Form Ar1000anr - Amended Individual Income Tax Return - 1999
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1
2STATE OF ARKANSAS
AR1000ANR
Amended Individual Income Tax Return
1999
NONRESIDENTS AND PART-YEAR RESIDENTS AMENDING TAX YEAR 1999
OR FISCAL YEAR ENDING __________________ 19 _______
File Date
Amount Paid
Your Social Security Number
FOR OFFICE
USE ONLY
First Name and Initial: (List both if applicable)
Last Name
Spouse Social Security Number
Present Address: Number and Street, Apartment Number or Rural Route
Prep. I.D.
City, Town or Post Office, State and Zip Code
Telephone Numbers
Work:
Home:
Non-residents (List State of residence)
Part-Year Residents (List period of residency in Arkansas during tax year)
From
To
CHECK ONLY ONE BOX BELOW:
4.
MARRIED FILING SEPARATELY ON SAME RETURNS:
SINGLE: (Or widowed or divorced before the end of the tax year you are amending.)
01.
5.
MARRIED FILING SEPARATELY ON DIFFERENT RETURNS:
02.
MARRIED FILING JOINT: (Even if only one had income)
(Enter spouse’s full name here and SSN above). ____________________________
03
HEAD OF HOUSEHOLD:
.
6
QUALIFYING WIDOW(ER): with dependent child. Year spouse died:
If the qualifying person is your child but not your dependent, enter this
.
19 __________ .
child’s name here: ________________________________________
7A.
YOURSELF
65 or OVER
65 SPECIAL
BLIND
DEAF
HEAD OF HOUSEHOLD/
SPOUSE
65 or OVER
65 SPECIAL
BLIND
DEAF
QUALIFYING WIDOW(ER)
00
7B
First name(s) of dependent(s):
x 020.00
.
Multiply number of boxes checked from Line 7A .......
=
x 020.00
00
________________________________________________________ Multiply number of dependent(s) from Line 7B .........
=
7C
First name(s) of Developmentally Disabled Individual:
.
Multiply number of
00
x 500.00
________________________________________________________ Developmentally Disabled Individual from Line 7C ....
=
7D. TOTAL PERSONAL CREDITS: (Add Lines 7A through 7C. Enter total here and on Line 18) .........................................................................................7D
00
Has your tax return been adjusted by the IRS?
Yes
No
If Yes, attach reports.
PART 1: ORIGINAL
PART 2: AMENDED
INCOME
A. Your Total
B. Spouse
C.
Arkansas
A. Your Total
B.
Spouse
C.
Arkansas
Income
Total Income
Income
Income
Total Income
Income
All Sources
All Sources
Only
All Sources
All Sources
Only
08.
Total Income: ........................... 08.
00
00
00 08.
00
00
00
09.
Adjustments to Income:............. 09.
00
00
00 09.
00
00
00
10.
Adjusted Gross Income: ........... 10.
00
00
00 10.
00
00
00
11.
Itemized/Standard Deductions: . 11.
00
00
11.
00
00
12.
Net Taxable Income: ................. 12.
00
00
12.
00
00
TAX COMPUTATION
A.
YOURS
B.
SPOUSE
13. Select tax table: (Enter tax from table). .........................................................................................................
13.
00
00
LOW INCOME
REGULAR
Table 1
Table 2
14. Tax: (Enter total from Lines 13A and 13B). .............................................................................................................................................................. 14.
00
15. Enter tax from ten (10) year averaging schedule: (Attach AR1000TD). ..................................................................................................................... 15.
00
16. IRA and qualified plan withdrawal and overpayment penalties: (Attach Federal Form 5329 if required). .................................................................. 16.
00
17. TOTAL TAX: (Add Lines 14 through 16. Enter here). ............................................................................................................................................... 17.
00
TAX CREDITS:
18. Personal tax credit(s): (Enter total from Line 7D). ........................................................................................... 18.
00
19. Working Taxpayer Credit: (Attach Schedule AR1328). ..................................................................................... 19.
00
20. State Political Contributions Credit: (Attach Schedule). .................................................................................. 20.
00
21. Other State tax credit(s): [Attach copy of the other State return(s)]. ................................................................. 21.
00
22. Child care credit(s): (Attach Federal Form 2441 or 1040A, 20% of Federal credit allowed). .......................... 22.
00
23. Credit for adoption expenses: (Attach Federal Form 8839 , 20% of Federal credit. allowed). ........................ 23.
00
24. Phenylketonuria Disorder Credit: (See Instructions, Attach AR1113). ............................................................. 24.
00
25. Business and incentive tax credits: (Attach Schedule and certificate). ............................................................. 25.
00
00
26. TOTAL CREDITS: (Add Lines 18 through 25). ........................................................................................................................................................ 26.
27. NET TAX: (Subtract Line 26 from Line 17. Enter here). ........................................................................................................................................... 27.
00
Effective Date: January 1, 1999
AR1000A NR (R 11/99)
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