INSTRUCTIONS: ARIZONA INDIVIDUAL INCOME TAX INSTALLMENT AGREEMENT REQUEST (Form 140-IA)

To request an income tax installment agreement on Arizona individual tax due, use a form 140-IA. This document can be obtained from the website of the Arizona Department of Revenue.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 1: Enter your first name and middle initial in the first blank box.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 2: Enter your last name in the second blank box.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 3: Enter your Social Security number in the third blank box.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 4: If a joint return, enter your spouse's first name and middle initial in the fourth blank box, their last name in the fifth blank box, and their Social Security number in the sixth blank box.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 5: In the next three blank boxes, enter your city, town or post office, state and zip code.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 6: In the next two blank boxes, enter your work phone number and, if applicable, your spouse's work phone number.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 7: In the next two blank boxes, enter the name of your employer and, if applicable, the name of your spouse's employer.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 8: In the next two blank boxes, enter your employer's address and, if applicable, the address of your spouse's employer.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 9: In the next blank box, enter the name of your banking or financial institution.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 10: In the next blank box, enter the tax year for which you are filing this request.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 11: In the next blank box, enter your monthly proposed payment amount.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 12: In the next blank box, enter your proposed monthly due date.

Arizona Individual Income Tax Installment Agreement Request 140-IA Step 13: Enter your signature and the date where indicated. If filing jointly, your spouse must do the same.