Form Ar1000anr - Amended Individual Income Tax Return - 2003 Page 2

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29. NET TAX: (From Line 28) ............................................................................................................................................................. 29
00
29A. Enter the amount from Line 10, Part 2, Column C: ........................................................................ 29A
00
29B. Enter the total amount from LIne 10, Part 2, Columns A and B: ..................................................... 29B
00
29C. Divide Line 29A by 29B. Enter the percentage: .................................................................................................................... 29C
%
29D. APPORTIONED TAX LIABILITY: (Multiply Line 29 by Line 29C) ......................................................................................... 29D
00
PAYMENTS
00
30. Arkansas Income Tax withheld: ........................................................................................................... 30
00
31. Estimated tax paid or credit brought forward from last year: .............................................................. 31
32. Early childhood program: Certification No. _____________ :(20% of Federal credit allowed;
00
Attach Federal Form 2441 or 1040A, Sch. 2 and Certification Form AR1000EC) ............................. 32
00
33. Amount Paid with Return: ................................................................................................................... 33
00
34. Amount Paid after Return was filed: ................................................................................................... 34
00
35. TOTAL PAID: (Add Lines 30 through 34. Enter here) ......................................................................... 35
00
36. Enter prior Overpayment/Refund/Estimate carried forward: ............................................................... 36
00
37. TOTAL PAYMENTS: (Subtract Line 36 from Line 35. Enter here) ...................................................... 37
REFUND OR TAX DUE
00
38. AMOUNT TO BE REFUNDED TO YOU: (If Line 37 is greater than Line 29D, enter the difference here) ............................... 38
00
39. AMOUNT DUE: (If Line 29D is greater than Line 37, enter the difference here). ..................................................................... 39
PLEASE SIGN HERE
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Your Signature
Occupation
Date
Occupation
Date
Spouse’s Signature
Paid Preparer’s Signature
ID Number/SSN
Date
May the Arkansas Revenue
Firm Name (Or yours, if self employed)
Telephone
Agency discuss this return with
the preparer shown to the left?
Yes
No
Mail to:
Address
City, State, Zip
Amended Tax Group
P. O. Box 3628
Little Rock, AR 72203
EXPLANATION OF CHANGES TO INCOME, DEDUCTIONS, AND CREDITS (REQUIRED): Enter the line number from
the front or back of the form for each item you are changing and give the reason for each change. Attach only the supporting forms and
schedules for the items changed. If you do not attach the required information, your Form 1000ANR may be returned. Be sure to
include your name and social security number on any attachments.
AR1000ANR Back Page (R 11/03)

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