Form AR1000F Fillable Full Year Resident Individual Income Tax Return
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

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" ! ! # j 4 #$ 6 % 7 ! % !$ $ % % 7 #$ 6 < (Subtract Line 25 from Line 24) $6 000 $6 000% % % ! 4#% < (Add Lines 32 through 34) % 7 ! 4#% & ' ! *+ (: No) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (20% of federal credit; Attach federal Form 2441 Form AR1000EC) (A) Your/Joint (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (Click Here to Clear the Work Sheet) Click Here to Clear Form Info (Click Here to Print Document) Click Here to Print Document (Filing Status 3 Only) (Filing Status 6 Only) (Fiscal Year Ending) (Jan 1 Dec 31 2010 or fiscal year ending) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) * [ [ +% ] '*+ !+*** 000023 23 1 SINGLE (Or widowed before 2015 or divorced at end of 2015) 2 MARRIED FILING JOINT (Even if only one had income) 24 4[ % 4 \! #$ 6 < (From Line 23 Columns A and B) 24 00 00 27TAX: (Enter tax from tax table) 3 HEAD OF HOUSEHOLD (See Instructions) 4 8 : 4 MARRIED FILING SEPARATELY ON THE SAME RETURN 4#! % 4 " #%q If you want your refund direct deposited you must check this box and 40 AMENDED RETURNS ONLY Previous payments: (See instructions) 5 MARRIED FILING SEPARATELY ON DIFFERENT RETURNS 50BPenalty 6 QUALIFYING WIDOW(ER) with dependent child 65 or OVER 65 SPECIAL 7B Multiply number of dependents from above 7B 7C First name of individual(s) with developmental disability: (See Instructions) 7D % % " ! $ % 7 ! 4#% < (Add Lines 7A 7B and 7C Enter total here and on Line 32) 7D Add Lines 49 and 50B Attach Form AR1000V with check or money order payable in U S Dollars to Dept of Finance Address Adjusted Total Payments: (Subtract Line 43 from Line 42) 44 Alimony and separate maintenance received: Alternate Telephone: AMENDED RETURNS ONLY Previous refund: (See instructions) AMOUNT DUE: (If Line 44 is less than Line 36 enter difference; If over $1 000 continue to 50A) Amount of Check off Contributions: (Attach Schedule AR1000 CO) Amount of income not subject to Arkansas tax from AR4 Part III: (Memorandum only) Amount to be applied to 2016 estimated tax: and Administration Include your SSN on payment To pay by credit card see instructions Arkansas income tax withheld: [Attach state copies of W 2 and/or 1099R Form(s)] BLIND65 or OVER BLIND65 SPECIAL Business or professional income: (Attach federal Schedule C or C EZ) Capital gains/(losses) from stocks bonds etc: (See Instr Attach Schedule D) Child Care Credit: (20% of federal credit allowed; Attach federal Form 2441) CITY STATE AND ZIP CODE City/State/Zip Combined tax: (Add amounts from Line 27 Columns A and B) Dependents (Do not list yourself or spouse) Dividend income: (If over $1 500 attach AR4) Enter enter child s name here: Enter spouse s name here and SSN above Enter tax from Lump Sum Distribution Averaging Schedule: (Attach AR1000TD) enter your SSN(s) above Estimated tax paid or credit brought forward from 2014: Farm income: (Attach federal Schedule F) FILING STATUS First Name Last Name Dependent s Social Security Number Dependent s relationship to you Gross Distribution Gross Distribution Less HAVE YOU FILED AN EXTENSION? HEAD OF HOUSEHOLD/QUALIFYING WIDOW(ER) ID Number/Social Security Number If the qualifying person was your child but not your dependent If you qualify for the Low Income Tax Table enter zero (0) on Line 25A If not then: If your spouse itemizes on a separate return check here Important: You MUST Income INCOMEAttach W 2(s)/1099(s) here / Attach check on top of Interest income: (If over $1 500 attach AR4) ITAR151 ITAR152 LAST NAME PRIMARY SOCIAL SECURITY NUMBER LOW INCOME Table ! \ ! Table MAILING ADDRESS (Number and Street P O Box or Rural Route) May the Arkansas Revenue Agency discussthis return with the preparer shown below? Multiply number of boxes checked 7A X $26 = Multiply number of individuals with developmental disabilities from 7C 7C NET TAX: (Subtract Line 35 from Line 31 If Line 35 is greater than Line 31 enter 0) NoYes ! 6 # #$\ 44! " \ ' #$ %! %# $ Occupation of your: Other Credits: (Attach AR1000TC) Other gains or (losses): (Attach federal Form 4797 and/or 4684 if applicable) Other income/depreciation differences: (Attach Form AR OI) P Q 8 Page AR1 (R 5/19/15) Page AR2 (R 5/19/15) Paid Preparer s Signature Payment made with extension: (See Instructions) PAYMENTS Personal Tax Credit(s): (Enter total from Line 7D) PLEASE #\$ ! Preparer s Name PRIMARY FIRST NAME Primary SSN Rents royalties partnerships estates trusts etc: (Attach federal Schedule E) Select tax table: (See Instructions Line 25)25 SPOUSE SPOUSE FIRST NAME LAST NAME Spouse s Signature SPOUSE S SOCIAL SECURITY NUMBER TAX COMPUTATION TAX DUE Telephone Number Telephone: the ` TOTAL ADJUSTMENTS: (Attach Form AR1000ADJ) 0000 TOTAL DUE TOTAL INCOME: (Add Lines 8 through 20) TOTAL PAYMENTS: (Add Lines 37 through 41) TOTAL TAX: (Add Lines 28 through 30) U S Military compensation: (Spouse s gross amount) 00 U S Military compensation: (Your/joint gross amount) UEP: Attach Form AR2210 or AR2210A If required enter exception in box 50A W 2(s)/1099(s) Wages salaries tips etc: (Attach W 2s) X $26 = X $500 = Year spouse died: (See Instructions) Your Signature YOURSELF DEAF