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Form 140PY Schedule A(PYN) Itemized Deductions
For part-year residents who also had Arizona source             include any amount paid for health insurance that you
income during the part of the year while an Arizona             deducted in computing your federal adjusted gross income.
nonresident.                                                    Do not include any medical and dental expenses paid from
Completing Schedule A(PYN) Itemized                             your individual medical savings account.
Deductions                                                      Line 2 - Taxes
                                                                Enter the amount of taxes allowable on federal Form 1040,
Before you complete Arizona Form 140PY, Schedule
                                                                Schedule A, that you incurred and paid while an Arizona
A(PYN), you must complete a federal Form 1040, Schedule
                                                                resident. Also enter the amount of such taxes from Arizona
A.
                                                                sources that you incurred and paid during the part of the year
You may itemize your deductions on your Arizona return
                                                                while a nonresident.
even if you do not on your federal return. For the most part,
                                                                If you claimed the credit for property taxes paid by a
you can deduct those items that are allowable itemized
                                                                qualified defense contractor on Arizona Form 302, do not
deductions under the Internal Revenue Code.
                                                                include any property taxes for which you have claimed a tax
A part-year resident who also has Arizona source income
                                                                credit.
during the part of the year while an Arizona nonresident can
                                                                Also, do not include any state taxes paid to other states for
deduct all of the following.
                                                                prior years if you were not an Arizona resident for that prior
1. Those expenses incurred and paid during the part of the
                                                                year.
     year while an Arizona resident.
                                                                Line 3 - Interest Expense
2. Arizona source itemized deductions incurred and paid
                                                                Enter the amount of interest expense allowable on federal
     during the part of the year while a nonresident.
                                                                Form 1040, Schedule A, that you incurred and paid while an
3. A portion of all other itemized deductions paid during
                                                                Arizona resident. Also enter the amount of such interest from
     the part of the year while a nonresident.
                                                                Arizona sources that you incurred and paid during the part of
For more information, see Arizona Individual Income Tax         the year while a nonresident.
Ruling ITR 94-10.
                                                                If you received a federal credit for interest paid on mortgage
In some cases, the itemized deductions allowed on your          credit certificates (from federal Form 8396), you may deduct
Arizona return are not the same as those allowable under the    some of the mortgage interest you paid for 2002 that you
Internal Revenue Code. The itemized deductions allowed on       could not deduct for federal purposes. Include that portion of
your Arizona return can differ if any of the following apply.   such interest that you incurred and paid during the part of the
1.   You are deducting medical and dental expenses.             year while an Arizona resident.
                                                                Do not enter any interest expense that you incurred to
2.   You are claiming a federal credit (from federal Form
                                                                purchase or carry U.S. obligations, the income from which is
     8396) for interest paid on mortgage credit certificates.
                                                                exempt from Arizona income tax.
3.   You are deducting gambling losses while claiming a
                                                                Line 4 - Gifts to Charity
     subtraction for Arizona lottery winnings.
                                                                Enter the amount of gifts to charity allowable on federal
4.   You are claiming the credit for property taxes paid by a
                                                                Form 1040, Schedule A, that you incurred and paid while an
     qualified defense contractor.
                                                                Arizona resident. Also enter the amount of such gifts from
5.   You are claiming a credit for any amount allowed as a      Arizona sources that you incurred and paid during the part of
     charitable contribution.                                   the year while a nonresident.
Complete the Arizona Form 140PY, Schedule A(PYN), as            If you claimed a credit for any charitable contribution, do not
instructed below.                                               include any contribution for which you claimed a tax credit.
PART I                                                          Line 5 - Casualty and Theft Losses
                                                                Enter the casualty loss(es) allowable on federal Form 1040,
Line 1 - Medical and Dental Expenses
                                                                Schedule A, after applying the 10 percent federal adjusted
Enter the amount of medical and dental expenses incurred        gross income limitation and the $100 per loss floor.
and paid while an Arizona resident. Also enter the amount of
                                                                Line 6 -
such expenses from Arizona sources that you incurred and
paid during the part of the year that you were a nonresident.   Enter the casualty loss(es) allowable on federal Form 4684
                                                                before applying the 10 percent federal adjusted gross
The medical and dental expenses that you can deduct on
                                                                income limitation and the $100 per loss floor.
your Arizona return are the same expenses that you can
deduct on your federal return.                                  Line 7 -
Be sure you reduce these expenses by any payments received      Enter the amount of casualty loss shown on line 6 that you
from insurance or other sources. Do not include insurance       incurred and paid while an Arizona resident. Also enter the
premiums you paid through an employer-sponsored health          amount of casualty loss shown on line 6 from Arizona
insurance plan (cafeteria plan) unless your employer            sources that you incurred during the part of the year while a
included the premiums in Box 1 of your Form W-2. Also do        nonresident.
not include any other medical and dental expenses paid by
the plan unless your employer included the amount paid in
Box 1 of your Form(s) W-2. If self-employed, do not
Form 140PY, Schedule A(PYN)
                                                                       Lines 23 through 28 -
Line 8 -
                                                                       Complete lines 23 through 28 as instructed on Form 140PY,
Divide the amount on line 7 by the amount on line 6. Enter
                                                                       Schedule A(PYN).
the percent.
Line 9 -                                                               PART II
Multiply the amount on line 5 by the percent on line 8. Enter
                                                                       Lines 29 through 34 -
the result.
                                                                       Line 29 -
Line 10 - Job Expenses and Other Miscellaneous
Expenses                                                               Enter the total of your medical and dental expenses after you
                                                                       reduce these expenses by any payments received from
Enter the amount of miscellaneous expenses subject to the 2
                                                                       insurance or other sources. Do not reduce the amount on
percent federal adjusted gross income limitation allowable on
                                                                       line 29 by amounts paid from an MSA. Do not include
federal Form 1040, Schedule A, before applying the limitation.
                                                                       insurance premiums you paid through an employer-
Lines 11 through 14 -                                                  sponsored health insurance plan (cafeteria plan) unless your
                                                                       employer included the premiums in Box 1 of your Form W-2.
Complete lines 11 through 14 as instructed on Form 140PY,
                                                                       Also do not include any other medical and dental expenses
Schedule A(PYN).
                                                                       paid by the plan unless your employer included the amount
Do not include on line 11 any amount that is allocable to income
                                                                       paid in Box 1 of your Form(s) W-2. If self-employed, do not
excluded from your Arizona taxable income. Such amounts
                                                                       include any amount paid for health insurance that you
would include employee business expenses attributable to
                                                                       deducted in computing your federal adjusted gross income.
income excluded from your Arizona taxable income.
                                                                       The medical and dental expenses for Arizona purposes are
Line 15 -                                                              the same as for federal purposes.
Enter the amount of other allowable miscellaneous expenses             Line 30 -
not subject to the 2 percent federal adjusted gross income
                                                                       Enter any amount of medical and dental expenses included
limitation that you incurred and paid while an Arizona                 on line 29 that were paid from your MSA.
resident. Also enter the amount of other allowable
                                                                       Complete lines 32 through 34 as instructed on Schedule
miscellaneous expenses not subject to the 2 percent federal
                                                                       A(PYN).
adjusted gross income limitation from Arizona sources that
you incurred and paid during the part of the year while a              Lines 35 through 51 -
nonresident.
                                                                       Complete lines 35 through 51 as instructed on Schedule
Lines 16 through 20 -                                                  A(PYN).
Skip lines 16 through 20 if not deducting gambling losses.             Line 52 -
Line 16 -                                                              Complete the worksheet below to determine what percent to
                                                                       enter on line 52.
Enter the amount of wagering losses included on line 15,
Form 140PY Schedule A(PYN).                                                                      Worksheet
                                                                       1.   Arizona source income              Amount
Line 17 -
                                                                            a. _______________        a.______________
Enter the total gambling winnings included in your Arizona
                                                                            b. _______________        b.______________
gross income.
                                                                            c. _______________        c.______________
Line 18 -                                                                   d.                        d.
                                                                       2.   Add the amounts in line
Enter the authorized Arizona lottery subtraction from Form
                                                                            1a through line 1d.       2.
140PY, page 2, line D32.
                                                                       3.   Enter the amount from
Line 19 -
                                                                            Form 140PY, page 2,
Maximum allowable gambling loss deduction. Subtract the                     line B18.                 3.
amount on line 18 from the amount on line 17.                          4.   Divide the amount on
                                                                            line 2 by the amount on
Line 20 -
                                                                            line 3. Enter the percent
If the amount on line 19 is less than the amount on line 16,
                                                                            here and on Form
subtract line 19 from line 16. Otherwise, enter zero (0).
                                                                            140PY, Schedule A
Line 21 -                                                                   (PYN), Line 52.           4.
If you completed lines 16 through 20, subtract line 20 from            Lines 53 and 54 –
line 15. If you skipped lines 16 through 20, enter the amount
                                                                       Complete lines 53 and 54 as instructed on Form 140PY,
from line 15 above here.
                                                                       Schedule A (PYN).
Line 22 -
Add lines 14 and 21.



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ftb.ca.gov forms 09_570
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ftb.ca.gov forms 09_540es
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azdor.gov Forms 140PY_Sch_APYN_i

  • 1. Form 140PY Schedule A(PYN) Itemized Deductions For part-year residents who also had Arizona source include any amount paid for health insurance that you income during the part of the year while an Arizona deducted in computing your federal adjusted gross income. nonresident. Do not include any medical and dental expenses paid from Completing Schedule A(PYN) Itemized your individual medical savings account. Deductions Line 2 - Taxes Enter the amount of taxes allowable on federal Form 1040, Before you complete Arizona Form 140PY, Schedule Schedule A, that you incurred and paid while an Arizona A(PYN), you must complete a federal Form 1040, Schedule resident. Also enter the amount of such taxes from Arizona A. sources that you incurred and paid during the part of the year You may itemize your deductions on your Arizona return while a nonresident. even if you do not on your federal return. For the most part, If you claimed the credit for property taxes paid by a you can deduct those items that are allowable itemized qualified defense contractor on Arizona Form 302, do not deductions under the Internal Revenue Code. include any property taxes for which you have claimed a tax A part-year resident who also has Arizona source income credit. during the part of the year while an Arizona nonresident can Also, do not include any state taxes paid to other states for deduct all of the following. prior years if you were not an Arizona resident for that prior 1. Those expenses incurred and paid during the part of the year. year while an Arizona resident. Line 3 - Interest Expense 2. Arizona source itemized deductions incurred and paid Enter the amount of interest expense allowable on federal during the part of the year while a nonresident. Form 1040, Schedule A, that you incurred and paid while an 3. A portion of all other itemized deductions paid during Arizona resident. Also enter the amount of such interest from the part of the year while a nonresident. Arizona sources that you incurred and paid during the part of For more information, see Arizona Individual Income Tax the year while a nonresident. Ruling ITR 94-10. If you received a federal credit for interest paid on mortgage In some cases, the itemized deductions allowed on your credit certificates (from federal Form 8396), you may deduct Arizona return are not the same as those allowable under the some of the mortgage interest you paid for 2002 that you Internal Revenue Code. The itemized deductions allowed on could not deduct for federal purposes. Include that portion of your Arizona return can differ if any of the following apply. such interest that you incurred and paid during the part of the 1. You are deducting medical and dental expenses. year while an Arizona resident. Do not enter any interest expense that you incurred to 2. You are claiming a federal credit (from federal Form purchase or carry U.S. obligations, the income from which is 8396) for interest paid on mortgage credit certificates. exempt from Arizona income tax. 3. You are deducting gambling losses while claiming a Line 4 - Gifts to Charity subtraction for Arizona lottery winnings. Enter the amount of gifts to charity allowable on federal 4. You are claiming the credit for property taxes paid by a Form 1040, Schedule A, that you incurred and paid while an qualified defense contractor. Arizona resident. Also enter the amount of such gifts from 5. You are claiming a credit for any amount allowed as a Arizona sources that you incurred and paid during the part of charitable contribution. the year while a nonresident. Complete the Arizona Form 140PY, Schedule A(PYN), as If you claimed a credit for any charitable contribution, do not instructed below. include any contribution for which you claimed a tax credit. PART I Line 5 - Casualty and Theft Losses Enter the casualty loss(es) allowable on federal Form 1040, Line 1 - Medical and Dental Expenses Schedule A, after applying the 10 percent federal adjusted Enter the amount of medical and dental expenses incurred gross income limitation and the $100 per loss floor. and paid while an Arizona resident. Also enter the amount of Line 6 - such expenses from Arizona sources that you incurred and paid during the part of the year that you were a nonresident. Enter the casualty loss(es) allowable on federal Form 4684 before applying the 10 percent federal adjusted gross The medical and dental expenses that you can deduct on income limitation and the $100 per loss floor. your Arizona return are the same expenses that you can deduct on your federal return. Line 7 - Be sure you reduce these expenses by any payments received Enter the amount of casualty loss shown on line 6 that you from insurance or other sources. Do not include insurance incurred and paid while an Arizona resident. Also enter the premiums you paid through an employer-sponsored health amount of casualty loss shown on line 6 from Arizona insurance plan (cafeteria plan) unless your employer sources that you incurred during the part of the year while a included the premiums in Box 1 of your Form W-2. Also do nonresident. not include any other medical and dental expenses paid by the plan unless your employer included the amount paid in Box 1 of your Form(s) W-2. If self-employed, do not
  • 2. Form 140PY, Schedule A(PYN) Lines 23 through 28 - Line 8 - Complete lines 23 through 28 as instructed on Form 140PY, Divide the amount on line 7 by the amount on line 6. Enter Schedule A(PYN). the percent. Line 9 - PART II Multiply the amount on line 5 by the percent on line 8. Enter Lines 29 through 34 - the result. Line 29 - Line 10 - Job Expenses and Other Miscellaneous Expenses Enter the total of your medical and dental expenses after you reduce these expenses by any payments received from Enter the amount of miscellaneous expenses subject to the 2 insurance or other sources. Do not reduce the amount on percent federal adjusted gross income limitation allowable on line 29 by amounts paid from an MSA. Do not include federal Form 1040, Schedule A, before applying the limitation. insurance premiums you paid through an employer- Lines 11 through 14 - sponsored health insurance plan (cafeteria plan) unless your employer included the premiums in Box 1 of your Form W-2. Complete lines 11 through 14 as instructed on Form 140PY, Also do not include any other medical and dental expenses Schedule A(PYN). paid by the plan unless your employer included the amount Do not include on line 11 any amount that is allocable to income paid in Box 1 of your Form(s) W-2. If self-employed, do not excluded from your Arizona taxable income. Such amounts include any amount paid for health insurance that you would include employee business expenses attributable to deducted in computing your federal adjusted gross income. income excluded from your Arizona taxable income. The medical and dental expenses for Arizona purposes are Line 15 - the same as for federal purposes. Enter the amount of other allowable miscellaneous expenses Line 30 - not subject to the 2 percent federal adjusted gross income Enter any amount of medical and dental expenses included limitation that you incurred and paid while an Arizona on line 29 that were paid from your MSA. resident. Also enter the amount of other allowable Complete lines 32 through 34 as instructed on Schedule miscellaneous expenses not subject to the 2 percent federal A(PYN). adjusted gross income limitation from Arizona sources that you incurred and paid during the part of the year while a Lines 35 through 51 - nonresident. Complete lines 35 through 51 as instructed on Schedule Lines 16 through 20 - A(PYN). Skip lines 16 through 20 if not deducting gambling losses. Line 52 - Line 16 - Complete the worksheet below to determine what percent to enter on line 52. Enter the amount of wagering losses included on line 15, Form 140PY Schedule A(PYN). Worksheet 1. Arizona source income Amount Line 17 - a. _______________ a.______________ Enter the total gambling winnings included in your Arizona b. _______________ b.______________ gross income. c. _______________ c.______________ Line 18 - d. d. 2. Add the amounts in line Enter the authorized Arizona lottery subtraction from Form 1a through line 1d. 2. 140PY, page 2, line D32. 3. Enter the amount from Line 19 - Form 140PY, page 2, Maximum allowable gambling loss deduction. Subtract the line B18. 3. amount on line 18 from the amount on line 17. 4. Divide the amount on line 2 by the amount on Line 20 - line 3. Enter the percent If the amount on line 19 is less than the amount on line 16, here and on Form subtract line 19 from line 16. Otherwise, enter zero (0). 140PY, Schedule A Line 21 - (PYN), Line 52. 4. If you completed lines 16 through 20, subtract line 20 from Lines 53 and 54 – line 15. If you skipped lines 16 through 20, enter the amount Complete lines 53 and 54 as instructed on Form 140PY, from line 15 above here. Schedule A (PYN). Line 22 - Add lines 14 and 21. 2