Arizona Joint Tax Application

ARIZONA JOINT TAX APPLICATION (JT-1)

IMPORTANT! Incomplete applications WILL NOT BE PROCESSED.

• Please read form instructions while completing the application.

• Required information is designated with an asterisk (*).

• Return completed application AND applicable license fee(s) to address shown on the form.

SECTION A: Business Information

1* Federal Employer Identification Number or Social Security Number (required if sole proprietor with no employees)

2* License Type – Check all that apply:

Transaction Privilege Tax (TPT)

Withholding/Unemployment Tax (if hiring employees)

Use Tax

TPT for Cities ONLY

3* Type of Organization/Ownership – Tax exempt organizations must attach a copy of the IRS letter of determination.

Individual/Sole Proprietorship

Subchapter S Corporation

Government

Joint Venture

Corporation

Association

Estate

Receivership

Partnership

Trust

Limited Liability Company

Limited Liability Partnership

State of Inc. Date of Inc.

4* Legal Business Name

5* Mailing Address

6* Business Phone No. 7 Email Address 8 Fax Number

9* Description of Business

10* NAICS Codes

11* Did you acquire or change the legal form of an existing business?

No

Yes

12* Are you a construction contractor?

No

Yes

WITHHOLDING LICENSE ONLY

13* Withholding Physical Location

SECTION B: Identification of Owners, Partners, Corporate Officers Members/Managing Members or Officials of this Employing Unit

Owner 1

Social Security No. Title Last Name First Name Middle Intl.

Street Address City State % Owned

ZIP Code County Phone Number Country

Owner 2

Social Security No. Title Last Name First Name Middle Intl.

Street Address City State % Owned

ZIP Code County Phone Number Country

Owner 3

Social Security No. Title Last Name First Name Middle Intl.

Street Address City State % Owned

ZIP Code County Phone Number Country

SECTION C: Transaction Privilege Tax (TPT)

1* Date Business Started in Arizona

2* Date Sales Began

3 Estimated Tax Liability for first twelve months

4 Filing Frequency:

Monthly

Quarterly

Seasonal

Annual

If seasonal filer, check the months you intend to do business:

JAN FEB MAR APR MAY JUN

JUL AUG SEP OCT NOV DEC

5 Does your business sell tobacco products?

Yes

→ Retailer OR Distributor

6 TPT Filing Method

Cash Receipts

Accrual

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

Yes

8* Tax Records Physical Location

9* Name of Contact Phone Number Extension

SECTION D: Transaction Privilege Tax (TPT) Physical Location

1* Business Name / DBA 2* Phone Number

3* Physical Location of Business or Commercial/Residential Rental

Residential Rental Only – Number of Units Reporting City

4* Additional County/Region Indian Reservation/City

Business Codes (Include all codes that apply)

SECTION E: Withholding & Unemployment Tax Applicants

1* Date Employees First Hired in Arizona

2 Are you liable for Federal Unemployment Tax?

Yes

First year of liability

3 Are individuals performing services excluded from withholding or unemployment tax?

Yes

Describe services:

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

Yes

5 Do you have, or have you previously had, an Arizona unemployment tax number?

No

Unemployment Tax Number

Yes

Business Name

6 First calendar quarter Arizona employees were/will be hired and paid

Hired Year Hired Quarter Paid Year Paid Quarter

7 When did/will you first pay a total of $1,500 or more gross wages in a calendar quarter?

Year Quarter

8 When did/will you first reach the 20th week of employing 1 or more individuals?

Year Quarter

SECTION F: Acquired Business Information

1* Did you acquire or change all or part of an existing business?

All

Part

2* Date of Acquisition

3* EIN of Business Under Previous Owner

4* Previous Owner’s Telephone Number

5* Name of Business Under Previous Owner

6* Name of Previous Owner

7* Did you change the legal form of all or part of the Arizona operations of your existing business?

All

Part

8* Date of Change

9* EIN of Previous Legal Form

SECTION G: AZTaxes.gov Security Administrator

Visit www.AZTaxes.gov to register for online services.

SECTION H: Required Signatures

This application must be signed by either a sole owner, at least two partners, managing member or corporate officer legally responsible for the business, trustee or receiver or representative of an estate listed in Section B.

SECTION I: State/County & City License Fee Worksheet

City/Town Code, No. of Locations, License Fee, and License Subtotal fields may be entered below for fee calculations.

City/Town Code No. of Loc’s License Fee License Subtotal

City/Town Code No. of Loc’s License Fee License Subtotal

City/Town Code No. of Loc’s License Fee License Subtotal

AA TOTAL City License Fee(s)

BB TOTAL State License Fee(s)

CC TOTAL City Residential Rental License Fees

DD TOTAL DUE

State/County Business Codes