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Form Instructions 943 Arizona: What You Should Know

Enter the Employer's Full Address on Page 1. 17 □ Enter the Employer's Business Address on Page 1. 10 □ Enter the Employer's Business City, State, and Zip Code on Page 1. 18 □ Enter the Employer's Mailing Address on Page 1. 11 □ Enter the Employer's Telephone Number on Page 1. 13 □ Enter your total Wages, Wages of 25 or more, and Other Additional Income on page 2. 13a □ Complete the Optional Exemption Line on page 3 (Form 3115) if your filing status is married filing jointly or head of household. In many cases, this will be required even if you only listed the non-qualifying wages. 15 □ Inline the Optional Exemption Line on page 4 (Form 3115) if your filing status is head of household, but you were in a household for only one month during 2017. In this case, enter “1” on line 4. 19 □ Complete the Optional Exemption Line on Page 5 (Form 3115) if your filing status is married filing jointly, and you were in a household for only two months(s) during 2017. In this case, enter “2” on line 4. 19 □ Complete the Optional Exemption Line on Page 20 (Form 3115) if your filing status is head of household, and you were in a household for only three months of 2017. 21 □ Complete the Optional Exemption Line on Page 22 (Form 3115) if your filing status is married filing jointly, and you were in a household for only four months of 2017. 22 □ Complete the Optional Exemption Line on Page 23 (Form 3115) if your filing status is head of household, and you were in a household for only five months of 2017. 23 □ Complete the Optional Exemption Line on Page 24 (Form 3115) if your filing status is head of household, and you were in a household for only six months of 2017. 24 □ Complete the Optional Exemption Line on Page 27 (Form 3115) if your filing status is married filing jointly, and you were in a household for more than six months of 2017.

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