! " = 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
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(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)
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) + $ ); 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