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AR1002NR
2012
STATE OF ARKANSAS
NONRESIDENT FIDUCIARY RETURN
For 2012 or fiscal year beginning _____________________ and ending __________________ 20 _____
Type of entity:
Name of estate or trust
FEIN
Decedent’s estate
Simple trust
Mailing address
Date trust created
Complex trust
ESBT
Grantor trust
City, state and ZIP code
Charitable trust
Bankruptcy estate
Check this box if you have filed a state extension or an automatic federal extension
Pooled income fund
ORIGINAL RETURN
AMENDED RETURN
FINAL RETURN
A. ALL INCOME
B. ARKANSAS INCOME
00
00
1. Interest income: .............................................................................................................. 1
1
00
00
2. Ordinary dividends: ........................................................................................................ 2
2
00
00
3. Net profit from trade or business: (attach schedule) ...................................................... 3
3
00
00
4. Capital gains: (see instructions) ..................................................................................... 4
4
00
00
5. Rents, royalties, partnerships, other estates and trusts, etc: (attach schedule) ............. 5
5
00
00
6. Farm income: (attach schedule) ..................................................................................... 6
6
00
00
7. Other income: ................................................................................................................. 7
7
00
00
8. TOTAL INCOME: (add Lines 1 through 7) .................................................................. 8
8
00
00
9. Taxes: ............................................................................................................................. 9
9
00
00
10. Interest: ........................................................................................................................ 10
10
00
00
11. Charitable contributions: ................................................................................................11
11
00
00
12. Fees: (fiduciary/attorney/accountant/preparer) ............................................................ 12
12
00
00
13. Other deductions: ......................................................................................................... 13
13
00
00
14. Total deductions: (add Lines 9 through 13) .................................................................. 14
14
00
00
15. Adjusted income before distributions: (subtract Line 14 from Line 8) .......................... 15
15
00
00
16. Amounts to be distributed to beneficiaries: .................................................................. 16
16
00
00
17. Adjusted income after distributions: (subtract Line 16 from Line 15) ........................... 17
17
2000
00
18. Standard deduction: ..................................................................................................... 18
00
19. NET TAXABLE INCOME: (subtract Line 18 from Line 17) ..................................... 19
00
20. TOTAL TAX: Enter tax from REGULAR TAX TABLE using the amount on Line 19, Column A: ............................20
23
00
21. Personal tax credit: ....................................................................................................... 21
00
22. Other state tax credit: ................................................................................................... 22
00
23. Business Incentive Tax Credit: (attach AR1000TC) ..................................................... 23
00
24. TOTAL CREDITS: (add Lines 21 through 23) ............................................................................................................24
00
25. NET TAX: (subtract Line 24 from Line 20) ...................................................................................................................25
00
25A. Enter the amount from Line 17, Column B: ................................................................25A
00
25B. Enter the amount from Line 17, Column A: ............................................................... 25B
25C. Divide Line 25A by Line 25B and enter decimal here: ................................................................................................25C
00
25D. APPORTIONED NET TAX: (multiply Line 25 by Line 25C) ..................................................................................25D
00
26. Arkansas income tax withheld: (attach AR1099PT and/or 1099R) .............................. 26
00
27. Estimated tax paid or credit brought forward from last year: ........................................ 27
00
28. Tax paid with extension: ............................................................................................... 28
00
29. Payments made with or after the filing of original return: (see instructions) ................. 29
00
30. Total payments: (add Lines 26 through 29) .................................................................. 30
00
31. Overpayments received: (see instructions) .................................................................. 31
00
32. NET PAYMENTS: (subtract Line 31 from Line 30) .....................................................................................................32
00
33. Amount of overpayment: (if Line 32 is greater than Line 25D, enter difference) ............................................................33
00
34. Amount to be applied to 2013 estimated tax: ............................................................... 34
00
35. AMOUNT TO BE REFUNDED TO YOU: (subtract Line 34 from Line 33)..............................................................35
00
36. AMOUNT DUE: (if Line 32 is less than Line 25D, enter difference) ...........................................................................36
00
37.
Attach Form AR2210 or AR2210A. If required, enter exception in box
37A
Penalty
37B
Attach Form AR1002V to check or money order payable in U.S. Dollars to “Dept. of Finance and Administration”.
......................................................TOTAL DUE 37C
Include FEIN on payment. To pay by credit card see instructions
00
May the Arkansas Revenue
Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief, the statements are true and complete.
Agency discuss this return with
Fiduciary’s signature_________________________________________________ Date____________________________
the preparer shown above?
Yes
No
Preparer’s signature_________________________________________________
Date____________________________
OFFICE USE ONLY
Name ____________________________________________________________
ID/SSN___________________________
A
City, state, and ZIP_________________________________
Address ___________________________________________
AR1002NR (R 9/30/11)