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(Code3of9BarCode1) ARDD131
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(Social Security Number)
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Account Number
ARDD (R 10/16/13)
Arkansas ordinarily processes a request for direct deposit it reserves the right to issue a paper check and does
Attach this form to the AR1000F/AR1000NR as the third page of
deposited into accounts outside the United States; this includes Puerto Rico Guam and the
DIRECT DEPOSIT
If no complete rest of form below If yes do not complete form Direct deposits will not be
If you would like your refund direct deposited complete the banking information below:
not guarantee a specific date for deposit of the refund into the taxpayer s account The State of Arkansas is not
Note: Direct deposit is not available for amended returns
numbers closed accounts bank mergers or any other reason are issued as paper checks While the State of
of Account:
of the taxpayer the provider or preparer financial institution or any of their agents
Primary Name
Refunds that are not direct deposited because of institutional refusal erroneous account or routing transit
responsible for the misapplication of a direct deposit that results from error negligence or malfeasance on the part
Routing Number Checking or Savings
second page of your return
Social Security Number
To comply with banking rules the question below must be answered:
Virgin Islands
Will this refund go to an account outside the United States? Yes No
your tax return If you are filing Form AR1000S attach it as the