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Arizona Form
2002 Part-Year Resident Personal Income Tax Return                                                                140PY
Leave the Paper Behind…e-File!                                         •   You live on the reservation established for that tribe.
                                                                       •   You earned all of your income on that reservation.
•    Quick Refunds
•    Accurate                                                          To find out more, see Arizona Department of Revenue
•    Proof of Acceptance                                               Income Tax Ruling ITR 96-4.
                                                                       Do You Have to File if You Are a Non-Indian
No more paper, math errors, or mailing delays; when you e-File!
                                                                       or Non-Enrolled Indian Married to an
e-File is a cooperative tax filing program which makes it
                                                                       American Indian?
possible for you to file both your Federal and Arizona
Personal Income Tax Returns electronically at the same time.
                                                                       You must file if you meet the Arizona filing requirements. For
Reap the benefits of e-File even if you owe taxes.                     details on how to figure what income to report, see Arizona
                                                                       Department of Revenue Income Tax Ruling ITR 96-4.
e-File today, pay by April 15, 2003 to avoid penalties and interest.
                                                                       Do You Have to File if You Are in The Military?
e-File your returns through an Authorized IRS/DOR e-file
Provider or by using your Personal Computer and the Internet.          You must file if you meet the Arizona filing requirements.
Visit our web site at www.revenue.state.az.us for a listing of
                                                                       If you are an Arizona resident, you must report all of your
approved e-file providers and on-line filing sources.
                                                                       income, no matter where stationed. You must include your
Are You Subject to Tax in Arizona?                                     military pay. If you were an Arizona resident when you
                                                                       entered the service, you remain an Arizona resident, no
As a part-year resident, you are subject to tax on all of the
                                                                       matter where stationed, until you establish a new domicile.
following.
1. Any income you earned in 2002 while an Arizona                      If you are not an Arizona resident, but stationed in Arizona,
     resident. This includes any interest or dividends                 the following applies to you.
     received from sources outside Arizona.
                                                                       •   You are not subject to Arizona income tax on your
2. Any income you earned from an Arizona source in 2002                    military pay.
     before moving to (or after leaving) the state.
                                                                       •   You must report any other income you earn in Arizona.
NOTE: If you also have Arizona source income and deductions                Use Form 140NR, Nonresident Personal Income Tax
for the portion of the year you were an Arizona nonresident, file          Return, to report this income.
Arizona Form 140PY for the entire taxable year.
                                                                       To find out more, see Arizona Department of Revenue
Do You Have to File?                                                   brochure, Pub 704, Taxpayers in the Military.
                                                                       If You Included Your Child's Unearned
              Arizona Filing Requirements
                                                                       Income on Your Federal Return, Does Your
      These rules apply to all Arizona taxpayers.
You must file if      AND your         OR your Arizona                 Child Have to File an Arizona Return?
you are:              gross income adjusted gross
                                                                       In this case, the child should not file an Arizona return. The
                      is at least:     income is at least:
                                                                       parent must include that same income in his or her Arizona
• Single              $15,000          $5,500
• Married filing $15,000                                               taxable income.
                                       $11,000
     jointly
                                                                       Residency Status
• Married filing $15,000               $5,500
     separately
                                                                       If you are not sure if you are an Arizona resident for state
• Head of             $15,000          $5,500
                                                                       income tax purposes, you should get Arizona Department of
     household
                                                                       Revenue Income Tax Procedure ITP 92-1.
If you are a part-year resident, you must report all
income for the part of the year you were an Arizona                    Residents
resident, plus any income from Arizona sources for the
                                                                       You are a resident of Arizona if your domicile is in Arizona.
part of the year you were an Arizona nonresident.
                                                                       Domicile is the place where you have your permanent home. It
To see if you have to file, figure your gross income the
same as you would figure your gross income for federal                 is where you intend to return if you are living or working
income tax purposes. Then you should exclude income                    temporarily in another state or country. If you leave Arizona for
Arizona law does not tax.                                              a temporary period, you are still an Arizona resident while gone.
You can find your Arizona adjusted gross income on                     A resident is subject to tax on all income no matter where the
line 19 of Arizona Form 140PY.                                         resident earns the income.
NOTE: You must file a state return even if your employer               If you are a full year resident, you must file Form 140, Form
withheld all or part of the tax. Even if you do not have to            140A, or Form 140EZ.
file, you must still file a return to get a refund of any Arizona      Part-Year Residents
income tax withheld.
                                                                       If you are a part-year resident, you must file Form 140PY,
Do You Have to File if You Are an American                             Part-Year Resident Personal Income Tax Return.
Indian?                                                                You are a part-year resident if you did either of the following
                                                                       during 2002.
You must file if you meet the Arizona filing requirements
unless all the following apply to you.                                 • You moved into Arizona with the intent of becoming a
•                                                                           resident.
     You are an enrolled member of an Indian tribe.
Form 140PY

•    You moved out of Arizona with the intent of giving up                       file. Also make sure that you check either box 82D or 82F
     your Arizona residency.                                                     on page 1 of the return. If you must make a payment, use
                                                                                 Arizona Form 204.
Nonresidents
                                                                            2.   You may use your federal extension (federal Form 4868
If you are a nonresident, you must file Form 140NR,                              or 2688). File your Arizona return by the same due
Nonresident Personal Income Tax Return.                                          date. If you are filing under a federal extension, you do
                                                                                 not have to attach a copy of your federal extension to
What if a Taxpayer Died?
                                                                                 your return, but make sure that you check either box
If a taxpayer died before filing a return for 2002, the                          82D or 82F on page 1 of the return.
taxpayer's spouse or personal representative may have to file
                                                                            When Should You File if You Are a
and sign a return for that taxpayer. If the deceased taxpayer
                                                                            Nonresident Alien?
did not have to file a return but had tax withheld, a return
must be filed to get a refund.                                              You must file your Arizona tax return by April 15, even
                                                                            though your federal income tax return is due on June 15. If
The person who files the return should use the form the
                                                                            you want to file your Arizona return when you file your
taxpayer would have used. If the department mailed the
                                                                            federal return, you may ask for an extension. See Form 204
taxpayer a booklet, do not use the label. The person who
                                                                            for extension filing details.
files the return should print the word quot;deceasedquot; after the
                                                                            If you are a fiscal year filer, your return is due on the 15th day of
decedent's name in the address section of the form. Also
                                                                            the fourth month following the close of your fiscal year.
enter the date of death after the decedent's name.
                                                                            What if You File or Pay Late?
If your spouse died in 2002 and you did not remarry in 2002,
or if your spouse died in 2003 before filing a return for 2002,             If you file or pay late, the department can charge you interest
you may file a joint return. If your spouse died in 2002, the               and penalties on the amount you owe. If the U.S. Post Office
joint return should show your spouse's 2002 income before                   postmarks your 2002 calendar year return by April 15, 2003,
death, and your income for all of 2002. If your spouse died                 your return will not be late. You may also use certain private
                                                                            delivery services designated by the IRS to meet the “timely
in 2003, before filing the 2002 return, the joint return should
                                                                            mailing as timely filed” rule.
show all of your income and all of your spouse's income for
2002. Print quot;Filing as surviving spousequot; in the area where                  Late Filing Penalty
you sign the return. If someone else is the personal
                                                                            If you file late, the department can charge you a late filing
representative, he or she must also sign the return.                        penalty. This penalty is 4½ percent of the tax required to be
                                                                            shown on the return for each month or fraction of a month
Are Any Other Returns Required?
                                                                            the return is late. This penalty cannot exceed 25 percent of
You may also have to file fiduciary income tax or estate tax                the tax found to be remaining due.
returns. For details about filing a fiduciary income tax return, call
                                                                            Late Payment Penalty
the department at (602) 255-3381. For details about filing an
                                                                            If you pay your tax late, the department can charge you a late
estate tax return, call the department at (602) 542-4643.
                                                                            payment penalty. This penalty is ½ of 1 percent (.005) of the
Claiming a Refund For a Deceased Taxpayer                                   amount shown as tax for each month or fraction of a month
                                                                            for which the failure continues. This penalty cannot exceed
If you are claiming a refund, you must complete Form 131,
                                                                            a total of 10 percent.
Claim for Refund on Behalf of Deceased Taxpayer. Attach
                                                                            Extension Underpayment Penalty
this form to the front of the return.
                                                                            If you file your return under an extension, you must pay 90
What Are the Filing Dates and Penalties?                                    percent of the tax shown on your return by the return's
                                                                            original due date. If you do not pay this amount, the
When Should You File?                                                       department can charge you a penalty. The department can
                                                                            also charge you this penalty if you do not attach a copy of
Your 2002 calendar year tax return is due no later than
                                                                            the Arizona extension to your return when you file. This
midnight, April 15, 2003. File your return as soon as you can
                                                                            penalty is one-half of one percent (.005) of the tax not paid
after January 1, but no later than April 15, 2003.
                                                                            for each 30 day period or fraction of a 30 day period. The
If you are a fiscal year filer, your return is due on the 15th day of       department charges this penalty from the original due date of
the fourth month following the close of your fiscal year.                   the return until the date you pay the tax. This penalty cannot
                                                                            exceed 25 percent of the unpaid tax.
What If You Cannot File On Time?
                                                                            NOTE: If you are subject to two or more of the above
You may request an extension if you know you will not be                    penalties, the total cannot exceed 25 percent.
able to file on time.
                                                                            Interest
NOTE: An extension does not extend the time to pay your income
tax. For details, see the instructions for Arizona Form 204.                The department charges interest on any tax not paid by the due
                                                                            date. The department will charge you interest even if you have an
To get a filing extension, you can either:
                                                                            extension. If you have an extension, the department will charge
1.   Apply for a state extension (Form 204). To apply for a                 you interest from the original due date until the date you pay the
     state extension, file Arizona Form 204 by April 15. See                tax. The Arizona interest rate is the same as the federal rate.
     Form 204 for details. You must attach a copy of the
     Arizona extension to the back of your return when you

                                                                        2
Form 140PY

When Should You Amend a Return?                                         For details, see Arizona Form 221.
                                                                        Can You Make Estimated Payments if You
If you need to make changes to your return once you have filed,
                                                                        do Not Have to?
you should file Form 140X, Individual Amended Return. Do
not file a new return for the year you are correcting. Generally,
                                                                        If you do not have to make Arizona estimated income tax
you have four years to amend a return to claim a refund.
                                                                        payments, you may still choose to make them.
If you amend your federal return for any year, you must also
                                                                        For details, see Arizona Form 140ES.
file an Arizona Form 140X for that year. You must file the
Form 140X within 90 days of amending your federal return.
                                                                        Line-by-Line Instructions
If the IRS makes a change to your federal taxable income for
any year, you must report that change to Arizona. You may               Tips for Preparing Your Return:
use one of the following two options to report this change.
                                                                        •   Make sure that you write your social security number on
Option 1                                                                    your return.
You may file a Form 140X for that year. If you choose this              •   Complete your return using black ink.
option, you must amend your Arizona return within 90 days
                                                                        •   You must round dollar amounts to the nearest whole
of the change. Attach a complete copy of the federal notice
                                                                            dollar. If 50 cents or more, round up to the next dollar.
to your Form 140X.
                                                                            If less than 50 cents, round down.
Option 2
                                                                        •   When asked to provide your own schedule, attach a separate
You may file a copy of the final federal notice with the                    sheet with your name and social security number at the top.
department within 90 days. If you choose this option, you                   Attach your own schedules to the back of your return.
must include a statement in which you must:
                                                                        •   You must complete your federal return before you can
1. Request that the department recompute your tax; and                      start your Arizona return.
2. Indicate if you agree or disagree with the federal notice.           •   Make sure you include your home telephone number. If
                                                                            your daytime number is not the same as your home
If you do not agree with the federal notice, you must also
include any documents that show why you do not agree.                       number, make sure you include a daytime number.
                                                                        •   If filing a fiscal year return, fill in the period covered in
If you choose option 2, mail the federal notice and any other
                                                                            the space provided at the top of the form.
documents to:
Arizona Department of Revenue                                           Entering Your Name, Address, and Social
1600 W. Monroe, Attention: Individual Income Audit
                                                                        Security Number
Phoenix, AZ 85007-2650
                                                                        Lines 1, 2, and 3 -
Do You Need to Make Estimated Payments in
2003?                                                                   Print or type your name, address, and SSN in the space
You must make Arizona estimated income tax payments                     provided. If you are a nonresident of the United States or a
during 2003 if:                                                         resident alien who does not have an SSN use the
Your filing status is:        AND                 AND                   identification number (ITIN) the IRS issued to you.
                        Your Arizona gross Your Arizona gross
                                                                        If you are filing a joint return, enter your SSNs in the same order
                        income for 2002 income for 2003
                                                                        as your first names. If your name appears first on the return,
                        was greater than:  exceeds:
Married Filing Joint                                                    make sure your SSN is the first number listed. Put your last
                            $150,000           $150,000
Single                       $75,000            $75,000                 names in the same order as your first names and SSNs.
Head of Household            $75,000            $75,000
                                                                        For a deceased taxpayer, see page 2 of these instructions.
Married          Filing      $75,000            $75,000
Separately                                                              Use your current home address. The department will send
                                                                        your refund or correspond with you at that address.
If you met the income threshold for 2002, you must make
                                                                        NOTE: Make sure your SSN is correct.
estimated payments during 2003 unless you are sure you will
not meet the threshold for 2003.
                                                                        Make sure that every return, statement, or document that you file
As a part-year resident, your Arizona gross income is that              with the department has your SSN. Make sure that all SSNs are
part of your federal adjusted gross income that you must                clear and correct. You may be subject to a penalty if you fail to
report to Arizona. Your Arizona gross income is on line 15              include your SSN. It may take longer to process your return if
of the 2002 Arizona Form 140PY.                                         SSNs are missing, incorrect, or unclear.
                                                                        Identification Numbers for Paid Preparers
See the worksheet for Form 140ES to figure how much your
payments should be.                                                     If you pay someone else to prepare your return, that person
What if You Make Your Estimated Payments                                must also include an identification number where requested.
Late?                                                                   A paid preparer may use any of the following.
                                                                        •
The department will charge you a penalty if you fail to make                his or her SSN
                                                                        •   his or her PTIN
any required payments. The department will charge you a
                                                                        •   the federal employer identification number for the business
penalty if you make any of your required payments late.

                                                                    3
Form 140PY

A paid preparer who fails to include the proper numbers may             Exemptions
also be subject to a penalty.
                                                                        Write the number of exemptions you are claiming in boxes 8,
Determining Your Filing Status                                          9, 10, and 11. Do not put a checkmark. You may lose the
The filing status that you use on your Arizona return may be            exemption if you put a checkmark in these boxes. You may
different from that used on your federal return.                        lose the dependent exemption if you do not complete Part A,
                                                                        lines A1 through A3 on page 2. You may lose the exemption
Use this section to determine your filing status. Check the
                                                                        for qualifying parents or ancestors if you do not complete
correct box (4 through 7) on the front of Form 140PY.
                                                                        Part A, lines A4 and A5, on page 2.
Line 4 Box - Married Filing a Joint Return
                                                                        Line 8 Box - Age 65 and Over
You may use this filing status if married as of December 31,
2002. It does not matter whether or not you were living with            Write quot;1quot; in box 8 if you or your spouse were 65 or older in
your spouse. You may elect to file a joint return, even if you          2002. Write quot;2quot; in box 8 if both you and your spouse were
and your spouse filed separate federal returns.                         65 or older in 2002.
You may use this filing status if your spouse died during
                                                                        Line 9 Box - Blind
2002 and you did not remarry in 2002. See page 2 of these
instructions for details.                                               Write quot;1quot; in box 9 if you or your spouse are totally or partially
                                                                        blind. Write quot;2quot; in box 9 if both you and your spouse are totally
If you are a part-year resident married to an Arizona full year
                                                                        or partially blind.
resident, you may file a joint return using the 140PY. For
more information, see Arizona Department of Revenue                     If you or your spouse were partially blind as of December
Income Tax Ruling ITR 95-2.                                             31, 2002, you must get a statement certified by your eye
                                                                        doctor or registered optometrist that:
Line 5 Box - Head of Household
                                                                        1.   You cannot see better than 20/200 in your better eye with
You may file as head of household on your Arizona return,
                                                                             glasses or contact lenses or
only if one of the following applies.
                                                                        2.   Your field of vision is 20 degrees or less.
•   You qualify to file as head of household on your federal
    return.                                                             If your eye condition is not likely to improve beyond the
•   You qualify to file as a qualifying widow or widower on             conditions listed above, you can get a statement certified by your
    your federal return.                                                eye doctor or registered optometrist to that effect instead.
Line 6 Box - Married Filing Separately                                  You must keep the statement for your records.
                                                                        Line 10 Box - Dependents
You may use this filing status if married as of December 31,
2002, and you elect to file a separate Arizona return. You              You must complete Part A, lines A1 through A3, on page 2 of
may elect to file a separate return, even if you and your               your return before you can total your dependent exemptions.
spouse filed a joint federal return.
                                                                        You may claim only the following as a dependent.
If you are filing a separate return, check the line 6 box and           • A person that qualifies as your dependent on your
enter your spouse's name in the space provided. Also enter                  federal return.
your spouse's SSN in the space provided.                                • A person who is age 65 or over (related to you or not)
                                                                            that does not qualify as your dependent on your federal
If you are filing a separate return and your spouse is an Arizona
                                                                            return, but one of the following applies.
resident, you must figure how much income to report using
community property laws. Under these laws, a separate return            1. In 2002, you paid more than one-fourth of the cost of
must reflect one-half of the community income taxable to Arizona            keeping this person in an Arizona nursing care institution,
plus any separate income taxable to Arizona. For details, see               an Arizona residential care institution, or an Arizona
Arizona Department of Revenue Income Tax Ruling, ITR 93-20.                 assisted living facility. Your cost must be more than $800.
                                                                        2. In 2002, you paid more than $800 for either Arizona
NOTE: If you can treat community income as separate
                                                                            home health care or other medical costs for the person.
income on your federal return, you may also treat that
community income as separate on your Arizona return. See
                                                                        Completing Line(s) A1
Arizona Department of Revenue Ruling ITR 93-22.
                                                                        NOTE: If a person who qualifies as your dependent is also
Line 7 Box - Single
                                                                        a qualifying parent or ancestor of your parent, you may
                                                                        claim that person as a dependent on line A2, or you may
Use this filing status if you were single on December 31,
                                                                        claim that person as a qualifying parent or ancestor of your
2002. You are single if any of the following apply to you.
                                                                        parent on line A5. You may not claim that same person on
•   You have never been married.                                        both line A2 and line A5. Do not list the same person on line
                                                                        A1 that you listed on line A4.
•   You are legally separated under a decree of divorce or
    of separate maintenance.                                            Enter the following on line(s) A1.
•   You were widowed before January 1, 2002, and you did
                                                                        1. The dependent's name.
    not remarry in 2002, and you do not qualify to file as a
                                                                        2. The dependent's social security number.
    qualifying widow or widower with dependent children
    on your federal return.                                             3. The dependent's relationship to you.

                                                                    4
Form 140PY

4.   The number of months the dependent lived in your home             Line A5 - Total Qualifying Parents or
     during 2002.
                                                                       Ancestors of Your Parents
You may lose the exemption if you do not furnish this
                                                                       Enter the total number of persons listed on line(s) A4. Enter
information.
                                                                       the same number on the front of the return in box 11.
Line A2 - Total Dependents
                                                                       Reporting Your Residency Status
Enter the total number of persons listed on line(s) A1. Enter
the same number on the front of the return in box 10.
                                                                       Check the appropriate box.
Line A3 - Persons You Cannot Take as                                   Line 12 Box - Part-Year Resident Other
Dependents on Your Federal Return                                      Than Active Duty Military
Enter the names of any dependents age 65 or over listed on             Check box 12 if you were an Arizona resident for part of
line(s) A1 that you cannot take as a dependent on your
                                                                       2002, and were not an active duty military member.
federal return.
                                                                       Line 13 Box - Part-Year Resident Active
Line 11 Box - Qualifying Parents and
                                                                       Military
Ancestors of Your Parents
                                                                       Check box 13 if you were an active duty military member who
A qualifying parent or ancestor of your parent may be any
                                                                       either began or gave up Arizona residency during 2002.
one of the following.
                                                                       Determining Arizona Income
• Your parent, or your parent’s ancestor. Your parent’s
    ancestor is your grandparent, great grandparent, great
                                                                       Now complete Parts B, C, and D on page 2 of the return.
    great grandparent, etc.
• If married filing a joint return, your spouse’s parent or            Use Part B to determine what portion of your total income is
                                                                       taxable by Arizona.
    an ancestor of your spouse’s parent.
You may claim this exemption if all of the following apply.            NOTE: If you are unable to determine the proper line to use,
                                                                       please contact one of the numbers listed on the back cover.
1. The parent or ancestor of your parent lived in your
    principal residence for the entire taxable year.
                                                                       FEDERAL Column
2. You paid more than one-half of the support and
    maintenance costs of the parent or ancestor of your                Enter the actual amounts shown on your 2002 federal income
    parent during the taxable year.                                    tax return in the FEDERAL column. Complete lines B7
3. The parent or ancestor of your parent was 65 years old              through B20. Line B18 should equal the federal adjusted
    or older during 2002.                                              gross income shown on your 2002 federal return Form 1040,
                                                                       Form 1040A, or Form 1040EZ.
4. The parent or ancestor of your parent required assistance
    with activities of daily living, like getting in and out of
                                                                       ARIZONA Column
    bed, or chairs, walking around, going outdoors, using
    the toilet, bathing, shaving, brushing teeth, combing              Enter that portion of your federal income received while you
    hair, dressing, medicating or feeding.                             were an Arizona resident in the Arizona column. For
                                                                       example, if you became an Arizona resident on June 30, enter
You must complete Part A, lines A4 and A5, on page 2 of
                                                                       all income you received from that day to December 31, 2002.
your return before you can total your exemptions for
qualifying parents and ancestors of your parents.
                                                                       NOTE: If you also have Arizona source income for the
NOTE: If a person who is a qualifying parent or ancestor of            portion of the taxable year you were an Arizona
your parent also qualifies as your dependent, you may claim            nonresident, also include that source income on the
that person as a dependent on line A2, or you may claim                appropriate line in the Arizona column.
that person as a qualifying parent or ancestor of your parent
on line A5. You may not claim that same person on both line            The Tax Reform Act of 1986 limits the amount of losses that
A2 and line A5. Do not list the same person on line A4 that            you may deduct from passive activities. A passive activity is
you listed on line A1.                                                 one that involves the conduct of any trade or business in which
                                                                       the taxpayer does not materially participate.
Completing Line(s) A4
                                                                       As a part-year resident, your Arizona gross income may include
Enter the following on line(s) A4.                                     some of these losses. For the part of the year you were an Arizona
1. The name of the qualifying parent or ancestor of your parent.       resident, you may consider any passive losses that arose while an
                                                                       Arizona resident. For the part of the year you were an Arizona
2. The social security number of the qualifying parent or
                                                                       nonresident, you may consider only those passive losses that arose
    ancestor of your parent.
                                                                       from Arizona sources. Your 2002 Arizona gross income can
3. The qualifying parent’s or ancestor’s relationship to you,          include only losses you used on your 2002 federal return.
    or your spouse if filing a joint return.
                                                                       The following line-by-line instructions apply to the
4. The number of months the qualifying parent or ancestor
                                                                       ARIZONA column.
    of your parent lived in your home during 2002.
                                                                       Line B6 - Dates of Arizona Residency
You may lose the exemption if you do not furnish this
information.                                                           If you became an Arizona resident during 2002, enter the date


                                                                   5
Form 140PY

that you became an Arizona resident. If you gave up your               Enter any income or (loss) derived from Arizona sources
Arizona residency during 2002, do both of the following.               from partnerships, small business corporations, etc., during
                                                                       the part of the year you were an Arizona nonresident.
1.   Enter the date you became an Arizona resident.
                                                                       Line B15 - Other Income Reported on Your
2.   Enter the date you gave up your Arizona residency.
                                                                       Federal Return
Line B7 - Wages, Salaries, Tips, etc.
                                                                       Enter other income shown on your federal return that you
Enter all amounts received while an Arizona resident.                  received while an Arizona resident. Other income may include
                                                                       pensions, social security, unemployment, and lottery winnings.
Also enter all amounts received from Arizona employment
                                                                       Attach a schedule listing these other items.
during the part of the year you were an Arizona nonresident.
                                                                       Also enter any other income derived from Arizona sources
NOTE: Do not include active duty military pay for the part             during the part of the year you were an Arizona nonresident.
of the year you were a nonresident.
                                                                       Line B16 - Total Income
Line B8 - Interest
                                                                       Add lines B7 through B15 and enter the total.
Enter all amounts received while an Arizona resident.
                                                                       Line B17 - Federal Adjustments
You must also enter any interest income derived from
                                                                       If any of the following are included in adjustments shown on your
Arizona sources during the part of the year you were an
                                                                       federal return, make an entry on this line as explained below.
Arizona nonresident. Interest income from Arizona sources is
                                                                       1. IRA. Enter the amount actually paid while an Arizona
interest income that has acquired an Arizona business situs.
                                                                            resident for your IRA and/or your spouse's IRA.
If you received tax exempt interest from municipal bonds, attach
                                                                       2. Student loan interest: Enter the amount you paid while
a schedule listing the payors and the amount received from each
                                                                            an Arizona resident.
payor. You may also want to attach supporting documents for
amounts received from Arizona municipal bonds that are exempt          3. Archer medical savings account: Enter the amount you
from Arizona income tax. These may be items such as bank                    contributed to the MSA while an Arizona resident.
statements, brokerage statements, etc. Be sure you add the             4. Self-employed SEP, SIMPLE and qualified plans: Enter
amount you received while an Arizona resident from non-                     the amount actually paid while an Arizona resident.
Arizona municipal bonds to your income on line C23.
                                                                       5. Self-employment tax: Enter that portion of the self-
Line B9 - Dividends                                                         employment tax that relates to self-employment income
                                                                            reportable to Arizona.
Enter all amounts received while an Arizona resident.
                                                                       6. Self-employed health insurance: Enter that amount of
You must also enter any dividends derived from Arizona                      self-employed health insurance that was actually paid
sources during the part of the year you were an Arizona                     while an Arizona resident.
nonresident. Dividend income from Arizona sources is
                                                                       7. Penalty on early withdrawal of savings: Multiply the
dividend income that has acquired an Arizona business situs.
                                                                            federal deduction by the ratio of your Arizona interest to
Line B10 - Arizona Income Tax Refunds                                       your federal interest.
Enter the amount of Arizona income tax refunds received in             8. Alimony: Enter the amount actually paid while an
2002 that you included in your federal adjusted gross income.               Arizona resident.
Line B11 - Alimony Received                                            9. Moving expenses: Enter the amount of moving expenses
                                                                            included in your federal adjusted gross income that you
Enter amounts received while an Arizona resident.                           accrued and paid during the part of the year you were an
Line B12 - Business Income or (Loss)                                        Arizona resident.
                                                                       NOTE: Do not enter any amounts for items 1 through 9
Enter any business or farm income or (loss) incurred while
                                                                       above unless you deducted these items in computing your
you were an Arizona resident.
                                                                       federal adjusted gross income.
Also enter income or (loss) derived from Arizona businesses
                                                                       If your federal return shows other adjustments to income,
during the part of the year you were an Arizona nonresident.
                                                                       attach your own schedule to show your calculation.
Line B13 - Gains or (Losses)
                                                                       Line B19 - Arizona Income
Enter any gain or (loss) on property sold while an Arizona
                                                                       Complete line B19 as instructed on the form.
resident if you included the amount as income on your 2002
federal return.                                                        Line B20 - Arizona Percentage
Also enter gains or (losses) on sales of Arizona property during       Divide line B19 by line B18, and enter the result on line
the part of the year you were an Arizona nonresident.                  B20. (Do not enter more than 100 percent.) This is the
                                                                       Arizona percentage of your total income.
Line B14 - Rents, etc.
                                                                                               Example:
Enter income received from rents, royalties, partnerships,
                                                                        Arizona        Federal           Arizona percentage
estates, trusts, small business corporations, etc., while an
                                                                        Gross Income Adjusted
Arizona resident.
                                                                        from line B19 Gross Income
Also enter rents or royalties earned on Arizona properties                             from line B18
during the part of the year you were an Arizona nonresident.            $ 7,500        $ 30,000          $7,500/30,000 = 25%

                                                                   6
Form 140PY

                                                                          ordinary income on your federal return. If you chose to treat the
Determining Additions to Income                                           capital gain portion of the distributions as ordinary income, you
                                                                          must also include that amount on line C23.
Line C21 - Early Withdrawal of Arizona,
County, City, or School Retirement System                                 For more information, see Arizona Department of Revenue
                                                                          Income Tax Ruling, ITR 93-5.
Contributions
                                                                          C. Trust or Estate Deductions
If you meet all the following, you must enter an amount here.
                                                                          You must add the following estate or trust deductions to your
1. You left your job with the State of Arizona or an
                                                                          Arizona gross income.
     Arizona county, city, or school district for reasons other
     than retirement.                                                     1.  Your share of the estate's or trust's deductions allowed
2. When you left, you took out the contributions you had                      under the Internal Revenue Code.
     made to the retirement system while employed.                        2. Your share of the excess deductions and loss carryovers
3. You deducted these contributions on your Arizona                           allowed under the Internal Revenue Code as deductions
     income tax returns that you filed for prior years.                       to the beneficiary on termination of an estate or trust.
4. You did not include these contributions in your federal                You must add the above deductions and loss carryovers to
     adjusted gross income this year.                                     Arizona gross income only to the extent you included these
                                                                          items in computing your Arizona taxable income.
If you meet all these tests, you must report as income those
contributions previously deducted on your prior years'                    D. Medical Savings Account (MSA) Distributions
Arizona tax returns.                                                      For information on Arizona's MSA provisions, see the
For more information, see Arizona Department of Revenue                   department's MSA brochure, Pub 542.
Income Tax Ruling ITR 93-7.
                                                                          You must add amounts received from an MSA here if any of
NOTE: Any interest earned on your retirement contributions                the following apply.
while they were in the system should be reported on line B8 in
                                                                          1 - You Withdrew Funds From Your MSA For Other
both the FEDERAL and ARIZONA income columns.                              Than Qualified Expenses
Line C22 - Bonus Depreciation Allowed                                     If you had an MSA during the part of the year you were an
Under I.R.C. § 168(k)                                                     Arizona resident, you must make an entry here if all of the
                                                                          following apply.
The federal Job Creation and Worker Assistance Act of 2002
                                                                          1. You withdrew money from your MSA during 2002,
(P.L. 107-147), which was signed by President Bush on
                                                                               while either a resident or a nonresident.
March 9, 2002, allows businesses to claim a 30% bonus
depreciation for qualified capital investments in property                2. You did not use the amount withdrawn to pay qualified
placed in service after September 10, 2001. However, for                       medical expenses.
Arizona income tax purposes, Arizona will not allow the                   3. You did not have to include the withdrawal as income
bonus depreciation.      Taxpayers that claim the bonus                        on your federal income tax return.
depreciation on their federal income tax return must add the
                                                                          Enter the amount withdrawn.
amount claimed for federal purposes to their Arizona gross
income. Enter the amount of such depreciation claimed on                  If you had an MSA during the part of the year you were an
your 2002 federal income tax return only to the extent you                Arizona nonresident, you must make an entry here if all of
included the depreciation in computing your Arizona gross                 the following apply.
income. If you make an entry here, also see the instructions              1. You had Arizona source income while an Arizona
for line D35, “Other Subtractions From Income”.                                nonresident.
Line C23 - Other Additions to Income                                      2. Your MSA qualified as an MSA under Arizona law.
                                                                          3. If you were an employee, your high deductible health
Use line C23 if any of the special circumstances below
                                                                               coverage was provided by your Arizona employer. If
applies. Attach your own schedule to the back of your return,
                                                                               you were self employed, your high deductible health
explaining any amounts entered on line C23.
                                                                               coverage was provided by your Arizona business.
Items A, B, C, and D that follow must be added to income on               4. You withdrew money from your MSA during 2002,
line C23 of your return.                                                       while either a resident or a nonresident.
A. Non-Arizona Municipal Interest                                         5. You did not use the amount withdrawn to pay qualified
                                                                               medical expenses.
Enter interest income earned from non-Arizona municipal
bonds while an Arizona resident.                                          6. You did not have to include the withdrawal as income
                                                                               on your federal income tax return.
NOTE: You may reduce this addition by any interest or other
related expenses incurred to purchase or carry the obligation.            Enter the amount withdrawn.
As a part-year resident, you may reduce the addition by the
                                                                          2 - Deceased Account Holder Where the Named
amount of those expenses attributable to income subject to
                                                                          Beneficiary is Not the Decedent's Surviving Spouse
Arizona tax. You may reduce the addition by those expenses
                                                                          You must make an entry here if all of the following apply.
that you could not deduct on your federal return.
                                                                          1. The account holder died during the part of the year you
B. Ordinary Income Portion of Lump Sum
                                                                               were an Arizona resident.
Distribution Excluded on Your Federal Return
                                                                          2. The decedent's MSA qualified as an MSA under
Arizona law does not provide for averaging. Enter the amount of
                                                                               Arizona law.
the distributions received while an Arizona resident and treated as

                                                                      7
Form 140PY

3.   You are the named beneficiary of the decedent's MSA.                Pension Adjustment Worksheet Continued
                                                                         3. Remainder of cost (line 1 minus
4.   You are not the decedent's surviving spouse.
                                                                                line 2 but not less than zero).         3.
5.   You did not have to include the value of the MSA as                 4. Pension amount received this year.          4.
     income on your federal income tax return.                           5. Subtract line 3 from line 4 (but            5.
In this case, the MSA ceases to be an MSA. Enter the fair                       not less than zero).
market value of the MSA as of the date of death, less the amount         6. Enter the pension amount taxable
of MSA funds used within one year of the date of death, to pay                  on your federal return.                 6.
the decedent's qualified medical expenses. You can reduce the            7. Subtract line 6 from line 5.                7.
fair market value by only those expenses paid from the MSA. If           If line 7 is more than zero, enter the amount on line 7 as an
you pay additional medical expenses for the decedent from the            addition to income. Enter the addition on line C23.
MSA after you file, you may file an amended return to further            If line 6 is more than line 5, enter the difference as a
reduce the fair market value of the MSA.                                 subtraction from income. Enter the subtraction on line D35.
3 - Decedent's Final Return And No Named MSA                           F. Partnership Income
Beneficiary
                                                                       Depending on your situation, you may either add (line C23)
Make an entry here if all of the following apply.                      or subtract (line D35) this amount.
1.   The account holder died during the part of the year in            Use this adjustment if your Arizona Form 165 Schedule K-1
     which he or she was an Arizona resident.                          shows a difference between federal and state distributable income.
2. There is no named MSA beneficiary.                                  If the difference reported on your Arizona Form 165,
                                                                       Schedule K-1, is a positive number, enter that portion of the
3. This is the decedent's final return.
                                                                       difference that is allocable to partnership income taxable by
4. The value of the MSA did not have to be included on                 Arizona as an addition. Enter the addition on line C23.
     the decedent's final federal income tax return.
                                                                       If the difference reported on your Arizona Form 165, Schedule
In this case, the MSA ceases to be an MSA. Enter the fair              K-1, is a negative number, enter that portion of the difference
market value of the MSA as of the date of death. This rule             that is allocable to partnership income taxable by Arizona as a
applies in all cases in which there is no named beneficiary,           subtraction. Enter the subtraction on line D35.
even if the surviving spouse ultimately obtains the right to           G. Net Operating Losses
the MSA assets.
                                                                       Arizona does not have specific Arizona net operating loss provisions
NOTE: The following are not withdrawals. Do not enter                  for individual taxpayers. Arizona conforms to the federal net
any of the following:                                                  operating loss provisions, including the carryback provisions.
• Amounts from the MSA used to pay qualified medical                   As a part-year resident, Arizona recognizes that portion of
    expenses                                                           the federal net operating loss which is attributable to income
• A qualified return of excess contributions                           taxed by Arizona as the Arizona net operating loss.
• A qualified rollover
                                                                       As a part-year Arizona resident, include in Arizona gross income
• The fair market value of an MSA received by a
                                                                       the amount of federal net operating loss carryforward or carryback
    surviving spouse who was the deceased account
                                                                       attributable to Arizona unless any of the following apply.
    holder's named beneficiary
                                                                       1. The net operating loss attributable to Arizona included
For more information about the above items, see the
                                                                              in your federal adjusted gross income has already been
department's MSA brochure, Pub 542.
                                                                              deducted for Arizona purposes.
E. Pension Adjustments                                                 2. The net operating loss included in your federal adjusted
                                                                              gross income was incurred from non-Arizona sources
Depending on your situation, you may either add (line C23)
                                                                              while a nonresident.
or subtract (line D35) this amount.
                                                                       3. You took a separate subtraction for the net operating
Use this adjustment if both of the following apply.
                                                                              loss included in your federal adjusted gross income on
1. Arizona taxed your pension for years before 1979.                          an amended return filed for a prior tax year under the
                                                                              special net operating loss transition rule.
2. You reported that pension on your federal return using
    the percentage exclusion method.                                   For information on deducting a net operating loss carryback, see
                                                                       Arizona Department of Revenue Income Tax Procedure ITP 99-1.
Do not use this adjustment if either of the following apply.
                                                                       H. Agricultural Water Conservation System Credit
1.  You reported your pension income as fully taxable on
                                                                       If you take this credit (Form 312), you cannot deduct any expenses
    your federal return.
                                                                       for which you claim the credit. If you take this credit, enter the
2. You reported your pension income on your federal
                                                                       amount of such expenses that you deducted on your federal return.
    return under the quot;three-year-rulequot;.
                                                                       I. Items Previously Deducted for Arizona Purposes
Follow the worksheet below to figure the adjustment.
                                                                       Arizona statutes prohibit a taxpayer from deducting items more
            Pension Adjustment Worksheet                               than once. However, under the operation of former Arizona law
 Follow these steps to figure the adjustment:                          (1989 and prior), you could deduct certain items in greater
 Worksheet (Keep for your records.)                                    amounts for Arizona purposes than federal purposes. Investment
 1. Your contribution to annuity.          1.                          interest and passive activity losses were such items. In some cases,
 2. Pension amount received in prior                                   you could have deducted such amounts in their entirety on the
     years.                                2.                          Arizona return. For federal purposes, the deduction for these items

                                                                   8
Form 140PY

                                                                        •
was limited, with the unused portions being carried forward and              Credit for employment of TANF recipients
                                                                        •
deducted in future years. Your Arizona return may include these              Credit for agricultural pollution control equipment
                                                                        •
previously deducted items because of the difference between the              Credit for taxpayers participating in agricultural
federal and former Arizona treatment. If your Arizona taxable                preservation district
income includes items previously deducted for Arizona purposes,
                                                                        M. Solar Hot Water Heating Plumbing Stub Out And
you must add such amounts to your Arizona gross income.
                                                                        Electric Vehicle Recharge Outlet Expenses
J. Claim of Right Adjustment for Amounts Repaid
                                                                        If you take a credit for installing solar hot water heating plumbing
in 2002
                                                                        stub outs or electric vehicle recharge outlets in a dwelling you
You must make an entry here if all of the following apply.              constructed, you cannot deduct any expenses for which you claim
                                                                        the credit. If you take this credit, enter the amount of such expenses
1. During 2002, you were required to repay amounts held
                                                                        that you deducted on your federal return.
     under a claim of right.
2. The amount required to be repaid was subject to                      N. Wage Expense for Employers of TANF Recipients
     Arizona income tax in the year included in income.
                                                                        If you take a credit for employing TANF recipients, you
3. The amount required to be repaid during 2002 was more
                                                                        cannot deduct any wage expense for which you claim the
     than $3,000.
                                                                        credit. If you take this credit, enter the amount of such
4. You took a deduction for the amount repaid on your
                                                                        expenses that you deducted on your federal return.
     2002 federal income tax return.
                                                                        O. Amounts Deducted for Conveying Ownership or
5. The deduction taken on your federal income tax return is
                                                                        Development Rights of Property to an Agricultural
     reflected in your Arizona taxable income.
                                                                        Preservation District
If the above apply, enter the amount deducted on your
federal income tax return which is reflected in your Arizona            If you take a credit for taxpayers participating in an
taxable income.                                                         agricultural preservation district, you cannot deduct any
                                                                        amounts for conveying ownership or development rights of
For more information on the Arizona claim of right
provisions, see Arizona Department of Revenue Individual                property to an agricultural district. If you take this credit, enter
Income Tax Procedure ITP 95-1.                                          the amount of such deductions for which you claim a credit.
K. Claim of Right Adjustment for Amounts Repaid                         P. Other Adjustments
in Prior Taxable Years
                                                                        Other special adjustments may be necessary. You may need
You must make an entry here if all of the following apply.
                                                                        to make an addition for depreciation or amortization. You
1. During a year prior to 2002 you were required to repay               may also need to make an addition if you claimed certain tax
     income held under a claim of right.                                credits. Call one of the numbers listed on the back cover if
2. You computed your tax for that prior year under                      any of the following apply.
     Arizona's claim of right provisions.
                                                                        •    You are a qualified defense contractor that elected to
3. A net operating loss or capital loss was established due
                                                                             amortize under Arizona Revised Statutes section 43-1024.
     to the repayment made in the prior year.
                                                                        •    You sold or disposed of property that was held for the
4. You are entitled to take that net operating loss or capital
                                                                             production of income and your basis was computed
     loss carryover into account when computing your 2002
                                                                             under the Arizona Income Tax Act of 1954.
     Arizona taxable income.
                                                                        •    You are still depreciating or amortizing a child care
5. The amount of the loss carryover included in your
                                                                             facility for which you claimed a state credit.
     Arizona gross income is more than the amount allowed
                                                                        •    You claimed the environmental technology facility credit.
     to be taken into account for Arizona purposes.
                                                                        •    You claimed the pollution control credit.
Enter the amount by which the loss carryover included in
                                                                        •    You claimed the recycling equipment credit.
your Arizona gross income is more than the amount allowed
                                                                        •    You claimed the credit for agricultural pollution control
for the taxable year under Arizona law.
                                                                             equipment.
L. Addition to S Corporation Income Due to Credits
                                                                        •    You elected to amortize the basis of a pollution control
Claimed
                                                                             device or the cost of a child care facility under Arizona
Shareholders of an S corporation who claim a credit passed
                                                                             law in effect before 1990. You are still deducting
through from an S corporation must make an addition to
                                                                             amortization or depreciation for that device or facility
income for the amount of expenses disallowed by reason of
                                                                             on your federal income tax return.
claiming the credit.
                                                                        Line C24 - Total Additions
An S corporation that passes the following credits through to its
shareholders must notify each shareholder of his or her pro rata
                                                                        Add lines C21 through C23. Enter the total on line C24 and
share of the adjustment. You must enter an amount on this line
                                                                        on the front of your return on line 16.
when claiming any of the following credits.
• Agricultural water conservation system credit                         Determining Subtractions From Income
• Defense contracting credit
• Environmental technology facility credit                              You may only subtract those items for which statutory
• Pollution control credit                                              authority exists. Without such authority you cannot take a
• Recycling equipment credit                                            subtraction. If you have any questions concerning
• Credit for solar hot water heater plumbing stub outs and              subtractions from income, call one of the numbers listed on
     electric vehicle recharge outlets                                  the back cover.


                                                                    9
Form 140PY

                                                                          line B15 in the ARIZONA column and reported on your
NOTE: You may not subtract any amount which is allocable to
income excluded from your Arizona taxable income.                         federal income tax return.
Line D25 - Exemption: Age 65 or Over                                      If you subtract Arizona lottery winnings here, you may have
                                                                          to adjust the amount of gambling losses claimed as an
Multiply the number in box 8 on the front of your return by
                                                                          itemized deduction.
$2,100 and enter the result.
                                                                          Line D33 - Social Security Benefits or
Line D26 - Exemption: Blind
                                                                          Railroad Retirement Benefits
Multiply the number in box 9 on the front of your return by
                                                                          Arizona does not tax social security benefits received under Title
$1,500 and enter the result.
                                                                          II of the Social Security Act. Arizona does not tax railroad
Line D27 - Exemption: Dependents                                          retirement benefits received from the Railroad Retirement Board
                                                                          under the Railroad Retirement Act. If you included such social
Multiply the number in box 10 on the front of your return by
$2,300 and enter the result.                                              security or railroad retirement benefits on your federal return as
                                                                          income and also included this amount in the Arizona column on
Line D28 - Exemption: Qualifying Parents                                  line B15, subtract this income on line D33.
and Ancestors
                                                                          Subtract only the amount you reported as income on your federal
Multiply the number in box 11 on the front of your return by
                                                                          return and included on line B15 in the Arizona column.
$10,000 and enter the result.
                                                                          See Arizona Department of Revenue Income Tax Ruling ITR
Line D29 - Total
                                                                          96-1 for more information about railroad retirement benefits.
Add lines D25 through D28 and enter the total.
                                                                          Line D34 - Construction of an Energy
Line D30 - Prorated Exemptions                                            Efficient Residence
Multiply the amount on line D29 by the Arizona percentage                 For taxable years beginning from and after December 31, 2001,
from line B20 and enter the result.                                       through December 31, 2010, Arizona law allows a subtraction
                                                                          for an energy efficient residence. The subtraction is allowed for
Active Duty Military Personnel Only: If you were an
                                                                          selling one or more new energy efficient residences located in
active duty military member who either began or gave up
                                                                          Arizona. The subtraction is equal to 5% of the sales price
Arizona residency during 2002, do not prorate these
                                                                          excluding commissions, taxes, interest, points, and other
exemptions. You are allowed 100 percent deductions for the
                                                                          brokerage, finance and escrow charges. The subtraction cannot
age 65, the blind, and the dependent exemptions. Enter the
                                                                          exceed $5,000 for each new qualifying residence.
amount on line D29 (Total) on this line.
                                                                          The taxpayer that builds the new residence may claim the
Line D31 - Interest on U.S. Obligations                                   subtraction when the taxpayer first sells the residence. However,
Enter the amount of interest income from U.S. Government                  the seller may elect to transfer the subtraction to the buyer.
obligations included on line B8 in the ARIZONA column. U.S.               For more information, see Arizona Department of Revenue
Government obligations include obligations such as U.S. savings
                                                                          Income Tax Procedure ITP 02-1.
bonds and treasury bills. You cannot deduct any interest or other
                                                                          Enter the number of residences for which you are claiming a
related expenses incurred to purchase or carry the obligations. If
                                                                          subtraction on line D34a, then enter the amount of the
such expenses are included in your Arizona gross income, you
                                                                          subtraction on line D34. Also enter the number on line D34a
must reduce the subtraction by such expenses. If you are itemizing
                                                                          on Form 140PY, page 1, line 181.
deductions on your Arizona return, you must exclude such
expenses from the amount deducted.                                        Line D35 - Other Subtractions
NOTE: Do not subtract interest earned on FNMA or GNMA                     Use line D35 if any of the following special circumstances
bonds since this interest is taxable by Arizona. For details, see
                                                                          apply. Attach your own schedule to the back of your return,
the department's income tax ruling, ITR 02-1.
                                                                          explaining any amounts entered here.
Do not subtract any amount received from a qualified pension              A. Exclusion for U.S. Government, Arizona State, or
plan that invests in U.S. Government obligations. Do not                  Local Government Pensions
subtract any amount received from an IRA that invests in U.S.
                                                                          If you receive pension income from any of the sources listed
Government obligations. These amounts are not interest
                                                                          below, subtract the amount you received or $2,500,
income. For more information, see Arizona Department of
                                                                          whichever is less. Include only the amount you reported as
Revenue Income Tax Rulings ITR 96-2 and ITR 96-3.
                                                                          income on your federal return and included on line B15 in
Line D32 - Arizona Lottery Winnings                                       the ARIZONA column. If both you and your spouse receive
                                                                          such pension income, each spouse may subtract the amount
You may subtract all winnings received in 2002 related to an
                                                                          received or $2,500, whichever is less.
Arizona lottery prize won before March 22, 1983. You may
subtract up to $5,000 of winnings received in 2002 for                    Public pensions from the following sources qualify
                                                                          for this subtraction:
Arizona lottery prizes won after March 21, 1983. Only
subtract those Arizona lottery winnings that you included on              •   The United States Government Service Retirement and
                                                                              Disability Fund

                                                                     10
Form 140PY

•    The United States Foreign Service Retirement and                     of farming or processing agricultural crops. The crop must
     Disability System                                                    be grown in Arizona. You must make your gift to a
                                                                          charitable organization located in Arizona which is exempt
• Retired or retainer pay of the uniformed services of the
                                                                          from Arizona income tax.
     United States
• Any other retirement system or plan established by                      The subtraction is the greater of 80 percent of the wholesale
                                                                          market price or 80 percent of the most recent sale price for
     federal law
                                                                          the given crop.
NOTE: This applies only to those retirement plans authorized
                                                                          To determine if your crop contribution qualifies for this
and enacted into the U.S. Code. This does not apply to a
                                                                          subtraction, see Arizona Department of Revenue Procedure
retirement plan that is only regulated by federal law (i.e., plans
                                                                          ITP 93-2.
which must meet certain federal criteria to be qualified plans).
                                                                          F. Certain Wages of American Indians
•    The Arizona State Retirement System
                                                                          Enrolled members of American Indian tribes may subtract
•    The Arizona State Retirement Plan
                                                                          wages earned while living and working on their tribe's
•    The Corrections Officer Retirement Plan                              reservation. You can subtract only those amounts that you
•    The Public Safety Personnel Retirement System                        included on line B7, ARIZONA column. The federal
•    The Elected Officials' Retirement Plan                               government must recognize these tribes.
•    A retirement plan established for employees of a county,             For more information, see Arizona Department of Revenue
     city, or town in Arizona                                             Income Tax Ruling, ITR 96-4.
•    An optional retirement program established by the Arizona            G. Combat Pay
     Board of Regents under Arizona Revised Statutes
                                                                          Members of the U.S. armed forces may subtract pay received
•    An optional retirement plan established by an Arizona
                                                                          for serving in a combat zone or an area given the treatment
     community college district.
                                                                          of a combat zone. Enter only that amount of pay reported on
                                                                          your 2002 federal return that you also included on line B7 in
NOTE: Public retirement pensions from states other than
                                                                          the ARIZONA column.
Arizona do not qualify for this subtraction.
                                                                          H. Federally Taxable Arizona Municipal Interest
B. Previously Reported Gain on Decedent's
Installment Sale                                                          Enter the amount of any interest income received on obligations of
                                                                          the State of Arizona, or any political subdivisions of Arizona, that
Prior Arizona law required acceleration of any unrecognized
                                                                          you included in your Arizona gross income. Enter only that
installment sale gain upon the death of a taxpayer. However,
                                                                          amount of Arizona municipal interest income that you included on
this acceleration could have been avoided by the posting of a
                                                                          line B8 in the ARIZONA column. Do not enter any Arizona
bond. If acceleration was required, your federal adjusted
                                                                          municipal interest that is exempt from federal taxation and not
gross income may include installment sale amounts already
                                                                          included in your federal adjusted gross income.
recognized on a decedent's final Arizona return. Deduct that
portion of the gain included on line B13, ARIZONA column.                 I. Adoption Expenses
C. Deposits Made Into Your MSA                                            You may take this subtraction only in the year the final
                                                                          adoption order is granted.
If you have an MSA, you may be able to subtract deposits
made into that MSA. Make an entry here if all of the                      Enter the lesser of the total of the following adoption
following apply.                                                          expenses or $3,000.
1.   You have an MSA that qualifies as an MSA under                       When figuring your subtraction, you may include expenses
     Arizona law, but not federal law.                                    incurred in prior years.
2.   Either you or your employer made deposits into that
                                                                          The following expenses are qualified adoption expenses.
     MSA during the tax year.
                                                                          1.   Nonreimbursed medical and hospital costs.
3.   You had to include the deposits in income on your
     federal income tax return.                                           2.   Adoption counseling.
                                                                          3.   Legal and agency fees.
Enter the amount of the MSA deposits that you had to
include in your federal adjusted gross income.                            4.   Other nonrecurring costs of adoption.
D. Employer Contributions Made to Employee MSAs                           If filing separately, you may take the entire subtraction, or
                                                                          you may divide the subtraction with your spouse. However,
If you are an employer, you may subtract the amount
                                                                          the total subtraction taken by both you and your spouse
contributed to your employees' MSAs that are established
                                                                          cannot exceed $3,000.
under Arizona law. You can subtract these contributions only
to the extent not deductible for federal income tax purposes.             J. Qualified Wood Stove, Wood Fireplace, or Gas
Enter these contributions here.                                           Fired Fireplace
E. Agricultural Crops Given to Arizona Charitable                         Arizona law provides a subtraction for converting an existing
Organizations                                                             fireplace to a qualified wood stove, qualified wood fireplace,
                                                                          or gas fired fireplace and non-optional equipment directly
Arizona law allows a subtraction for qualified crop gifts
                                                                          related to its operation. You may subtract up to $500 of the
made during 2002 to one or more charitable organizations.
                                                                          costs incurred for converting an existing fireplace to a
To take this subtraction, you must be engaged in the business

                                                                     11
azdor.gov Forms 140PYi
azdor.gov Forms 140PYi
azdor.gov Forms 140PYi
azdor.gov Forms 140PYi
azdor.gov Forms 140PYi
azdor.gov Forms 140PYi
azdor.gov Forms 140PYi
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azdor.gov Forms 140PYi

  • 1. Arizona Form 2002 Part-Year Resident Personal Income Tax Return 140PY Leave the Paper Behind…e-File! • You live on the reservation established for that tribe. • You earned all of your income on that reservation. • Quick Refunds • Accurate To find out more, see Arizona Department of Revenue • Proof of Acceptance Income Tax Ruling ITR 96-4. Do You Have to File if You Are a Non-Indian No more paper, math errors, or mailing delays; when you e-File! or Non-Enrolled Indian Married to an e-File is a cooperative tax filing program which makes it American Indian? possible for you to file both your Federal and Arizona Personal Income Tax Returns electronically at the same time. You must file if you meet the Arizona filing requirements. For Reap the benefits of e-File even if you owe taxes. details on how to figure what income to report, see Arizona Department of Revenue Income Tax Ruling ITR 96-4. e-File today, pay by April 15, 2003 to avoid penalties and interest. Do You Have to File if You Are in The Military? e-File your returns through an Authorized IRS/DOR e-file Provider or by using your Personal Computer and the Internet. You must file if you meet the Arizona filing requirements. Visit our web site at www.revenue.state.az.us for a listing of If you are an Arizona resident, you must report all of your approved e-file providers and on-line filing sources. income, no matter where stationed. You must include your Are You Subject to Tax in Arizona? military pay. If you were an Arizona resident when you entered the service, you remain an Arizona resident, no As a part-year resident, you are subject to tax on all of the matter where stationed, until you establish a new domicile. following. 1. Any income you earned in 2002 while an Arizona If you are not an Arizona resident, but stationed in Arizona, resident. This includes any interest or dividends the following applies to you. received from sources outside Arizona. • You are not subject to Arizona income tax on your 2. Any income you earned from an Arizona source in 2002 military pay. before moving to (or after leaving) the state. • You must report any other income you earn in Arizona. NOTE: If you also have Arizona source income and deductions Use Form 140NR, Nonresident Personal Income Tax for the portion of the year you were an Arizona nonresident, file Return, to report this income. Arizona Form 140PY for the entire taxable year. To find out more, see Arizona Department of Revenue Do You Have to File? brochure, Pub 704, Taxpayers in the Military. If You Included Your Child's Unearned Arizona Filing Requirements Income on Your Federal Return, Does Your These rules apply to all Arizona taxpayers. You must file if AND your OR your Arizona Child Have to File an Arizona Return? you are: gross income adjusted gross In this case, the child should not file an Arizona return. The is at least: income is at least: parent must include that same income in his or her Arizona • Single $15,000 $5,500 • Married filing $15,000 taxable income. $11,000 jointly Residency Status • Married filing $15,000 $5,500 separately If you are not sure if you are an Arizona resident for state • Head of $15,000 $5,500 income tax purposes, you should get Arizona Department of household Revenue Income Tax Procedure ITP 92-1. If you are a part-year resident, you must report all income for the part of the year you were an Arizona Residents resident, plus any income from Arizona sources for the You are a resident of Arizona if your domicile is in Arizona. part of the year you were an Arizona nonresident. Domicile is the place where you have your permanent home. It To see if you have to file, figure your gross income the same as you would figure your gross income for federal is where you intend to return if you are living or working income tax purposes. Then you should exclude income temporarily in another state or country. If you leave Arizona for Arizona law does not tax. a temporary period, you are still an Arizona resident while gone. You can find your Arizona adjusted gross income on A resident is subject to tax on all income no matter where the line 19 of Arizona Form 140PY. resident earns the income. NOTE: You must file a state return even if your employer If you are a full year resident, you must file Form 140, Form withheld all or part of the tax. Even if you do not have to 140A, or Form 140EZ. file, you must still file a return to get a refund of any Arizona Part-Year Residents income tax withheld. If you are a part-year resident, you must file Form 140PY, Do You Have to File if You Are an American Part-Year Resident Personal Income Tax Return. Indian? You are a part-year resident if you did either of the following during 2002. You must file if you meet the Arizona filing requirements unless all the following apply to you. • You moved into Arizona with the intent of becoming a • resident. You are an enrolled member of an Indian tribe.
  • 2. Form 140PY • You moved out of Arizona with the intent of giving up file. Also make sure that you check either box 82D or 82F your Arizona residency. on page 1 of the return. If you must make a payment, use Arizona Form 204. Nonresidents 2. You may use your federal extension (federal Form 4868 If you are a nonresident, you must file Form 140NR, or 2688). File your Arizona return by the same due Nonresident Personal Income Tax Return. date. If you are filing under a federal extension, you do not have to attach a copy of your federal extension to What if a Taxpayer Died? your return, but make sure that you check either box If a taxpayer died before filing a return for 2002, the 82D or 82F on page 1 of the return. taxpayer's spouse or personal representative may have to file When Should You File if You Are a and sign a return for that taxpayer. If the deceased taxpayer Nonresident Alien? did not have to file a return but had tax withheld, a return must be filed to get a refund. You must file your Arizona tax return by April 15, even though your federal income tax return is due on June 15. If The person who files the return should use the form the you want to file your Arizona return when you file your taxpayer would have used. If the department mailed the federal return, you may ask for an extension. See Form 204 taxpayer a booklet, do not use the label. The person who for extension filing details. files the return should print the word quot;deceasedquot; after the If you are a fiscal year filer, your return is due on the 15th day of decedent's name in the address section of the form. Also the fourth month following the close of your fiscal year. enter the date of death after the decedent's name. What if You File or Pay Late? If your spouse died in 2002 and you did not remarry in 2002, or if your spouse died in 2003 before filing a return for 2002, If you file or pay late, the department can charge you interest you may file a joint return. If your spouse died in 2002, the and penalties on the amount you owe. If the U.S. Post Office joint return should show your spouse's 2002 income before postmarks your 2002 calendar year return by April 15, 2003, death, and your income for all of 2002. If your spouse died your return will not be late. You may also use certain private delivery services designated by the IRS to meet the “timely in 2003, before filing the 2002 return, the joint return should mailing as timely filed” rule. show all of your income and all of your spouse's income for 2002. Print quot;Filing as surviving spousequot; in the area where Late Filing Penalty you sign the return. If someone else is the personal If you file late, the department can charge you a late filing representative, he or she must also sign the return. penalty. This penalty is 4½ percent of the tax required to be shown on the return for each month or fraction of a month Are Any Other Returns Required? the return is late. This penalty cannot exceed 25 percent of You may also have to file fiduciary income tax or estate tax the tax found to be remaining due. returns. For details about filing a fiduciary income tax return, call Late Payment Penalty the department at (602) 255-3381. For details about filing an If you pay your tax late, the department can charge you a late estate tax return, call the department at (602) 542-4643. payment penalty. This penalty is ½ of 1 percent (.005) of the Claiming a Refund For a Deceased Taxpayer amount shown as tax for each month or fraction of a month for which the failure continues. This penalty cannot exceed If you are claiming a refund, you must complete Form 131, a total of 10 percent. Claim for Refund on Behalf of Deceased Taxpayer. Attach Extension Underpayment Penalty this form to the front of the return. If you file your return under an extension, you must pay 90 What Are the Filing Dates and Penalties? percent of the tax shown on your return by the return's original due date. If you do not pay this amount, the When Should You File? department can charge you a penalty. The department can also charge you this penalty if you do not attach a copy of Your 2002 calendar year tax return is due no later than the Arizona extension to your return when you file. This midnight, April 15, 2003. File your return as soon as you can penalty is one-half of one percent (.005) of the tax not paid after January 1, but no later than April 15, 2003. for each 30 day period or fraction of a 30 day period. The If you are a fiscal year filer, your return is due on the 15th day of department charges this penalty from the original due date of the fourth month following the close of your fiscal year. the return until the date you pay the tax. This penalty cannot exceed 25 percent of the unpaid tax. What If You Cannot File On Time? NOTE: If you are subject to two or more of the above You may request an extension if you know you will not be penalties, the total cannot exceed 25 percent. able to file on time. Interest NOTE: An extension does not extend the time to pay your income tax. For details, see the instructions for Arizona Form 204. The department charges interest on any tax not paid by the due date. The department will charge you interest even if you have an To get a filing extension, you can either: extension. If you have an extension, the department will charge 1. Apply for a state extension (Form 204). To apply for a you interest from the original due date until the date you pay the state extension, file Arizona Form 204 by April 15. See tax. The Arizona interest rate is the same as the federal rate. Form 204 for details. You must attach a copy of the Arizona extension to the back of your return when you 2
  • 3. Form 140PY When Should You Amend a Return? For details, see Arizona Form 221. Can You Make Estimated Payments if You If you need to make changes to your return once you have filed, do Not Have to? you should file Form 140X, Individual Amended Return. Do not file a new return for the year you are correcting. Generally, If you do not have to make Arizona estimated income tax you have four years to amend a return to claim a refund. payments, you may still choose to make them. If you amend your federal return for any year, you must also For details, see Arizona Form 140ES. file an Arizona Form 140X for that year. You must file the Form 140X within 90 days of amending your federal return. Line-by-Line Instructions If the IRS makes a change to your federal taxable income for any year, you must report that change to Arizona. You may Tips for Preparing Your Return: use one of the following two options to report this change. • Make sure that you write your social security number on Option 1 your return. You may file a Form 140X for that year. If you choose this • Complete your return using black ink. option, you must amend your Arizona return within 90 days • You must round dollar amounts to the nearest whole of the change. Attach a complete copy of the federal notice dollar. If 50 cents or more, round up to the next dollar. to your Form 140X. If less than 50 cents, round down. Option 2 • When asked to provide your own schedule, attach a separate You may file a copy of the final federal notice with the sheet with your name and social security number at the top. department within 90 days. If you choose this option, you Attach your own schedules to the back of your return. must include a statement in which you must: • You must complete your federal return before you can 1. Request that the department recompute your tax; and start your Arizona return. 2. Indicate if you agree or disagree with the federal notice. • Make sure you include your home telephone number. If your daytime number is not the same as your home If you do not agree with the federal notice, you must also include any documents that show why you do not agree. number, make sure you include a daytime number. • If filing a fiscal year return, fill in the period covered in If you choose option 2, mail the federal notice and any other the space provided at the top of the form. documents to: Arizona Department of Revenue Entering Your Name, Address, and Social 1600 W. Monroe, Attention: Individual Income Audit Security Number Phoenix, AZ 85007-2650 Lines 1, 2, and 3 - Do You Need to Make Estimated Payments in 2003? Print or type your name, address, and SSN in the space You must make Arizona estimated income tax payments provided. If you are a nonresident of the United States or a during 2003 if: resident alien who does not have an SSN use the Your filing status is: AND AND identification number (ITIN) the IRS issued to you. Your Arizona gross Your Arizona gross If you are filing a joint return, enter your SSNs in the same order income for 2002 income for 2003 as your first names. If your name appears first on the return, was greater than: exceeds: Married Filing Joint make sure your SSN is the first number listed. Put your last $150,000 $150,000 Single $75,000 $75,000 names in the same order as your first names and SSNs. Head of Household $75,000 $75,000 For a deceased taxpayer, see page 2 of these instructions. Married Filing $75,000 $75,000 Separately Use your current home address. The department will send your refund or correspond with you at that address. If you met the income threshold for 2002, you must make NOTE: Make sure your SSN is correct. estimated payments during 2003 unless you are sure you will not meet the threshold for 2003. Make sure that every return, statement, or document that you file As a part-year resident, your Arizona gross income is that with the department has your SSN. Make sure that all SSNs are part of your federal adjusted gross income that you must clear and correct. You may be subject to a penalty if you fail to report to Arizona. Your Arizona gross income is on line 15 include your SSN. It may take longer to process your return if of the 2002 Arizona Form 140PY. SSNs are missing, incorrect, or unclear. Identification Numbers for Paid Preparers See the worksheet for Form 140ES to figure how much your payments should be. If you pay someone else to prepare your return, that person What if You Make Your Estimated Payments must also include an identification number where requested. Late? A paid preparer may use any of the following. • The department will charge you a penalty if you fail to make his or her SSN • his or her PTIN any required payments. The department will charge you a • the federal employer identification number for the business penalty if you make any of your required payments late. 3
  • 4. Form 140PY A paid preparer who fails to include the proper numbers may Exemptions also be subject to a penalty. Write the number of exemptions you are claiming in boxes 8, Determining Your Filing Status 9, 10, and 11. Do not put a checkmark. You may lose the The filing status that you use on your Arizona return may be exemption if you put a checkmark in these boxes. You may different from that used on your federal return. lose the dependent exemption if you do not complete Part A, lines A1 through A3 on page 2. You may lose the exemption Use this section to determine your filing status. Check the for qualifying parents or ancestors if you do not complete correct box (4 through 7) on the front of Form 140PY. Part A, lines A4 and A5, on page 2. Line 4 Box - Married Filing a Joint Return Line 8 Box - Age 65 and Over You may use this filing status if married as of December 31, 2002. It does not matter whether or not you were living with Write quot;1quot; in box 8 if you or your spouse were 65 or older in your spouse. You may elect to file a joint return, even if you 2002. Write quot;2quot; in box 8 if both you and your spouse were and your spouse filed separate federal returns. 65 or older in 2002. You may use this filing status if your spouse died during Line 9 Box - Blind 2002 and you did not remarry in 2002. See page 2 of these instructions for details. Write quot;1quot; in box 9 if you or your spouse are totally or partially blind. Write quot;2quot; in box 9 if both you and your spouse are totally If you are a part-year resident married to an Arizona full year or partially blind. resident, you may file a joint return using the 140PY. For more information, see Arizona Department of Revenue If you or your spouse were partially blind as of December Income Tax Ruling ITR 95-2. 31, 2002, you must get a statement certified by your eye doctor or registered optometrist that: Line 5 Box - Head of Household 1. You cannot see better than 20/200 in your better eye with You may file as head of household on your Arizona return, glasses or contact lenses or only if one of the following applies. 2. Your field of vision is 20 degrees or less. • You qualify to file as head of household on your federal return. If your eye condition is not likely to improve beyond the • You qualify to file as a qualifying widow or widower on conditions listed above, you can get a statement certified by your your federal return. eye doctor or registered optometrist to that effect instead. Line 6 Box - Married Filing Separately You must keep the statement for your records. Line 10 Box - Dependents You may use this filing status if married as of December 31, 2002, and you elect to file a separate Arizona return. You You must complete Part A, lines A1 through A3, on page 2 of may elect to file a separate return, even if you and your your return before you can total your dependent exemptions. spouse filed a joint federal return. You may claim only the following as a dependent. If you are filing a separate return, check the line 6 box and • A person that qualifies as your dependent on your enter your spouse's name in the space provided. Also enter federal return. your spouse's SSN in the space provided. • A person who is age 65 or over (related to you or not) that does not qualify as your dependent on your federal If you are filing a separate return and your spouse is an Arizona return, but one of the following applies. resident, you must figure how much income to report using community property laws. Under these laws, a separate return 1. In 2002, you paid more than one-fourth of the cost of must reflect one-half of the community income taxable to Arizona keeping this person in an Arizona nursing care institution, plus any separate income taxable to Arizona. For details, see an Arizona residential care institution, or an Arizona Arizona Department of Revenue Income Tax Ruling, ITR 93-20. assisted living facility. Your cost must be more than $800. 2. In 2002, you paid more than $800 for either Arizona NOTE: If you can treat community income as separate home health care or other medical costs for the person. income on your federal return, you may also treat that community income as separate on your Arizona return. See Completing Line(s) A1 Arizona Department of Revenue Ruling ITR 93-22. NOTE: If a person who qualifies as your dependent is also Line 7 Box - Single a qualifying parent or ancestor of your parent, you may claim that person as a dependent on line A2, or you may Use this filing status if you were single on December 31, claim that person as a qualifying parent or ancestor of your 2002. You are single if any of the following apply to you. parent on line A5. You may not claim that same person on • You have never been married. both line A2 and line A5. Do not list the same person on line A1 that you listed on line A4. • You are legally separated under a decree of divorce or of separate maintenance. Enter the following on line(s) A1. • You were widowed before January 1, 2002, and you did 1. The dependent's name. not remarry in 2002, and you do not qualify to file as a 2. The dependent's social security number. qualifying widow or widower with dependent children on your federal return. 3. The dependent's relationship to you. 4
  • 5. Form 140PY 4. The number of months the dependent lived in your home Line A5 - Total Qualifying Parents or during 2002. Ancestors of Your Parents You may lose the exemption if you do not furnish this Enter the total number of persons listed on line(s) A4. Enter information. the same number on the front of the return in box 11. Line A2 - Total Dependents Reporting Your Residency Status Enter the total number of persons listed on line(s) A1. Enter the same number on the front of the return in box 10. Check the appropriate box. Line A3 - Persons You Cannot Take as Line 12 Box - Part-Year Resident Other Dependents on Your Federal Return Than Active Duty Military Enter the names of any dependents age 65 or over listed on Check box 12 if you were an Arizona resident for part of line(s) A1 that you cannot take as a dependent on your 2002, and were not an active duty military member. federal return. Line 13 Box - Part-Year Resident Active Line 11 Box - Qualifying Parents and Military Ancestors of Your Parents Check box 13 if you were an active duty military member who A qualifying parent or ancestor of your parent may be any either began or gave up Arizona residency during 2002. one of the following. Determining Arizona Income • Your parent, or your parent’s ancestor. Your parent’s ancestor is your grandparent, great grandparent, great Now complete Parts B, C, and D on page 2 of the return. great grandparent, etc. • If married filing a joint return, your spouse’s parent or Use Part B to determine what portion of your total income is taxable by Arizona. an ancestor of your spouse’s parent. You may claim this exemption if all of the following apply. NOTE: If you are unable to determine the proper line to use, please contact one of the numbers listed on the back cover. 1. The parent or ancestor of your parent lived in your principal residence for the entire taxable year. FEDERAL Column 2. You paid more than one-half of the support and maintenance costs of the parent or ancestor of your Enter the actual amounts shown on your 2002 federal income parent during the taxable year. tax return in the FEDERAL column. Complete lines B7 3. The parent or ancestor of your parent was 65 years old through B20. Line B18 should equal the federal adjusted or older during 2002. gross income shown on your 2002 federal return Form 1040, Form 1040A, or Form 1040EZ. 4. The parent or ancestor of your parent required assistance with activities of daily living, like getting in and out of ARIZONA Column bed, or chairs, walking around, going outdoors, using the toilet, bathing, shaving, brushing teeth, combing Enter that portion of your federal income received while you hair, dressing, medicating or feeding. were an Arizona resident in the Arizona column. For example, if you became an Arizona resident on June 30, enter You must complete Part A, lines A4 and A5, on page 2 of all income you received from that day to December 31, 2002. your return before you can total your exemptions for qualifying parents and ancestors of your parents. NOTE: If you also have Arizona source income for the NOTE: If a person who is a qualifying parent or ancestor of portion of the taxable year you were an Arizona your parent also qualifies as your dependent, you may claim nonresident, also include that source income on the that person as a dependent on line A2, or you may claim appropriate line in the Arizona column. that person as a qualifying parent or ancestor of your parent on line A5. You may not claim that same person on both line The Tax Reform Act of 1986 limits the amount of losses that A2 and line A5. Do not list the same person on line A4 that you may deduct from passive activities. A passive activity is you listed on line A1. one that involves the conduct of any trade or business in which the taxpayer does not materially participate. Completing Line(s) A4 As a part-year resident, your Arizona gross income may include Enter the following on line(s) A4. some of these losses. For the part of the year you were an Arizona 1. The name of the qualifying parent or ancestor of your parent. resident, you may consider any passive losses that arose while an Arizona resident. For the part of the year you were an Arizona 2. The social security number of the qualifying parent or nonresident, you may consider only those passive losses that arose ancestor of your parent. from Arizona sources. Your 2002 Arizona gross income can 3. The qualifying parent’s or ancestor’s relationship to you, include only losses you used on your 2002 federal return. or your spouse if filing a joint return. The following line-by-line instructions apply to the 4. The number of months the qualifying parent or ancestor ARIZONA column. of your parent lived in your home during 2002. Line B6 - Dates of Arizona Residency You may lose the exemption if you do not furnish this information. If you became an Arizona resident during 2002, enter the date 5
  • 6. Form 140PY that you became an Arizona resident. If you gave up your Enter any income or (loss) derived from Arizona sources Arizona residency during 2002, do both of the following. from partnerships, small business corporations, etc., during the part of the year you were an Arizona nonresident. 1. Enter the date you became an Arizona resident. Line B15 - Other Income Reported on Your 2. Enter the date you gave up your Arizona residency. Federal Return Line B7 - Wages, Salaries, Tips, etc. Enter other income shown on your federal return that you Enter all amounts received while an Arizona resident. received while an Arizona resident. Other income may include pensions, social security, unemployment, and lottery winnings. Also enter all amounts received from Arizona employment Attach a schedule listing these other items. during the part of the year you were an Arizona nonresident. Also enter any other income derived from Arizona sources NOTE: Do not include active duty military pay for the part during the part of the year you were an Arizona nonresident. of the year you were a nonresident. Line B16 - Total Income Line B8 - Interest Add lines B7 through B15 and enter the total. Enter all amounts received while an Arizona resident. Line B17 - Federal Adjustments You must also enter any interest income derived from If any of the following are included in adjustments shown on your Arizona sources during the part of the year you were an federal return, make an entry on this line as explained below. Arizona nonresident. Interest income from Arizona sources is 1. IRA. Enter the amount actually paid while an Arizona interest income that has acquired an Arizona business situs. resident for your IRA and/or your spouse's IRA. If you received tax exempt interest from municipal bonds, attach 2. Student loan interest: Enter the amount you paid while a schedule listing the payors and the amount received from each an Arizona resident. payor. You may also want to attach supporting documents for amounts received from Arizona municipal bonds that are exempt 3. Archer medical savings account: Enter the amount you from Arizona income tax. These may be items such as bank contributed to the MSA while an Arizona resident. statements, brokerage statements, etc. Be sure you add the 4. Self-employed SEP, SIMPLE and qualified plans: Enter amount you received while an Arizona resident from non- the amount actually paid while an Arizona resident. Arizona municipal bonds to your income on line C23. 5. Self-employment tax: Enter that portion of the self- Line B9 - Dividends employment tax that relates to self-employment income reportable to Arizona. Enter all amounts received while an Arizona resident. 6. Self-employed health insurance: Enter that amount of You must also enter any dividends derived from Arizona self-employed health insurance that was actually paid sources during the part of the year you were an Arizona while an Arizona resident. nonresident. Dividend income from Arizona sources is 7. Penalty on early withdrawal of savings: Multiply the dividend income that has acquired an Arizona business situs. federal deduction by the ratio of your Arizona interest to Line B10 - Arizona Income Tax Refunds your federal interest. Enter the amount of Arizona income tax refunds received in 8. Alimony: Enter the amount actually paid while an 2002 that you included in your federal adjusted gross income. Arizona resident. Line B11 - Alimony Received 9. Moving expenses: Enter the amount of moving expenses included in your federal adjusted gross income that you Enter amounts received while an Arizona resident. accrued and paid during the part of the year you were an Line B12 - Business Income or (Loss) Arizona resident. NOTE: Do not enter any amounts for items 1 through 9 Enter any business or farm income or (loss) incurred while above unless you deducted these items in computing your you were an Arizona resident. federal adjusted gross income. Also enter income or (loss) derived from Arizona businesses If your federal return shows other adjustments to income, during the part of the year you were an Arizona nonresident. attach your own schedule to show your calculation. Line B13 - Gains or (Losses) Line B19 - Arizona Income Enter any gain or (loss) on property sold while an Arizona Complete line B19 as instructed on the form. resident if you included the amount as income on your 2002 federal return. Line B20 - Arizona Percentage Also enter gains or (losses) on sales of Arizona property during Divide line B19 by line B18, and enter the result on line the part of the year you were an Arizona nonresident. B20. (Do not enter more than 100 percent.) This is the Arizona percentage of your total income. Line B14 - Rents, etc. Example: Enter income received from rents, royalties, partnerships, Arizona Federal Arizona percentage estates, trusts, small business corporations, etc., while an Gross Income Adjusted Arizona resident. from line B19 Gross Income Also enter rents or royalties earned on Arizona properties from line B18 during the part of the year you were an Arizona nonresident. $ 7,500 $ 30,000 $7,500/30,000 = 25% 6
  • 7. Form 140PY ordinary income on your federal return. If you chose to treat the Determining Additions to Income capital gain portion of the distributions as ordinary income, you must also include that amount on line C23. Line C21 - Early Withdrawal of Arizona, County, City, or School Retirement System For more information, see Arizona Department of Revenue Income Tax Ruling, ITR 93-5. Contributions C. Trust or Estate Deductions If you meet all the following, you must enter an amount here. You must add the following estate or trust deductions to your 1. You left your job with the State of Arizona or an Arizona gross income. Arizona county, city, or school district for reasons other than retirement. 1. Your share of the estate's or trust's deductions allowed 2. When you left, you took out the contributions you had under the Internal Revenue Code. made to the retirement system while employed. 2. Your share of the excess deductions and loss carryovers 3. You deducted these contributions on your Arizona allowed under the Internal Revenue Code as deductions income tax returns that you filed for prior years. to the beneficiary on termination of an estate or trust. 4. You did not include these contributions in your federal You must add the above deductions and loss carryovers to adjusted gross income this year. Arizona gross income only to the extent you included these items in computing your Arizona taxable income. If you meet all these tests, you must report as income those contributions previously deducted on your prior years' D. Medical Savings Account (MSA) Distributions Arizona tax returns. For information on Arizona's MSA provisions, see the For more information, see Arizona Department of Revenue department's MSA brochure, Pub 542. Income Tax Ruling ITR 93-7. You must add amounts received from an MSA here if any of NOTE: Any interest earned on your retirement contributions the following apply. while they were in the system should be reported on line B8 in 1 - You Withdrew Funds From Your MSA For Other both the FEDERAL and ARIZONA income columns. Than Qualified Expenses Line C22 - Bonus Depreciation Allowed If you had an MSA during the part of the year you were an Under I.R.C. § 168(k) Arizona resident, you must make an entry here if all of the following apply. The federal Job Creation and Worker Assistance Act of 2002 1. You withdrew money from your MSA during 2002, (P.L. 107-147), which was signed by President Bush on while either a resident or a nonresident. March 9, 2002, allows businesses to claim a 30% bonus depreciation for qualified capital investments in property 2. You did not use the amount withdrawn to pay qualified placed in service after September 10, 2001. However, for medical expenses. Arizona income tax purposes, Arizona will not allow the 3. You did not have to include the withdrawal as income bonus depreciation. Taxpayers that claim the bonus on your federal income tax return. depreciation on their federal income tax return must add the Enter the amount withdrawn. amount claimed for federal purposes to their Arizona gross income. Enter the amount of such depreciation claimed on If you had an MSA during the part of the year you were an your 2002 federal income tax return only to the extent you Arizona nonresident, you must make an entry here if all of included the depreciation in computing your Arizona gross the following apply. income. If you make an entry here, also see the instructions 1. You had Arizona source income while an Arizona for line D35, “Other Subtractions From Income”. nonresident. Line C23 - Other Additions to Income 2. Your MSA qualified as an MSA under Arizona law. 3. If you were an employee, your high deductible health Use line C23 if any of the special circumstances below coverage was provided by your Arizona employer. If applies. Attach your own schedule to the back of your return, you were self employed, your high deductible health explaining any amounts entered on line C23. coverage was provided by your Arizona business. Items A, B, C, and D that follow must be added to income on 4. You withdrew money from your MSA during 2002, line C23 of your return. while either a resident or a nonresident. A. Non-Arizona Municipal Interest 5. You did not use the amount withdrawn to pay qualified medical expenses. Enter interest income earned from non-Arizona municipal bonds while an Arizona resident. 6. You did not have to include the withdrawal as income on your federal income tax return. NOTE: You may reduce this addition by any interest or other related expenses incurred to purchase or carry the obligation. Enter the amount withdrawn. As a part-year resident, you may reduce the addition by the 2 - Deceased Account Holder Where the Named amount of those expenses attributable to income subject to Beneficiary is Not the Decedent's Surviving Spouse Arizona tax. You may reduce the addition by those expenses You must make an entry here if all of the following apply. that you could not deduct on your federal return. 1. The account holder died during the part of the year you B. Ordinary Income Portion of Lump Sum were an Arizona resident. Distribution Excluded on Your Federal Return 2. The decedent's MSA qualified as an MSA under Arizona law does not provide for averaging. Enter the amount of Arizona law. the distributions received while an Arizona resident and treated as 7
  • 8. Form 140PY 3. You are the named beneficiary of the decedent's MSA. Pension Adjustment Worksheet Continued 3. Remainder of cost (line 1 minus 4. You are not the decedent's surviving spouse. line 2 but not less than zero). 3. 5. You did not have to include the value of the MSA as 4. Pension amount received this year. 4. income on your federal income tax return. 5. Subtract line 3 from line 4 (but 5. In this case, the MSA ceases to be an MSA. Enter the fair not less than zero). market value of the MSA as of the date of death, less the amount 6. Enter the pension amount taxable of MSA funds used within one year of the date of death, to pay on your federal return. 6. the decedent's qualified medical expenses. You can reduce the 7. Subtract line 6 from line 5. 7. fair market value by only those expenses paid from the MSA. If If line 7 is more than zero, enter the amount on line 7 as an you pay additional medical expenses for the decedent from the addition to income. Enter the addition on line C23. MSA after you file, you may file an amended return to further If line 6 is more than line 5, enter the difference as a reduce the fair market value of the MSA. subtraction from income. Enter the subtraction on line D35. 3 - Decedent's Final Return And No Named MSA F. Partnership Income Beneficiary Depending on your situation, you may either add (line C23) Make an entry here if all of the following apply. or subtract (line D35) this amount. 1. The account holder died during the part of the year in Use this adjustment if your Arizona Form 165 Schedule K-1 which he or she was an Arizona resident. shows a difference between federal and state distributable income. 2. There is no named MSA beneficiary. If the difference reported on your Arizona Form 165, Schedule K-1, is a positive number, enter that portion of the 3. This is the decedent's final return. difference that is allocable to partnership income taxable by 4. The value of the MSA did not have to be included on Arizona as an addition. Enter the addition on line C23. the decedent's final federal income tax return. If the difference reported on your Arizona Form 165, Schedule In this case, the MSA ceases to be an MSA. Enter the fair K-1, is a negative number, enter that portion of the difference market value of the MSA as of the date of death. This rule that is allocable to partnership income taxable by Arizona as a applies in all cases in which there is no named beneficiary, subtraction. Enter the subtraction on line D35. even if the surviving spouse ultimately obtains the right to G. Net Operating Losses the MSA assets. Arizona does not have specific Arizona net operating loss provisions NOTE: The following are not withdrawals. Do not enter for individual taxpayers. Arizona conforms to the federal net any of the following: operating loss provisions, including the carryback provisions. • Amounts from the MSA used to pay qualified medical As a part-year resident, Arizona recognizes that portion of expenses the federal net operating loss which is attributable to income • A qualified return of excess contributions taxed by Arizona as the Arizona net operating loss. • A qualified rollover As a part-year Arizona resident, include in Arizona gross income • The fair market value of an MSA received by a the amount of federal net operating loss carryforward or carryback surviving spouse who was the deceased account attributable to Arizona unless any of the following apply. holder's named beneficiary 1. The net operating loss attributable to Arizona included For more information about the above items, see the in your federal adjusted gross income has already been department's MSA brochure, Pub 542. deducted for Arizona purposes. E. Pension Adjustments 2. The net operating loss included in your federal adjusted gross income was incurred from non-Arizona sources Depending on your situation, you may either add (line C23) while a nonresident. or subtract (line D35) this amount. 3. You took a separate subtraction for the net operating Use this adjustment if both of the following apply. loss included in your federal adjusted gross income on 1. Arizona taxed your pension for years before 1979. an amended return filed for a prior tax year under the special net operating loss transition rule. 2. You reported that pension on your federal return using the percentage exclusion method. For information on deducting a net operating loss carryback, see Arizona Department of Revenue Income Tax Procedure ITP 99-1. Do not use this adjustment if either of the following apply. H. Agricultural Water Conservation System Credit 1. You reported your pension income as fully taxable on If you take this credit (Form 312), you cannot deduct any expenses your federal return. for which you claim the credit. If you take this credit, enter the 2. You reported your pension income on your federal amount of such expenses that you deducted on your federal return. return under the quot;three-year-rulequot;. I. Items Previously Deducted for Arizona Purposes Follow the worksheet below to figure the adjustment. Arizona statutes prohibit a taxpayer from deducting items more Pension Adjustment Worksheet than once. However, under the operation of former Arizona law Follow these steps to figure the adjustment: (1989 and prior), you could deduct certain items in greater Worksheet (Keep for your records.) amounts for Arizona purposes than federal purposes. Investment 1. Your contribution to annuity. 1. interest and passive activity losses were such items. In some cases, 2. Pension amount received in prior you could have deducted such amounts in their entirety on the years. 2. Arizona return. For federal purposes, the deduction for these items 8
  • 9. Form 140PY • was limited, with the unused portions being carried forward and Credit for employment of TANF recipients • deducted in future years. Your Arizona return may include these Credit for agricultural pollution control equipment • previously deducted items because of the difference between the Credit for taxpayers participating in agricultural federal and former Arizona treatment. If your Arizona taxable preservation district income includes items previously deducted for Arizona purposes, M. Solar Hot Water Heating Plumbing Stub Out And you must add such amounts to your Arizona gross income. Electric Vehicle Recharge Outlet Expenses J. Claim of Right Adjustment for Amounts Repaid If you take a credit for installing solar hot water heating plumbing in 2002 stub outs or electric vehicle recharge outlets in a dwelling you You must make an entry here if all of the following apply. constructed, you cannot deduct any expenses for which you claim the credit. If you take this credit, enter the amount of such expenses 1. During 2002, you were required to repay amounts held that you deducted on your federal return. under a claim of right. 2. The amount required to be repaid was subject to N. Wage Expense for Employers of TANF Recipients Arizona income tax in the year included in income. If you take a credit for employing TANF recipients, you 3. The amount required to be repaid during 2002 was more cannot deduct any wage expense for which you claim the than $3,000. credit. If you take this credit, enter the amount of such 4. You took a deduction for the amount repaid on your expenses that you deducted on your federal return. 2002 federal income tax return. O. Amounts Deducted for Conveying Ownership or 5. The deduction taken on your federal income tax return is Development Rights of Property to an Agricultural reflected in your Arizona taxable income. Preservation District If the above apply, enter the amount deducted on your federal income tax return which is reflected in your Arizona If you take a credit for taxpayers participating in an taxable income. agricultural preservation district, you cannot deduct any amounts for conveying ownership or development rights of For more information on the Arizona claim of right provisions, see Arizona Department of Revenue Individual property to an agricultural district. If you take this credit, enter Income Tax Procedure ITP 95-1. the amount of such deductions for which you claim a credit. K. Claim of Right Adjustment for Amounts Repaid P. Other Adjustments in Prior Taxable Years Other special adjustments may be necessary. You may need You must make an entry here if all of the following apply. to make an addition for depreciation or amortization. You 1. During a year prior to 2002 you were required to repay may also need to make an addition if you claimed certain tax income held under a claim of right. credits. Call one of the numbers listed on the back cover if 2. You computed your tax for that prior year under any of the following apply. Arizona's claim of right provisions. • You are a qualified defense contractor that elected to 3. A net operating loss or capital loss was established due amortize under Arizona Revised Statutes section 43-1024. to the repayment made in the prior year. • You sold or disposed of property that was held for the 4. You are entitled to take that net operating loss or capital production of income and your basis was computed loss carryover into account when computing your 2002 under the Arizona Income Tax Act of 1954. Arizona taxable income. • You are still depreciating or amortizing a child care 5. The amount of the loss carryover included in your facility for which you claimed a state credit. Arizona gross income is more than the amount allowed • You claimed the environmental technology facility credit. to be taken into account for Arizona purposes. • You claimed the pollution control credit. Enter the amount by which the loss carryover included in • You claimed the recycling equipment credit. your Arizona gross income is more than the amount allowed • You claimed the credit for agricultural pollution control for the taxable year under Arizona law. equipment. L. Addition to S Corporation Income Due to Credits • You elected to amortize the basis of a pollution control Claimed device or the cost of a child care facility under Arizona Shareholders of an S corporation who claim a credit passed law in effect before 1990. You are still deducting through from an S corporation must make an addition to amortization or depreciation for that device or facility income for the amount of expenses disallowed by reason of on your federal income tax return. claiming the credit. Line C24 - Total Additions An S corporation that passes the following credits through to its shareholders must notify each shareholder of his or her pro rata Add lines C21 through C23. Enter the total on line C24 and share of the adjustment. You must enter an amount on this line on the front of your return on line 16. when claiming any of the following credits. • Agricultural water conservation system credit Determining Subtractions From Income • Defense contracting credit • Environmental technology facility credit You may only subtract those items for which statutory • Pollution control credit authority exists. Without such authority you cannot take a • Recycling equipment credit subtraction. If you have any questions concerning • Credit for solar hot water heater plumbing stub outs and subtractions from income, call one of the numbers listed on electric vehicle recharge outlets the back cover. 9
  • 10. Form 140PY line B15 in the ARIZONA column and reported on your NOTE: You may not subtract any amount which is allocable to income excluded from your Arizona taxable income. federal income tax return. Line D25 - Exemption: Age 65 or Over If you subtract Arizona lottery winnings here, you may have to adjust the amount of gambling losses claimed as an Multiply the number in box 8 on the front of your return by itemized deduction. $2,100 and enter the result. Line D33 - Social Security Benefits or Line D26 - Exemption: Blind Railroad Retirement Benefits Multiply the number in box 9 on the front of your return by Arizona does not tax social security benefits received under Title $1,500 and enter the result. II of the Social Security Act. Arizona does not tax railroad Line D27 - Exemption: Dependents retirement benefits received from the Railroad Retirement Board under the Railroad Retirement Act. If you included such social Multiply the number in box 10 on the front of your return by $2,300 and enter the result. security or railroad retirement benefits on your federal return as income and also included this amount in the Arizona column on Line D28 - Exemption: Qualifying Parents line B15, subtract this income on line D33. and Ancestors Subtract only the amount you reported as income on your federal Multiply the number in box 11 on the front of your return by return and included on line B15 in the Arizona column. $10,000 and enter the result. See Arizona Department of Revenue Income Tax Ruling ITR Line D29 - Total 96-1 for more information about railroad retirement benefits. Add lines D25 through D28 and enter the total. Line D34 - Construction of an Energy Line D30 - Prorated Exemptions Efficient Residence Multiply the amount on line D29 by the Arizona percentage For taxable years beginning from and after December 31, 2001, from line B20 and enter the result. through December 31, 2010, Arizona law allows a subtraction for an energy efficient residence. The subtraction is allowed for Active Duty Military Personnel Only: If you were an selling one or more new energy efficient residences located in active duty military member who either began or gave up Arizona. The subtraction is equal to 5% of the sales price Arizona residency during 2002, do not prorate these excluding commissions, taxes, interest, points, and other exemptions. You are allowed 100 percent deductions for the brokerage, finance and escrow charges. The subtraction cannot age 65, the blind, and the dependent exemptions. Enter the exceed $5,000 for each new qualifying residence. amount on line D29 (Total) on this line. The taxpayer that builds the new residence may claim the Line D31 - Interest on U.S. Obligations subtraction when the taxpayer first sells the residence. However, Enter the amount of interest income from U.S. Government the seller may elect to transfer the subtraction to the buyer. obligations included on line B8 in the ARIZONA column. U.S. For more information, see Arizona Department of Revenue Government obligations include obligations such as U.S. savings Income Tax Procedure ITP 02-1. bonds and treasury bills. You cannot deduct any interest or other Enter the number of residences for which you are claiming a related expenses incurred to purchase or carry the obligations. If subtraction on line D34a, then enter the amount of the such expenses are included in your Arizona gross income, you subtraction on line D34. Also enter the number on line D34a must reduce the subtraction by such expenses. If you are itemizing on Form 140PY, page 1, line 181. deductions on your Arizona return, you must exclude such expenses from the amount deducted. Line D35 - Other Subtractions NOTE: Do not subtract interest earned on FNMA or GNMA Use line D35 if any of the following special circumstances bonds since this interest is taxable by Arizona. For details, see apply. Attach your own schedule to the back of your return, the department's income tax ruling, ITR 02-1. explaining any amounts entered here. Do not subtract any amount received from a qualified pension A. Exclusion for U.S. Government, Arizona State, or plan that invests in U.S. Government obligations. Do not Local Government Pensions subtract any amount received from an IRA that invests in U.S. If you receive pension income from any of the sources listed Government obligations. These amounts are not interest below, subtract the amount you received or $2,500, income. For more information, see Arizona Department of whichever is less. Include only the amount you reported as Revenue Income Tax Rulings ITR 96-2 and ITR 96-3. income on your federal return and included on line B15 in Line D32 - Arizona Lottery Winnings the ARIZONA column. If both you and your spouse receive such pension income, each spouse may subtract the amount You may subtract all winnings received in 2002 related to an received or $2,500, whichever is less. Arizona lottery prize won before March 22, 1983. You may subtract up to $5,000 of winnings received in 2002 for Public pensions from the following sources qualify for this subtraction: Arizona lottery prizes won after March 21, 1983. Only subtract those Arizona lottery winnings that you included on • The United States Government Service Retirement and Disability Fund 10
  • 11. Form 140PY • The United States Foreign Service Retirement and of farming or processing agricultural crops. The crop must Disability System be grown in Arizona. You must make your gift to a charitable organization located in Arizona which is exempt • Retired or retainer pay of the uniformed services of the from Arizona income tax. United States • Any other retirement system or plan established by The subtraction is the greater of 80 percent of the wholesale market price or 80 percent of the most recent sale price for federal law the given crop. NOTE: This applies only to those retirement plans authorized To determine if your crop contribution qualifies for this and enacted into the U.S. Code. This does not apply to a subtraction, see Arizona Department of Revenue Procedure retirement plan that is only regulated by federal law (i.e., plans ITP 93-2. which must meet certain federal criteria to be qualified plans). F. Certain Wages of American Indians • The Arizona State Retirement System Enrolled members of American Indian tribes may subtract • The Arizona State Retirement Plan wages earned while living and working on their tribe's • The Corrections Officer Retirement Plan reservation. You can subtract only those amounts that you • The Public Safety Personnel Retirement System included on line B7, ARIZONA column. The federal • The Elected Officials' Retirement Plan government must recognize these tribes. • A retirement plan established for employees of a county, For more information, see Arizona Department of Revenue city, or town in Arizona Income Tax Ruling, ITR 96-4. • An optional retirement program established by the Arizona G. Combat Pay Board of Regents under Arizona Revised Statutes Members of the U.S. armed forces may subtract pay received • An optional retirement plan established by an Arizona for serving in a combat zone or an area given the treatment community college district. of a combat zone. Enter only that amount of pay reported on your 2002 federal return that you also included on line B7 in NOTE: Public retirement pensions from states other than the ARIZONA column. Arizona do not qualify for this subtraction. H. Federally Taxable Arizona Municipal Interest B. Previously Reported Gain on Decedent's Installment Sale Enter the amount of any interest income received on obligations of the State of Arizona, or any political subdivisions of Arizona, that Prior Arizona law required acceleration of any unrecognized you included in your Arizona gross income. Enter only that installment sale gain upon the death of a taxpayer. However, amount of Arizona municipal interest income that you included on this acceleration could have been avoided by the posting of a line B8 in the ARIZONA column. Do not enter any Arizona bond. If acceleration was required, your federal adjusted municipal interest that is exempt from federal taxation and not gross income may include installment sale amounts already included in your federal adjusted gross income. recognized on a decedent's final Arizona return. Deduct that portion of the gain included on line B13, ARIZONA column. I. Adoption Expenses C. Deposits Made Into Your MSA You may take this subtraction only in the year the final adoption order is granted. If you have an MSA, you may be able to subtract deposits made into that MSA. Make an entry here if all of the Enter the lesser of the total of the following adoption following apply. expenses or $3,000. 1. You have an MSA that qualifies as an MSA under When figuring your subtraction, you may include expenses Arizona law, but not federal law. incurred in prior years. 2. Either you or your employer made deposits into that The following expenses are qualified adoption expenses. MSA during the tax year. 1. Nonreimbursed medical and hospital costs. 3. You had to include the deposits in income on your federal income tax return. 2. Adoption counseling. 3. Legal and agency fees. Enter the amount of the MSA deposits that you had to include in your federal adjusted gross income. 4. Other nonrecurring costs of adoption. D. Employer Contributions Made to Employee MSAs If filing separately, you may take the entire subtraction, or you may divide the subtraction with your spouse. However, If you are an employer, you may subtract the amount the total subtraction taken by both you and your spouse contributed to your employees' MSAs that are established cannot exceed $3,000. under Arizona law. You can subtract these contributions only to the extent not deductible for federal income tax purposes. J. Qualified Wood Stove, Wood Fireplace, or Gas Enter these contributions here. Fired Fireplace E. Agricultural Crops Given to Arizona Charitable Arizona law provides a subtraction for converting an existing Organizations fireplace to a qualified wood stove, qualified wood fireplace, or gas fired fireplace and non-optional equipment directly Arizona law allows a subtraction for qualified crop gifts related to its operation. You may subtract up to $500 of the made during 2002 to one or more charitable organizations. costs incurred for converting an existing fireplace to a To take this subtraction, you must be engaged in the business 11