Internal Revenue Digital Asset
Resume:
Form
****-** *.*. *** Return for Seniors ****
Department of the Treasury—Internal Revenue Service
OMB No. 1545-0074 IRS Use Only—Do not write or staple in this space. Filing
Status
Check only
one box.
Single Married filing jointly Married filing separately (MFS) Head of household (HOH) Qualifying surviving spouse (QSS) If you checked the MFS box, enter the name of your spouse. If you checked the HOH or QSS box, enter the child’s name if the qualifying person is a child but not your dependent: Your first name and middle initial Last name Your social security number If joint return, spouse’s first name and middle initial Last name Spouse’s social security number Home address (number and street). If you have a P.O. box, see instructions. Apt. no. City, town, or post office. If you have a foreign address, also complete spaces below. State ZIP code Foreign country name Foreign province/state/county Foreign postal code Presidential Election Campaign
Check here if you, or your
spouse if filing jointly, want $3
to go to this fund. Checking a
box below will not change
your tax or refund.
You Spouse
Digital
Assets
At any time during 2022, did you: (a) receive (as a reward, award, or payment for property or services); or (b) sell, exchange, gift, or otherwise dispose of a digital asset (or a financial interest in a digital asset)? (See instructions.) Yes No Standard
Deduction
Someone can claim: You as a dependent Your spouse as a dependent Spouse itemizes on a separate return or you were a dual-status alien Age/Blindness { You: Were born before January 2, 1958 Are blind Spouse: Was born before January 2, 1958 Is blind
Dependents
(see instructions):
If more than four
dependents, see
instructions and
check here
(2) Social security number (3) Relationship to
you
(4) Check the box if qualifies for (see instructions):
(1) First name Last name Child tax credit Credit for other dependents Income
Attach
Form(s) W-2
here. Also
attach Forms
W-2G and
1099-R if tax
was
withheld.
If you did not
get a Form
W-2, see
instructions.
1 a Total amount from Form(s) W-2, box 1 (see instructions) 1a b Household employee wages not reported on Form(s) W-2 1b c Tip income not reported on line 1a (see instructions) 1c d Medicaid waiver payments not reported on Form(s) W-2 (see instructions) 1d e Taxable dependent care benefits from Form 2441, line 26 1e f Employer-provided adoption benefits from Form 8839, line 29 1f g Wages from Form 8919, line 6 1g h Other earned income (see instructions) 1h i Nontaxable combat pay election (see instructions) . 1i z Add lines 1a through 1h 1z
Attach
Schedule B
if required.
2a Tax-exempt interest . 2a b Taxable interest . . 2b 3a Qualified dividends . . 3a b Ordinary dividends . 3b 4a IRA distributions . . . 4a b Taxable amount . . 4b 5a Pensions and annuities 5a b Taxable amount . . 5b 6a Social security benefits . 6a b Taxable amount . . 6b c If you elect to use the lump-sum election method, check here (see instructions)
7 Capital gain or (loss). Attach Schedule D if required. If not required, check here 7
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. Form 1040-SR (2022) Duncan ***-**-****
664 S 1st St W
Snowflake AZ 859375504
Duncan ***-**-****
34,643. 0.
2,902.
2,902.
0.
Clyde R
Patricia A
Form 1040-SR (2022) Page 2
8 Other income from Schedule 1, line 10 8 9 Add lines 1z, 2b, 3b, 4b, 5b, 6b, 7, and 8. This is your total income .. 9 10 Adjustments to income from Schedule 1, line 26 10 11 Subtract line 10 from line 9. This is your adjusted gross income ... 11 Standard
Deduction
See Standard
Deduction Chart
on the last page
of this form.
12 Standard deduction or itemized deductions (from Schedule A) . . . 12 13 Qualified business income deduction from Form 8995 or Form 8995-A . 13 14 Add lines 12 and 13 14
15 Subtract line 14 from line 11. If zero or less, enter -0-. This is your taxable income 15
Tax and
Credits
16 Tax (see instructions). Check if any from:
1 Form(s) 8814 2 Form(s) 4972 3 16
17 Amount from Schedule 2, line 3 17 18 Add lines 16 and 17 18
19 Child tax credit or credit for other dependents from Schedule 8812 . . 19 20 Amount from Schedule 3, line 8 20 21 Add lines 19 and 20 21
22 Subtract line 21 from line 18. If zero or less, enter -0- 22 23 Other taxes, including self-employment tax, from Schedule 2, line 21 . . 23 24 Add lines 22 and 23. This is your total tax 24 Payments 25 Federal income tax withheld from:
a Form(s) W-2 25a
b Form(s) 1099 25b
c Other forms (see instructions) 25c
d Add lines 25a through 25c 25d 26 2022 estimated tax payments and amount applied from 2021 return . . 26 If you have
a qualifying
child, attach
Sch. EIC.
27 Earned income credit (EIC) 27
28 Additional child tax credit from Schedule 8812 . . . 28 29 American opportunity credit from Form 8863, line 8 . 29 30 Reserved for future use 30
31 Amount from Schedule 3, line 15 31
32 Add lines 27, 28, 29, and 31. These are your total other payments and refundable credits 32
33 Add lines 25d, 26, and 32. These are your total payments 33 Go to www.irs.gov/Form1040SR for instructions and the latest information. Form 1040-SR (2022) 6,761.
3,859.
6,761.
30,100.
30,100.
0.
0.
0.
0.
0.
0.
3.
0.
3.
3.
BAA REV 01/28/23 Intuit.cg.cfp.sp
Form 1040-SR (2022) Page 3
Refund 34 If line 33 is more than line 24, subtract line 24 from line 33. This is the amount you overpaid 34
35 a Amount of line 34 you want refunded to you. If Form 8888 is attached, check here 35a
Direct deposit?
See
instructions.
b Routing number c Type: Checking Savings
d Account number
36 Amount of line 34 you want applied to your 2023 estimated tax 36
Amount
You Owe
37 Subtract line 33 from line 24. This is the amount you owe. For details on how to pay, go to www.irs.gov/Payments or see instructions 37 38 Estimated tax penalty (see instructions) 38 Third Party
Designee
Do you want to allow another person to discuss this return with the IRS? See instructions Yes. Complete below. No Designee’s
name
Phone
no.
Personal identification
number (PIN)
Sign
Here
Joint return?
See instructions.
Keep a copy for
your records.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge 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.
Your signature Date Your occupation If the IRS sent you an Identity Protection PIN, enter it here
(see inst.)
Spouse’s signature. If a joint return, both must sign. Date Spouse’s occupation If the IRS sent your spouse an Identity Protection PIN, enter it here
(see inst.)
Phone no. Email address
Paid
Preparer
Use Only
Preparer’s name Preparer’s signature Date PTIN Check if: Self-employed
Firm’s name Phone no.
Firm’s address Firm’s EIN
Go to www.irs.gov/Form1040SR for instructions and the latest information. Form 1040-SR (2022) truck driver
retired
1 2 2 1 0 5 1 5 5
1 5 1 7 0 4 3 9 9 4 7 7
Self-Prepared
3.
3.
BAA REV 01/28/23 Intuit.cg.cfp.sp
Form 1040-SR (2022) Page 4
Standard Deduction Chart*
Add the number of boxes checked in the “Age/Blindness” section of Standard Deduction on page 1 Single
Married
filing jointly
Qualifying
surviving spouse
Head of
household
Married filing
separately**
IF your filing
status is. . .
AND the number of
boxes checked is. . .
THEN your standard
deduction is. . .
1 $14,700
2 16,450
1 $27,300
2 28,700
3 30,100
4 31,500
1 $27,300
2 28,700
1 $21,150
2 22,900
1 $14,350
2 15,750
3 17,150
4 18,550
*Don’t use this chart if someone can claim you (or your spouse if filing jointly) as a dependent, your spouse itemizes on a separate return, or you were a dual-status alien. Instead, see instructions.
**You can check the boxes for your spouse if your filing status is married filing separately and your spouse had no income, isn’t filing a return, and can’t be claimed as a dependent on another person’s return. Go to www.irs.gov/Form1040SR for instructions and the latest information. BAA REV 01/28/23 Intuit.cg.cfp.sp Form 1040-SR (2022) SCHEDULE 1
(Form 1040) 2022
Additional Income and Adjustments to Income
Department of the Treasury
Internal Revenue Service
Attach to Form 1040, 1040-SR, or 1040-NR.
Go to www.irs.gov/Form1040 for instructions and the latest information. OMB No. 1545-0074
Attachment
Sequence No. 01
Name(s) shown on Form 1040, 1040-SR, or 1040-NR Your social security number Part I Additional Income
1 Taxable refunds, credits, or offsets of state and local income taxes 1 2a Alimony received 2a b Date of original divorce or separation agreement (see instructions): 3 Business income or (loss). Attach Schedule C 3 4 Other gains or (losses). Attach Form 4797 4 5 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . 5 6 Farm income or (loss). Attach Schedule F 6 7 Unemployment compensation 7 8 Other income:
a Net operating loss 8a b Gambling 8b
c Cancellation of debt 8c
d Foreign earned income exclusion from Form 2555 8d e Income from Form 8853 8e
f Income from Form 8889 8f
g Alaska Permanent Fund dividends 8g h Jury duty pay 8h
i Prizes and awards 8i
j Activity not engaged in for profit income 8j k Stock options 8k
l Income from the rental of personal property if you engaged in the rental for profit but were not in the business of renting such property . . . 8l m Olympic and Paralympic medals and USOC prize money (see instructions) 8m
n Section 951(a) inclusion (see instructions) 8n o Section 951A(a) inclusion (see instructions) 8o p Section 461(l) excess business loss adjustment 8p q Taxable distributions from an ABLE account (see instructions) . . . 8q r Scholarship and fellowship grants not reported on Form W-2 . . . 8r s Nontaxable amount of Medicaid waiver payments included on Form 1040, line 1a or 1d 8s t Pension or annuity from a nonqualifed deferred compensation plan or a nongovernmental section 457 plan 8t u Wages earned while incarcerated 8u z Other income. List type and amount:
8z
9 Total other income. Add lines 8a through 8z 9 10 Combine lines 1 through 7 and 9. Enter here and on Form 1040, 1040-SR, or 1040-NR, line 8 10 For Paperwork Reduction Act Notice, see your tax return instructions. Schedule 1 (Form 1040) 2022 Clyde R & Patricia A Duncan ***-**-****
0.
3,859.
3,859.
Schedule 1 (Form 1040) 2022 Page 2
Part II Adjustments to Income
11 Educator expenses 11 12 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 12 13 Health savings account deduction. Attach Form 8889 13 14 Moving expenses for members of the Armed Forces. Attach Form 3903 14 15 Deductible part of self-employment tax. Attach Schedule SE 15 16 Self-employed SEP, SIMPLE, and qualified plans 16 17 Self-employed health insurance deduction 17 18 Penalty on early withdrawal of savings 18 19a Alimony paid 19a b Recipient’s SSN
c Date of original divorce or separation agreement (see instructions): 20 IRA deduction 20
21 Student loan interest deduction 21 22 Reserved for future use 22 23 Archer MSA deduction 23 24 Other adjustments:
a Jury duty pay (see instructions) 24a b Deductible expenses related to income reported on line 8l from the rental of personal property engaged in for profit 24b c Nontaxable amount of the value of Olympic and Paralympic medals and USOC prize money reported on line 8m 24c d Reforestation amortization and expenses 24d e Repayment of supplemental unemployment benefits under the Trade Act of 1974 24e
f Contributions to section 501(c)(18)(D) pension plans 24f g Contributions by certain chaplains to section 403(b) plans 24g h Attorney fees and court costs for actions involving certain unlawful discrimination claims (see instructions) 24h i
Attorney fees and court costs you paid in connection with an award from the IRS for information you provided that helped the IRS detect tax law violations 24i
j Housing deduction from Form 2555 24j k Excess deductions of section 67(e) expenses from Schedule K-1 (Form 1041) 24k
z Other adjustments. List type and amount:
24z
25 Total other adjustments. Add lines 24a through 24z 25 26 Add lines 11 through 23 and 25. These are your adjustments to income. Enter here and on Form 1040 or 1040-SR, line 10, or Form 1040-NR, line 10a 26 BAA REV 01/28/23 Intuit.cg.cfp.sp Schedule 1 (Form 1040) 2022 PART 1 – PURPOSE (If you are e-filing a Small Business Income Tax Return, also complete Form AZ-8879 SBI)
• To certify the truthfulness, correctness, and completeness of the taxpayer’s electronic income tax return.
• To authorize the Electronic Return Originator (ERO) to affirm that the taxpayer wishes to use the taxpayer’s electronic signature to the taxpayer’s federal individual income tax return as the taxpayer’s signature to the taxpayer’s electronic Arizona individual income tax return. PLEASE SIGN HERE
ADOR 10549 (22)
PART 4 – DECLARATION AND SIGNATURE AUTHORIZATION (Sign only after completing Part 2) Under penalties of perjury, I declare that I have examined a copy of my electronic Arizona individual income tax return and accompanying schedules and statements for the year ending December 31, 2022, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts of Arizona adjusted gross income, total tax, Arizona income tax withheld, and refund (or amount owed) listed above are the amounts shown on the copy of my electronic Arizona income tax return. 6a I consent that my refund be directly deposited as designated in the electronic portion of my 2022 Arizona individual income tax return. If I have filed a joint return, this is an irrevocable appointment of the other spouse as an agent to receive the refund. 6b I do not want direct deposit of my refund or I am not receiving a refund.
6c I authorize the Arizona Department of Revenue (ADOR) and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my Arizona taxes owed on this return. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment.
If I have filed a balance due return, I understand that if the ADOR does not receive full and timely payment of my tax liability by April 18, 2023, I will remain liable for the tax liability and all applicable interest and penalties. When electronically filing my federal and state tax returns, I understand that if there is an error on my federal return, my state return will also be rejected.
I consent to my Electronic Return Originator (ERO) or On-Line Service Provider (OLSP) sending my electronic Arizona individual income tax return and accompanying schedules and statements to ADOR, and I consent to my ERO or OLSP sending such information to ADOR through a transmitter. I consent to ADOR sending my ERO, OLSP and/or transmitter an acknowledgement of receipt of transmission and an indication of whether or not the transmission of my return is accepted and, if the return is rejected, the reason(s) for the rejection. If the processing of my return or refund is delayed, I authorize ADOR to disclose to my ERO, OLSP and/ or transmitter the reason(s) for the delay, or when the refund was sent. If ADOR contacts my ERO for a copy of my return, any documents or schedules to my return, and/or this authorization form, I authorize my ERO to release copies of the requested documents to ADOR. I authorize
(ELECTRONIC RETURN ORIGINATOR)
to make the election that I want my electronic signature to my electronic federal individual income tax return to serve as my signature to my electronic Arizona individual income tax return for the year ending December 31, 2022. I understand that when my ERO makes the election that my electronic signature to my federal individual income tax return will serve as my signature to my Arizona individual income tax return, I will have signed my Arizona individual income tax return and declared under penalties of perjury that to the best of my knowledge and belief the return is true, correct and complete.
PART 2 – TAX RETURN INFORMATION
1 Arizona Adjusted Gross Income 00
2 Balance Of Tax 00
3 Arizona Income Tax Withheld 00
Check box 4 or box 5:
4 REFUND: Enter the amount of refund 00 5 AMOUNT YOU OWE: Enter the amount owed 00 PART 3 – FINANCIAL INSTITUTION INFORMATION
Must be present when requesting direct debit or deposit.
Foreign Account Deposit/Debit: See instructions below. TYPE OF ACCOUNT ROUTING NUMBER
Checking Savings
ACCOUNT NUMBER
DIRECT DEBIT REQUEST DATE DIRECT DEBIT PAYMENT AMOUNT
$ .00
Box 4 Checkbox – Refund: You are due a refund based on the information provided on your tax return. Your refund amount will be deposited in the account listed in the Financial Institution Information Section (Part 3). Box 5 Checkbox – Amount You Owe: You owe taxes based on the information provided on your tax return. You have elected to direct debit for payment. The payment will be withdrawn from the account and on the date listed in the Financial Institution Information Section (Part 3). Foreign Account Deposit/Debit Checkbox: Check the “Foreign Account Deposit/Debit” box if your deposit will be ultimately placed in or come from a foreign account. If you check this box, do not enter your account numbers. If this box is checked, we will not direct deposit or debit your account. If you are due a refund, we will send you a check instead. If you owe tax, you must mail a check to the Arizona Department of Revenue, PO Box 29085, Phoenix, AZ 85038-9085.
Your First Name and Initial Last Name Your Social Security Number* Your Spouse’s First Name and Initial (if filed joint) Last Name Spouse’s Social Security No.* Enter
your
SSN(s).
Arizona Form
AZ-8879
E-file Signature Authorization
(Arizona Forms 140, 140A, 140EZ, 140NR and 140PY) 2022 YOUR PEN AND INK SIGNATURE DATE
SPOUSE’S PEN AND INK SIGNATURE DATE
*Do Not Truncate
Do not mail this form to the Arizona Department of Revenue. The ERO must retain this document a minimum of four years. Clyde R Duncan
Patricia A Duncan
Self-Prepared
1,061
0
0
50
1 2 2 1 0 5 1 5 5
1 5 1 7 0 4 3 9 9 4 7 7
326 50 6591
540 68 6694
1555 REV 01/24/23 Intuit.cg.cfp.sp
81 PM 80 RCVD
88
REVENUE USE ONLY. DO NOT MARK IN THIS AREA.
8 Age 65 or over (you and/or spouse)
9 Blind (you and/or spouse)
10a Dependents: Under age of 17. 10b Dependents: Age 17 and over. 11a Qualifying parents and grandparents
FILING STATUS
ADOR 10413 (22) AZ Form 140 (2022) Page 1 of 6
4 Married filing joint return 4a Injured Spouse Protection of Joint Overpayment 5 Head of household. Enter name of qualifying child or dependent on next line: 6 Married filing separate return. Enter spouse’s name and Social Security Number above. 7 Single
Enter the number claimed. Do not put a check mark. Place any required federal and AZ schedules or other documents after Form 140. DO NOT STAPLE ANY ITEMS TO THE RETURN. Your First Name and Middle Initial Last Name Your Social Security Number Spouse’s First Name and Middle Initial (if box 4 or 6 checked) Last Name Spouse’s Social Security No. Current Home Address - number and street, rural route Apt. No. Daytime Phone (with area code) City, Town or Post Office State ZIP Code Last Names Used in Last Four Prior Year(s) (if different) 1
1
2 94
3 97
Enter
your
SSN(s).
(Box 10a and 10b): Dependent Information. See instructions. For more space, check the box and complete page 4, Part 1.
(a)
FIRST AND LAST NAME
(Do not list yourself or spouse.)
(b)
SOCIAL SECURITY NO.
(c)
RELATIONSHIP
(d)
NO. OF MONTHS
LIVED IN YOUR
HOME IN 2022
(e)
Dependent Age
included in:
1 2
(Box 10a)
(Box 10b)
(f)
if you did not claim
this person on your
federal return due to
educational credits
10c
10d
10e
(Box 11a): Qualifying parents and grandparents. See instructions. For more space, check the box and complete page 4, Part 2.
(a)
FIRST AND LAST NAME
(Do not list yourself or spouse.)
(b)
SOCIAL SECURITY NO.
(c)
RELATIONSHIP
(d)
NO. OF MONTHS
LIVED IN YOUR
HOME IN 2022
(e)
IF AGE 65 OR
OVER
(f)
IF DIED IN
2022
11b
11c
12 Federal adjusted gross income (from your federal return) 12 00 13 Small Business Income: 13S check the box if you are filing Arizona Form 140-SBI and enter the amount from Form 140-SBI, line 10.. 13 00 14 Modified federal adjusted gross income. Subtract line 13 from line 12 14 00 15 Non-Arizona municipal interest 15 00 16 Partnership Income adjustment. See instructions 16 00 17 Total federal depreciation 17 00 18 Other Additions to Income: Complete Other Additions to Arizona Gross Income schedule on page 5 18 00 19 Subtotal: Add lines 14 through 18 and enter the total 19 00 20 Total net capital gain or (loss). See instructions 20 00 21 Total net short-term capital gain or (loss). See instructions 21 00 22 Total net long-term capital gain or (loss). See instructions 22 00 23 Net long-term capital gain from assets acquired after December 31, 2011. See instructions. 23 00 24 Multiply line 23 by 25% (.25) and enter the result 24 00 25 Net capital gain - qualified small business 25 00 26 Recalculated Arizona depreciation 26 00 27 Partnership Income adjustment 27 00 28 Interest on U.S. obligations 28 00 29a Exclusion for fed., AZ state or local govt. pensions. 29a 00 29b Exclusion for retired/retainer pay uniform services. 29b 00 30 U.S. Social Security or Railroad Retirement Act 30 00 31 Certain wages of American Indians 31 00 32 Pay received for being an active service member. 32 00 33 Net operating loss adjustment 33 00 34 Contributions: 34a 529 plans 00
34b 529A (ABLE) add 34a and 34b.
34C 00
Subtractions Additions Exemptions 8, 9, and 11a - Dependents 10a and 10b If completing lines 8, 9, and 11a, also complete lines 38, 39, and 41. For lines 10a and 10b, also complete line 49. 82F
Check box 82F
if filing under extension
Arizona Form
140 Resident Personal Income Tax Return
FOR CALENDAR YEAR
2022
OR FISCAL YEAR BEGINNING 2 0 2 2 AND ENDING . 66F
00
This box may be blank or may contain a printed barcode of data from your return. 6,761
6,761
664 S 1st St W
Snowflake AZ 85937-5504
2
0
0
0
6,761
1
Clyde R Duncan 326 50 6591
Patricia A Duncan 540 68 6694
1555 REV 01/24/23 Intuit.cg.cfp.sp
ADOR 10413 (22) AZ Form 140 (2022) Page 2 of 6
Your Name (as shown on page 1) Your Social Security Number Balance of Tax Exemptions
Refund or
Amount Owed
Total Payments and
Refundable Credits
Tax Due or
Penalty Voluntary Gifts Overpayment
Under penalties of perjury, I declare that I have read this return and any documents with it, and to the best of my knowledge 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. YOUR SIGNATURE DATE OCCUPATION
SPOUSE’S SIGNATURE DATE SPOUSE’S OCCUPATION
PAID PREPARER’S SIGNATURE DATE FIRM’S NAME (PREPARER’S IF SELF-EMPLOYED) PAID PREPARER’S STREET ADDRESS PAID PREPARER’S TIN PAID PREPARER’S CITY STATE ZIP CODE PAID PREPARER’S PHONE NUMBER
PLEASE SIGN HERE
35 Subtract lines 24 through 34c from line 19 35 00 36 Other Subtractions from Income. Complete Other Subtraction from Arizona Gross Income schedule on page 6 36 00 37 Subtract line 36 from line 35. Enter the difference 37 00 38 Age 65 or over: Multiply the number in box 8 by $2,100 38 00 39 Blind: Multiply the number in box 9 by $1,500 39 00 40 Other Exemptions. See instructions 40E Multiply the number in box 40E by $2,300 40 00 41 Qualifying parents and grandparents: Multiply the number in box 11a by $10,000 41 00 42 Arizona adjusted gross income: Subtract lines 38 through 41 from line 37. If less than zero, enter “0 42 00 43 Deductions: Check box and enter amount. See instructions 43I ITEMIZED...43S STANDARD 43 00 44 If you checked box 43S and claim charitable contributions, check 44C Complete page 3. See instructions 44 00 45 Arizona taxable income: Subtract lines 43 and 44 from line 42. If less than zero, enter “0 45 00 46 Compute the tax using amount on line 45 and Tax Tables X and Y or Optional Tax Tables 46 00 47 Tax from recapture of credits from Arizona Form 301, Part 2, line 32 47 00 48 Subtotal of tax: Add lines 46 and 47. Enter the total 48 00 49 Dependent Tax Credit. See instructions 49 00 50 Family income tax credit (from the worksheet - see instructions) 50 00 51 Nonrefundable Credits from Arizona Form 301, Part 2, line 64 51 00 52 Balance of tax: Subtract lines 49, 50 and 51 from line 48. If the sum of lines 49, 50 and 51 is greater than line 48, enter “0-52-00-53-202* AZ income tax withheld 53 00 54 2022 AZ estimated tax payments.. 54a 00 Claim of Right.54b 00 Add 54a and 54b. 54c 00 55 2022 AZ extension payment (Form 204) 55 00 56 Increased Excise Tax Credit (from the worksheet - see instructions) 56 00 57 Property Tax Credit from Arizona Form 140PTC 57 00 58 Other refundable credits: Check the box(es) and enter the total amount 581 308-I 582-***-**-**-** Total payments and refundable credits: Add lines 53 through 58. Enter the total 59 00 60 TAX DUE: If line 52 is larger than line 59, subtract line 59 from line 52. Enter amount of tax due. Skip lines 61, 62 and 63 60 00 61 OVERPAYMENT: If line 59 is larger than line 52, subtract line 52 from line 59. Enter amount of overpayment 61 00 62 Amount of line 61 to be applied to 2023 estimated tax 62 00 63 Balance of overpayment: Subtract line 62 from line 61. Enter the difference 63 00 64 - 74 Voluntary Gifts to:
Solutions Teams
Assigned to Schools 64 00 Arizona Wildlife 65 00 Child Abuse Prevention 66 00 Domestic Violence Services.67 00 Political Gift 68 00 Neighbors Helping Neighbors.. 69 00 Special Olympics 70 00 Veterans’ Donations Fund.71 00 I Didn’t Pay Enough Fund 72 00 Sustainable State Parks and Road Fund 73 00 Spay/Neuter of Animals... 74 00 75 Political Party (if amount is entered on line 68 - check only one): 751 Democratic 752 Libertarian 753 Republican 76 Estimated payment penalty 76 00 77 771 Annualized/Other 772 Farmer or Fisherman 773 Form 221 included 78 Add lines 64 through 74 and 76; enter the total 78 00 79 REFUND: Subtract line 78 from line 63. If less than zero, enter amount owed on line 80 79 00 98 C Checking or
S Savings
Direct Deposit of Refund: Check box 79A if your deposit will be ultimately placed in a foreign account; see instructions. 79A ROUTING NUMBER ACCOUNT NUMBER
80 AMOUNT OWED: Add lines 60 and 78. Make check payable to Arizona Department of Revenue; write your SSN on payment; and include with your return 80 00 If you are also sending a payment, mail to Arizona Department of Revenue, PO Box 52016, Phoenix, AZ 85072-2016 (PO Box 29204, Phoenix, AZ 85038-9204 if your return has a barcode). If you are not sending a payment, mail to Arizona Department of Revenue, PO Box 52138, Phoenix, AZ 85072-2138 (PO Box 29205, Phoenix, AZ 85038-9205 if your return has a barcode). truck driver
retired
Clyde R & Patricia A Duncan ***-**-****
4,200
25,900
Self Prepared
50
50
6,761
6,761
1,061
80
0
0
0
0
50
50
50
0
0
1,500
1 2 2 1 0 5 1 5 5 1 5 1 7 0 4 3 9 9 4 7 7
1555 REV 01/24/23 Intuit.cg.cfp.sp
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