1. Arizona Form
2001 Resident Personal Income Tax Return 140
Leave the Paper Behind…e-File! NOTE: Even if you do not have to file, you must still file a
• return to get a refund of any Arizona income tax withheld.
Quick Refunds
• Accurate CAUTION: Gross income for filing purposes may not be
• Proof of Acceptance the same as Arizona gross income for estimated payment
purposes. See page 3 of these instructions to see if you have
No more paper, math errors, or mailing delays when you e-File!
to make estimated income tax payments.
e-File is a cooperative tax filing program which makes it
Do You Have to File if You Are an American
possible for you to file both your Federal and Arizona
Indian?
Personal Income Tax Returns electronically at the same time.
You must file if you meet the Arizona filing requirements
Reap the benefits of e-File even if you owe taxes.
unless all the following apply to you.
e-File today, pay by April 15, 2002 to avoid penalties and interest.
• You are an enrolled member of an Indian tribe.
e-File your returns through an Authorized IRS/DOR e-file • You live on the reservation established for that tribe.
Provider or by using your Personal Computer and the Internet. • You earned all of your income on that reservation.
Visit our web site at www.revenue.state.az.us for a listing of
To find out more, see Arizona Department of Revenue
approved e-file providers and on-line filing sources.
Income Tax Ruling ITR 96-4.
Who Must Use Form 140? Do You Have to File if You Are a Non-
You (and your spouse if married filing a joint return) may Indian or Non-Enrolled Indian Married to
file Form 140 only if you are full year residents of Arizona. an American Indian?
You must use Form 140 rather than Form 140A or Form
You must file if you meet the Arizona filing requirements. For
140EZ to file for 2001 if any of the following apply to you.
details on how to figure what income to report, see Arizona
• You are single, head of household, married filing a Department of Revenue Income Tax Ruling ITR 96-4.
separate return, or married filing a joint return and your
Do You Have to File if You Are in the Military?
Arizona taxable income is $50,000 or more.
• You are making adjustments to income. You must file if you meet the Arizona filing requirements.
• You itemize deductions.
If you are an Arizona resident, you must report all of your
• You claim tax credits other than the family income tax
income, no matter where stationed. You must include your
credit, the credit for increased excise taxes, the property
military pay. If you were an Arizona resident when you
tax credit, or the Clean Elections Fund tax credit.
• You had taxable dividend income of more than $400, entered the service, you remain an Arizona resident, no
and you are not eligible to file Form 140EZ. matter where stationed, until you establish a new domicile.
• You had taxable interest income of more than $400, and If you are not an Arizona resident, but stationed in Arizona,
you are not eligible to file Form 140EZ. the following applies to you.
Do You Have to File? • You are not subject to Arizona income tax on your
military pay.
Arizona Filing Requirements
• You must report any other income you earn in Arizona.
These rules apply to all Arizona taxpayers. Use Form 140NR, Nonresident Personal Income Tax
You must file if AND your gross OR your Return, to report this income.
you are: income is at Arizona adjusted
To find out more, see Arizona Department of Revenue
least: gross income is
brochure, Pub 704, Taxpayers in the Military.
at least:
• Single $15,000 $ 5,500 If You Included Your Child's Unearned
• Married $15,000 $11,000 Income on Your Federal Return, Does Your
filing jointly
Child Have to File an Arizona Return?
• Married $15,000 $ 5,500
filing In this case, the child should not file an Arizona return. The
separately parent must include that same income in his or her Arizona
• Head of $15,000 $ 5,500 taxable income.
household
Residency Status
If you are an Arizona resident, you must report income
from all sources. This includes out-of-state income. If you are not sure if you are an Arizona resident for state
To see if you have to file, figure your gross income the income tax purposes, you should get Arizona Department of
same as you would figure your gross income for federal Revenue Income Tax Procedure ITP 92-1.
income tax purposes. Then, you should exclude income
Residents
Arizona law does not tax.
Income Arizona law does not tax includes: You are a resident of Arizona if your domicile is in Arizona.
• Interest from U.S. Government obligations Domicile is the place where you have your permanent home. It
• Social security retirement benefits received under is where you intend to return if you are living or working
temporarily in another state or country. If you leave Arizona
Title II of the Social Security Act
• Benefits received under the Railroad Retirement Act for a temporary period, you are still an Arizona resident while
gone. A resident is subject to tax on all income no matter
You can find your Arizona adjusted gross income on
where the resident earns the income.
line 16 of Arizona Form 140.

2. Form 140
Part-Year Residents To get a filing extension, you can either:
If you are a part-year resident, you must file Form 140PY, 1. Apply for a state extension (Form 204). To apply for a
Part-Year Resident Personal Income Tax Return. state extension, file Arizona Form 204 by April 15.
See Form 204 for details. You must attach a copy of the
You are a part-year resident if you did either of the
Arizona extension to the back of your return when you
following during 2001.
file. Also make sure that you check either box 82D or
• You moved into Arizona with the intent of becoming a 82F on page 1 of the return. If you must make a
resident. payment, use Arizona Form 204.
• You moved out of Arizona with the intent of giving up
2. You may use your federal extension (federal Form
your Arizona residency.
4868 or 2688). File your Arizona return by the same
Nonresidents due date. If you are filing under a federal extension,
you do not have to attach a copy of your federal
If you are a nonresident, you must file Form 140NR,
extension to your return, but make sure that you check
Nonresident Personal Income Tax Return.
either box 82D or box 82F on page 1 of the return.
What if a Taxpayer Died?
When Should You File if You Are a
If a taxpayer died before filing a return for 2001, the
Nonresident Alien?
taxpayer's spouse or personal representative may have to file
and sign a return for that taxpayer. If the deceased taxpayer You must file your Arizona tax return by April 15, even
did not have to file a return but had tax withheld, a return though your federal income tax return is due on June 15. If
must be filed to get a refund. you want to file your Arizona return when you file your
federal return, you may ask for an extension. See Form 204
The person who files the return should use the form the
for extension filing details.
taxpayer would have used. If the department mailed the
taxpayer a booklet, do not use the label. The person who What if You File or Pay Late?
files the return should print the word quot;deceasedquot; after the
If you file or pay late, the department can charge you interest
decedent's name in the address section of the form. Also
enter the date of death after the decedent's name. and penalties on the amount you owe. If the U.S. Post Office
postmarks your 2001 calendar year return by April 15, 2002,
If your spouse died in 2001 and you did not remarry in 2001,
your return will not be late. You may also use certain private
or if your spouse died in 2002 before filing a return for 2001,
delivery services designated by the IRS to meet the “timely
you may file a joint return. If your spouse died in 2001, the
joint return should show your spouse's 2001 income before mailing as timely filed” rule.
death, and your income for all of 2001. If your spouse died
Late Filing Penalty
in 2002, before filing the 2001 return, the joint return should
show all of your income and all of your spouse's income for If you file late, the department can charge you a late filing
2001. Print quot;Filing as surviving spousequot; in the area where penalty. This penalty is 4½ percent of the tax required to be
you sign the return. If someone else is the personal shown on the return for each month or fraction of a month
representative, he or she must also sign the return. the return is late. This penalty cannot exceed 25 percent of
the tax found to be remaining due.
Are Any Other Returns Required?
Late Payment Penalty
You may also have to file fiduciary income tax or estate tax
If you pay your tax late, the department can charge you a late
returns. For details about filing a fiduciary income tax return, call
payment penalty. This penalty is ½ of 1 percent (.005) of the
the department at (602) 255-3381. For details about filing an
amount shown as tax for each month or fraction of a month
estate tax return, call the department at (602) 542-4643.
for which the failure continues. This penalty cannot exceed
Claiming a Refund for a Deceased Taxpayer a total of 10 percent.
If you are claiming a refund, you must complete Form 131, Extension Underpayment Penalty
Claim for Refund on Behalf of Deceased Taxpayer. Attach
If you file your return under an extension, you must pay 90
this form to the front of the return.
percent of the tax shown on your return by the return's
What Are The Filing Dates And Penalties? original due date. If you do not pay this amount, the
department can charge you a penalty. The department can
When Should You File? also charge you this penalty if you do not attach a copy of
the Arizona extension to your return when you file. This
Your 2001 calendar year tax return is due no later than
penalty is ½ of one percent (.005) of the tax not paid for each
midnight, April 15, 2002. File your return as soon as you can
30 day period or fraction of a 30 day period. The
after January 1, but no later than April 15, 2002.
department charges this penalty from the original due date of
If you are a fiscal year filer, your return is due on the 15th day of the return until the date you pay the tax. This penalty cannot
exceed 25 percent of the unpaid tax.
the fourth month following the close of your fiscal year.
What if You Cannot File on Time? NOTE: If you are subject to two or more of the above
penalties, the total cannot exceed 25 percent.
You may request an extension if you know you will not be
able to file on time. Interest
NOTE: An extension does not extend the time to pay your The department charges interest on any tax not paid by the
income tax. For details, see the instructions for Arizona due date. The department will charge you interest even if you
Form 204. have an extension. If you have an extension, the department
2

3. Form 140
will charge you interest from the original due date until the any required payments. The department will charge you a
date you pay the tax. The Arizona rate of interest is the same penalty if you make any of your required payments late.
as the federal rate.
For details, see Arizona Form 221.
When Should You Amend a Return? Can You Make Estimated Payments If You
Do Not Have To?
If you need to make changes to your return once you have
filed, you should file Form 140X, Individual Amended
If you do not have to make Arizona estimated income tax
Return. Do not file a new return for the year you are
payments, you may still choose to make them.
correcting. Generally, you have four years to amend a return
For details, see Arizona Forms 140ES.
to claim a refund.
If you amend your federal return for any year, you must also Line-by-Line Instructions
file an Arizona Form 140X for that year. You must file the
Form 140X within 90 days of amending your federal return. Tips for Preparing Your Return:
If the IRS makes a change to your federal taxable income for • Make sure that you write your social security number on
any year, you must report that change to Arizona. You may your return.
use one of the following two options to report this change.
• Complete your return using black ink.
Option 1
• You must round dollar amounts to the nearest whole
You may file a Form 140X for that year. If you choose this dollar. If 50 cents or more, round up to the next dollar.
option, you must amend your Arizona return within 90 days If less than 50 cents, round down.
of the change. Attach a complete copy of the federal notice
• When asked to provide your own schedule, attach a
to your Form 140X.
separate sheet with your name and SSN at the top.
Option 2 Attach your own schedules to the back of your return.
You may file a copy of the final federal notice with the • You must complete your federal return before you can
department within 90 days. If you choose this option, you start your Arizona return.
must include a statement in which you must:
• Make sure you include your home telephone number. If
1. Request that the department recompute your tax; and your daytime number is not the same as your home number,
2. Indicate if you agree or disagree with the federal notice. make sure you include a daytime telephone number.
•
If you do not agree with the federal notice, you must also If filing a fiscal year return, fill in the period covered in
include any documents that show why you do not agree. the space provided at the top of the form.
If you choose option 2, mail the federal notice and any other Entering Your Name, Address, and Social
documents to:
Security Number (SSN)
Arizona Department of Revenue
Lines 1, 2, and 3 -
PO Box 29210
Phoenix, AZ 85038-9210
NOTE: Make sure that you write your social security
Do You Need To Make Estimated Payments number on the appropriate line.
in 2002? If your booklet has a peel-off label, use that label if all the
information is correct. If any of the information on the
You must make Arizona estimated income tax payments
label is incorrect, do not use the label. Attach the label
during 2002 if:
Your filing status is: AND AND after you finish your return. If you do not have a peel-off
Your Arizona gross Your Arizona gross label, print or type your name, address, and SSN in the space
income for 2001 income for 2002 provided. If you are a nonresident of the United States or a
was greater than: exceeds: resident alien who does not have an SSN use the
Married Filing Joint identification number (ITIN) the IRS issued to you.
$150,000 $150,000
Single $75,000 $75,000 If you are filing a joint return, enter your SSNs in the same
Head of Household $75,000 $75,000 order as your names. If your name appears first on the
Married Filing $75,000 $75,000 return, make sure your SSN is the first number listed.
Separately For a deceased taxpayer, see page 2 of these instructions.
If you met the income threshold for 2001, you must make Use your current home address. The department will send
estimated payments during 2002 unless you are sure you will your refund or correspond with you at that address.
not meet the threshold for 2002. NOTE: Make sure your SSN is correct. If you are filing a
joint return, also make sure you list your SSNs in the same
As a full year resident, your Arizona gross income is your
order every year.
federal adjusted gross income.
Make sure that every return, statement, or document that you
See Form 140ES to figure how much your payments should be.
file with the department has your SSN. Make sure that all
What If You Make Your Estimated SSNs are clear and correct. You may be subject to a penalty if
Payments Late? you fail to include your SSN. It may take longer to process
your return if SSNs are missing, incorrect, or unclear.
The department will charge you a penalty if you fail to make
3

4. Form 140
Identification Numbers for Paid Preparers return must reflect one-half of the community income from
all sources plus any separate income.
If you pay someone else to prepare your return, that person
When you file separate returns, you must account for
must also include an identification number where requested.
community deductions and credits on the same basis as
A paid preparer may use any of the following. community income. Both you and your spouse must either
• his or her SSN itemize or not itemize. If one of you itemizes, you both must
itemize. If one of you takes a standard deduction, you both
• his or her PTIN
must take a standard deduction. One of you may not claim a
• the federal employer identification number for the business standard deduction while the other itemizes.
A paid preparer who fails to include the proper numbers may If you and your spouse support a dependent child from
also be subject to a penalty. community income, either you or your spouse may claim the
dependent. Both of you cannot claim the same dependent on
Determining Your Filing Status both returns.
The filing status that you use on your Arizona return may be For details on how to file a separate Arizona income tax
different from that used on your federal return. return, see Arizona Department of Revenue Income Tax
Rulings ITR 93-18 and ITR 93-19.
Use this section to determine your filing status. Check the
correct box (4 through 7) on the front of Form 140. NOTE: If you can treat community income as separate
Line 4 Box - Married Filing a Joint Return income on your federal return, you may also treat that
community income as separate on your Arizona return. See
You may use this filing status if married as of December 31,
Arizona Department of Revenue Ruling ITR 93-22.
2001. It does not matter whether or not you were living with
your spouse. You may elect to file a joint return, even if you If you are filing a separate return and your spouse is not a
and your spouse filed separate federal returns. resident of Arizona, other special rules may apply. For more
details, see Arizona Department of Revenue Income Tax
You may use this filing status if your spouse died during
Ruling, ITR 93-20.
2001 and you did not remarry in 2001. See page 2 of these
instructions for details.
Line 7 Box - Single
The Arizona Form 140 is for full year residents only. You
Use this filing status if you were single on December 31,
may not file a joint Arizona income tax return on Form 140
2001. You are single if any of the following apply to you.
if any of the following apply.
• You have never been married.
1. Your spouse is a nonresident alien (citizen of and living
• You are legally separated under a decree of divorce or
in another country).
of separate maintenance.
2. Your spouse is a resident of another state.
• You were widowed before January 1, 2001, and you did
3. Your spouse is a part-year Arizona resident. not remarry in 2001, and you do not qualify to file as a
qualifying widow or widower with dependent children
If filing a joint return with your nonresident spouse, you may file
on your federal return.
a joint return using Form 140NR. See Form 140NR instructions.
Exemptions
If filing a joint return with your part-year resident spouse,
you may file a joint return using Form 140PY. See Form Write the number of exemptions you are claiming in boxes 8,
140PY instructions.
9, 10, and 11. Do not put a checkmark. You may lose the
For details on filing a joint return with your part-year exemption if you put a checkmark in these boxes. You may
resident or nonresident spouse, see Arizona Department of lose the dependent exemption if you do not complete Part A,
Revenue Income Tax Ruling ITR 95-2.
lines A1 through A3 on page 2. You may lose the exemption
Line 5 Box - Head of Household for qualifying parents or ancestors if you do not complete
Part A, lines A4 and A5, on page 2.
You may file as head of household on your Arizona return,
only if one of the following applies.
Line 8 Box - Age 65 and Over
• You qualify to file as head of household on your federal
Write quot;1quot; in box 8 if you or your spouse were 65 or older in
return.
2001. Write quot;2quot; in box 8 if both you and your spouse were
• You qualify to file as a qualifying widow or widower on
65 or older in 2001.
your federal return.
Line 9 Box - Blind
Line 6 Box - Married Filing Separately
Write quot;1quot; in box 9 if you or your spouse are totally or partially
You may use this filing status if married as of December 31,
blind. Write quot;2quot; in box 9 if both you and your spouse are totally
2001, and you elect to file a separate Arizona return. You
or partially blind.
may elect to file a separate return, even if you and your
spouse filed a joint federal return. If you or your spouse were partially blind as of December
31, 2001, you must get a statement certified by your eye
If you are filing a separate return, check the line 6 box and
doctor or registered optometrist that:
enter your spouse's name in the space provided. Also enter
your spouse's SSN in the space provided. 1. You cannot see better than 20/200 in your better eye with
Arizona is a community property state. If you file a separate glasses or contact lenses or
return, you must figure how much income to report using 2. Your field of vision is 20 degrees or less.
community property laws. Under these laws, a separate
If your eye condition is not likely to improve beyond the
4

5. Form 140
1. The parent or ancestor of your parent lived in your
conditions listed above, you can get a statement certified by your
principal residence for the entire taxable year.
eye doctor or registered optometrist to that effect instead.
2. You paid more than one-half of the support and
You must keep the statement for your records. maintenance costs of the parent or ancestor of your
parent during the taxable year.
Line 10 Box - Dependents
3. The parent or ancestor of your parent was 65 years old
You must complete Part A, lines A1 through A3, on page 2 of your
or older during 2001.
return before you can total your dependent exemptions.
4. The parent or ancestor of your parent required assistance
You may claim only the following as a dependent.
with activities of daily living, like getting in and out of
• A person that qualifies as your dependent on your bed, or chairs, walking around, going outdoors, using
federal return. the toilet, bathing, shaving, brushing teeth, combing
• A person who is age 65 or over (related to you or not) hair, dressing, medicating or feeding.
that does not qualify as your dependent on your federal
You must complete Part A, lines A4 and A5, on page 2 of
return, but one of the following applies.
your return before you can total your exemptions for
1. In 2001, you paid more than one-fourth of the cost qualifying parents and ancestors of your parents.
of keeping this person in an Arizona nursing care
NOTE: If a person who is a qualifying parent or ancestor of
institution, an Arizona residential care institution, or
your parent also qualifies as your dependent, you may claim
an Arizona assisted living facility. Your cost must
that person as a dependent on line A2, or you may claim
be more than $800.
that person as a qualifying parent or ancestor of your parent
2. In 2001, you paid more than $800 for either on line A5. You may not claim that same person on both
Arizona home health care or other medical costs for line A2 and line A5. Do not list the same person on line A4
the person. that you listed on line A1.
Completing Line(s) A1 Completing Line(s) A4
NOTE: If a person who qualifies as your dependent is also Enter the following on line(s) A4.
a qualifying parent or ancestor of your parent, you may
1. The name of the qualifying parent or ancestor of your parent.
claim that person as a dependent on line A2, or you may
2. The social security number of the qualifying parent or
claim that person as a qualifying parent or ancestor of your
ancestor of your parent.
parent on line A5. You may not claim that same person on
both line A2 and line A5. Do not list the same person on line 3. The qualifying parent’s or ancestor’s relationship to you,
A1 that you listed on line A4. or your spouse if filing a joint return.
Enter the following on line(s) A1. 4. The number of months the qualifying parent or ancestor
of your parent lived in your home during 2001.
1. The dependent's name.
You may lose the exemption if you do not furnish this information.
2. The dependent's social security number.
Line A5 - Total Qualifying Parents or
3. The dependent's relationship to you.
Ancestors of Your Parents
4. The number of months the dependent lived in your home
during 2001. Enter the total number of persons listed on line(s) A4. Enter
the same number on the front of the return in box 11.
You may lose the exemption if you do not furnish this
information. Additions to Income
Line A2 - Total Dependents Line B6 - Non-Arizona Municipal Interest
Enter the total number of persons listed on line(s) A1. Enter
Enter the amount of interest income from non-Arizona
the same number on the front of the return in box 10.
municipal bonds that you did not include as income on your
federal return.
Line A3 - Persons You Cannot Take as
You may exclude any expenses incurred to purchase or carry the
Dependents on Your Federal Return
obligation. Reduce the interest income by the amount of those
Enter the names of any dependents age 65 or over listed on expenses that you could not deduct on your federal return.
line(s) A1 that you cannot take as a dependent on your
If you received tax exempt interest from municipal bonds, attach
federal return.
a schedule listing the payors and the amount received from each
Line 11 Box - Qualifying Parents and payor. You may also want to attach supporting documents for
amounts received from Arizona municipal bonds that are exempt
Ancestors of Your Parents from Arizona income tax. These may be items such as bank
A qualifying parent or ancestor of your parent may be any statements, brokerage statements, etc.
one of the following.
Line B7 - Early Withdrawal of Arizona,
• Your parent, or your parent’s ancestor. Your parent’s County, City, or School Retirement System
ancestor is your grand parent, great grand parent, great
Contributions
great grand parent, etc.
If you meet all of the following, you must enter an amount here.
• If married filing a joint return, your spouse’s parent or
an ancestor of your spouse’s parent. 1. You left your job with the State of Arizona or an
Arizona county, city, or school district for reasons other
You may claim this exemption if all of the following apply.
than retirement.
5

6. Form 140
2. When you left, you took out the contributions you had market value of the MSA as of the date of death, less the amount
made to the retirement system while employed. of MSA funds used within one year of the date of death, to pay
the decedent's qualified medical expenses. You can reduce the
3. You deducted these contributions on your Arizona
income tax returns that you filed for prior years. fair market value by only those expenses paid from the MSA. If
you pay additional medical expenses for the decedent from the
4. You did not include these contributions in your federal
MSA after you file, you may file an amended return to further
adjusted gross income this year.
reduce the fair market value of the MSA.
If you meet all these tests, you must report as income those
contributions previously deducted on your prior years' 3 - Decedent's Final Return And No Named MSA
Arizona tax returns. Beneficiary
For details, see Arizona Department of Revenue Income Tax Make an entry here if all of the following apply.
Ruling ITR 93-7.
1. The account holder died during the year.
Line B8 - Ordinary Income Portion of 2. There is no named MSA beneficiary.
Lump Sum Distributions Excluded on
3. This is the decedent's final return.
Your Federal Return
4. The value of the MSA did not have to be included on
Use line B8 if you use federal 5 or 10 year averaging for lump- the decedent's final federal income tax return.
sum distributions from your pension or profit-sharing plan.
In this case, the MSA ceases to be an MSA. Enter the fair
Arizona law does not provide for 5 or 10 year averaging.
market value of the MSA as of the date of death. This rule
Enter the amount of the distribution that you treated as
applies in all cases in which there is no named beneficiary,
ordinary income on your federal return. If you choose to treat
even if the surviving spouse ultimately obtains the right to
the capital gain portion of the distribution as ordinary
the MSA assets.
income, you must also include that amount.
For details, see Arizona Department of Revenue Income Tax NOTE: The following are not withdrawals. Do not enter
Ruling ITR 93-5. any of the following:
Line B9 - Agricultural Water Conservation • Amounts from the MSA used to pay qualified medical
System Expenses expenses
• A qualified return of excess contributions
If you take this credit, you cannot deduct any expenses for which
• A qualified rollover
you claim the credit. If you take this credit, enter the amount of
•
such expenses that you deducted on your federal return. The fair market value of an MSA received by a
surviving spouse who was the deceased account
Line B10 - Medical Savings Account (MSA)
holder's named beneficiary
Distributions
For more information about the above items, see the
For information on Arizona's MSA provisions, see the
department's MSA brochure, Pub 542.
department's MSA brochure, Pub 542.
Line B11 - Other Additions to Income
You must add amounts received from an MSA here if any of
Use line B11 if any of the special circumstances below applies.
the following apply.
Attach your own schedule to the back of your return
1 - You Withdrew Funds From Your MSA For Other
explaining any amounts entered here.
Than Qualified Expenses
You may either add or subtract items A through C below
You must make an entry here if all of the following apply. (line B11 or C26, respectively) depending on your situation.
1. You withdrew money from your MSA during 2001. A. Pension Adjustments
2. You did not use the amount withdrawn to pay qualified Use this adjustment if both of the following apply.
medical expenses. 1. Arizona taxed your pension for years before 1979.
3. You did not have to include the withdrawal as income 2. You reported that pension on your federal return using
on your federal income tax return. the percentage exclusion method.
Do not use this adjustment if either of the following apply.
Enter the amount withdrawn.
1. You reported your pension income as fully taxable on
2 - Deceased Account Holder Where the Named
your federal return.
Beneficiary is Not the Decedent's Surviving Spouse
2. You reported your pension income on your federal
You must make an entry here if all of the following apply. return under the quot;three-year-rulequot;.
1. The account holder died during the year. Pension Adjustment Worksheet - Line B11
Follow these steps to figure the adjustment.
2. You are the named beneficiary of the decedent's MSA.
Worksheet (Keep for your records.)
3. You are not the decedent's surviving spouse.
1. Your contribution to annuity.
4. You did not have to include the value of the MSA as 1.
2. Pension amount received in prior
income on your federal income tax return.
years. 2.
In this case, the MSA ceased to be an MSA. Enter the fair
6

7. Form 140
for individual taxpayers. Arizona conforms to the federal net
Pension Adjustment Worksheet continued
operating loss provisions, including the carryback
3. Remainder of cost (line 1 minus
provisions. Generally, the amount of net operating loss
line 2 but not less than zero). 3.
deduction included in your federal adjusted gross income is
4. Pension amount received this year.
the amount allowable for Arizona purposes. However, there
4.
are instances when the amount allowable for Arizona
5. Subtract line 3 from line 4 (but
purposes may be different. You must adjust the amount of
not less than zero). 5.
net operating loss deduction included in your federal
6. Enter the pension amount taxable
adjusted gross income if the following apply.
on your federal return. 6.
7. Subtract line 6 from line 5. 1. You have already deducted any amount of the net
7. operating loss included in your federal adjusted gross
If line 7 is more than zero, enter the amount on line 7 as an income for Arizona purposes.
addition to income. Enter the addition on line B11. 2. You took a separate subtraction for the net operating
If line 6 is more than line 5, enter the difference as a loss on an amended return filed for a prior tax year
subtraction from income. Enter the subtraction on line C26. under the special net operating loss transition rule.
B. Married Persons Filing Separate Returns If the above apply, enter the following on line B11.
If you file a separate Arizona return, you must report the 1. The amount of net operating loss included in your
following income on that return. federal adjusted gross income which you previously
• one-half of the community income from all sources. deducted for Arizona purposes.
• all of your separate income. 2. The amount of net operating loss included in your federal
adjusted gross income for which you took a separate
If you and your spouse file a joint federal return but separate
subtraction on an amended return filed for a prior tax year
Arizona returns, you must make sure that each separate
under the special net operating loss transition rule.
return reflects the correct income. If you begin your Arizona
return with only the income that you earned during the year, For information on deducting a net operating loss carryback, see
you will have to adjust this income. Arizona Department of Revenue Income Tax Procedure ITP 99-1.
If you file separate federal returns, each of your federal returns F. Items Previously Deducted for Arizona Purposes
should already reflect the correct income. Since your separate Arizona statutes prohibit a taxpayer from deducting items more
Arizona returns will begin with the federal adjusted gross than once. However, under the operation of former Arizona law
income, you will not have to adjust your income. (1989 and prior), you could deduct certain items in greater
If you have to adjust your income, attach a schedule showing amounts for Arizona purposes than for federal purposes.
how you figured your adjustment. Investment interest and passive activity losses were such
C. Partnership Income items. In some cases, you could have deducted such amounts
in their entirety on the Arizona return. For federal purposes,
Use this adjustment if your Arizona Form 165, Schedule K-1,
the deduction for these items was limited, with the unused
shows a difference between federal and state distributable income.
portions being carried forward and deducted in future years.
If the difference reported on your Arizona Form 165, Schedule Your Arizona return may include these previously deducted
K-1, is a positive number, enter that difference as an addition. items because of the difference between the federal and
Enter the addition on line B11. former Arizona treatment. If your Arizona taxable income
includes items previously deducted for Arizona purposes,
If the difference reported on your Arizona Form 165, Schedule
you must add such amounts to your Arizona gross income.
K-1, is a negative number, enter that difference as a subtraction.
Enter the subtraction on line C26. G. Claim of Right Adjustment for Amounts Repaid
in 2001
D. Estate or Trust Income
You must make an entry here if all of the following apply.
Enter on line B11 the amount from Arizona Form 141,
Schedule K-1, line 3. For Arizona purposes, this is your 1. During 2001, you were required to repay amounts held
share of the distributive income. under a claim of right.
If you make an entry here, you must also make an entry on 2. The amount required to be repaid during 2001 was more
line C26, Other Subtractions. Subtract trust or estate income than $3,000.
shown on your federal Form 1041, Schedule K-1, included in 3. You took a deduction for the amount repaid on your
your federal adjusted gross income. 2001 federal income tax return.
You must also add to Arizona gross income: If the above apply, enter the amount deducted on your
1. Your share of the estate's or trust's deductions allowed federal income tax return here.
under the Internal Revenue Code.
For more information on the Arizona claim of right
2. Your share of excess deductions and loss carryovers provisions, see Arizona Department of Revenue Individual
allowed under the Internal Revenue Code as deductions Income Tax Procedure ITP 95-1.
to the beneficiary on termination of an estate or trust.
H. Claim of Right Adjustment for Amounts Repaid
You must add the above deductions and loss carryovers to in Prior Taxable Years
your Arizona gross income only to the extent these items are
You must make an entry here if all of the following apply.
included in computing your Arizona taxable income.
E. Net Operating Losses 1. During a year prior to 2001 you were required to repay
amounts held under a claim of right.
Arizona does not have specific net operating loss provisions
7

8. Form 140
may also need to make an addition if you claimed certain tax
2. You computed your tax for that prior year under
credits. Call one of the numbers listed on the back cover if
Arizona's claim of right provisions.
any of the following apply.
3. A net operating loss or capital loss was established due
• You are a qualified defense contractor that elected to
to the repayment made in the prior year.
amortize under Arizona Revised Statutes section 43-1024.
4. You are entitled to take that net operating loss or capital
• You sold or disposed of property that was held for the
loss carryover into account when computing your 2001
production of income and your basis was computed
Arizona taxable income.
under the Arizona Income Tax Act of 1954.
5. The amount of the loss carryover included in your
• You are still depreciating or amortizing a child care
federal income is more than the amount allowed to be
facility for which you claimed a state credit.
taken into account for Arizona purposes.
• You claimed the environmental technology facility credit.
Enter the amount by which the loss carryover included in
• You claimed the pollution control credit.
your federal adjusted gross income is more than the amount
• You claimed the recycling equipment credit.
allowed for the taxable year under Arizona law.
• You claimed the credit for agricultural pollution control
I. Addition to S Corporation Income Due to Credits
Claimed equipment.
• You elected to amortize the basis of a pollution control
Shareholders of an S corporation who claim a credit passed
device or the cost of a child care facility under Arizona
through from an S corporation must make an addition to
law in effect before 1990. You are still deducting
income for the amount of expenses disallowed by reason of
amortization or depreciation for that device or facility
claiming the credit.
on your federal income tax return.
An S corporation that passes the following credits through to its
Line B12 - Total Additions
shareholders must notify each shareholder of his or her pro rata
share of the adjustment. You must enter an amount on this line Add lines B6 through B11. Enter the total on line B12 and
on the front of your return on line 13.
when claiming any of the following credits.
• Agricultural water conservation system credit Subtractions From Income
• Defense contracting credit
• You may only subtract those items for which statutory
Environmental technology facility credit
• authority exists. Without such authority you cannot take a
Pollution control credit
• subtraction. If you have any questions concerning
Recycling equipment credit
subtractions from income, call one of the numbers listed on
• Credit for solar hot water heater plumbing stub outs and
the back cover.
electric vehicle recharge outlets
• Credit for employment of TANF recipients NOTE: You may not subtract any amount that is allocable
• Credit for agricultural pollution control equipment to income excluded from your Arizona taxable income.
• Credit for taxpayers participating in agricultural
Line C13 - Exemption: Age 65 or Over
preservation district
Multiply the number in box 8 on the front of your return by
J. Solar Hot Water Heating Plumbing Stub Out And
$2,100 and enter the result.
Electric Vehicle Recharge Outlet Expenses
Line C14 - Exemption: Blind
If you take a credit for installing solar hot water heating plumbing
stub outs or electric vehicle recharge outlets in a dwelling you Multiply the number in box 9 on the front of your return by
constructed, you cannot deduct any expenses for which you claim $1,500 and enter the result.
the credit. If you take this credit, enter the amount of such expenses
Line C15 - Exemption: Dependents
that you deducted on your federal return.
K. Wage Expense for Employers of TANF Recipients Multiply the number in box 10 on the front of your return by
$2,300 and enter the result.
If you take a credit for employing TANF recipients, you
cannot deduct any wage expense for which you claim the
Line C16 - Exemption: Qualifying Parents
credit. If you take this credit, enter the amount of such
and Ancestors
expenses that you deducted on your federal return.
L. Amounts Deducted for Conveying Ownership or Multiply the number in box 11 on the front of your return by
Development Rights of Property to an Agricultural $10,000 and enter the result.
Preservation District
Line C17 - Total
If you take a credit for taxpayers participating in agricultural
Add lines C13 through C16 and enter the total. If you have
preservation district, you cannot deduct any amounts for
no other subtractions from income, skip lines C18 through
conveying ownership or development rights of property to an
C27 and enter this total on Form 140, page 1, line 15.
agricultural district. If you take this credit, enter the amount
of such deductions for which you claim a credit.
Line C18 - Interest on U.S. Obligations
M. Other Adjustments
Enter the amount of interest income from U.S. Government
Other special adjustments may be necessary. You may need obligations included as income on your federal return. U.S.
to make an addition for depreciation or amortization. You Government obligations include obligations such as savings bonds
8

9. Form 140
and treasury bills. You cannot deduct any interest or other related itemized deduction. See instructions for Form 140 Schedule
expenses incurred to purchase or carry the obligations. If such A, Itemized Deduction Adjustments.
expenses are included in your Arizona gross income, you must
Line C21 - Social Security Benefits or
reduce the subtraction by such expenses. If you are itemizing
Railroad Retirement Benefits
deductions on your Arizona return, you must exclude such
expenses from the amount deducted. Arizona does not tax social security benefits received under Title
II of the Social Security Act. Arizona does not tax railroad
NOTE: Do not subtract interest earned on FNMA or GNMA
retirement benefits received from the Railroad Retirement Board
bonds since this interest is taxable by Arizona. For details, see
under the Railroad Retirement Act. If you included such social
the department's Guidelines for Exempt Securities, G 91-4.
security or railroad retirement benefits as income on your federal
Do not subtract any amount received from a qualified return, use line C21 to subtract this income.
pension plan that invests in U.S. Government obligations. Do
Enter only the amount that you had to include as income on
not subtract any amount received from an IRA that invests in
your federal return.
U.S. Government obligations. These amounts are not interest
See Arizona Department of Revenue Income Tax Ruling ITR
income. For details, see Arizona Department of Revenue
96-1 for more information about railroad retirement benefits.
Income Tax Rulings ITR 96-2 and ITR 96-3.
Line C22 - Agricultural Crops Given to
Line C19 - Exclusion for U.S. Government,
Arizona Charitable Organizations
Arizona State or Local Government
Pensions Arizona law allows a subtraction for qualified crop gifts
made during 2001 to one or more charitable organizations.
If you receive pension income from any of the sources listed
To take this subtraction, you must be engaged in the business
below, subtract the amount you received or $2,500,
of farming or processing agricultural crops. The crop must
whichever is less. Include only the amount you reported as
be grown in Arizona. You must make your gift to a
income on your federal return. If both you and your spouse
charitable organization located in Arizona that is exempt
receive such pension income, each spouse may subtract the
from Arizona tax.
amount received or $2,500, whichever is less.
The subtraction is the greater of 80 percent of the wholesale
Public pensions from the following sources qualify
market price or 80 percent of the most recent sale price for
for this subtraction.
the contributed crop.
• The United States Government Service Retirement and
To determine if your crop gift qualifies for this subtraction, see
Disability Fund
• The United States Foreign Service Retirement and Arizona Department of Revenue Income Tax Procedure ITP 93-2.
Disability System Line C23 - Certain Wages of American Indians
• Retired or retainer pay of the uniformed services of the
Enrolled members of American Indian tribes may subtract wages
United States
• Any other retirement system or plan established by earned while living and working on their tribe's reservation. The
federal government must recognize these tribes.
federal law
For more information, see Arizona Department of Revenue
NOTE: This applies only to those retirement plans Income Tax Ruling ITR 96-4.
authorized and enacted into the U.S. Code. This does not
Line C24 - Income Tax Refund From Other
apply to a retirement plan that is only regulated by federal
law (i.e., plans which must meet certain federal criteria to be States
qualified plans).
You may subtract income tax refunds received from other
• states if both of the following apply.
The Arizona State Retirement System
• The Arizona State Retirement Plan 1. You reported the refund as income on your federal return.
• The Corrections Officer Retirement Plan
2. You did not deduct the taxes paid to the other state as an
• The Public Safety Personnel Retirement System
itemized deduction on a prior year Arizona return.
• The Elected Officials' Retirement Plan
• Line C25 - Deposits and Employer
A retirement plan established for employees of a county,
Contributions Into MSAs
city, or town in Arizona
• An optional retirement program established by the Arizona Deposits Made Into Your MSA
Board of Regents under Arizona Revised Statutes
If you have a medical savings account (MSA), you may be
• An optional retirement program established by an
able to subtract deposits made into that MSA. Make an entry
Arizona community college district. here if all of the following apply.
NOTE: Public retirement pensions from states other than 1. You have an MSA that qualifies as an MSA under
Arizona do not qualify for this subtraction.
Arizona law, but not federal law.
Line C20 - Arizona Lottery Winnings 2. Either you or your employer made deposits into that
You may subtract all winnings received in 2001 related to an MSA during the tax year.
Arizona lottery prize won before March 22, 1983. You may
3. You had to include the deposits in income on your
subtract up to $5,000 of winnings received in 2001 for
federal income tax return.
Arizona lottery prizes won after March 21, 1983.
Enter the amount of the MSA deposits that you had to
If you subtract Arizona lottery winnings here, you may have
to adjust the amount of gambling losses claimed as an include in your federal adjusted gross income.
9

10. Form 140
Employer Contributions Made to Employee MSAs related to its operation. You may subtract up to $500 of the
costs incurred for converting an existing fireplace to a
If you are an employer, you may subtract the amount
qualified wood stove, qualified wood fireplace, or gas fired
contributed to your employees' MSAs that are established fireplace on your property located in Arizona. When you
under Arizona law. You can subtract these contributions only figure your subtraction, do not include taxes, interest, or
to the extent not deductible for federal income tax purposes. other finance charges.
Enter these contributions here. A qualified wood stove or a qualified wood fireplace is a
Line C26 - Other Subtractions From Income residential wood heater that was manufactured on or after
July 1, 1990, or sold at retail on or after July 1, 1992. The
Use line C26 if any of the following special circumstances residential wood heater must also meet the U.S.
apply. Attach your own schedule to the back of your return Environmental Protection Agency's July 1990 particulate
explaining any amounts entered here. emissions standards.
A. Previously Reported Gain on Decedent's A qualified gas fired fireplace is any device that burns
Installment Sale natural or liquefied petroleum gas as its fuel through a burner
Prior Arizona law required acceleration of any unrecognized system that is permanently installed in the fireplace. The
installment sale gain upon the death of a taxpayer. However, conversion of an existing wood burning fireplace to
this acceleration could have been avoided by the posting of a noncombustible gas logs that are permanently installed in the
bond. If acceleration was required, your federal adjusted fireplace also qualifies as a gas fired fireplace.
gross income may include installment sale amounts already
G. Claim of Right Adjustment for Amounts Repaid
recognized on a decedent's final Arizona return. If your
in Prior Taxable Years
federal adjusted gross income includes such amounts, you
may subtract that portion of the gain included on your You must make an entry here if all of the following apply.
federal return.
1. During a year prior to 2001 you were required to repay
B. Estate or Trust Income amounts held under a claim of right.
Enter on line C26 the amounts from federal Form 1041, 2. You computed your tax for that prior year under
Schedule K-1, included in your federal adjusted gross income. Arizona's claim of right provisions.
If making an entry here, you must also make an entry on line B11, 3. A net operating loss or capital loss was established due
Additions to Income. Add the estate or trust income shown on to the repayment made in the prior year.
Arizona Form 141, Schedule K-1, to your Arizona income. 4. You are entitled to take that net operating loss or capital
C. Combat Pay loss carryover into account when computing your 2001
Arizona taxable income.
Members of the U.S. armed forces may subtract pay received
5. The amount of the loss carryover allowed to be taken
for serving in a combat zone or an area given the treatment
into account for Arizona purposes is more than the
of a combat zone. Subtract only the amount included in your
amount included in your federal income.
2001 federal adjusted gross income.
Enter the amount by which the loss carryover allowed for the
D. Federally Taxable Arizona Municipal Interest
taxable year under Arizona law is more than the amount
Enter the amount of any interest income received on
included in your federal adjusted gross income.
obligations of the State of Arizona, or any political
H. Certain Expenses Not Allowed for Federal Purposes
subdivisions of Arizona that is included in your Arizona
gross income. Do not enter any Arizona municipal interest You may subtract some expenses that you cannot deduct on
that is exempt from federal taxation and not included in your your federal return when you claim certain federal tax
federal adjusted gross income. credits. These federal tax credits are:
E. Adoption Expenses • The federal work opportunity credit
• The empowerment zone employment credit
You may take this subtraction only in the year the final adoption
• The credit for employer-paid social security taxes on
order is granted. Enter the lesser of the total of the following
adoption expenses or $3,000. When figuring your subtraction, employee cash tips
you may include expenses incurred in prior years.
• The Indian employment credit
The following expenses are qualified adoption expenses. If you received any of the above federal tax credits for 2001,
1. Nonreimbursed medical and hospital costs. enter the portion of wages or salaries you paid or incurred
during the taxable year equal to the amount of those federal
2. Adoption counseling.
tax credits you received.
3. Legal and agency fees.
I. Qualified State Tuition Program Distributions
4. Other nonrecurring costs of adoption.
If you are a beneficiary of a qualified state tuition program, you
If filing separately, you may take the entire subtraction, or may subtract some of the amount distributed from the program
you may divide the subtraction with your spouse. However, for qualified education expenses. Enter the amount of the
the total subtraction taken by both you and your spouse distribution that you had to include in your federal adjusted gross
cannot exceed $3,000. income. A qualified state tuition program is a program that meets
the requirements of I.R.C. § 529.
F. Qualified Wood Stove, Wood Fireplace, or Gas
Fired Fireplace J. Subtraction for World War II Victims
Arizona law provides a subtraction for converting an existing You may subtract distributions made to you for your
fireplace to a qualified wood stove, qualified wood fireplace, persecution or the persecution of your ancestors by Nazi
or gas fired fireplace and non-optional equipment directly
10

11. Form 140
Germany or any other Axis regime for racial, religious or Arizona uses federal adjusted gross income as a starting
political reasons. If you are the first recipient of such point to determine Arizona taxable income. Your federal
distributions, enter the amount of the distributions that you adjusted gross income is your Arizona gross income.
had to include in your federal adjusted gross income.
If the amount on line 12 is more than $75,000 ($150,000 if filing a
You may also subtract items of income that are attributable
joint return), you may need to make estimated payments. See quot;Do
to, derived from or related to assets that were stolen or
You Need to Make Estimated Paymentsquot; instructions on page 3.
hidden from or lost to you if you were persecuted by Nazi
Germany or any other Axis regime for racial, religious or Line 13 - Additions to Income
political reasons before, during or immediately after World
Enter the amount from line B12, page 2, of your return.
War II. If you are the first recipient of such income, enter the
amount of income that you had to include in your federal Line 15 - Subtractions From Income
adjusted gross income.
Enter the amount from page 2, line C17 or line C27.
K. Installment Sale Income From Another State
Taxed by the Other State in a Prior Taxable Year Figuring Your Tax
You may subtract income from an installment sale if both of the
Line 17 - Itemized or Standard Deductions
following apply:
You must decide whether to take the standard deduction or
1. The income from the sale is subject to Arizona income tax
in 2001; and to itemize your deductions. Your Arizona income tax will be
2. You paid income tax to another state on that income in a less if you take the larger of your standard deduction or your
prior tax year. itemized deduction.
Enter the amount of such income that you included in your
Your Standard Deduction
Arizona gross income for 2001.
Do not enter any amount that is subject to tax by both Arizona If you take the standard deduction, check box 17S.
and another state in 2001. In this case, you may be eligible for a
If your filing status is: Your standard deduction is:
tax credit. See Form 309 for details.
• Single $ 4,050
L. Other Adjustments
• Married filing separately $ 4,050
Other special adjustments may be necessary. Call one of the • Married filing jointly $ 8,100
numbers listed on the back cover if any of the following apply.
• Head of household $ 8,100
• You are a qualified defense contractor that elected to
Your Itemized Deductions
amortize under Arizona Revised Statutes section 43-1024.
• You sold or disposed of property that was held for the You may claim itemized deductions on your Arizona return
production of income and your basis was computed
even if you take a standard deduction on your federal return.
under the Arizona Income Tax Act of 1954.
For the most part, you may claim those deductions allowable
• You were an Arizona resident before December 31, as itemized deductions under the Internal Revenue Code. In
1975, and you are receiving IRA distributions from your some cases, the amount allowed for some deductions may
IRA account to which you made contributions before
not be the same as the amount allowable for federal
December 31, 1975.
purposes. You may have to adjust the amounts shown on
• You were an Arizona resident before December 31, your completed federal Form 1040, Schedule A. See Form
1975, and you are receiving distributions from your 140 Schedule A, Itemized Deduction Adjustments to figure if
qualified self-employment retirement plan to which you
you have to make any adjustments.
made contributions before December 31, 1975.
• You deferred exploration expenses determined under To figure your itemized deductions, you must complete a
federal Form 1040, Schedule A. Then, if required, complete
Internal Revenue Code section 617 in a taxable year
ending before January 1, 1990, and you have not Form 140 Schedule A, Itemized Deduction Adjustments. If
previously taken a subtraction for those expenses. you do not have to complete Form 140 Schedule A, Itemized
Deduction Adjustments, enter the amount from federal Form
Line C27 - Total Subtractions
1040, Schedule A, on Form 140, line 17.
Add lines C17 through C26. Enter the total here and on the
front of your return on line 15. NOTE: If you itemize, you must attach a copy of the
completed federal Schedule A to your Arizona return. If
Different Last Names itemizing, check box 17I.
If you filed an Arizona tax return within the past four years with a Line 18 - Personal Exemptions
different last name, enter your prior last name(s) in part D.
The amount you may claim as a personal exemption depends on
Totaling Your Income your filing status. If married, the amount you may claim as a
personal exemption also depends on whether you or your spouse
Line 12 - Federal Adjusted Gross Income
claim dependents. You may use the chart below to figure your
You must complete your federal return before you enter an personal exemption. If married, you may also use Form 202 to
amount on line 12. You must complete a 2001 federal return
figure your personal exemption.
to determine your federal adjusted gross income even if not
filing a federal return.
11