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AR1000PA                                                                                                       2007
                                                STATE OF ARKANSAS
                              REQUEST FORM FOR ARKANSAS PACKAGE A
     State of Arkansas                                                                  Joel Y. Ledbetter Building
     Income Tax Forms Supply                                                                         Room 2300
     P.O. Box 3628                                                                                   7th & Wolfe
     Little Rock, AR 72203-3628                                                                   (501) 682-1100
         Name                                                                     ID or SSN



PRINT Address (Please Use Street Address)                                         Social Security Number
 OR
 TYPE
         City, State, & Zip                                                       Relationship to Taxpayer




                               IMPORTANT INCOME TAX INFORMATION
The State of Arkansas prints a package of forms similar to the IRS’s Package X. The State version is called the Arkansas
Package A and it contains the individual, corporate, and withholding income tax forms that are most commonly used
within the Income Tax Sections. Tax preparers are to use the forms in the Package A to set up their own printing or
photocopying to produce bulk quantities of tax forms. The State of Arkansas does not provide bulk quantities of forms
to tax preparers. The State of Arkansas does not charge for tax forms. The payment listed below is used for postage to
ship the Arkansas Package A to tax preparers. Please enclose a check or money order. The limit set on this form is to
insure that the State’s supply of Package A’s is sufficient to provide every pereparer’s business with a copy so PLEASE
OBSERVE THE LIMIT. You will receive a complimentary CD with each Package A order. The CD
contains all Arkansas forms, plus income tax forms for Missouri and Oklahoma.

NOTE: All forms contained in the Arkansas Package A can be downloaded from the Revenue Home page at:
                                      http://www.arkansas.gov/dfa

                                    ARKANSAS PACKAGE A - LIMIT 3

                  Circle the quantity ordered and include a check for the postage due.


       1                          1               2                 2                  3                         3
   Package A                  Package A      Package A’s        Package A         Package A’s                Package A
 Postage = $2.50               CD Only      Postage = $3.50     CD’s Only        Postage = $4.50             CD’s Only
   (With CD)                                  (With CD)                            (With CD)

INSTRUCTIONS

1. Print or type your mailing information in the space provided above.

2. Attach a check or money order for the amount of postage. Do not send stamps or cash.
   ORDERS WITHOUT PROPER REMITTANCE WILL NOT BE FILLED!

3. Enclose this form and your payment in an envelope and return to the mailing address at the top of this form.

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2007 Package A Request Form For Tax Preparers

  • 1. AR1000PA 2007 STATE OF ARKANSAS REQUEST FORM FOR ARKANSAS PACKAGE A State of Arkansas Joel Y. Ledbetter Building Income Tax Forms Supply Room 2300 P.O. Box 3628 7th & Wolfe Little Rock, AR 72203-3628 (501) 682-1100 Name ID or SSN PRINT Address (Please Use Street Address) Social Security Number OR TYPE City, State, & Zip Relationship to Taxpayer IMPORTANT INCOME TAX INFORMATION The State of Arkansas prints a package of forms similar to the IRS’s Package X. The State version is called the Arkansas Package A and it contains the individual, corporate, and withholding income tax forms that are most commonly used within the Income Tax Sections. Tax preparers are to use the forms in the Package A to set up their own printing or photocopying to produce bulk quantities of tax forms. The State of Arkansas does not provide bulk quantities of forms to tax preparers. The State of Arkansas does not charge for tax forms. The payment listed below is used for postage to ship the Arkansas Package A to tax preparers. Please enclose a check or money order. The limit set on this form is to insure that the State’s supply of Package A’s is sufficient to provide every pereparer’s business with a copy so PLEASE OBSERVE THE LIMIT. You will receive a complimentary CD with each Package A order. The CD contains all Arkansas forms, plus income tax forms for Missouri and Oklahoma. NOTE: All forms contained in the Arkansas Package A can be downloaded from the Revenue Home page at: http://www.arkansas.gov/dfa ARKANSAS PACKAGE A - LIMIT 3 Circle the quantity ordered and include a check for the postage due. 1 1 2 2 3 3 Package A Package A Package A’s Package A Package A’s Package A Postage = $2.50 CD Only Postage = $3.50 CD’s Only Postage = $4.50 CD’s Only (With CD) (With CD) (With CD) INSTRUCTIONS 1. Print or type your mailing information in the space provided above. 2. Attach a check or money order for the amount of postage. Do not send stamps or cash. ORDERS WITHOUT PROPER REMITTANCE WILL NOT BE FILLED! 3. Enclose this form and your payment in an envelope and return to the mailing address at the top of this form.