azdor.gov Forms 140X_fillable

This document is an Arizona individual amended income tax return form for the year 2004. It provides lines to amend information reported on the original 2004 tax return such as federal adjusted gross income, additions and subtractions to income, deductions, exemptions, tax credits, payments and the amount of refund or tax owed. The form includes sections to amend dependent exemptions, qualifying parent/ancestor exemptions and income, deduction and credit amounts. It requires the taxpayer's signature declaring the amended return is true and correct.