Arizona Schedule A(Pyn) - Itemized Deductions For Part-Year Residents - 2012

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ARIZONA SCHEDULE
Itemized Deductions
A(PYN)
2012
For Part-Year Residents
Who also had Arizona source income during the period of the year while a nonresident.
Attach to your return.
Your Name as shown on Form 140PY
Your Social Security Number
Spouse’s Name as shown on Form 140PY
Spouse’s Social Security Number
Part I: Itemized Deductions for the Period of the Year While an Arizona Resident Plus Arizona
Source Itemized Deductions for the Period While a Nonresident
Medical and Dental Expenses • Taxes • Interest Expense • Gifts to Charity
1 Medical and dental expenses incurred and paid while an Arizona resident plus the amount of such
expenses from Arizona sources that you incurred and paid during the part of the year while an
00
Arizona nonresident ...............................................................................................................................................
1
2 Taxes allowable on federal Form 1040, Schedule A, that you incurred and paid while an Arizona
resident plus the amount of such taxes from Arizona sources that you incurred and paid during
00
the part of the year while an Arizona nonresident ..................................................................................................
2
00
3 Interest expense: See instructions ........................................................................................................................
3
4 Gifts to charity allowable on federal Form 1040, Schedule A, that you incurred and paid while an
Arizona resident plus the amount of such gifts from Arizona sources that you incurred and paid
00
during the part of the year while an Arizona nonresident .......................................................................................
4
Casualty and Theft Losses
5 Casualty loss(es) allowable on federal Form 1040, Schedule A, after applying
00
the 10% federal adjusted gross income limitation and the $100 per loss floor ...............
5
6 Casualty loss(es) allowable on federal Form 4684 before applying the 10%
00
federal adjusted gross income limitation and the $100 per loss floor .............................
6
7 Amount of loss on line 6 incurred while you were an Arizona resident plus the
amount of loss from Arizona sources on line 6 that you incurred during the
00
part of the year while an Arizona nonresident .................................................................
7
%
8 Divide line 7 by line 6, and enter the percentage ............................................................
8
00
9 Multiply line 5 by the percentage on line 8 .............................................................................................................
9
Job Expenses and Other Miscellaneous Expenses
10 Miscellaneous expenses subject to the 2% federal adjusted gross income
limitation allowable on federal Form 1040, Schedule A, before applying the
00
limitation ..........................................................................................................................
10
11 Amount on line 10 that you incurred and paid while an Arizona resident plus
the amount on line 10 from Arizona sources that you incurred and paid during
00
the part of the year while an Arizona nonresident ...........................................................
11
%
12 Divide line 11 by line 10, and enter the percentage ........................................................
12
13 Miscellaneous deductions subject to the 2% federal adjusted gross income
00
limit allowable on federal Form 1040, Schedule A, after applying the limitation. ............
13
00
14 Multiply line 13 by the percentage on line 12 ..................................................................
14
15 Other miscellaneous expenses allowable on federal Form 1040, Schedule A,
not subject to the 2% federal adjusted gross income limitation that you
incurred and paid while an Arizona resident plus the amount of such
expenses from Arizona sources that you incurred and paid during the part of
00
the year while an Arizona nonresident ............................................................................
15
Skip lines 16 through 20 if not deducting gambling losses.
00
16 Wagering losses included on line 15 ..............................................................................
16
00
17 Total gambling winnings included in your Arizona gross income ....................................
17
00
18 Arizona lottery subtraction from Form 140PY, page 2, line D32 .....................................
18
00
19 Maximum allowable gambling loss deduction: Subtract line 18 from line 17 .................
19
20 If line 19 is less than line 16, subtract line 19 from line 16; otherwise
00
enter “zero”. ....................................................................................................................
20
21 If you completed lines 16 through 20, subtract line 20 from line 15. If you
00
skipped lines 16 through 20, enter amount on line 15 here ............................................
21
00
22 Add lines 14 and 21 ...............................................................................................................................................
22
00
23 Subtotal of Itemized Deductions: Add lines 1, 2, 3, 4, 9, and 22. Enter the total here ....................................
23
ADOR 10176 (12)

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