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ARIZONA FORM                                                                                                                                                                                                         Nonresident Personal Income Tax Return
                                                                                                                                                                                                                                                                                                                                                                 2007
                                                                                                                                                          140NR                                          FOR CALENDAR YEAR 2007 OR                   66
                                                                                                                                                                                  FISCAL YEAR BEGINNING M M D D Y Y Y Y AND ENDING M M D D Y Y Y Y .
                                                                        YOUR FIRST NAME AND INITIAL                                                                                                                                                            LAST NAME                                                         YOUR SOCIAL SECURITY NO. (required)
                                                                                                                                                      1
                                                                        IF A JOINT RETURN, SPOUSEā€™S FIRST NAME AND INITIAL                                                                                                                                     LAST NAME                                                         SPOUSEā€™S SOCIAL SECURITY NO. (required)
                                                                                                                                                      1
                                                                        PRESENT HOME ADDRESS - NUMBER AND STREET, RURAL ROUTE APT. NO. DAYTIME PHONE (with area code)
                                                                                                                                                                                                                                                                                                                                              IMPORTANT
                                                                                                                                                      2
                                                                                                                                                                                                                                                                                                                                 Check this box if:
                                                                        CITY, TOWN OR POST OFFICE                                                                                                             STATE         ZIP CODE                           HOME PHONE (with area code)
                                                                                                                                                      3                                                                                                                                                                               Filing under extension
                                                                                                                                                                                                                                                               94                                                                82F
                                                                                                                                                          4        Married ļ¬ling joint return                                                                                                                                FOR DOR USE ONLY
Filing Status




                                                                                                                                                          5        Head of household - name of qualifying child or dependent ā–ŗ
                                                                                                                                                          6        Married ļ¬ling separate return. Enter spouseā€™s Social Security
                                                                                                                                                                   Number above and full name here....... ā–ŗ
                                                                                                                                                          7        Single
                                                                                                                                                                                                                                                                                                88
                                                                                                                                                                     Enter the number claimed. Do not put a check mark.
ATTACH PAYMENT HERE. Attach W-2 to back of last page of the return. If itemizing, attach your federal Schedule A and Arizona Schedule A. Exemptions




                                                                                                                                                       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
                                                                                                                                                      11-13 Residency Status (check one): 11                           Nonresident 12                      Nonresident Active Military 13                             Composite Return
                                                                                                                                                      14 Federal adjusted gross income (from your federal return) ........................................................................... 14                                                         00
                                                                                                                                                      15 Arizona income (from page 2, line B15)................................................................................................................................................ 15                     00
                                                                                                                                                      16 Additions to income (from page 2, line C20) ......................................................................................................................................... 16                      00
                                                                                                                                                      17 Add lines 15 and 16 .............................................................................................................................................................................. 17         00
                                                                                                                                                      18 Subtractions from income (from page 2, line D31). Enter the number from line D29a. 181                                                        .................................................... 18         00
                                                                                                                                                      19 Arizona adjusted gross income. Subtract line 18 from line 17 ............................................................................................................. 19                                 00
                                                                                                                                                      20 Deductions. Check box and enter amount. See instructions, pages 11 and 12. 20I                                                          ITEMIZED 20S                        STANDARD 20                       00
                                                                                                                                                      21 Personal exemptions. See page 12 of the instructions. ....................................................................................................................... 21                              00
                                                                                                                                                      22 Arizona taxable income. Subtract lines 20 and 21 from line 19 ........................................................................................................... 22                                  00
                                                                                                                                                      23 Compute the tax using Tax Rate Table X or Y ...................................................................................................................................... 23                         00
                                                                                                                                                      24 Tax from recapture of credits from Arizona Form 301, line 30 .............................................................................................................. 24                                00
                                                                                                                                                      25 Subtotal of tax. Add lines 23 and 24 .................................................................................................................................................... 25                  00
                                                                                                                                                      26 - 27 Clean Elections Fund Tax Reduction. See instructions, page 13.                                                                    YOURSELF 262 SPOUSE ........ 27                                        00
                                                                                                                                                                                                                                                                                     261
                                                                                                                                                      28 Reduced tax. Subtract line 27 from line 25 .......................................................................................................................................... 28                      00
                                                                                                                                                      29 Credits from Arizona Form 301, line 57, or Forms 321, 322 and 323 if Form 301 is not required ........................................................ 29                                                     00
                                                                                                                                                      30 Credit type. Enter form number of each credit claimed: 30 3                                                    3                       3                      3
                                                                                                                                                      31 Clean Elections Fund Tax Credit. From worksheet on page 15 of the instructions.............................................................................. 31                                               00
                                                                                                                                                      32 Balance of tax. Subtract lines 29 and 31 from line 28. If the sum of lines 29 and 31 is more than line 28, enter zero. ...................... 32                                                              00
                                                                                                                                                      33 Arizona income tax withheld during 2007 ............................................................................................................................................. 33                      00
                                                                                                                                                      34 Arizona estimated tax payments for 2007............................................................................................................................................. 34                       00
                                                                                                                                                      35 Amount paid with 2007 Arizona extension request (Form 204) ............................................................................................................ 35                                    00
                                                                                                                                                      36 Total payments/refundable credits. Add lines 33 through 35 ............................................................................................................... 36                                 00
                                                                                                                                                      37 TAX DUE. If line 32 is larger than line 36, subtract line 36 from line 32, and enter amount of tax due. Skip lines 38, 39 and 40 ....... 37                                                                   00
                                                                                                                                                      38 OVERPAYMENT. If line 36 is larger than line 32, subtract line 32 from line 36, and enter amount of overpayment ........................... 38                                                                 00
                                                                                                                                                      39 Amount of line 38 to be applied to 2008 estimated tax ......................................................................................................................... 39                            00
                                                                                                                                                      40 Balance of overpayment. Subtract line 39 from line 38. ...................................................................................................................... 40                              00
                                                                                                                                                      41 - 50 Voluntary Gifts to: AID TOrefund only) ................ 41
                                                                                                                                                                                                  EDUCATION
                                                                                                                                                                                                                                                                    00 ARIZONA WILDLIFE ............. 42                                                 00
                                                                                                                                                                                      (entire
                                                                                                                                                                                     CITIZENS CLEAN ELECTIONS .. 43                                                 00 CHILD ABUSE PREVENTION .. 44                                                      00
                                                                                                                                                                                                                                                                            NATIONAL GUARD
                                                                                                                                                                                     DOMESTIC VIOLENCE SHELTER 45                                                   00 RELIEF FUND ...................... 46                                             00
                                                                                                                                                                                     NEIGHBORS HELPING
                                                                                                                                                                                     NEIGHBORS ......................... 47                                         00 SPECIAL OLYMPICS ............. 48                                                 00
                                                                                                                                                                                     VETERANSā€™ DONATIONS FUND 49                                                    00 POLITICAL GIFT .................. 50                                              00
                                                                                                                                                      51 Check only one if making a political gift: 511 Democratic 512 Libertarian 513 Republican
                                                                                                                                                      52 Estimated payment penalty and MSA withdrawal penalty .................................................................................................................... 52                                  00
                                                                                                                                                      53 Check applicable boxes: 531 Annualized/Other 532 Farmer or Fisherman 533 Form 221 attached 534 MSA Penalty
                                                                                                                                                      54 Total of lines 41, 42, 43, 44, 45, 46, 47, 48, 49, 50 and 52 ................................................................................................................... 54                           00
                                                                                                                                                      55 REFUND. Subtract line 54 from line 40. If less than zero, enter amount owed on line 56 ................................................................. 55                                                   00
                                                                                                                                                                    Direct Deposit of Refund: See instructions.
                                                                                                                                                                                                                                                      =
                                                                                                                                                                    ROUTING NUMBER                                        ACCOUNT NUMBER

                                                                                                                                                                                                                                                      =                                                              C         Checking or
                                                                                                                                                              98                                                                                                                                                     S         Savings
                                                                                                                                                      56 AMOUNT OWED. Add lines 37 and 54. Make check payable to Arizona Department of Revenue; include SSN on payment.                                                                                   56           00
                                                                                                                                                                   Payment enclosed. Check the box and attach payment. PLEASE DO NOT SEND CASH.
                                                                                                                                                                                                                                                                                                                                           Fast ā€¢ Safe ā€¢ Secure
                                                                                                                                                                                                                                                                                                                         e-ļ¬le
ADOR 91-0080f (07)
YOUR NAME AS SHOWN ON PAGE 1                                                                                                                               YOUR SOCIAL SECURITY NO.


PART A: Dependents - 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 2007




     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:

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

PART B: Arizona Percent of Total Income                                                                                                                                    2007 FEDERAL                              2007 ARIZONA
                                                                                                                                                                       Amount from federal return                   Source amount only
 B4                 Wages, salaries, tips, etc .....................................................................................................................    B4                    00                                     00
 B5                 Interest .................................................................................................................................................
                                                                                                                                                                        B5                    00                                     00
 B6                 Dividends .............................................................................................................................................
                                                                                                                                                                        B6                    00                                     00
 B7                 Arizona income tax refunds .................................................................................................................        B7                    00                                     00
 B8                 Business income (or loss) from federal Schedule C ............................................................................                      B8                    00                                     00
 B9                 Gains (or losses) from federal Schedule D ..........................................................................................                B9                    00                                     00
B10                 Rents, royalties, partnerships, estates, trusts, small business corporations from federal Schedule E                                               B10                    00                                     00
B11                 Other income reported on your federal return......................................................................................                 B11                    00                                     00
B12                 Total income: Add lines B4 through B11 ...........................................................................................                 B12                    00                                     00
B13                 Other federal adjustments. Attach your own schedule .......................................................................                        B13                    00                                     00
B14                 Federal adjusted gross income. Subtract line B13 from line B12 in the FEDERAL column ...............                                               B14                    00
B15                 Arizona income: Subtract line B13 from line B12 in the ARIZONA column. Enter here and
                    on the front of this form on line 15 ..................................................................................................................................................   B15                    00
B16                 Arizona percentage: Divide line B15 by line B14, and enter the result (not over 100%) ...............................................................                                     B16                    %
PART C: Additions to Income
C17                 Early withdrawal of Arizona Retirement System contributions ........................................................................................................                      C17                    00
C18                 Total depreciation included in Arizona gross income ......................................................................................................................                C18                    00
C19                 Other additions to income. See instructions and attach your own schedule..................................................................................                                C19                    00
C20                 Total: Add lines C17 through C19. Enter here and on the front of this form on line 16 .................................................................                                   C20                    00
PART D: Subtractions from Income
D21                 Exemption: Age 65 or over. Multiply the number in box 8, page 1, by $2,100 ................................... D21                                                 00
D22                 Exemption: Blind. Multiply the number in box 9, page 1, by $1,500 .................................................. D22                                           00
D23                 Exemption: Dependents. Multiply the number in box 10, page 1, by $2,300 ..................................... D23                                                  00
D24                 Total exemptions: Add lines D21 through D23 .................................................................................... D24                               00
D25                 Multiply line D24 by the percentage on line B16, and enter the result ............................................................................................ D25                                           00
D26                 Interest on U.S. obligations such as U.S. savings bonds and treasury bills included in the ARIZONA column .............................. D26                                                                     00
D27                 Arizona state lottery winnings included on line B11 in the ARIZONA column (up to $5,000 only) .................................................. D27                                                             00
D28                 Agricultural crops contributed to Arizona charitable organizations ................................................................................................. D28                                         00
D29                 Construction of an energy efļ¬cient residence. See page 10 of the instructions. Enter number D29a                                       , then amount ...... D29                                                  00
D30                 Other subtractions from income. See instructions and attach your own schedule ........................................................................ D30                                                       00
D31                 Total: Add lines D25 through D30. Enter here and on the front of this form, line 18 ..................................................................... D31                                                    00
Part E: Last Name(s) Used in Prior Years if different from name(s) used in current year
 E32
                     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
 PLEASE SIGN HERE




                     and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

                     YOUR SIGNATURE                                                                                                  DATE                             OCCUPATION

                     SPOUSEā€™S SIGNATURE                                                                                              DATE                             SPOUSEā€™S OCCUPATION

                     PAID PREPARERā€™S SIGNATURE                                                                                       FIRMā€™S NAME (PREPARERā€™S IF SELF-EMPLOYED)

                     PAID PREPARERā€™S TIN                                        DATE                                      PAID PREPARERā€™S ADDRESS
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.

                                                                                               Print AZ Form 140NR (2007) Form
                                                                                                     Form        Reset
ADOR 91-0080f (07)                                                                                                                                                                                                            Page 2 of 2

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azdor.gov Forms 140NR_f

  • 1. ARIZONA FORM Nonresident Personal Income Tax Return 2007 140NR FOR CALENDAR YEAR 2007 OR 66 FISCAL YEAR BEGINNING M M D D Y Y Y Y AND ENDING M M D D Y Y Y Y . YOUR FIRST NAME AND INITIAL LAST NAME YOUR SOCIAL SECURITY NO. (required) 1 IF A JOINT RETURN, SPOUSEā€™S FIRST NAME AND INITIAL LAST NAME SPOUSEā€™S SOCIAL SECURITY NO. (required) 1 PRESENT HOME ADDRESS - NUMBER AND STREET, RURAL ROUTE APT. NO. DAYTIME PHONE (with area code) IMPORTANT 2 Check this box if: CITY, TOWN OR POST OFFICE STATE ZIP CODE HOME PHONE (with area code) 3 Filing under extension 94 82F 4 Married ļ¬ling joint return FOR DOR USE ONLY Filing Status 5 Head of household - name of qualifying child or dependent ā–ŗ 6 Married ļ¬ling separate return. Enter spouseā€™s Social Security Number above and full name here....... ā–ŗ 7 Single 88 Enter the number claimed. Do not put a check mark. ATTACH PAYMENT HERE. Attach W-2 to back of last page of the return. If itemizing, attach your federal Schedule A and Arizona Schedule A. Exemptions 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 11-13 Residency Status (check one): 11 Nonresident 12 Nonresident Active Military 13 Composite Return 14 Federal adjusted gross income (from your federal return) ........................................................................... 14 00 15 Arizona income (from page 2, line B15)................................................................................................................................................ 15 00 16 Additions to income (from page 2, line C20) ......................................................................................................................................... 16 00 17 Add lines 15 and 16 .............................................................................................................................................................................. 17 00 18 Subtractions from income (from page 2, line D31). Enter the number from line D29a. 181 .................................................... 18 00 19 Arizona adjusted gross income. Subtract line 18 from line 17 ............................................................................................................. 19 00 20 Deductions. Check box and enter amount. See instructions, pages 11 and 12. 20I ITEMIZED 20S STANDARD 20 00 21 Personal exemptions. See page 12 of the instructions. ....................................................................................................................... 21 00 22 Arizona taxable income. Subtract lines 20 and 21 from line 19 ........................................................................................................... 22 00 23 Compute the tax using Tax Rate Table X or Y ...................................................................................................................................... 23 00 24 Tax from recapture of credits from Arizona Form 301, line 30 .............................................................................................................. 24 00 25 Subtotal of tax. Add lines 23 and 24 .................................................................................................................................................... 25 00 26 - 27 Clean Elections Fund Tax Reduction. See instructions, page 13. YOURSELF 262 SPOUSE ........ 27 00 261 28 Reduced tax. Subtract line 27 from line 25 .......................................................................................................................................... 28 00 29 Credits from Arizona Form 301, line 57, or Forms 321, 322 and 323 if Form 301 is not required ........................................................ 29 00 30 Credit type. Enter form number of each credit claimed: 30 3 3 3 3 31 Clean Elections Fund Tax Credit. From worksheet on page 15 of the instructions.............................................................................. 31 00 32 Balance of tax. Subtract lines 29 and 31 from line 28. If the sum of lines 29 and 31 is more than line 28, enter zero. ...................... 32 00 33 Arizona income tax withheld during 2007 ............................................................................................................................................. 33 00 34 Arizona estimated tax payments for 2007............................................................................................................................................. 34 00 35 Amount paid with 2007 Arizona extension request (Form 204) ............................................................................................................ 35 00 36 Total payments/refundable credits. Add lines 33 through 35 ............................................................................................................... 36 00 37 TAX DUE. If line 32 is larger than line 36, subtract line 36 from line 32, and enter amount of tax due. Skip lines 38, 39 and 40 ....... 37 00 38 OVERPAYMENT. If line 36 is larger than line 32, subtract line 32 from line 36, and enter amount of overpayment ........................... 38 00 39 Amount of line 38 to be applied to 2008 estimated tax ......................................................................................................................... 39 00 40 Balance of overpayment. Subtract line 39 from line 38. ...................................................................................................................... 40 00 41 - 50 Voluntary Gifts to: AID TOrefund only) ................ 41 EDUCATION 00 ARIZONA WILDLIFE ............. 42 00 (entire CITIZENS CLEAN ELECTIONS .. 43 00 CHILD ABUSE PREVENTION .. 44 00 NATIONAL GUARD DOMESTIC VIOLENCE SHELTER 45 00 RELIEF FUND ...................... 46 00 NEIGHBORS HELPING NEIGHBORS ......................... 47 00 SPECIAL OLYMPICS ............. 48 00 VETERANSā€™ DONATIONS FUND 49 00 POLITICAL GIFT .................. 50 00 51 Check only one if making a political gift: 511 Democratic 512 Libertarian 513 Republican 52 Estimated payment penalty and MSA withdrawal penalty .................................................................................................................... 52 00 53 Check applicable boxes: 531 Annualized/Other 532 Farmer or Fisherman 533 Form 221 attached 534 MSA Penalty 54 Total of lines 41, 42, 43, 44, 45, 46, 47, 48, 49, 50 and 52 ................................................................................................................... 54 00 55 REFUND. Subtract line 54 from line 40. If less than zero, enter amount owed on line 56 ................................................................. 55 00 Direct Deposit of Refund: See instructions. = ROUTING NUMBER ACCOUNT NUMBER = C Checking or 98 S Savings 56 AMOUNT OWED. Add lines 37 and 54. Make check payable to Arizona Department of Revenue; include SSN on payment. 56 00 Payment enclosed. Check the box and attach payment. PLEASE DO NOT SEND CASH. Fast ā€¢ Safe ā€¢ Secure e-ļ¬le ADOR 91-0080f (07)
  • 2. YOUR NAME AS SHOWN ON PAGE 1 YOUR SOCIAL SECURITY NO. PART A: Dependents - 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 2007 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: b Enter dependents listed above who were not claimed on your federal return due to education credits: PART B: Arizona Percent of Total Income 2007 FEDERAL 2007 ARIZONA Amount from federal return Source amount only B4 Wages, salaries, tips, etc ..................................................................................................................... B4 00 00 B5 Interest ................................................................................................................................................. B5 00 00 B6 Dividends ............................................................................................................................................. B6 00 00 B7 Arizona income tax refunds ................................................................................................................. B7 00 00 B8 Business income (or loss) from federal Schedule C ............................................................................ B8 00 00 B9 Gains (or losses) from federal Schedule D .......................................................................................... B9 00 00 B10 Rents, royalties, partnerships, estates, trusts, small business corporations from federal Schedule E B10 00 00 B11 Other income reported on your federal return...................................................................................... B11 00 00 B12 Total income: Add lines B4 through B11 ........................................................................................... B12 00 00 B13 Other federal adjustments. Attach your own schedule ....................................................................... B13 00 00 B14 Federal adjusted gross income. Subtract line B13 from line B12 in the FEDERAL column ............... B14 00 B15 Arizona income: Subtract line B13 from line B12 in the ARIZONA column. Enter here and on the front of this form on line 15 .................................................................................................................................................. B15 00 B16 Arizona percentage: Divide line B15 by line B14, and enter the result (not over 100%) ............................................................... B16 % PART C: Additions to Income C17 Early withdrawal of Arizona Retirement System contributions ........................................................................................................ C17 00 C18 Total depreciation included in Arizona gross income ...................................................................................................................... C18 00 C19 Other additions to income. See instructions and attach your own schedule.................................................................................. C19 00 C20 Total: Add lines C17 through C19. Enter here and on the front of this form on line 16 ................................................................. C20 00 PART D: Subtractions from Income D21 Exemption: Age 65 or over. Multiply the number in box 8, page 1, by $2,100 ................................... D21 00 D22 Exemption: Blind. Multiply the number in box 9, page 1, by $1,500 .................................................. D22 00 D23 Exemption: Dependents. Multiply the number in box 10, page 1, by $2,300 ..................................... D23 00 D24 Total exemptions: Add lines D21 through D23 .................................................................................... D24 00 D25 Multiply line D24 by the percentage on line B16, and enter the result ............................................................................................ D25 00 D26 Interest on U.S. obligations such as U.S. savings bonds and treasury bills included in the ARIZONA column .............................. D26 00 D27 Arizona state lottery winnings included on line B11 in the ARIZONA column (up to $5,000 only) .................................................. D27 00 D28 Agricultural crops contributed to Arizona charitable organizations ................................................................................................. D28 00 D29 Construction of an energy efļ¬cient residence. See page 10 of the instructions. Enter number D29a , then amount ...... D29 00 D30 Other subtractions from income. See instructions and attach your own schedule ........................................................................ D30 00 D31 Total: Add lines D25 through D30. Enter here and on the front of this form, line 18 ..................................................................... D31 00 Part E: Last Name(s) Used in Prior Years if different from name(s) used in current year E32 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 PLEASE SIGN HERE and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. YOUR SIGNATURE DATE OCCUPATION SPOUSEā€™S SIGNATURE DATE SPOUSEā€™S OCCUPATION PAID PREPARERā€™S SIGNATURE FIRMā€™S NAME (PREPARERā€™S IF SELF-EMPLOYED) PAID PREPARERā€™S TIN DATE PAID PREPARERā€™S ADDRESS 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. Print AZ Form 140NR (2007) Form Form Reset ADOR 91-0080f (07) Page 2 of 2