Arizona Form
352
Credit for Contributions
to Qualifying Foster Care Charitable Organizations
2016
Include with your return.
For the calendar year 2016 or fiscal year beginning M M D D 2 0 1 6 and ending M M D D 2 0 Y Y .
Your Name as shown on Form 140, 140NR, 140PY or 140X
Your Social Security Number
Spouse’s Name as shown on Form 140, 140NR, 140PY or 140X (if joint return)
Spouse’s Social Security Number
Part 1
Current Year’s Credit
Do not include donations to a qualifying charitable organization for which you are claiming a credit on Arizona Form 321.
(a)
Name of Qualifying Foster Care Charity
to which you made cash contributions
(b)
Location of Qualifying
Foster Care Charity
(City, State)
DRAFT
Donations made from January 1, 2016, through December 31, 2016.
If you made cash contributions to more than three qualifying foster care charitable organizations, include a separate schedule.
(c)
Cash Amount
00
1
00
2
00
3
4 Total contributions made in 2016 to the qualifying foster care charitable organizations: Add the
amounts in column (c) of lines 1, 2, and 3. Also, add any amount included on a separate schedule... 4
00
Donations made from January 1, 2017, through April 18, 2017, for which you are claiming a credit on your 2016 return.
If you made cash contributions to more than three qualifying foster care charitable organizations, include a separate schedule.
(a)
Name of Qualifying Foster Care Charity
to which you made cash contributions
(b)
Location of Qualifying
Foster Care Charity
(City, State)
(c)
Cash Amount
00
5
00
6
7
00
8 Total contributions made from January 1, 2017, through April 18, 2017, to the qualifying foster care
charitable organizations for which you are claiming a credit on your 2016 return: Add the amounts
in column (c) of lines 5, 6, and 7. Also, add any amount included on a separate schedule.................. 8
00
9 Add lines 4 and 8. Enter the total.......................................................................................................... 9
00
10 Single taxpayers or heads of household, enter $500. Married taxpayers, enter $1,000....................... 10
00
11 Current year’s credit: Enter the smaller of line 9 or line 10. In most cases, if you are married filing
a separate return, enter one-half of the smaller of line 9 or line 10. See instructions........................... 11
00
Continued on page 2 
ADOR 11294 (16)
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#6,AUG-22-16
Jul-26-16
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#1,
Your Name (as shown on page 1)
Part 2
Your Social Security Number
Available Credit Carryover
If you have a carryover amount available from a prior year for contributions for which you claimed on Arizona Form 321, you must claim
those carryover amounts on Form 321.
The first year this credit is available is 2016. There is no carryover amount to claim for taxable year 2016.
(a)
Taxable Year
from which you are
carrying the credit
(b)
Original Credit Amount
(c)
Amount Previously Used
(d)
Available Carryover:
Subtract column (c) from
column (b).
12
14
15
16
17 TOTAL AVAILABLE CARRYOVER: Add lines 12 through 16, column (d)....
Part 3
Total Available Credit
18 Current year’s credit: Enter the amount from Part 1, line 11.
Also, enter this amount on Arizona Form 301, Part 1, line 32, column (a)............................................ 18
19 Available credit carryover from Part 2, line 17, column (d).
Do not enter an amount on line 19........................................................................................................ 19
20 Total Available Credit: Add line 18 and line 19.
Also, enter this amount on Arizona Form 301, Part 1, line 32, column (c)............................................ 20
ADOR 11294 (16)
AZ Form 352 (2016)
DRAFT #6,
DRAFT
#1, Jul-26-16
AUG-22-16
DRAFT
13
00
00
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