Form Ar1000adj - Schedule Of Other Adjustments - Arkansas Individual Income Tax - 2007
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1AR1000ADJ
2007
2007A1
ARKANSAS INDIVIDUAL INCOME TAX
SCHEDULE OF OTHER ADJUSTMENTS
Name
Social Security Number
INSTRUCTIONS
Full Year Resident Filers - Complete columns (A) and (B) if using filing status 4 (married filing separately
on the same return). All other filing statuses must complete column (A) only.
Nonresident or Part-Year Resident Filers - Complete columns (A), (B), and (C) if using filing status
4 (married filing separately on the same return). All other filing statuses must complete columns (A) and (C)
only.
Enter the total of each column on Line 13 of this form and on Line 25 of page AR1/NR1 of Form AR1000/
AR1000NR.
See instructions on the reverse side of this form.
(C) Arkansas
(B)
Spouse’s
(A) Your/Joint
Adjustments
Adjustments
Adjustments
Status 4 Only
Only
00
00
00
1. Payments to IRA: (See Instructions) ....................................................................................1
00
00
00
2. Payments to MSA: (See Instructions) ..................................................................................2
00
00
00
3. Payments to HSA: (See Instructions) ..................................................................................3
00
00
00
4. Deduction for interest paid on student loans: (See Instructions) .........................................4
00
00
00
5. Contributions to Intergenerational Trust: (See Instructions) .................................................5
00
00
00
6. Moving expenses:
(Attach Federal Form 3903)
...................................................................6
00
00
00
7. Self-employed health insurance deduction: (See Instructions) ............................................7
00
00
00
8. KEOGH, Self-employed SEP and Simple Plans: .................................................................8
00
00
00
9. Forfeited interest penalty for premature withdrawal: ............................................................9
00
00
00
10. Alimony/Sep. Maint. paid to: Name: _____________________ SSN: _______________ 10
00
00
00
11. Support for permanently disabled individual:
(Attach Form AR1000DC)
........................... 11
00
00
00
12. Organ Donor Deduction:
..........................................................12
(Attach Form AR1000OD)
00
00
00
13. TOTAL OTHER ADJUSTMENTS: (Enter here and on page AR1/NR1, Line 25) ............... 13
AR1000ADJ (R 9/27/07)
ATTACH AS THE SECOND PAGE OF YOUR RETURN
CLICK HERE TO CLEAR FORM
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