1. AR4 2008
200841
ARKANSAS INDIVIDUAL INCOME TAX
INTEREST AND DIVIDEND INCOME SCHEDULE
Social Security Number
Name
Part I TAXABLE INTEREST INCOME Part II TAXABLE DIVIDEND INCOME
Interest on bank deposits, notes, mortgages from individuals, Dividends and other distributions on stock are fully taxable.
corporation bonds, savings and loan deposits, and credit union There is no dividend exclusion applicable to Arkansas.
deposits are taxable. Interest on obligations of other states
and subdivisions are fully taxable. List below the names of the dividend source and designate the
ownership by writing Y (Yours), S (Spouse’s) or J (Joint).
List below the names of the interest source and designate the
ownership by writing Y (Yours), S (Spouse’s) or J (Joint). CLICK HERE TO CLEAR FORM
YSJ NAME OF PAYER AMOUNT YSJ NAME OF PAYER AMOUNT
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00 00
00
00
00 00
00 00
00 00
00 00
00 00
Add the amounts listed above and enter the Add the amounts listed above and enter the
total here and on Line 11, page AR1/NR1. total here and on Line 12, page AR1/NR1.
00 00
Part III INCOME NOT SUBJECT TO ARKANSAS TAX (See Instructions on pages 11 & 12)
00 00
00 00
00 00
00 00
00 00
00 00
00 00
TOTAL INCOME NOT SUBJECT TO ARKANSAS TAX: (Enter here and on page AR2/NR2, Line 56) ................................. 00
Page AR4 (R 08/1/08)