Form Ar1000Adj PDF Details

Form Ar1000Adj is an adjustment form used to correct or update information on your Arkansas individual income tax return. This form can be used to correct errors, adjust withholding, claim refunds and credits, or to make other changes to your tax return. Be sure to review the instructions carefully before completing this form. Note that you may also need to file Form AR8453, Amended Individual Income Tax Return, if the changes made require a new computation of your taxes. If you have any questions, please contact the Arkansas Department of Finance and Administration's (DFA) Income Tax Division for help.

QuestionAnswer
Form NameForm Ar1000Adj
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestx, Texas, Texarkana, 3903

Form Preview Example

AR1000ADJ

ITAD101

2010

ARKANSAS INDIVIDUAL INCOME TAX

SCHEDULE OF OTHER ADJUSTMENTS

Name

Social Security Number

INSTRUCTIONS

Full Year Resident Filers - Complete columns (A) and (B) if using filing status 4 (married filing separately on the same return). All other filing statuses must complete column (A) only.

Nonresident or Part Year Resident Filers - Complete columns (A), (B), and (C) if using filing status 4 (married filing separately on the same return). All other filing statuses must complete columns (A) and (C) only.

Enter the total of each column on Line 15 of this form and on Line 23 of AR2 or NR2.

See instructions on the reverse side of this form.

 

 

 

 

(A)

Your/Joint

(B)

Spouse’s

(C) Arkansas

 

 

 

 

 

Adjustments

Adjustments

 

 

 

 

 

Adjustments

 

 

 

 

 

 

Status 4 Only

Only

 

 

 

 

 

 

 

1.

Border city exemption: (Attach Form AR-TX) .......................................................................1

 

 

00

 

 

00

 

00

2.

Arkansas Tax Deferred Tuition Savings Program: (See Instructions)

2

 

 

 

00

 

 

00

 

00

3.

Payments to IRA: (See Instructions)

3

 

 

 

00

 

 

00

 

00

4.

Payments to MSA: (See Instructions)

4

 

 

 

00

 

 

00

 

00

5.

Payments to HSA: (See Instructions)

5

 

 

 

00

 

 

00

 

00

6.

Deduction for interest paid on student loans: (See Instructions)

6

 

 

 

00

 

 

00

 

00

7.

Contributions to Intergenerational Trust: (See Instructions)

7

 

 

 

00

 

 

00

 

00

8.

Moving expenses: (Attach federal Form 3903)

8

 

 

 

00

 

 

00

 

00

9.

Self-employed health insurance deduction: (See Instructions)

9

 

 

 

00

 

 

00

 

00

10.KEOGH, Self-employed SEP and Simple Plans:

10

 

 

 

00

 

 

00

 

00

11. Forfeited interest penalty for premature withdrawal:

11

 

 

 

00

 

 

00

 

00

12.Alimony/Sep. Maint. paid to: Name:_____________________ SSN:_______________ 12

 

 

00

 

 

00

 

00

13.Support for permanently disabled individual: (Attach Form AR1000DC)

13

 

 

 

00

 

 

00

 

00

14.Organ Donor Deduction: (Attach Form AR1000OD)

14

 

 

 

00

 

 

00

 

00

15.TOTAL OTHER ADJUSTMENTS: (Enter here and on page AR2/NR2, Line 23)

15

 

 

 

00

 

 

00

 

00

ATTACH AS THE SECOND PAGE OF YOUR RETURN

AR1000ADJ (R 8/26/2010)

INSTRUCTIONS FOR

AR1000ADJ

LINE 1. To claim the Texarkana exemption, you must file a return and report allArkansas income you received during the year.AttachAR-TX Form.

AR-TX Form is supplied by your employer.

TheAR-TXFormisnotrequiredfornonwageincome such as interest, dividends, Schedule C (sole propri- etor),ScheduleF(farm),ScheduleE(rents,royalties, partnerships,etc.)orretirement.Additionalinformation may be required for verification if an adjustment for these types of income is allowed.

NOTE: Taxpayerswhoclaimthisexemptionmust file using their street address inTexarkana,Arkansas or Texarkana, Texas. If you use a Post Office Box, this exemption will not be allowed.

If you lived within the city limits of Texarkana, Arkan- sas, you are allowed a full exemption fromArkansas incometaxation. PartyearTexarkanaresidentsclaim theexemptiononlyonincomeearnedwhilearesident of Texarkana,Arkansas.

If you lived within the city limits of Texarkana, Texas, you are allowed to deduct the income you earned in the city limits of Texarkana, Arkansas. All other Arkansas income is taxable to you.

LINE 2. If you made contributions to a tuition sav- ings account established under the Arkansas Tax Deferred Tuition Savings Program enter the amount here. Contributions to plans established in states other thanArkansas are not deductible. The deduct- ible contribution cannot exceed $5,000 per taxpayer per tax year. Qualified withdrawals from a tuition savings account established under theArkansasTax Deferred Tuition Savings Program or a tax-deferred tuition savings program established by another state willbeexemptfromArkansasincometaxwithrespect to the designated beneficiary’s income.

LINE 3. This line is used to report your allowable contributiontoanIndividualRetirementAccount(IRA). If you contributed to your own IRA, certain limitations may apply to the amount you may use as an adjust- ment to income. If neither you nor your spouse was coveredbyanemployerprovidedretirementplan,the entire contribution is deductible up to $5,000 each for all filing statuses. If either you or your spouse was covered by such a plan, the amount of the deduction depends on the amount of your Adjusted Gross In- come(AGI)beforetheIRAdeduction,asshowninthe table on page 21 of the booklet. Use this table along with your Arkansas AGI to determine your allowable deduction. Catch up Contributions - Individuals who turned50beforethecloseofthetaxyearmayincrease the maximum permitted annual contribution by up to $1,000.

LINE 4. This line is used to report your allowable contribution to an Archer Medical Savings account (MSA).An MSAis a trust or custodial account that is created or organized exclusively for the purpose of payingthequalifiedmedicalexpensesofthetaxpayer (accountholder)aswellasthetaxpayer’sspouseand/ ordependents. Inordertobeeligible,ataxpayermust

havehadinsurancecoverageunderahighdeductible healthplan(HDHP)only. AHDHPwillhavethefollow- ing deductions and limitations: (1) for self-only cover- age, the minimum deductible is $2,000, maximum deductible is $3,000 and the maximum out of pocket expense is $4,050, and (2) for family coverage, the minimum deductible is $4,050, maximum deductible is $6,050 and the maximum out of pocket expense is $7,400.Thecontributionlimitationforanymonthisthe amountequalto1/12of65%oftheannualdeductible for an individual with self-only coverage and 1/12 of 75%oftheannualdeductibleforfamilycoverage.New Archer MSAs may not be established after 2007 but contributions can be made to existing accounts.

LINE 5. This line is used to report your allowable contributiontoaHealthSavingsAccount(HSA).Inor- dertobeeligible,ataxpayermusthavehadinsurance coverage under a HDHP only. AHDHP will have the following deductions and limitations: (1) for self-only coverage, the minimum deductible is $1,200 and the maximum out of pocket expense is $5,950, and (2) forfamilycoverage,theminimumdeductibleis$2,400 and the maximum out of pocket expense is $11,900. You can make pre-tax contributions of up to $3,050 each year ($6,150 for families) to cover health care costs. Individuals who reached age 55 by the end of the tax year can increase their annual contribution by $1,000 for 2010. Maximum contributions allowed to anHSAarereducedbyanycontributionsmadetoan Archer MSA.

LINE 6. You may take an adjustment for interest paid on student loans if all of the following apply:

1.You paid interest in 2010 on a qualified student loan.

2.Your filing status is any status other than married filing separately on different returns (Status 5). 3.YourAGIislessthan:$75,000iffilingStatus1,3,or 6;$150,000iffilingStatus2or4.Status4filers,please note that this is a combined income amount.

4.You are not claimed as a dependent on another taxpayer’s 2010 tax return.

Figure your allowable deduction using the worksheet on page 21 of the booklet.

LINE 7. You may take an adjustment from income forcontributionsmadetoalong-termintergenerational trust. Thisisatrustestablishedforanindividualunder the age of 18 in order to provide funds for the minor’s retirement. The trustee must be a resident of Arkan- sas and cannot distribute any of the trust funds to the beneficiaryuntilthebeneficiaryreachestheageof55. Contributions are limited to $4,000 per year.

LINE 8. Employees and self-employed persons (including partners) can deduct certain moving ex- penses. Expenses incurred in 2010 are deducted on this line as an adjustment to income.

You can only take this deduction if you moved in con- nection with your job or business and your change in job location has added at least fifty (50) miles to the distance from your old home to your workplace. If you had no former workplace, your new workplace must be at least fifty (50) miles from your old home. You must attach a completed copy of federal Form 3903.

If you were reimbursed for any part of your moving expenses and the amount was included on your W-2, report this amount as income on Form AR1/ NR1, Line 8. If the amount was not included on your W-2,includetheamountonFormAR1/NR1,Line20, Other Income.

LINE 9. If you were self-employed and had a net profit for the year, you may be able to deduct part of the amount paid for health insurance on behalf of yourself, your spouse, and/or dependents. Complete theworksheetonpage22ofthebooklettodetermine your deduction.

LINE 10. Ifyouwereself-employedandcontribut- edtoa“Keogh”,H.R.10retirementplan,oraSIMPLE plan, enter the total amount of your contributions in the space provided. The amount of the deduction depends upon the type of plan.

LINE 11. Enter the total interest penalties paid for premature or early withdrawal of certificates of deposit.

LINE 12. If you paid alimony or separate mainte- nance as the result of a court order, enter the total amount in the space provided. You must enter the name and Social Security Number of the person you paid.

LINE 13. If you have a permanently disabled indi- vidualwhoqualifiesforthedeductionyoucantakean adjustmentfromincomeof$500foreachpermanently disabled individual.Attach FormAR1000DC.

LINE 14. If you paid unreimbursed expenses for yourself or one of your dependents related to the donationofanorgan(partofaliver,pancreas,kidney, intestine, lung or bone marrow) you may take an income tax deduction of up to $10,000. The deduc- tion must be claimed for the taxable year in which the transplantation of the organ occurs. Allowable expenses include travel, lodging, medical expenses andlostwagesthatarerelatedtotheorgandonation. An individual may claim the deduction only once in his or her lifetime. This deduction does not apply to organs harvested from a deceased donor. Attach FormAR1000-OD.

LINE 15. Total Other Adjustments. Add Lines 1 through 14 and enter on this line and on FormsAR2 or NR2, Line 23.

AR1000ADJ (R 8/26/2010)

How to Edit Form Ar1000Adj Online for Free

Through the online editor for PDFs by FormsPal, it is possible to complete or alter right here and now. FormsPal team is devoted to giving you the ideal experience with our tool by consistently releasing new features and upgrades. With all of these improvements, using our editor gets easier than ever! Starting is effortless! Everything you need to do is follow the following easy steps down below:

Step 1: Open the form in our tool by clicking on the "Get Form Button" in the top section of this page.

Step 2: The editor lets you work with your PDF in various ways. Modify it by writing your own text, adjust existing content, and put in a signature - all at your disposal!

It will be straightforward to complete the form using out practical guide! Here's what you must do:

1. Fill out the with a number of necessary fields. Get all the necessary information and make certain there's nothing neglected!

Texas writing process described (step 1)

2. After completing this step, head on to the next part and fill out the necessary particulars in these fields - Payments to HSA See Instructions, Deduction for interest paid on, Contributions to, Moving expenses Attach federal, Selfemployed health insurance, KEOGH Selfemployed SEP and Simple, Forfeited interest penalty for, AlimonySep Maint paid to Name, Support for permanently disabled, Organ Donor Deduction Attach Form, TOTAL OTHER ADJUSTMENTS Enter, ATTACH AS THE SECOND PAGE OF YOUR, and ARADJ R.

Selfemployed health insurance, KEOGH Selfemployed SEP and Simple, and Support for permanently disabled of Texas

Be extremely mindful when completing Selfemployed health insurance and KEOGH Selfemployed SEP and Simple, since this is the section where most people make some mistakes.

Step 3: Go through everything you have inserted in the form fields and then click the "Done" button. Make a free trial option with us and acquire immediate access to - download, email, or change from your FormsPal account page. We do not share any details you enter whenever completing documents at FormsPal.