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                                                                                                       Arizona Form 
2022 Credit for Increased Excise Taxes                                                                       140ET 
For information or help, call one of the numbers listed:                • $12,500 or less if married filing a separate claim, or 
Phoenix                                       (602) 255-3381            • $25,000 or less if you are filing as head of household 
From area codes 520 and 928, toll-free        (800) 352-4090        Your federal adjusted gross income is income that you must 
Tax forms, instructions, and other tax information                  report on  your  federal income tax return less adjustments to 
                                                                    income allowed on the federal income tax return.  If you are 
If you need tax forms, instructions, and other tax information, 
                                                                    not sure if your federal adjusted gross income meets the limit, 
go to the department’s website at www.azdor.gov. 
                                                                    you may want to complete a federal income tax return. 
Income Tax Procedures and Rulings                                   NOTE:  The credit cannot exceed $100 per household.  Do 
These instructions  may refer  to the department’s income tax       not file  Form 140ET if someone else in your household has 
procedures and rulings for more information.  To view or print      already claimed $100 of the credit.  If someone else in your 
these,  go to our  website  select Reports, Statistics  and Legal   household has filed Form 140ET claiming less than $100, you 
Research from the main menu then click on      Legal Research       may file Form 140ET. The total of all credit claims filed from 
and select a Document Type and Category from the drop down          your household cannot be more than $100. 
menus. 
                                                                    How  do I  Know if I Must  File  an Income Tax 
Publications                                                        Return? 
To view or print the department’s publications, go to our 
                                                                                Arizona Filing Requirements 
website and click on Reports, Statistics  and Legal Research             These rules apply to all Arizona taxpayers. 
from the main menu  then click on      Publications in  the  
                                                                                                     
left-hand column. 
                                                                                                    and your gross income is 
Who Can Use Form 140ET?                                              You must file if you are:      more than: 
                                                                     •   Single                     $12,950 
NOTE:   You must have a Social Security Number (SSN) that            •   Married filing joint       $25,900 
is valid for employment to claim this credit.                        •   Married filing separate    $12,950 
If you also claim a credit for your spouse and/or qualifying         •   Head of Household          $19,400 
children, your spouse and qualifying children  must each have 
a  valid  SSN  or individual  taxpayer identification number        To see if you have to file, figure your gross income the same 
(ITIN) issued by the Internal Revenue Service.                      as you would figure your gross income for federal income tax 
                                                                    purposes.  Then, you should exclude income Arizona law does 
Do not file Form 140ET if you are filing an income tax return       not tax.  Income Arizona law does not tax includes: 
using Arizona Form 140, Form 140A, Form 140EZ or Form               •   interest from U.S. Government obligations; 
140PY.   You  may  claim this credit on  those  forms  by           •   social security retirement benefits received under Title II 
completing the worksheet in the instructions for those forms.           of the Social Security Act; 
If you meet  all of the  following  you  may claim a credit  for    •   benefits received under the Railroad Retirement Act, tier 1 
increased excise taxes paid using Form 140ET.   Complete                or tier 2 railroad retirement benefits, railroad disability 
Form 140ET (pages 1 and 2) to figure your credit.                       benefits  reported on federal forms RRB-1099 and RRB-
File Form 140ET only if you meet the following:                         1099-R, railroad unemployment benefits and railroad 
•  You are not required to file an income tax return and you            sickness payments paid by the Railroad Retirement Board; 
   do not qualify for the property tax credit on Arizona            •  pay  received  for  active  service  as  a  member  of  the 
   Form 140PTC.                                                         Reserves, National Guard or the U.S. Armed Forces; or  
•  You were an Arizona resident during 2022.                        •   benefits, annuities and pensions as retired or retainer pay 
•  You are not claimed as a dependent by any other                      of the uniformed services of the United States.. 
   taxpayer. 
•  You were not sentenced for at least 60 days of 2022 to a         How do I Know if I Qualify for the Property Tax 
   county, state, or federal prison.  See the “Special Note” on     Credit? 
   page 2 of  Form 140ET if  you are  married and  filing a         You  may  claim  the property tax  credit  using  Arizona 
   joint return with your spouse.                                   Form 140PTC if you meet all the following. 
   NOTE:     For     complete      information  about how           •   You were either 65 or older in 2022 or, if under age 65, 
   incarceration affects this credit, see the department’s              you were receiving Supplemental Security Income (SSI) 
   publication, Pub. 709, Excise Tax Credit  –  How Does                Title 16 income from the Social Security Administration. 
   Incarceration Affect Eligibility.                                    NOTE:   If a taxpayer’s 65th birthday was January 1, 2023 
•  Your federal adjusted gross income is:                               (born 1/1/58), that person would be considered to be age 
   •   $12,500 or less if single,                                       65 at the end of 2022 for federal income tax purposes and 
                                                                        likewise for Arizona income tax purposes. 
   •   $25,000 or less if you are married filing a joint claim, 
                                                                    



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                                                                                                        Arizona Form 140ET 
•   You were an Arizona resident for the full year in 2022.         You  must also complete     Arizona  Form  131,      Claim for 
•   You paid property tax on your Arizona home in 2022.             Refund on Behalf of Deceased Taxpayer.  Place this form on 
    You paid rent on taxable property  for the entire  year or      top of Form 140ET. 
    you did a combination of both. 
•   If you lived alone, your total household income was under       How do I Amend a Claim? 
    $3,751.  If you lived  with  others, the  total household       For 2022, if you need to make changes to your claim once you 
    income  was under $5,501.   To  see  what income is             have filed, you should file a corrected Form 140ET.  Be sure 
    included in  household income, see  the  instructions for       to check box 95 at the top of the amended claim form. 
    Form 140PTC. 
                                                                    General Instructions 
Do not file Form 140ET if  you are filing Form 140PTC. 
You may claim this credit on Form 140PTC.                           Taxpayer Identification Number 
When Should I File Form 140ET?                                      Make sure that you enter your SSN on your claim form. Make 
Form 140ET is due by  April 15, 2023.   File your claim  as         sure that all SSNs and ITINs are clear and correct.  
soon as you can after January 1, 2023 but no later than April       You  may be subject to a penalty if  you  fail  to include  your 
15, 2023.  Because April 15, 2023 falls on a weekend, and           SSN. It will take longer to process your claim form if SSNs 
April 17, 2023 is a federal holiday you have until Tuesday,         and ITINs are missing, incorrect, or unclear. 
April 18, 2023 to timely file your 2022 Form 140ET.                 If  you are  filing a joint claim, enter  your SSNs in  the  same 
You do not have to include a copy of the extension with this        order as your names. If your name appears  first on 
form when you file, but make sure that you check box 82F  on        Form 140ET, make sure your SSN is the first number listed. 
page 1 of the form. 
                                                                    Identification Numbers for Paid Preparers 
What if I Cannot File on Time?                                      If  you pay someone else to prepare your  claim form, that 
You may request an automatic 6-month extension if you know          person  must  also  include  an  identification  number  where 
you will not be able to file on time. If you request an extension   asked. A paid preparer may use any of the following: 
to file  your  2022  calendar  year tax return,  your due date is   • his or her PTIN, 
October 15,  2023.  Because October 15,  2023  falls on a           • his or her SSN, or 
weekend, you have until Monday, October  16,  2023  to              • the EIN for the business. 
timely file your 2022 Form 140ET.                                   A paid preparer who fails to include the proper identification 
To get a filing extension you can either:                           number may be subject to a penalty. 
•  Apply for a state extension (Arizona Form 204). To apply 
    for a state extension, file Form 204 by April 18, 2023. See     Line-by-Line Instructions 
    Form 204 for details. You do not have to include a copy         Line 1  
    of the extension with your return when you file, but make       Type or print your name in black ink. Include your first name, 
    sure that you check box   82F on page 1 of the return. If       middle initial and last name.   
    you  must  make a payment, use  Form 204, or visit              Enter your SSN in the space provided.  If a joint claim, also 
    www.AZTaxes.gov to make an electronic payment.                  enter your spouse’s name and SSN or ITIN. 
•  Use your federal extension (federal Form 4868). File your 
                                                                    Line 2  
    Arizona return by the same due date. You do not have to 
    include a copy of your federal extension with your return,      Enter  your current address.  Include  your house or building 
    but make sure that you check box 82F on page 1 of the           number and street or rural route. Include  your apartment 
    return.                                                         number if you live in an apartment. Include your mobile home 
                                                                    lot number if you live in a mobile home.   
What if a Claimant Died?                                            Line 3  
If a claimant died before filing a claim for 2022, the taxpayer's   Enter the name of your city, town, or post office. Also include 
                                                                    your state and ZIP code.  
spouse or personal representative  may  file and sign a Form 
140ET for that person.  A personal representative can be an         Boxes 4 through 7  - Filing Status 
executor, administrator, or anyone  who is in charge  of the        Use this section to determine your filing status.  Check the 
deceased taxpayer’s property.                                       correct box (4 through 7) on the Form 140ET. 
Enter the  word "deceased" after the decedent's  name  in the       Box 4 - Married Filing Joint Claim  
address section of the form. Also enter the date of death after     You  may file a joint claim if  you  were  married as of 
the decedent's name.                                                December 31, 2022. You may also file a joint claim if your 
                                                                    spouse died in 2022 and you did not remarry in 2022.  

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                                                                                                     Arizona Form 140ET 
Box 5 - Head of Household                                         For federal income tax purposes, a dependent is either a 
You may use the head of household status, only if one of the      qualifying child or a qualifying relative.  A qualifying child or 
following applies:                                                relative must be a U.S. citizen or resident alien, or a resident 
                                                                  of  Canada  or  Mexico.  There  is  an  exception  for  certain 
•  you qualify to file as head of household for federal 
                                                                  adopted children. 
   income tax purposes; or  
                                                                  To claim  a qualifying  child  as  a  dependent  for  federal 
•  you qualify to file as a qualifying widow or widower for 
                                                                  purposes, you must meet the following five tests: 
   federal income tax purposes. 
                                                                  1. Relationship test. The child must be your son, daughter, 
For federal income tax purposes,  you  may be able to file as 
                                                                     stepchild, foster child, brother, sister,  half brother, half 
head of household if  you  meet       all  of the  following 
                                                                     sister,  stepbrother, stepsister, or a descendant of any of 
requirements: 
                                                                     them;  
1. you are unmarried or considered unmarried on  the last 
                                                                  2. Age test. The child must be under age 19 at the end of the 
   day of the year; 
                                                                     year and younger than you, or under age 24 at the end of 
2. you paid more than half the cost of keeping up a home for         2022 if a full-time student (and younger than you), or any 
   the year; and                                                     age if permanently and totally disabled; 
3. a  qualifying person  must live  with  you in the home for     3. Domicile test. The child must live with you for more than 
   more than half the year (except for temporary absences,           half of the  year. Temporary absences for special 
   such as school).                                                  circumstances, such as for school, vacation, medical care, 
To find out  more about head of household or a qualifying            military service, or detention in a juvenile facility count as 
widow or widower, see federal publication 501.                       time lived at home;  
Box 6 - Married Filing Separate Claim                             4. Support test.  The child must not have provided over half 
                                                                     of his or her own support during the year; and  
You  may  use this filing status if  married as of  
December 31, 2022, and you elect to file a separate claim.        5. Joint Return Test. If the child is married, the child is not 
                                                                     filing a joint federal return for the year, unless that joint 
NOTE:     If you are married and you qualify to claim this           return is filed only as a claim for refund.   
credit, you must file a  married filing separate claim  if your 
spouse was sentenced for at  least 60 days during 2022 to a       To claim a  qualifying relative  as a dependent  for federal 
county, state, or federal prison.                                 purposes, you must meet the following four tests: 
                                                                  1. Relationship Test.     The person  must be either  your 
If you are filing a separate claim, check box 6 and enter your 
                                                                     relative or have lived in your home as a member of your 
spouse's name and SSN on the second box 1.  
                                                                     household  all year.   The person cannot be a qualifying 
Box 7 - Single                                                       child; 
File a single claim if you were single on December 31, 2022.      2. Joint Return Test.  If the person is  married, he or she 
You are single if any of the following apply to you:                 cannot file a joint federal return.  But the person can file a 
•  you have never been married;                                      joint federal return if the return is filed only as a claim for 
•  you are legally separated under a decree of divorce or of         refund; 
   separate maintenance; or                                       3. Income Test.   The person’s gross income  must be less 
•  you were widowed before January 1, 2022, and you did              than $4,150; and   
   not remarry in 2022, and you do not qualify to file as a       4. Support Test.    You must have provided over half of the 
   qualifying widow or widower with dependent children for           person’s total support in 2022. 
   federal income tax purposes. 
                                                                  To learn more about  who  may be a dependent, see federal 
Line 8                                                            publication 501. 
Read the information on page 2, under the heading “Who Can        Lines 10 through 14 - 
File Form 140ET?” and answer the question on page 1, line 8. 
                                                                  Complete lines 10 through 14 as instructed on the form.  
If  you answered, “No”,  STOP! Do not file  Form 140ET  to 
claim this credit.                                                Direct Deposit of Refund 
Line 9 - Dependents                                               Complete the direct deposit  line if  you  want  us to directly 
You may claim this credit for dependents that are residents of    deposit the amount shown on line 14 into  your account  at a 
Arizona.  You cannot claim this credit for a dependent that is    bank or other financial institution (such as a  mutual fund, 
an Arizona nonresident.  List only those people that qualify as   brokerage firm or credit union) instead of sending  you a 
your dependent for federal income tax purposes.   Do not list     check. 
any dependent that is not an Arizona resident.                     
On lines  A19 through  A3,9enter each dependent's name and 
                                                                   
SSN or ITIN. 

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                                                                                                           Arizona Form 140ET 

NOTE: Check box 14A if the direct deposit will ultimately be       Instructions for Amending 
placed in a foreign account.    If you check box    14A,  do not 
enter your routing or account numbers.  If this box is checked,    Use this form to correct your credit if Form 140ET is the only 
we will not direct deposit your refund.  We  will  mail  you a     form that you have filed.    
check instead.                                                     If amending, check box 95 on the top of Form 140ET.  Use the 
                                                                   following lines to correct an already filed 2022 Form 140ET. 
Why Use Direct Deposit? 
                                                                   Line 15 - 
•  You get your refund fast! 
•  Payment is more secure, there is no check to get lost.          Use the following worksheet to figure the amount to enter on 
                                                                   this line. 
•  It is more convenient.  No trip to the bank to deposit your 
   check.                                                           1. Enter the total credit you received from  
•  It saves tax dollars.  A refund by direct deposit costs less        your original 2022 Form 140ET.           $ 
   to process than a check.                                         2. If this is not your first amended claim, 
                                                                                                                 
NOTE:    We are not responsible for a lost refund if you enter         enter any additional credit received      
the wrong account  information. Check with your financial              from  previously  filed  amended  2022    
institution to get the correct routing and account numbers and         Form 140ET claims.                       $ 
to make sure your direct deposit will be accepted.                  3. Add lines 1 and 2. Enter the total.      $ 
Routing Number                                                      4. If this is not your first amended claim, 
                                                                                                                 
MAKE SURE YOU ENTER THE CORRECT ROUTING                                enter any amount of credit  you repaid    
NUMBER.                                                                with previously filed amended  2022       
                                                                       Form 140ET claims.                       $ 
The routing  number  must be  nine  digits.  The first 2 digits 
must be 01 through 12 or 21 through 32.  Otherwise, the direct      5. Subtract line 4 from line 3. Enter the 
deposit  will be rejected and a check sent instead.  On  the           difference here  and on Form 140ET,       
following sample check , the routing number is 250250025.              line 15.                                 $ 
                                                                    
                                                                   Line 16 - 
                                                                   If line 14 is larger than line 15, subtract line 15 from line 14. 
                                                                   Enter the difference. 
                                                                   This is the amount of additional credit you will receive as a 
                                                                   refund if you owe no other taxes. 
                                                                   Line 17 - 
                                                                   If line 14 is less than line 15, subtract line 14 from line 15. 
                                                                   Enter the difference.   
                                                                   This is the amount of the credit that  you  must repay to the 
                                                                   state. 
Your check  may  state that it is payable through a  financial 
institution different from the one at which  you  have  your       •   Make checks payable to:  Arizona Department of Revenue.  
checking account.  If so, do not use the routing number on         •   Write your SSN and tax year on the check.   
that check.  Instead, contact your financial institution for the   •   Include your check with Form 140ET. 
correct routing number to enter here.                              The department cannot accept checks or  money orders in 
Account Number                                                     foreign currency. You must make payment in U.S. dollars. 
MAKE SURE YOU ENTER THE CORRECT ACCOUNT                            Electronic payment from your checking or savings account 
NUMBER.                                                            You can make an electronic payment from your checking or 
The account number can be up to 17 characters (both numbers        savings account to pay your balance due for 2022. There is no 
and letters).   DO NOT  include  hyphens,  spaces  or  special     fee to use this method. To make an electronic payment, go to 
symbols.  Enter the number from left to right and leave any        www.AZTaxes.gov and click on the “Make a Payment” link.  
unused boxes blank.  On the sample check above, the account        Be sure to enter the correct routing number and account 
number is 20202086.  Be  sure     not   to include the check       number  for  your checking or savings account.   You  will  be 
number.                                                            charged a $50 NSF (non-sufficient funds) fee if you provide 
NOTE:    If the direct deposit is rejected, a check will be sent   an incorrect routing number or an incorrect account number.   
instead.                                                           Check with your financial institution to get the correct account 
                                                                   and routing numbers. 

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                                                                                                         Arizona Form 140ET 
The “E-Check” option in the “Payment Method” drop-down               3.  The return was properly addressed; and 
box will debit the amount  from the checking or savings              4.  The return had proper postage.  
account that you specify. If you make an electronic payment 
                                                                     If the envelope or wrapper containing a return sent through the 
from  your checking or savings account,  you  will receive a 
                                                                     United States mail  bears  a  private meter  postmark made by 
confirmation number.   Keep this confirmation number as 
                                                                     other than the United States mail, the return is treated as 
proof of payment. 
                                                                     timely filed if both of the following apply: 
NOTE: You may not make an electronic payment from your 
                                                                     1.  The private meter postmark bears a date on or before the 
checking or savings account if the payment will ultimately be 
                                                                     due date for filing; and 
coming from a foreign account.  In this case, you must pay by 
check or money order.                                                2.  The return is received  no later than the time it  would 
                                                                     ordinarily have been received from the same point of 
Credit card payment                                                  origin by the same class of U.S. postage.  If the return is 
You can pay  with  your Visa, MasterCard, Discover,  or              received by the department within five business days of the 
American Express credit card. Go to www.AZTaxes.gov and              private meter postmark date the department  will consider 
click on the “Make a Payment” link and choose the credit card        this requirement satisfied.  
option.  This  will take  you to a third party  vendor site          You may also use certain private delivery services designated 
(provider). The  provider will charge you a convenience fee          by the IRS to meet the “timely mailing as timely filed” rule.  
based on the amount of your tax payment. The provider will 
                                                                     For more information, see the department’s ruling, GTR 16-1, 
tell you what the fee is during the transaction; you will have 
                                                                     Timely Filing of Income, or Withholding Tax Returns Through 
the option to continue or cancel the transaction. If  you 
                                                                     the United States Mail. 
complete the credit card transaction,  you  will receive  a 
confirmation number.      Please keep this confirmation              Where to Mail Form 140ET 
number as proof of payment. 
                                                                     Mail the completed Form 140ET to 
Instructions Before Mailing                                          Arizona Department of Revenue 
• DO NOT         STAPLE  YOUR RETURN.  DO NOT                        P.O. Box 52138 
  STAPLE  ANY DOCUMENTS,  SCHEDULES OR                               Phoenix  AZ 85072-2138 
  PAYMENT TO YOUR RETURN. 
• Check to make sure that your math is correct. 
• Sign your claim in the space provided on the bottom of 
  the form. 
• If amending a claim for a year before 2022, call one of the 
  numbers listed on page 1 of these instructions. 
Make  sure  You  Put  Enough  Postage  on  the 
Envelope 
The U.S. Post Office or United States  mail  service  must 
postmark  your return or extension request by  midnight 
April 18, 2023.  
The term "United States  mail" includes any private delivery 
service  designated  by  the  United  States  Secretary  of  the 
Treasury pursuant to Internal Revenue Code § 7502(f) and the 
term “postmark" includes any date recorded or marked by any 
such designated delivery service. 
An income tax return that is mailed to the department is timely 
filed if it is delivered on or before its due date.  Additionally, 
if the envelope or wrapper containing the return sent through 
the United States mail bears a postmark of the United States 
mail and that tax return is delivered to the department after its 
due date that return will be considered timely filed if all of the 
following apply: 
1.  The return  was deposited in  an official depository of the 
  United States mail; 
2.  The date of the postmark is no later than the due date; 

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