Arizona Joint Tax Application

Arizona Joint Tax Application

IMPORTANT: See attached instructions before completing this application. For licensing questions on Transaction Privilege, Withholding or Use Tax call (602) 542-4576 or 1-800-634-6494. For questions on Unemployment Tax call (602) 771-6602 or e-mail uit.status@azdes.gov.

To complete this online, go to www.aztaxes.gov

Section A: Taxpayer Information

1. License Type (Check all that apply) *

2. Type of Ownership *

State of Inc. Date of Inc.

3. Federal Employer Identification Number / Social Security Number *

4. Legal Business Name / Owner / Employing Unit *

5. Business or “Doing Business As” Name *

6. Business Phone Number *

7. Fax Number

8. Mailing Address (Street, City, State, ZIP code) *

9. Country

10. Email Address

11. Is your business located on an Indian Reservation?

12. Physical Location of Business (Street, City, State, ZIP code) *

13. County

14. Are you a construction contractor? *

15. Did you acquire, or change the legal form of business of, all or part of an existing business? *

16. Description of Business *

17. NAICS Code *

18. Identification of Owner / Partners / Officers / Members *

Section B: Transaction Privilege Tax (TPT)

1. Date Business Started in Arizona *

2. Date Sales Began *

3. Anticipated Annual Income for First Twelve Months *

4. Business Classes (Select at least one) *

5. TPT Filing Method

6. Does your business sell tobacco products?

7. Does your business sell new motor vehicle tires or vehicles?

8. Are you a seasonal filer?

Months intended to do business:

9. Location of Tax Records *

10. Name of Company or Person to Contact

11. Phone Number

For additional locations

Section C: Program Cities / License Fees

City fee listing and totals from the PDF can be entered below.

Section D: Withholding/Unemployment Tax Information

1. Are you liable for Federal Unemployment Tax?

2. Are individuals performing services excluded from withholding or unemployment tax?

3. Do you have an IRS ruling that grants an exclusion from Federal Unemployment Tax?

4. Date Employees First Hired in Arizona *

5. Do you have or have you previously had an Arizona Unemployment Tax Number?

6. Record of Arizona wages paid by calendar quarter

7. Weekly record of number of persons performing services in Arizona

8. Date Acquired or Date Legal Form of Business changed *

9. Acquired, or Changed Legal Form of Business, of *

10. Acquired by *

11. Name(s) of Previous Owner(s) *

12. Business Name of Previous Owner(s) *

13. Current Mailing Address of Previous Owner(s)

14. Current Telephone Number of Previous Owner(s)

15. Unemployment Account Number of Previous Owner(s)

16. Voluntary Election of Unemployment Insurance Coverage

Section E: AZTaxes.gov Security Administrator (Authorized User)

Section F: Signatures

Under penalty of perjury, I/we declare the information provided is true and correct.

Section G: Indian Reservation Codes

Section H: Business Classes

By electing to register for www.aztaxes.gov you can have online access to account information, and file and pay Arizona transaction, use, and withholding taxes.