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- Form AR1113 "Phenylketonuria Disorder and Other Metabolic Disorders Credit" - Arkansas
Form AR1113 "Phenylketonuria Disorder and Other Metabolic Disorders Credit" - Arkansas
What Is Form AR1113?
This is a legal form that was released by the Arkansas Department of Finance & Administration - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
- Released on June 26, 2019;
- The latest edition provided by the Arkansas Department of Finance & Administration;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a fillable version of Form AR1113 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Finance & Administration.
Download Form AR1113 "Phenylketonuria Disorder and Other Metabolic Disorders Credit" - Arkansas
![Form AR1113 "Phenylketonuria Disorder and Other Metabolic Disorders Credit" - Arkansas](https://data.templateroller.com/pdf_docs_html/2062/20629/2062903/page_1_thumb.png "Form AR1113 "Phenylketonuria Disorder and Other Metabolic Disorders Credit" - Arkansas")
1CLEAR FORM
PRINT FORM
AR1113
2019
ITPC191
ARKANSAS INDIVIDUAL INCOME TAX
PHENYLKETONURIA DISORDER AND OTHER
METABOLIC DISORDERS CREDIT
Taxpayer’s name
one form for each child with an above-listed disorder.
1. Enter the total cost paid in 2019 for medically necessary foods and
00
.........................................................................................................1
00
.........................................................................................................2
(Add lines 1 and 2)
00
...............................................................................3
00
.......................................................................................................................4
00
(Enter the smaller of line 3 or 4)
..............................................................5
(line 38, Form AR1000F/AR1000NR)
after
00
except
.................................................6
(Enter the smaller of line 5 or 6 here and on line 4, AR1000TC)
00
..........................
PLEASE SIGN HERE:
Under penalties of perjury, I declare that the above individual has been diagnosed with phenylketonuria
disorder and the information entered is true and correct.
CLEAR FORM
PRINT FORM
AR1113
2019
ITPC191
ARKANSAS INDIVIDUAL INCOME TAX
PHENYLKETONURIA DISORDER AND OTHER
METABOLIC DISORDERS CREDIT
Taxpayer’s name
one form for each child with an above-listed disorder.
1. Enter the total cost paid in 2019 for medically necessary foods and
00
.........................................................................................................1
00
.........................................................................................................2
(Add lines 1 and 2)
00
...............................................................................3
00
.......................................................................................................................4
00
(Enter the smaller of line 3 or 4)
..............................................................5
(line 38, Form AR1000F/AR1000NR)
after
00
except
.................................................6
(Enter the smaller of line 5 or 6 here and on line 4, AR1000TC)
00
..........................
PLEASE SIGN HERE:
Under penalties of perjury, I declare that the above individual has been diagnosed with phenylketonuria
disorder and the information entered is true and correct.
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![](https://www.pinterest.com/pin/create/button/?url=https://www.templateroller.com/template/2062903/form-ar1113-phenylketonuria-disorder-and-other-metabolic-disorders-credit-arkansas.html&media=https://data.templateroller.com/pdf_docs_html/2062/20629/2062903/form-ar1113-phenylketonuria-disorder-and-other-metabolic-disorders-credit-arkansas_big.png&description=Form AR1113 "Phenylketonuria Disorder and Other Metabolic Disorders Credit" - Arkansas Download Pdf){kind=small}
Most popular documents
-
DA Form 2062 "Hand Receipt/Annex Number"
-
DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
DA Form 31 "Request and Authority for Leave"
-
DD Form 1750 "Packing List"
-
IRS Form W-2 "Wage and Tax Statement"
-
DD Form 1351-2 "Travel Voucher or Subvoucher"
-
DA Form 3595 "Record Fire Scorecard"
-
DD Form 2923 "Privacy Act Data Cover Sheet"
-
DD Form 2813
-
DD Form 2656 "Data for Payment of Retired Personnel"
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