Form AR1000S Fillable Full Year Resident Short From Income Tax Return
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

! " = 9 < " c f " # / $ % (20% of federal credit allowed attach federal Form 2441) 17 % (Enter total from Line 7C) 16 % (See Instructions) % (See Instructions) 12 % [Attach state copies of W 2 Form(s)] 20 % 9) 7 < 8 ) g ; );` 9; &a a < );` 9; a ba < ` 9`! ``/ ! $ 9` " * Dependent s Social Security Number f $ " g " f g i " % (Attach Schedule AR1000 CO) 27 h ^ $ h f = h f i j 9) $ ` l $ * NOTE: If you qualify for the Low Income Table enter zero (0) on Line 12 w ) $ 7 ! c " # < 9 < # < 9 < c % (If interest or dividends are over $1 500 attach page S2) 9 % (List type and amount See instructions) 10 % (Subtract Line 12 from Line 11) '()* + /6 7 879:;< = (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (: Yes) Unchecked (A) Income (B) Status 4 Only (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 (Click Here to Print Document) Click Here to Print Document (Filing Status 3 Only) (Filing Status 6 Only) (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) ) + $ ); v 00 Total Dividend Income: Enter here and on Line 9 11 TOTAL INCOME: (Add Lines 8 through 10) 11 13 13 15 TOTAL TAX: (Add Lines 14A and 14B) 15 17 i i 18 TOTAL CREDITS: (Add Lines 16 and 17) 18 19 NET TAX: (Subtract Line 18 from Line 15 If Line 18 is greater than Line 15 enter 0) 19 20 ) g $ 2015 AR1000S 21 AMENDED RETURNS ONLY ^ 22 : i ^ $% i 23 TOTAL PAYMENTS: (Add Lines 20 through 22) 23 24 AMENDED RETURNS ONLY ^ 25 ) k 26 AMOUNT OF OVERPAYMENT/REFUND: (If Line 25 is greater than Line 19 enter difference) 27 )$ i 28 AMOUNT TO BE REFUNDED TO YOU: (Subtract Line 27 from Line 26) REFUND 28 29 AMOUNT DUE: (If Line 25 is less than Line 19 enter difference; If over $1 000 see inst ) TAX DUE 29 65 or OVER 65 SPECIAL 65 SPECIAL7A 7B d ! $" 7B Dependents(Do not list yourself or spouse) 7C TOTAL PERSONAL TAX CREDITS: (Add Lines 7A and 7B Enter total here and on Line 16) 7C and belief they are true correct and complete Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge ARKANSAS INDIVIDUAL as !% BLIND c ! $ CHECK BOX IF Check only 1 box CITY STATE AND ZIP CODE complete Form ARDD d ! $" Date ^ DEDUCTIONS Dependent s relationship to you Dept Use Only AMENDED RETURN DIRECT DEPOSIT? = extension or an automatic federal extension f !! " FILING STATUS First Name Last Name For Department Use Only Full Year Resident/Short Form h f " HEAD OF HOUSEHOLD (See Instructions) HEAD OF HOUSEHOLD/ QUALIFYING WIDOW(ER) IF FILING STATUS 5 USE AR1000F/AR1000NR LONG FORM If you owe an amount due from Line 29 AR1000S you have the option INCOME INCOME TAX RETURN ITS1151 ITS2152 LAST NAME PRIMARY SOCIAL SECURITY NUMBER LOW INCOME h " MAILING ADDRESS (Number and Street P O Box or Rural Route) MARRIED FILING JOINT (Even if only one had income) MARRIED FILING SEPARATELY ON THE SAME RETURN MI LAST NAME of paying by credit card or call (800) 272 9829 OR TYPE Part 1 INTEREST INCOME Part 2 DIVIDEND INCOME PAYMENTS PERSONAL TAX CREDITS PLEASE SIGN HERE: Under penalties of perjury I declare that I have examined this return and accompanying schedules and statements and to the best of my knowledge PLEASESIGN HERE PREPARER PRIMARY NAME REFUND OR REGULAR h " ROUND ALL AMOUNTS TO WHOLE DOLLARS SIGN HERE SINGLE (Or widowed before 2015 or divorced at end of 2015) SPOUSE SPOUSE NAME Spouse s Income SPOUSE S SOCIAL SECURITY NUMBER TAX COMPUTATION TAX CREDITS TAX DUE Total Interest Income: Enter here and on Line 9 USE LABEL PRINT X $26 = X $26= Y S J NAME OF PAYER AMOUNT Y S J NAME OF PAYER AMOUNT Your/Joint YOURSELF