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Resident Personal Income Tax Return
ARIZONA FORM
                                                                                                                                                                                                                                                                                                                                                                         2006
                                                                                                                                                                                                                   FOR CALENDAR YEAR 2006 OR
                                                                                                                                                                           140                                                                                 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.
                                                                                                                                                                  1
                                                                              IF A JOINT RETURN, SPOUSE’S FIRST NAME AND INITIAL                                                                                                                                   LAST NAME                                                         SPOUSE’S SOCIAL SECURITY NO.
                                                                                                                                                                  1
                                                                              PRESENT HOME ADDRESS - NUMBER AND STREET, RURAL ROUTE APT. NO. DAYTIME PHONE (with area code)                                                                                                                                                                       IMPORTANT
                                                                                                                                                                                                                                                                                                                                            You must enter your SSNs.
                                                                                                                                                                  2
                                                                              CITY, TOWN OR POST OFFICE                                                                                                               STATE        ZIP CODE                        HOME PHONE (with area code)                                       Check this box if:
                                                                                                                                                                  3                                                                                                 94                                                                                              Filing under extension
                                                                                                                                                                                                                                                                                                                                     82F
                                                                                                                                                                      4   Married filing joint return                                                                                                                                       FOR DOR USE ONLY
Filing Status




                                                                                                                                                                      5   Head of household - name of qualifying child or dependent ►
                                                                                                                                                                      6   Married filing separate return. Enter spouse’s Social
                                                                                                                                                                          Security No. above and full name here ►
                                                                                                                                                                    7     Single
                                                                                                                                                                                  8          Age 65 or over (you and/or spouse)                                                                             88
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 if required. Exemptions




                                                                                                                                                                  Enter the
                                                                                                                                                                  number          9          Blind (you and/or spouse)
                                                                                                                                                                  claimed. Do
                                                                                                                                                                                 10          Dependents. From page 2, line A2 - do not include self or spouse.
                                                                                                                                                                  not put a
                                                                                                                                                                  check mark. 11             Qualifying parents and ancestors of your parents. From page 2, line A5. 81                                                                                         80
                                                                                                                                                                  12 Federal adjusted gross income (from your federal return) .................................................................................................................... 12                                   00
                                                                                                                                                                  13 Additions to income (from page 2, line B13) ......................................................................................................................................... 13                           00
                                                                                                                                                                  14 Add lines 12 and 13 .............................................................................................................................................................................. 14              00
                                                                                                                                                                  15 Subtractions from income (from page 2, line C18 or line C30). If applicable, enter the number from line C27a: 151 ...................... 15                                                                        00
                                                                                                                                                                  16 Arizona adjusted gross income. Subtract line 15 from line 14 ............................................................................................................. 16                                      00
                                                                                                                                                                  17 Deductions. Check box and enter amount. See instructions, page 13. 17I                                                ITEMIZED 17S                      STANDARD ...................... 17                         00
                                                                                                                                                                  18 Personal exemptions. See page 13 of the instructions ........................................................................................................................ 18                                   00
                                                                                                                                                                  19 Arizona taxable income. Subtract lines 17 and 18 from line 16. If less than zero, enter zero ............................................................ 19                                                       00
                                                                                                                                                                  20 Compute the tax using amount on line 19 and Tax Rate Table X, Y or Optional Tax Rate Tables ........................................................ 20                                                            00
                                                                                                                                                                  21 Tax from recapture of credits from Arizona Form 301, line 31 .............................................................................................................. 21                                     00
                                                                                                                                                                  22 Subtotal of tax. Add lines 20 and 21 .................................................................................................................................................... 22                       00
                                                                                                                                                                  23 - 24 Clean Elections Fund Tax Reduction. See instructions, page 14. 231 YOURSELF 232 SPOUSE ................................. 24                                                                                   00
                                                                                                                                                                  25 Reduced tax. Subtract line 24 from line 22 .......................................................................................................................................... 25                           00
                                                                                                                                                                  26 Family income tax credit from worksheet on page 15 of instructions ................................................................................................... 26                                          00
                                                                                                                                                                  27 Credits from Arizona Form 301, line 57, or Forms 310, 321, 322, and 323 if Form 301 is not required ............................................... 27                                                             00
                                                                                                                                                                  28 Credit type. Enter form number of each credit claimed: 28 3                                                        3                      3                      3
                                                                                                                                                                  29 Clean Elections Fund Tax Credit. From worksheet on page 17 of the instructions.............................................................................. 29                                                    00
                                                                                                                                                                  30 Balance of tax. Subtract lines 26, 27 and 29 from line 25. If the sum of lines 26, 27 and 29 is more than line 25, enter zero ........... 30                                                                       00
                                                                                                                                                                  31 Arizona income tax withheld during 2006 ............................................................................................................................................. 31                           00
                                                                                                                                                                  32 Arizona estimated tax payments for 2006............................................................................................................................................. 32                            00
                                                                                                                                                                  33 Amount paid with 2006 Arizona extension request (Form 204) ............................................................................................................ 33                                         00
                                                                                                                                                                  34 Increased Excise Tax Credit from worksheet on page 17 of the instructions........................................................................................ 34                                               00
                                                                                                                                                                  35 Property Tax Credit from Form 140PTC ............................................................................................................................................... 35                            00
                                                                                                                                                                  36 Total payments/refundable credits. Add lines 31 through 35 ............................................................................................................... 36                                      00
                                                                                                                                                                  37 TAX DUE. If line 30 is larger than line 36, subtract line 36 from line 30 and enter amount of tax due. Skip lines 38, 39 and 40 ........ 37                                                                        00
                                                                                                                                                                  38 OVERPAYMENT. If line 36 is larger than line 30, subtract line 30 from line 36 and enter amount of overpayment ............................ 38                                                                      00
                                                                                                                                                                  39 Amount of line 38 to be applied to 2007 estimated tax ......................................................................................................................... 39                                 00
                                                                                                                                                                  40 Balance of overpayment. Subtract line 39 from line 38 ....................................................................................................................... 40                                   00
                                                                                                                                                                  41 - 49 Voluntary Gifts to:
                                                                                                                                                                                                                                                                                                       CITIZENS CLEAN
                                                                                                                                                                      AID TO EDUCATION
                                                                                                                                                                      (entire refund only) ........ 41                  00 ARIZONA WILDLIFE .... 42                                           00 ELECTIONS ............. 43                                          00
                                                                                                                                                                      CHILD ABUSE                                                DOMESTIC VIOLENCE
                                                                                                                                                                                                                                                                                              00 NATIONAL GUARD
                                                                                                                                                                                                     44                 00 SHELTER ........................ 45                                                                             46                        00
                                                                                                                                                                      PREVENTION ...................                                                                                                   RELIEF FUND ............
                                                                                                                                                                      NEIGHBORS HELPING
                                                                                                                                                                                                     47                 00 SPECIAL OLYMPICS ..... 48                                          00 POLITICAL GIFT ........ 49                                          00
                                                                                                                                                                      NEIGHBORS.....................
                                                                                                                                                                  50 Check only one if making a political gift: 501 Democratic 502 Libertarian 503 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
                                                                                                                                                                  53 Total of lines 41, 42, 43, 44, 45, 46, 47, 48, 49, and 51 ........................................................................................................................ 53                              00
                                                                                                                                                                  54 REFUND. Subtract line 53 from line 40. If less than zero, enter amount owed on line 55 ................................................................. 54                                                        00
                                                                                                                                                                               Direct Deposit of Refund: See instructions.
                                                                                                                                                                                                                                                                  =
                                                                                                                                                                               ROUTING NUMBER                                    ACCOUNT NUMBER

                                                                                                                                                                                                                                                                  =                                                   C        Checking or
                                                                                                                                                                          98                                                                                                                                          S        Savings
                                                                                                                                                                  55 AMOUNT OWED. Add lines 37 and 53. Make check payable to Arizona Department of Revenue; include SSN on payment.                                                                     55                           00
                                                                                                                                                                               Payment enclosed. Check the box and attach payment.

                                                                                                                                                                                                                                              e-file             Fast • Safe • Secure
        ADOR 91-0011 (06)
Form 140 (2006)                                                                                                                                                                                                                Page 2 of 2
PART A: Dependents and Qualifying Parents - do not list yourself or spouse
If completing Part A, also complete Part C, lines C16 and/or C17 and C18.
  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 2006




   A2              Enter total number of persons listed in A1 here and on the front of this form, box 10. Also complete Part C below ........ 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:

   A4              List qualifying parents and ancestors of your parents. 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 ancestor of your parents, see page 6 of the instructions.
                                                                                                                                                  NO. OF MONTHS LIVED
                   FIRST AND LAST NAME                                            SOCIAL SECURITY NO.                  RELATIONSHIP               IN YOUR HOME IN 2006

   A5              Enter total number of persons listed in A4 here and on the front of this form, box 11 .......................................................... TOTAL                                           A5
PART B: Additions to Income
 B6                Non-Arizona municipal interest ........................................................................................................................................................          B6                  00
 B7                Early withdrawal of Arizona Retirement System contributions not included on your federal return .................................................                                                B7                  00
 B8                Ordinary income portion of lump-sum distributions excluded on your federal return .......................................................................                                        B8                  00
 B9                Total federal depreciation.................................................................................................................................................................      B9                  00
B10                Medical savings account (MSA) distributions. See page 7 of the instructions ................................................................................                                    B10                  00
B11                I.R.C. §179 expense in excess of allowable amount. See page 8 of the instructions ....................................................................                                          B11                  00
B12                Other additions to income. See instructions and attach your own schedule ..................................................................................                                     B12                  00
B13                Total. Add lines B6 through B12. Enter here and on the front of this form, line 13 .......................................................................                                      B13                  00
PART C: Subtractions from Income
C14                Exemption: Age 65 or over. Multiply the number in box 8, page 1, by $2,100 ...........................................                                   C14                       00
C15                Exemption: Blind. Multiply the number in box 9, page 1, by $1,500 ...........................................................                            C15                       00
C16                Exemption: Dependents. Multiply the number in box 10, page 1, by $2,300 .............................................                                    C16                       00
C17                Exemption: Qualifying parents and ancestors of your parents. Multiply the number in
                   box 11, page 1, by $10,000 ............................................................................................................................. C17                       00
C18                Total exemptions: Add lines C14 through C17. If you have no other subtractions from
                   income, skip lines C19 through C30 and enter the amount on line C18 on Form 140, Page 1, line 15. ................................ C18                                                                               00
C19                Interest on U.S. obligations such as U.S. savings bonds and treasury bills .................................................................................... C19                                                  00
C20                Exclusion for federal, Arizona state or local government pensions (up to $2,500 per taxpayer) ..................................................... C20                                                              00
C21                Arizona state lottery winnings included as income on your federal return (up to $5,000 only) ........................................................ C21                                                            00
C22                U.S. Social Security or Railroad Retirement Act benefits included as income on your federal return (the taxable amount) ........... C22                                                                               00
C23                Recalculated Arizona depreciation .................................................................................................................................................. C23                             00
C24                Certain wages of American Indians ................................................................................................................................................. C24                              00
C25                Income tax refund from other states. See instructions ................................................................................................................... C25                                        00
C26                Deposits and employer contributions into MSAs. See page 11 of the instructions ......................................................................... C26                                                         00
C27                Construction of an energy efficient residence. See page 11 of the instructions. Enter number: C27a                                                            , then amount. ..... C27                                00
C28                Active duty military pay (including combat pay) that you included in federal adjusted gross income .............................................. C28                                                                00
C29                Other subtractions from income. See instructions and attach your own schedule ......................................................................... C29                                                          00
C30                Total: Add lines C18 through C29. Enter here and on the front of this form, line 15 ................................................................ C30                                                             00
Part D: Last Name(s) Used in Prior Years if different from name(s) used in current year
D31
                    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

                    SPOUSE’S SIGNATURE                                                                                                 DATE                            SPOUSE’S OCCUPATION

                    PAID PREPARER’S SIGNATURE                                                                                          FIRM’S NAME (PREPARER’S IF SELF-EMPLOYED)

                    PAID PREPARER’S TIN                                         DATE                                        PAID PREPARER’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.
ADOR 91-0011 (06)

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serve means140

  • 1. Resident Personal Income Tax Return ARIZONA FORM 2006 FOR CALENDAR YEAR 2006 OR 140 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. 1 IF A JOINT RETURN, SPOUSE’S FIRST NAME AND INITIAL LAST NAME SPOUSE’S SOCIAL SECURITY NO. 1 PRESENT HOME ADDRESS - NUMBER AND STREET, RURAL ROUTE APT. NO. DAYTIME PHONE (with area code) IMPORTANT You must enter your SSNs. 2 CITY, TOWN OR POST OFFICE STATE ZIP CODE HOME PHONE (with area code) Check this box if: 3 94 Filing under extension 82F 4 Married filing joint return FOR DOR USE ONLY Filing Status 5 Head of household - name of qualifying child or dependent ► 6 Married filing separate return. Enter spouse’s Social Security No. above and full name here ► 7 Single 8 Age 65 or over (you and/or spouse) 88 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 if required. Exemptions Enter the number 9 Blind (you and/or spouse) claimed. Do 10 Dependents. From page 2, line A2 - do not include self or spouse. not put a check mark. 11 Qualifying parents and ancestors of your parents. From page 2, line A5. 81 80 12 Federal adjusted gross income (from your federal return) .................................................................................................................... 12 00 13 Additions to income (from page 2, line B13) ......................................................................................................................................... 13 00 14 Add lines 12 and 13 .............................................................................................................................................................................. 14 00 15 Subtractions from income (from page 2, line C18 or line C30). If applicable, enter the number from line C27a: 151 ...................... 15 00 16 Arizona adjusted gross income. Subtract line 15 from line 14 ............................................................................................................. 16 00 17 Deductions. Check box and enter amount. See instructions, page 13. 17I ITEMIZED 17S STANDARD ...................... 17 00 18 Personal exemptions. See page 13 of the instructions ........................................................................................................................ 18 00 19 Arizona taxable income. Subtract lines 17 and 18 from line 16. If less than zero, enter zero ............................................................ 19 00 20 Compute the tax using amount on line 19 and Tax Rate Table X, Y or Optional Tax Rate Tables ........................................................ 20 00 21 Tax from recapture of credits from Arizona Form 301, line 31 .............................................................................................................. 21 00 22 Subtotal of tax. Add lines 20 and 21 .................................................................................................................................................... 22 00 23 - 24 Clean Elections Fund Tax Reduction. See instructions, page 14. 231 YOURSELF 232 SPOUSE ................................. 24 00 25 Reduced tax. Subtract line 24 from line 22 .......................................................................................................................................... 25 00 26 Family income tax credit from worksheet on page 15 of instructions ................................................................................................... 26 00 27 Credits from Arizona Form 301, line 57, or Forms 310, 321, 322, and 323 if Form 301 is not required ............................................... 27 00 28 Credit type. Enter form number of each credit claimed: 28 3 3 3 3 29 Clean Elections Fund Tax Credit. From worksheet on page 17 of the instructions.............................................................................. 29 00 30 Balance of tax. Subtract lines 26, 27 and 29 from line 25. If the sum of lines 26, 27 and 29 is more than line 25, enter zero ........... 30 00 31 Arizona income tax withheld during 2006 ............................................................................................................................................. 31 00 32 Arizona estimated tax payments for 2006............................................................................................................................................. 32 00 33 Amount paid with 2006 Arizona extension request (Form 204) ............................................................................................................ 33 00 34 Increased Excise Tax Credit from worksheet on page 17 of the instructions........................................................................................ 34 00 35 Property Tax Credit from Form 140PTC ............................................................................................................................................... 35 00 36 Total payments/refundable credits. Add lines 31 through 35 ............................................................................................................... 36 00 37 TAX DUE. If line 30 is larger than line 36, subtract line 36 from line 30 and enter amount of tax due. Skip lines 38, 39 and 40 ........ 37 00 38 OVERPAYMENT. If line 36 is larger than line 30, subtract line 30 from line 36 and enter amount of overpayment ............................ 38 00 39 Amount of line 38 to be applied to 2007 estimated tax ......................................................................................................................... 39 00 40 Balance of overpayment. Subtract line 39 from line 38 ....................................................................................................................... 40 00 41 - 49 Voluntary Gifts to: CITIZENS CLEAN AID TO EDUCATION (entire refund only) ........ 41 00 ARIZONA WILDLIFE .... 42 00 ELECTIONS ............. 43 00 CHILD ABUSE DOMESTIC VIOLENCE 00 NATIONAL GUARD 44 00 SHELTER ........................ 45 46 00 PREVENTION ................... RELIEF FUND ............ NEIGHBORS HELPING 47 00 SPECIAL OLYMPICS ..... 48 00 POLITICAL GIFT ........ 49 00 NEIGHBORS..................... 50 Check only one if making a political gift: 501 Democratic 502 Libertarian 503 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 53 Total of lines 41, 42, 43, 44, 45, 46, 47, 48, 49, and 51 ........................................................................................................................ 53 00 54 REFUND. Subtract line 53 from line 40. If less than zero, enter amount owed on line 55 ................................................................. 54 00 Direct Deposit of Refund: See instructions. = ROUTING NUMBER ACCOUNT NUMBER = C Checking or 98 S Savings 55 AMOUNT OWED. Add lines 37 and 53. Make check payable to Arizona Department of Revenue; include SSN on payment. 55 00 Payment enclosed. Check the box and attach payment. e-file Fast • Safe • Secure ADOR 91-0011 (06)
  • 2. Form 140 (2006) Page 2 of 2 PART A: Dependents and Qualifying Parents - do not list yourself or spouse If completing Part A, also complete Part C, lines C16 and/or C17 and C18. 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 2006 A2 Enter total number of persons listed in A1 here and on the front of this form, box 10. Also complete Part C below ........ 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: A4 List qualifying parents and ancestors of your parents. 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 ancestor of your parents, see page 6 of the instructions. NO. OF MONTHS LIVED FIRST AND LAST NAME SOCIAL SECURITY NO. RELATIONSHIP IN YOUR HOME IN 2006 A5 Enter total number of persons listed in A4 here and on the front of this form, box 11 .......................................................... TOTAL A5 PART B: Additions to Income B6 Non-Arizona municipal interest ........................................................................................................................................................ B6 00 B7 Early withdrawal of Arizona Retirement System contributions not included on your federal return ................................................. B7 00 B8 Ordinary income portion of lump-sum distributions excluded on your federal return ....................................................................... B8 00 B9 Total federal depreciation................................................................................................................................................................. B9 00 B10 Medical savings account (MSA) distributions. See page 7 of the instructions ................................................................................ B10 00 B11 I.R.C. §179 expense in excess of allowable amount. See page 8 of the instructions .................................................................... B11 00 B12 Other additions to income. See instructions and attach your own schedule .................................................................................. B12 00 B13 Total. Add lines B6 through B12. Enter here and on the front of this form, line 13 ....................................................................... B13 00 PART C: Subtractions from Income C14 Exemption: Age 65 or over. Multiply the number in box 8, page 1, by $2,100 ........................................... C14 00 C15 Exemption: Blind. Multiply the number in box 9, page 1, by $1,500 ........................................................... C15 00 C16 Exemption: Dependents. Multiply the number in box 10, page 1, by $2,300 ............................................. C16 00 C17 Exemption: Qualifying parents and ancestors of your parents. Multiply the number in box 11, page 1, by $10,000 ............................................................................................................................. C17 00 C18 Total exemptions: Add lines C14 through C17. If you have no other subtractions from income, skip lines C19 through C30 and enter the amount on line C18 on Form 140, Page 1, line 15. ................................ C18 00 C19 Interest on U.S. obligations such as U.S. savings bonds and treasury bills .................................................................................... C19 00 C20 Exclusion for federal, Arizona state or local government pensions (up to $2,500 per taxpayer) ..................................................... C20 00 C21 Arizona state lottery winnings included as income on your federal return (up to $5,000 only) ........................................................ C21 00 C22 U.S. Social Security or Railroad Retirement Act benefits included as income on your federal return (the taxable amount) ........... C22 00 C23 Recalculated Arizona depreciation .................................................................................................................................................. C23 00 C24 Certain wages of American Indians ................................................................................................................................................. C24 00 C25 Income tax refund from other states. See instructions ................................................................................................................... C25 00 C26 Deposits and employer contributions into MSAs. See page 11 of the instructions ......................................................................... C26 00 C27 Construction of an energy efficient residence. See page 11 of the instructions. Enter number: C27a , then amount. ..... C27 00 C28 Active duty military pay (including combat pay) that you included in federal adjusted gross income .............................................. C28 00 C29 Other subtractions from income. See instructions and attach your own schedule ......................................................................... C29 00 C30 Total: Add lines C18 through C29. Enter here and on the front of this form, line 15 ................................................................ C30 00 Part D: Last Name(s) Used in Prior Years if different from name(s) used in current year D31 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 SPOUSE’S SIGNATURE DATE SPOUSE’S OCCUPATION PAID PREPARER’S SIGNATURE FIRM’S NAME (PREPARER’S IF SELF-EMPLOYED) PAID PREPARER’S TIN DATE PAID PREPARER’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. ADOR 91-0011 (06)