The document is a request form for Arkansas tax preparers to receive the Arkansas Package A, which contains commonly used Arkansas individual, corporate, and withholding tax forms. It provides instructions for tax preparers to order up to 3 packages for a postage fee, which also includes a complimentary CD of state tax forms. The form collects the requester's contact information and amount of packages ordered so they can receive the packages in the mail along with payment for postage.

1. AR1000PA 2008
STATE OF ARKANSAS
REQUEST FORM FOR ARKANSAS PACKAGE A
State of Arkansas Joel Y. Ledbetter Building
Income Tax Forms Supply Room 2300
P.O. Box 3628 7th & Wolfe
Little Rock, AR 72203-3628 (501) 682-1100
Name ID or SSN
PRINT Address (Please Use Street Address) Social Security Number
OR
TYPE
City, State, & Zip Relationship to Taxpayer
IMPORTANT INCOME TAX INFORMATION
The State of Arkansas prints a package of forms similar to the IRS’s Package X. The State version is called the Arkansas
Package A and it contains the individual, corporate, and withholding income tax forms that are most commonly used
within the Income Tax Sections. Tax preparers are to use the forms in the Package A to set up their own printing or
photocopying to produce bulk quantities of tax forms. The State of Arkansas does not provide bulk quantities of forms
to tax preparers. The State of Arkansas does not charge for tax forms. The payment listed below is used for postage to
ship the Arkansas Package A to tax preparers. Please enclose a check or money order. The limit set on this form is to
insure that the State’s supply of Package A’s is sufficient to provide every pereparer’s business with a copy so PLEASE
OBSERVE THE LIMIT. You will receive a complimentary CD with each Package A order. The CD
contains all Arkansas forms, plus income tax forms for Missouri and Oklahoma.
NOTE: All forms contained in the Arkansas Package A can be downloaded from the Revenue Home page at:
http://www.arkansas.gov/dfa
ARKANSAS PACKAGE A - LIMIT 3
Circle the quantity ordered and include a check for the postage due.
1 1 2 2 3 3
Package A Package A Package A’s Package A Package A’s Package A
Postage = $2.50 CD Only Postage = $3.50 CD’s Only Postage = $4.50 CD’s Only
(With CD) (With CD) (With CD)
INSTRUCTIONS
1. Print or type your mailing information in the space provided above.
2. Attach a check or money order for the amount of postage. Do not send stamps or cash.
ORDERS WITHOUT PROPER REMITTANCE WILL NOT BE FILLED!
3. Enclose this form and your payment in an envelope and return to the mailing address at the top of this form.