft		EXEMPTIONSSTATUSFILING						Enter the number claimed. Do not put a check mark.																															88
								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)
			10					Dependents. From page 2, line A2 – do not include self or spouse.																															81																								80
			11					Qualifying parents and grandparents from page 2, line A5.
		12-13 Residency Status (check one):										12			Part-Year Resident Other than Active Military																				13							Part-Year Resident Active Military
140PY		12-13 Residency Status (check one):										12			Part-Year Resident Other than Active Military																				13							Part-Year Resident Active Military
		14		Federal adjusted gross income (from your federal return)															...............................................................																						14																				00
		15		Arizona income (from page 2, line B19)																																																												15			00
Form		15		Arizona income (from page 2, line B19)																																																												15			00
		16		Additions to income (from page 2, line C24)																																																												16			00
		17		Subtractions from income (from page 2, line D36)																																																												17			00
after		17		Subtractions from income (from page 2, line D36)																																																												17			00
after		18		Arizona adjusted gross income: Add lines 15 and 16 then subtract line 17																																																												18			00
documents		19		Deductions. Check box and enter amount. See instructions, page 16																										19I				ITEMIZED 19S															STANDARD															19			00
		20		Personal exemptions. See page 16 of the instructions																																																												20			00
		21		Arizona taxable income: Subtract lines 19 and 20 from line 18.																	If less than zero, enter zero																																											21			00
																																																																			00
other		22		Compute the tax using Tax Table X or Y																																																												22			00
other		23		Tax from recapture of credits from Arizona Form 301, Part II, line 35																																																												23			00
or		24		Subtotal of tax: Add lines 22 and 23																																																												24			00
schedules		24		Subtotal of tax: Add lines 22 and 23																																																												24			00
		25		Family income tax credit from worksheet on pages 17 and 18 of the instructions																										.............................................................																																		25			00
		26		Credits from Arizona Form 301, Part II, line 68, or Forms 310, 321, 322 and 323, if Form 301 is not required																																									26			00
		27		Credit type: Enter form number of each credit claimed																		27				3					3								3													3
		27		Credit type: Enter form number of each credit claimed													..............					27				3					3								3													3
AZ
AZ		28		Clean Elections Fund Tax Credit for donations made prior to August 2, 2012 (from worksheet on page 20 of the instructions)																																			28				00
and		28																																					28				00
and		29		Balance of tax: Subtract lines 25, 26 and 28 from line 24.															If the sum of lines 25, 26 and 28 is more than line 24, enter zero																																													29			00
federal		30		Arizona income tax withheld during 2012																																																												30			00
federal		31		Arizona estimated tax payments for 2012																																																												31			00
required		32		2012 Arizona extension payment (Form 204)																																																												32			00
		33		Increased Excise Tax Credit: From worksheet on page 20 of the instructions																																																												33			00
		34		Other refundable credits: Check the box(es) and enter the amount																												341				Form 308-I										342						Form 342												34			00
any		34																														341				Form 308-I										342						Form 342												34			00
any		35		Total payments/refundable credits: Add lines 30 through 34																																																												35			00
Place		35		Total payments/refundable credits: Add lines 30 through 34																																																												35			00
		36		TAX DUE: If line 29 is larger than line 35, subtract line 35 from line 29, and enter amount of tax due. Skip lines 37, 38 and 39																																									36			00
		37		OVERPAYMENT: If line 35 is larger than line 29, subtract line 29 from line 35, and enter amount of overpayment																																																		37				00
		37																																																				37				00
		38		Amount of line 37 to be applied to 2013 estimated tax																																																												38			00
TAPE.		39		Balance of overpayment: Subtract line 38 from line 37																																																												39			00
		40 - 49 Voluntary Gifts to:
			Aid to Education									40								00	Arizona Wildlife																			41																					00
NO			Aid to Education						.................................			40								00	Arizona Wildlife																			41																					00
NO			Child Abuse Prevention									42								00	Domestic Violence Shelter																			43																					00
HERE.			I Didn’t Pay Enough Fund									44								00	National Guard Relief Fund																			45																					00
			Neighbors Helping Neighbors									46								00	Special Olympics																			47																					00
				Veterans’ Donations Fund								48								00	Political Gift																			49																					00
PAYMENT				Veterans’ Donations Fund								48								00	Political Gift																			49																					00
		50		Voluntary Political Gift (check only one):									501 Americans Elect								502					Democratic 503							Green 504 Libertarian																	505							Republican
		51		Estimated payment penalty and MSA withdrawal penalty																																																												51		00
		52		....Check applicable boxes 521							Annualized/Other					522				Farmer or Fisherman 523												Form 221 attached 524																			MSA Penalty

STAPLE		53		Total of lines 40 through 49 and 51								....................................................................................................................................																																																				53		00
		54		REFUND: Subtract line 53 from line 39.									If less than zero, enter amount owed on line 55																																																			54		00
				Direct Deposit of Refund: Check box 54A if your deposit will be ultimately placed in a foreign account; see instructions																																		54A
					ROUTING NUMBER									ACCOUNT NUMBER																														C				Checking or
				98																																								C				Checking or
				98																																								S				Savings
		55		AMOUNT OWED: Add lines 36 and 53.										Make check payable to Arizona Department of Revenue; include SSN on payment																																			55			00

ADOR 10149 (12)

Your Name (as shown on page 1)

Your Social Security No.

List children and other dependents. Do not list yourself or spouse. 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

DependentsA:

b Enter dependents listed above who were not claimed on your federal return due to education credits:

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

TOTAL

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

PART

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 5 of the instructions.

NO. OF MONTHS LIVED

FIRST AND LAST NAME

SOCIAL SECURITY NO.

RELATIONSHIP

IN YOUR HOME IN 2012

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

TOTAL

Dates of Arizona residency: From

Y Y

M M

D D

Y Y Y

2012 FEDERAL

2012 ARIZONA

Income

List other state(s) of residency:

Amount from Federal Return

Amount Only

............................................................................................................................................Interest

Wages, salaries, tips, etc

Total

Dividends

B10

Arizona income tax refunds

B10

B11

Alimony received

B11

Percent

B13

.....................................................................................Gains (or losses) from federal Schedule D

B13

B12

Business income (or loss) from federal Schedule C

B12

Arizona

B14

Rents, royalties, partnerships, estates, trusts, small business corporations from federal Schedule E.

B14

B15

Other income reported on your federal return

B15

B16

Total income: Add lines B7 through B15

B16

PART

B17

Federal adjustments. Attach your own schedule

B17

B18

Federal adjusted gross income: Subtract line B17 from line B16 in the FEDERAL column

B18

B19

Arizona income: Subtract line B17 from line B16 in the ARIZONA column. Enter here and on the front of this form, line 15

B19

B20

Arizona percentage: Divide line B19 by line B18, and enter the result (not over 100%)

B20

PARTC: Additions

C21

I.R.C. §179 expense in excess of allowable amount. Also see the instructions for line D34

C21

C22

Total depreciation included in Arizona gross income

C22

C23

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

C23

C24

Total: Add lines C21 through C23.

Enter here and on the front of this form on line 16

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

C24

Income

D25

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

D25

D27

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

D27

D26

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

D26

from

D28

Exemption: Qualifying parents and grandparents. Multiply the number in box 11, page 1, by $10,000 .

D28

Subtractions

D29

Total exemptions: Add lines D25 through D28

D29

D30

Multiply line D29 by the percentage on line B20, and enter the result

D30

D31

Interest on U.S. obligations such as U.S. savings bonds and treasury bills included in the ARIZONA column

D31

D32

Arizona state lottery winnings included on line B15 in the ARIZONA column (up to $5,000 only)

D32

D33

U.S. Social Security or Railroad Retirement Act benefits included in your ARIZONA income

D33

D34

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

D34

PART

D35

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

D35

D36

Total: Add lines D30 through D35.

Enter here and on the front of this form, line 17

D36

E37 Last name(s) used in prior years – if different from name(s) used in current year:

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

SPOUSE’S SIGNATURE

DATE

SPOUSE’S OCCUPATION

PLEASE

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 10149 (12)

AZ Form 140PY (2012)

Page 2 of 2

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For you to fill out this PDF document, ensure that you type in the required information in each and every blank field:

1. Fill out the Arizona Form 140Py with a number of essential blank fields. Get all the information you need and make certain there's nothing overlooked!

Stage # 1 for submitting Arizona Form 140Py

2. The third step is usually to fill out the next few fields: e g a p Y P m r o F r e t f a, u q e r y n a e c a P, and Residency Status check one cid.

Arizona Form 140Py conclusion process shown (step 2)

3. Completing E P A T O N, E R E H, T N E M Y A P, E L P A T S, Residency Status check one cid, Aid to Education , Child Abuse Prevention , I Didnt Pay Enough Fund , Neighbors Helping Neighbors , Veterans Donations Fund , Arizona Wildlife Domestic, Voluntary Political Gift check, Direct Deposit of Refund Check box, ACCOUNT NUMBER, and ROUTING NUMBER is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Step no. 3 for completing Arizona Form 140Py

As to Residency Status check one cid and Aid to Education , make sure you take another look here. The two of these are definitely the most significant ones in the PDF.

4. All set to fill in this fourth segment! In this case you've got all of these Your Name as shown on page , Your Social Security No, A List children and other, attach a separate sheet, FIRST AND LAST NAME, SOCIAL SECURITY NO, RELATIONSHIP, IN YOUR HOME IN , NO OF MONTHS LIVED, s t n e d n e p e D, A T R A P, e m o c n, I l, o T, and n e c r e P a n o z i r blanks to fill out.

Filling in section 4 in Arizona Form 140Py

5. The last stage to submit this form is pivotal. Ensure to fill in the necessary form fields, like n e c r e P a n o z i r, B T R A P, A Enter total number of persons, s n o, i t i, C T R A P, d d A, e m o c n, m o r f s n o, i t c a r t, b u S, D T R A P, B Arizona percentage Divide line B, C IRC expense in excess of, and C Total depreciation included in, prior to finalizing. If you don't, it can result in a flawed and potentially unacceptable paper!

Filling out segment 5 of Arizona Form 140Py

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