Form AR1000NR Fillable Part Year or Non-Resident Individual Income Tax Return
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

" && ! " # $ (Enter total from Line 7D) 32 # $ (Filing Status 4 only) # $ (See Instructions Attach All 1099Rs) # < = <$ #^$ P (Add amounts from Line 27 Columns A and B) 28 (Attach All 1099Rs) 16 (Attach AR1000TD) 29 (Attach federal Form 5329 if required) 30 (Check the appropriate box) (See Instructions) 39 (Subtract Line 43 from Line 42) 44 * ! ' * ! ; ~ ; ; &+* ;* x [ x H^ T @ ! " " + @ & ? @ [ * [ [Attach state copies of W 2 and/or 1099R Form(s)] 37 ] z + + (Attach federal Schedule E) 18 + TOTAL DUE 50C > & ? @ >X & PK DEAF 7A X $26 = H # < = <$ H< x ' * J K &@ J J P Q ?? && (Number and Street P O Box or Rural Route) P [ + REGULAR @ T= <^% +* K ^^^j [ * +* x " ! X & ? x P ! & ? x" x * ! 50A Penalty 50B ! x K + $6 000 & >X& & &>~ P & ~X @ XJ% & >X& K &@ J P &@ J (: No) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (20% of federal credit; Attach federal Form 2441 and Form AR1000EC) (A) Your/Joint (Arkansas End Date or 12/31/2010) (Arkansas Start Date) (B) Spouse s Income (C) Arkansas (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 (Dates Lived in AR) (Do not list yourself or spouse)Dependents (Filing Status 3 Only) (Filing Status 6 Only) (List State of residence) (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) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) ~ " & ~ @ ' &@ @ ? + ] ' H^ < + + z x T' (Memorandum only) +z * and < J ? K P Q & @ P > ? KK @ @X & 00 00 00 Less 1 SINGLE (Or widowed before 2015 or divorced at end of 2015) 2015 AR1000NR 22 TOTAL ADJUSTMENTS: (Attach Form AR1000ADJ) 22 23 ADJUSTED GROSS INCOME: (Subtract Line 22 from Line 21) 23 24 ADJUSTED GROSS INCOME: (From Line 23 Columns A and B) 24 26 NET TAXABLE INCOME: (Subtract Line 25 from Line 24) 26 26 27 TAX: (Enter tax from tax table) 27 27 3 HEAD OF HOUSEHOLD (See Instructions) 31 TOTAL TAX: (Add Lines 28 through 30) 31 33 Child Care Credit: (20% of federal credit allowed; Attach federal Form 2441) 33 34 Other Credits: (Attach AR1000TC) 34 35 TOTAL CREDITS: (Add Lines 32 through 34) 35 36 NET TAX: (Subtract Line 35 from Line 31 If Line 35 is greater than Line 31 enter 0) 36 36A Enter the amount from Line 23 Column C: 36A 36B Enter the total amount from Line 23 Columns A and B: 36B 36C Divide Line 36A by 36B: (See Instructions) 36D APPORTIONED TAX LIABILITY: (Multiply Line 36 by Line 36C) 40 J ? ? @X & > P Previous payments: (See instructions) 40 42 TOTAL PAYMENTS: (Add Lines 37 through 41) 42 43 J ? ? @X & > P Previous refund: (See instructions) 43 45 AMOUNT OF OVERPAYMENT/REFUND: (If Line 44 is greater than Line 36D enter difference) 45 47 Amount of Check off Contributions: (Attach Schedule AR1000 CO) 47 48 AMOUNT TO BE REFUNDED TO YOU: (Subtract Lines 46 and 47 from Line 45) REFUND 48 49 AMOUNT DUE: (If Line 44 is less than Line 36D enter difference; If over $1 000 continue to 50A) TAX DUE 49 50A UEP: +* K HH ^ HH ^ x 50C P 51 x + 65 SPECIAL 7B Multiply number of dependents from above 7B 7C First name of individual(s) with developmental disability: (See Instructions) 7D TOTAL PERSONAL TAX CREDITS: (Add Lines 7A 7B and 7C Enter total here and on Line 32) 7D Address Alimony and separate maintenance received: 12 AMENDED RETURN and Administration + and statements and to the best of my knowledge and belief they are true correct and complete Declaration of preparer (otherthan taxpayer) is based on all information of which preparer has any knowledge ARKANSAS INDIVIDUAL ATTACH A COPY OF YOUR COMPLETE FEDERAL RETURN BLIND65 SPECIAL BLINDY< >j Business or professional income: (Attach federal Schedule C or C EZ) 13 Capital gains/(losses) from stocks bonds etc: (See Instr Attach Schedule D) 14 CHECK BOX IF complete Form ARDD and attach it to your return (Direct deposit is not available for amended returns ) DIRECT DEPOSIT? x " [ " Dividend income: (If over $1 500 attach AR4) 11 enter child s name here: Enter Itemized Deductions (See Instructions Line 25 and attach AR3) Enter spouse s name here and SSN above enter your SSN(s) above Farm income: (Attach federal Schedule F) 19 First Name Last Name Dependent s Social Security Number Dependent s relationship to you For Department Use Only FOR MAILING ADDRESSES SEE PAGE 2 OF INSTRUCTIONS Gross Distribution Taxable Amount 17A Gross Distribution Taxable Amount 17B H J ? K P Q > @ (Even if only one had income) HAVE YOU FILED AN EXTENSION? ID Number/Social Security Number If the qualifying person was your child but not your dependent Important: You MUST Income Income Only INCOME TAX RETURN INCOMEAttach W 2(s)/1099(s) here / Attach check on top of Interest income: (If over $1 500 attach AR4) 10 ITNR151 ITNR152 J " * LOW INCOME @ Multiply number of individuals with developmental disabilities from 7C 7C Nonresident and Part Year Resident Dept Use Only NoYes Occupation of your: Standard Deduction (See Instructions Line 25) 25 25 or an automatic federal extension Other gains or (losses): (Attach federal Form 4797 and/or 4684 if applicable) 15 Other income/depreciation differences: (Attach Form AR OI) 20 P &@ J >X &>~ P & ~X @ XJ% Paid Preparer s Signature PERSONAL TAX CREDITS PLEASE SIGN HERE: Under penalties of perjury I declare that I have examined this return and accompanying schedules PLEASESIGN HERESIGN HERE PREPARER Preparer s Name Primary SSN PRORATION SPOUSE Spouse s Signature Status 4 Only T J ? K P Q & @ P > @V & J @X TAX COMPUTATIONTAX CREDITSPAYMENTSREFUND OR TAX DUE the larger > this return with the preparer shown below? TOTAL INCOME: (Add Lines 8 through 20) 21 U S Military compensation: (Spouse s gross amt ) U S Military compensation: (Your/joint gross amt ) USE LABEL ORPRINT OR TYPE V ? >K V>X& V>P? X P K Q Z ?>Z# $ W 2(s)/1099(s)ROUND ALL AMOUNTS TO WHOLE DOLLARS Wages salaries tips etc: (Attach W 2s) 8 X $26 = X $500 = Y X P K Q Z ?>Z# $ [ * Y< >j Year spouse died: (See Instructions) FILING STATUSCheck Only One Box Your Signature