Form 140PY, Schedule A(PYN)
Line 5 - Casualty and Theft Losses
Line 22 -
Enter the casualty loss(es) allowable on federal Form 1040,
Add lines 14 and 21.
Schedule A, after applying the 10% federal adjusted gross
Lines 23 through 28 – Subtotal of Itemized
income limitation and the $100 per loss floor.
Deductions
Line 6 -
Complete lines 23 through 28 as instructed on Form 140PY,
Enter the casualty loss(es) allowable on federal Form 4684
Schedule A(PYN).
before applying the 10% federal adjusted gross income
PART II
limitation and the $100 per loss floor.
Line 7 -
Line 29 -
Enter the amount of casualty loss shown on line 6 that you
Enter the total of your medical and dental expenses after
incurred and paid while an Arizona resident. Also enter the
you reduce these expenses by any payments received from
amount of casualty loss shown on line 6 from Arizona sources
insurance or other sources. Do not reduce the amount on
that you incurred during the part of the year while a nonresident.
line 29 by amounts paid from an MSA or an AZLTHSA.
Lines 8 and 9 -
Do not include insurance premiums you paid through an
Complete lines 8 and 9 as instructed on the form.
employer-sponsored health insurance plan (cafeteria plan)
unless your employer included the premiums in Box 1 of your
Line 10 - Job Expenses and Other Miscellaneous
Form(s) W-2.
Expenses
Also, do not include any other medical and dental expenses
Enter the amount of miscellaneous expenses subject to the 2%
paid by the plan unless your employer included the amount
federal adjusted gross income limitation allowable on federal
paid in Box 1 of your Form(s) W-2. If self-employed, do not
Form 1040, Schedule A, before applying the limitation.
include any amount paid for health insurance that you
Lines 11 through 14 -
deducted in computing your federal adjusted gross income.
Complete lines 11 through 14 as instructed on Form 140PY,
The medical and dental expenses for Arizona purposes are
Schedule A(PYN).
the same as for federal purposes.
Do not include on line 11 any amount that is allocable to income
Line 30 -
excluded from your Arizona taxable income. Such amounts
Enter any amount of medical and dental expenses included
would include employee business expenses attributable to
on line 29 that were paid from your MSA or AZLTHSA.
income excluded from your Arizona taxable income.
Lines 31 through 40 -
Line 15 -
Complete lines 31 through 40 as instructed on Form 140PY,
Enter the amount of other allowable miscellaneous expenses not
Schedule A(PYN).
subject to the 2% federal adjusted gross income limitation that
you incurred and paid while an Arizona resident.
Line 41 -
Also enter the amount of other allowable miscellaneous expenses
You cannot claim both a deduction and a credit for the same
not subject to the 2% federal adjusted gross income limitation
charitable contributions.
from Arizona sources that you incurred and paid during the part
Enter the amount of charitable contributions for which you
of the year while a nonresident.
are taking a credit.
Lines 16 through 20 -
For Example:
Skip lines 16 through 20 if not deducting gambling losses.
If you
Line 16 -
claimed a
For contributions made
credit on
Enter the amount of wagering losses included on line 15,
to a:
Arizona
Form 140PY Schedule A(PYN).
You must make an
Form:
Line 17 -
entry here if you
Contributions to
deducted
the
Enter the total gambling winnings included in your Arizona
321
Qualifying Charitable
amount contributed
gross income.
Organizations
as
an
itemized
Line 18 -
deduction
on
Contributions Made or
Enter the Arizona lottery subtraction from Form 140PY,
federal Form 1040,
322
Fees Paid to Public
page 2, line D32.
Schedule A.
Schools
Line 19 -
Contributions to Private
Maximum allowable gambling loss deduction. Subtract the
323
School Tuition
amount on line 18 from the amount on line 17.
Organizations
Line 20 -
331
School Site Donation
If the amount on line 19 is less than the amount on line 16,
Donation to Military
340
subtract line 19 from line 16. Otherwise, enter zero (0).
Family Relief Fund
Line 21 -
Contributions to
348
Certified School
If you completed lines 16 through 20, subtract line 20 from
Tuition Oganizations
line 15. If you skipped lines 16 through 20, enter the amount
from line 15 here.
If you claimed a private school tuition credit on your 2012 return
for a contribution that you made during 2013 (see Arizona Form
2