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                                        GENERAL INSTRUCTIONS
                   Transaction Privilege, Use, and Severance Tax Return (TPT‑EZ)
                                        ARIZONA DEPARTMENT OF REVENUE
                                                      www.azdor.gov

Online Filing                                For further detailed instructions, please refer to the TPT-2 
                                             instructions. 
Go to www.AZTaxes.gov
If you have more than one                    Online Filing:
                                             The Arizona Department of Revenue’s online taxpayer service center website is  
location, you are required to 
                                             www.AZTaxes.gov.  It provides taxpayers with the ability to file their TPT tax 
file electronically.                         returns, pay taxes, conduct other transactions, and review tax account information.  
                                             Enroll your business at www.AZTaxes.gov.  For taxpayers who file and pay taxes 
                                             electronically, the Department must receive the tax return and payment on or before 
Mailing Address                              the last business day of the month; therefore, this transaction must be completed 
Arizona Department of Revenue                before 5:00 p.m. MST (Mountain Standard Time) on the preceding business day.  If 
PO Box 29010                                 you have more than one location, you are required to file electronically.

Phoenix, AZ  85038‑9010                      Who Must File:
If you are mailing your Transaction          Form TPT-EZ is for filing periods beginning on or after June 1, 2016.  Businesses 
Privilege Tax Return, it must be received    with income subject to transaction privilege tax, county excise tax, use or severance 
by the second to the last business day of    tax must file a transaction privilege tax return even if there is no tax liability due for 
the month.                                   the tax period.  City tax for all cities is also reported on Form TPT‑EZ.  Table II of the 
                                             TRANSACTION PRIVILEGE AND OTHER TAX RATE TABLES lists the tax rates 
                                             which are available on the Department’s website (www.azdor.gov).
Customer Service 
Center Locations                             Due Date for TPT-EZ: 
                                             Arizona Revised Statutes (A.R.S.) § 42‑5014 states that Form TPT‑EZ is due on 
8:00 a.m. ‑ 5:00 p.m.                        the 20 thday of the month following the month (or other reporting period) in which the 
Monday through Friday                        tax is collected or accrued.  However, for taxpayers that file by mail or in person, the 
(Except legal Arizona state holidays)        return and payment will be considered to be filed timely if received by the Department 
                                             on or before the second to the last business day of the month.  A business day is any 
Phoenix Office                               day except Saturday, Sunday, or a legal Arizona state holiday.  For electronically filed 
                                             returns, see “Online Filing” above.
1600 West Monroe
Phoenix, AZ  85007                           Penalties:
                                             Any return that is not filed timely is subject to a late filing penalty.  The late file 
           Mesa Office                       penalty, imposed by A.R.S. § 42‑1125(A), as qualified by A.R.S. § 42‑5014(E), is four 
1840 S. Mesa Dr., Bldg. #1352                and one‑half percent.  A late payment penalty, imposed by A.R.S. § 42‑1125(D), is 
                                             assessed when the tax due for the return is not paid by the due date.  The late 
Mesa, AZ  85210                              payment penalty is one‑half of one percent.  Other penalties may apply as provided 
(This office does not handle billing or      in A.R.S. § 42‑1125.  Penalties and interest are assessed based on the statutory due 
           account disputes)                 date of the 20 thday of the month.
Tucson Office
                                             Amended Returns:
400 West Congress                            Form TPT‑EZ must also be used to amend original returns that were previously filed 
Tucson, AZ  85701                            for any reporting periods.  To amend a previously filed Form TPT‑EZ, check the 
                                             “AMENDED RETURN” box under          TAXPAYER INFORMATION section.  Complete 
Form TPT-EZ and related tax forms are        the return with the corrected numbers only.  Do not use negative numbers and do 
available at all Customer Service Centers or not submit a return with negative numbers to amend a prior period.  Include all 
on the Department’s website.                 lines that were present on the original return, even if there are no changes to some 
                                             lines. 

Customer Service                             Amended Return Due Date:
                                             An amended return that results in a refund or credit, must be filed within four years of 
Telephone Numbers                            the due date of the original return or four years from the date the original return was 
8:00 a.m. ‑ 5:00 p.m.                        filed, whichever date is later.  A taxpayer may not use an amended return to change 
Monday through Friday                        a payment of estimated tax or to change the application of a claimed estimated tax 
(Except legal Arizona state holidays)        payment.
                                             NOTE:  If the Transaction Privilege Tax liability is increased, the accounting credit 
           Phoenix Area                      is limited to the previous amount claimed on the original return.  In addition, if an 
(602) 255‑3381                               estimated tax payment was claimed on the original return, do not restate the payment. 

Within Arizona
1 (800) 352‑4090                             Tax Rate Tables and Deduction Codes can be found at azdor.gov.

ADOR 11263 (11/16)                                                                                                        Page 1



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Transaction Privilege, Use, and Severance Tax Return (TPT‑EZ)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  INSTRUCTIONS
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  TRANSACTION PRIVILEGE, USE, AND SEVERANCE TAX RETURN - (TPT-EZ)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Summary Totals
  Arizona Department of RevenuePO Box 29010 - Phoenix, AZ  85038-9010For assistance out of state or in the Phoenix area:  (602) 255-3381 or                                                                                                                                                                                                                                                                                                                                                                                   Form TPT-EZ is for filing periods beginning on or 
   Statewide, toll free area codes 520 and 928:  (800) 352-4090                                                                                                                                                                                                                                                                                                                                                                                                                                                               after June 1, 2016.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       SSN                               EIN                                                     5       Line AA:  Net AZ/County Tax
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 theTPT-EZTAXPAYERmonthreturnIDENTIFICATIONin whichis duethethetransactionsNUMBER20th day of theweremonthconductedfollowing 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             2                      LICENSE NUMBER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Enter the amount from Page 2, line 7, column M of this form.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             3
  TAXPAYER BUSINESS AMENDEDNAMERETURNINFORMATION                                                                                                                                             (CancelFINAL RETURNLicense)                                                                                                                                                                                 HAVECHECKNOHEREGROSSAND SIGNRECEIPTSBELOWTOIFREPORTYOU                                                                                                                                                           4                      PERIOD BEGINNING                                                                                   PERIOD ENDING
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    REVENUEMM D DUSEY YONLY.Y YDO NOT MARKMINMTHISD DAREAY Y Y Y
   C/O                                                                                                                   1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Line A1:  State Excess Tax Collect
   MAILING ADDRESS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          By law, if you collected more tax than is calculated as due, the 
   CITY                                                                                                                                                                                                                                                                                                                                                                        STATE                                                                   ZIP CODE                                                                                                                                                                                     POSTMARK DATE                                                                                                                                                                                                                                                                                                                   RECEIVED DATE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           combined excess tax must be reported and paid to the Department of 
    ADDRESS CHANGED (MAILING ADDRESS ONLY)                                                                                                                                                                                                                                                                                                                                                                                BUSINESS PHONE NUMBER                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Revenue. Enter State excess tax collected on this line.
    AA NET AZ/COUNTY TAX (PAGE 2, LINE 7, COLUMN (M)) ................................................................................................................................................................................................................
5
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            If you are eligible to take an Accounting Credit, you may take an 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Accounting Credit for Excess Tax Collected. The Accounting Credit 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            applies only to taxes paid for the state and not the counties.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Line A3:  Subtotal
6  complete. UnderCCDDBBEEFFB1 TPTTOTALTAXNETB2 A3 A1 NETA2 penaltiesCITYSUBTOTALSTATEEXCESSSUBTOTALESTIMATEDTAXDUECITYDeclarationAMOUNTEXCESSDUENETTAXEXCESSofTAXOFON(PAGEperjury,(LINE(LINEPAYMENTSREMITTEDACCOUNTINGTPTTHISTAXofTAXBBAA2,ESTIMATEDpreparerCOLLECTEDRETURNILINECOLLECTdeclare++B1A1WITH=TO14,NETA2CREDIT (LINEBE=(otherCOLUMNNET/AZthatTHISCITYPAYMENTS...............................................................................................................................................................................................................................................USED.............................................................................................................................................................................................................................................A3IRETURN........................................................................................................................................................................................................................TAX)thanhave.....................................................................................................................................................................................................................................COUNTY+ LINEON(M))..........................................................................................................................................................................................................................taxpayer)THISexamined(LINE...........................................................................................................................................................................................................................B2TAX)=RETURNLINECC.....................................................................................................................................................................................................-CC)isLINEthisbased(JUNE..............................................................................................................................................................................................return,DDRETURN=onLINEallincludingEE)informationONLY,......................................................................................................................................................................accompanyingDUE INofJULY)which.................................................................................................................................... Thethispreparerschedulesreturntaxpayerandhasdesignatesandauthorizesanystatements,knowledge.thetheindividualdisclosureand tolistedtheof confidentialbestbelowofasmytheknowledgeinformationperson totocontactandthisbelief,$individual.to scheduleit is true,ancorrectaudit ofand                                 Line A2:  Excess Tax Accounting Credit
    TAXPAYER PRINTED NAME                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 PAID                    PREPARER’S  PRINTED NAME (OTHER THAN TAXPAYER)                                                                                                                        PAID PREPARER’S TIN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 Add lines AA and A1, subtract line A2, enter the results on this line.
    TAXPAYER SIGNATURE                                                                                                                                                                                                                                                                                                                                                                                                                  DATE                                                                     
   TAXPAYER                                 PHONE NO.                                                                                                                                                                TITLE                                                                                                                                                                                                                                                                                                                                 PAID PREPARER’S SIGNATURE (OTHER THAN TAXPAYER)                                                                                                                                             PAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     PREPARER’S PHONE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Line BB:  Net City Tax
ADOR 11263 (4/16)                                                                                                                                                                                                                                                                                                                                                                                        PLEASE MAKE CHECK PAYABLE TO: ARIZONA DEPARTMENT OF REVENUE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Enter the amount from Page 2, line 14, column M of this form.  If there 
                 The following numbered instructions correspond to the numbers on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           is only city tax reported, complete the city detail and Schedule A City 
                 the sample Form TPT‑EZ.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    section only.  
                 If the return is an amended return, if you are canceling your license                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Line B1:  City Excess Tax Collect
                 and this is your final return, or if you have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              no gross receipts (zero                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         By law, if you collected more tax than is calculated as due, the 
                 sales income) to report, please check the appropriate box.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 combined excess must be reported and paid to the Department of 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Revenue. Enter city excess tax collected on this line.
                 NOTE:  The “Check here and sign below if you have no gross 
                 receipts to report” check box is ONLY used if you are filing a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Line B2:  Subtotal
                 return to report that you have zero sales income or no gross                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Add lines BB and B1, enter the results on this line.
                 receipts to report.  Do not check this box if there is tax due and 
                 no payment is submitted with this return.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Line CC:  Net Tax Due
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Add lines A3 and B2, enter the results on this line.  
                                                                                                                                                                                                                                                                                                                                                                               Taxpayer Information                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Line DD:  TPT Estimated Payments to be Used 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            on this Return 
1                Business Name and Address                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Enter the amount previously paid as an estimated tax payment.  This 
                 Make corrections on the form as required.  If you make changes to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      only applies to the June TPT-EZ return due in July.  If you are not 
                 address, check the “Address Changed” box.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  required to pay an annual estimated tax payment or did not make an 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            estimated tax payment, then leave this blank. 
2                Taxpayer Identification Number
                 A Taxpayer Identification Number is required when filing any return;  
                 enter either your federal employer identification number (EIN) or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Line EE:  Tax Due Net of TPT Estimated Payment
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Subtract line DD from line CC and enter the result on this line.    
                 social security number (SSN).  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Line FF:  Total Amount Remitted with this Return
3                License Number                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Enter the total amount remitted with this return.  
                 This number should include all eight numerical digits.  The license 
                 number must also be entered in the top right hand corner of Page 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                6       Taxpayer’s Signature
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Enter your first and last name, and                                                                     sign and date this form.  Please 
4                Reporting Period                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           include a daytime phone number. 
                 Check the accuracy of the PERIOD BEGINNING and the PERIOD 
                 ENDING boxes, and make corrections as required.  If this information                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       NOTE:  There are two different sections for transaction detail; 
                 is missing, enter the correct periods in as (MMDDYYYY) format                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              one is for State (AZ)/County transactions and the other is for 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            City transactions.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Page 2
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             State (AZ)/County Transaction Detail
                 NOTE:  A TRANSACTION DETAIL IS REQUIRED OR THE RETURN WILL NOT PROCESS CORRECTLY AND PENALTIES MAY APPLY. 
                                                                                                                                                                                                                                                                                                                                                                                                                 STATE (AZ) /COUNTY TRANSACTION DETAIL                                                                                                                                                                                                 (See Table 1 on the Tax Rate Table, www.azdor.gov)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    (H)                   AZ(I)/                         (J)                     ACCTNG(K)     (H) X(L)(K) = (L)    (J) - (L)(M)= (M)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  CODEREG.                                      NAMEREGIONOF                                   CODEBUS.                         BUS.DESC.ACTIVITYOF                                                                                               RECEIPTSGROSS  
                                                                                                                                                                                                                                                                                                                                                                                                                           (A)                                            (B)                                    (C)                                                       (D)                                               (E)                                                                                              (F)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        DEDUCTIONS SCHEDULEFROM(G)                     A      NET(F) -TAXABLE(G) = (H)              TAXCOUNTYRATE            (H)TOTALX (I) =TAX(J)               CREDIT  RATE ACCOUNTINGCREDIT     AZ/COUNTY TAX DUE
                                                                                                                                                                                                                                                                                                                                                                                                         1
                                                                                                                                                                                                                                                                                                                                                                                                         2                 7                                              8                                      9                                             10                                                         11                                                                                               12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     13                                                14                    15                             16                          17            18                      19
                                                                                                                                                                                                                                                                                                                                                                                                         3
                                                                                                                                                                                                                                                                                                                        20                                                                               7 AZ/COUNTY SUBTOTAL  (AMOUNT IN COLUMN M, MUST EQUAL PAGE 1, LINE AA) ....................................

7           [Column A] - Leave blank                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        48                    TOTAL10MUSTBusinessEQUAL TOTAL ON PAGE 2,CodeLINE 14, COLUMN[ColumnG                                                     D]
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               13 CITY TOTAL DEDUCTIONS ................. $
                                                                                                                                                                                                                                                                                                                        41                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     12                                                                        $
                                                                                                                                                                                                                                                                                                                                                                                                                 CITYTOTALTRANSACTIONMUST EQUAL TOTALDETAILON                                                                                                                  (SeePAGETable2, LINE(D)2 on7, COLUMNthe Tax(E)GRate Table, www.azdor.gov)(F)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    11                           This(H)       columnCITY(I)identifies$                     (J)              the(K)three(L)          digit(J) - (L)number(M)= (M)corresponding to your 
            Enter the three letter3CODELOC.  CITYCODEregion code for$                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  which you areGROSSremittingRECEIPTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                tax.                                 10                                                                        $
8           Region Code6 AZ/COUNTY35(A)                                                                                                                                                                                                                                                                                                                                                                                                                           36[Column(B)37TOTAL DEDUCTIONSNAME(C)38OF                                                    CITYB]$                                                    CODEBUS.39BUS.DESC.ACTIVITYOF                                                                                                40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             DEDUCTIONS SCHEDULEFROM(G) A9 42      NET43(F)business-TAXABLE(G)44= (H)45activity,RATE TAX $ (H)TOTALwhichX (I)46=TAX(J)canCREDITbeCITY found47 TAXCITYinDUETAX RATE TABLES.  
                                                                                                                                                                                                                                                                                                                                                                                                         2                                                                                                                                                                        $
9           Name of Region18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 [Column$                                                                                                     C]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    8 11                        Description$                                               of Business Activity [Column E]
            Enter the name9of21theREGION  CODE22countyCODEBUS.  DEDUCTION23CODEor specialDEDUCTION24region                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          AMOUNT25for whichDEDUCTIONDESCRIPTION26youCODEOF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      are                               27                    CODELOC.  CODECITYThis28CODEBUS. columnDEDUCTIONCODE29willDEDUCTIONidentify30  AMOUNT31your32DEDUCTIONtypeDESCRIPTIONofCODE33business,OF  or business activity.  
                                                                                                                                                                                                                                                                                                                                                                                                     10                    (A)                                            (B)                                   (C)                               (D)                                                                        (E)                                                                                                                       (F)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          (A)     (B)           (C)         (D)                              (E)                                      (F) 
            remitting tax.                                                                                                                                                                                                                                                                                                                                                                           14STATECITY SUBTOTAL (AZ) /COUNTY(AMOUNTDEDUCTIONSIN COLUMN M,DETAILMUST EQUAL PAGE 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       CITY DEDUCTIONS DETAIL 
ADOR 11263 (11/16) 34                                                                                                                                                                                                                                                                                                                                                                                            SCHEDULE A - DEDUCTION DETAIL INFORMATIONLINE BB) .................................................................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              SCHEDULE A - DEDUCTION DETAIL INFORMATION                                                                                                               Page 2



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Transaction Privilege, Use, and Severance Tax Return (TPT‑EZ)                                                                                                                                                                                                                                               INSTRUCTIONS
12 Gross Receipts [Column F]                                                                                                                                                      in decimal form . Do not include the percent sign (%) with the amount. 
   For each line item (reported business activity by county or region),                                                                                                           For example, 6.5% should be entered as .065.
   enter the gross amount collected.
                                                                                                                                                                                  Accounting Credit
13 Deductions from Schedule A [Column G]                                                                                                                                          The State of Arizona provides a credit for accounting and reporting 
   Enter the amount from Schedule A.                                                                                                                                              expenses.  The accounting credit is applicable                                                                      only to Transaction 
                                                                                                                                                                                  Privilege Tax or Severance Tax; it does not apply to city, county or 
14 Net Taxable Amount [Column H]                                                                                                                                                  other taxes.  The credit is equal to 1% of the amount of state tax due, 
   Subtract column G from column F.  This is the net income subject to tax.                                                                                                       but cannot exceed $10,000 per business entity for a calendar year. 
15 AZ/County Tax Rate [Column I]                                                                                                                                          18     Accounting Credit [Column L]
   Find the combined state/county tax rates in the TAX RATE TABLES.                                                                                                               Multiply column H by column K.  Enter the result in column L.  This is 
   Enter the percentage in decimal form . Do not include the percent sign                                                                                                         your accounting credit. 
   (%) with the   amount.STATE (AZ) /COUNTYFor example,TRANSACTION6.5%DETAILshould                                (See Tablebe1enteredon the Tax Rateas .065.Table, www.azdor.gov)
                      (A)     (B)                        (C)                     (D)                    (E)                      (F)                    DEDUCTIONS (G)    19     AZ/County(H)                           AZ(I)/Tax Due(J)                    [ColumnACCTNG(K)             (L)M]              (M)
                                                                                                                                                                                                                        COUNTY                                    CREDIT   ACCOUNTING (H) X (K) = (L)    (J) - (L) = (M)AZ/COUNTY  
16 Total Tax AmountREG.                              NAME OF [ColumnBUS.                             DESC.J]OF               GROSS                         FROM                   SubtractNET(F) -TAXABLE(G) = (H) columnTAX RATEL from(H)TOTALXcolumn(I) =TAX(J)J. RATEThis isCREDITthe tax dueTAX DUEfor this line item.
   Multiply column HCODEby columnREGION                               I. CODEEnterBUS.theACTIVITYresult inRECEIPTScolumn J.                             SCHEDULE A
                  1                                                                                                                                                       20     AZ/County Subtotal Line 7
17 Accounting2        7       Credit8                    9     Rate10[Column11                                             K]12                            13                     Total14amounts15in each of16the columns17                                                       F, G,18H, J, L and19                  M.  Enter the 
   The  accounting 3          credit  rate  for  your  business  activity  should  be                                                                                             result on this line for each column. Enter result on this line and on 
   preprinted20on7 AZ/COUNTYthe form. SUBTOTAL You(AMOUNTcan findIN COLUMNthe combinedM,                                        state and county                                  Page 1, line AA.
   tax rates by checking the MUST EQUAL PAGE 1, LINE AA) ....................................TAX RATE TABLES.  Enter the percentage 

                                                                                                                                City Transaction Detail
                   CITY TRANSACTION DETAIL                                       (See Table 2 on the Tax Rate Table, www.azdor.gov)
                          (A)      (B)                                (C)                               (D)           (E)                    (F)                    DEDUCTIONS (G)                                 (H)              CITY(I)                 (J)                   (K)    (L)                (M)
                                                                                                                                                                                                                                                                                                      (J) - (L)CITY= (M)
                                                                                                                                                                                                                                                                                         CITY 
                     LOC.  CITY                                                                         BUS.         DESC. OF                                                                                                        TAX                 (H) X (I) = (J)TOTAL TAX     CREDIT              TAX DUE
                   CODE CODE                             NAME OF CITY                                   CODE BUS. ACTIVITY            GROSS RECEIPTS                      FROM                  NET TAXABLE(F) - (G) = (H)          RATE
                                                                                                                                                                    SCHEDULE A
                  8
                  9 21 22                                             23                                24           25                      26                           27                                       28               29                      30                    31     32                 33
                 10
                 14 CITY SUBTOTAL  (AMOUNT IN COLUMN M, MUST EQUAL PAGE 1, 
            34       LINE BB) .................................................................................................

                          If only city tax is reported on Form TPT‑EZ, complete the city detail and Schedule A City only.
   NOTE:  A TRANSACTION DETAIL IS REQUIRED OR THE RETURN WILL NOT PROCESS CORRECTLY AND PENALTIES MAY APPLY. 
21 Location Code [Column A]                                                                                                                                              28       Net Taxable Amount [Column H]
   This is a three SCHEDULEdigit numericA - DEDUCTIONcode thatDETAILidentifiesINFORMATIONeach location where                                                                      SubtractSCHEDULEcolumnA - DEDUCTIONG fromDETAILcolumnINFORMATIONF.  This is the net income subject to tax.
   you areSTATEdoing (AZ)STATEbusiness. /COUNTY(AZ) /COUNTYTRANSACTIONThisDEDUCTIONScodeDETAILcan DETAIL(SeebeTablefound1 on theonTaxyourRateprintedTable, www.azdor.gov)            CITY DEDUCTIONS DETAIL 
   license. (A)  (B)  (A)          (B)(C)            (C) (D)          (D)           (E)                    (E)         (F)                   (F)  (G)                    29(H)City(A)           Tax(B)(I)               Rate(C)    (D)(J)[Column(K)(E)             I]             (L)                 (F)(M)
                                                                                                                                             DEDUCTIONS                                                            AZ /                                  ACCTNG         (H) X (K) = (L)       (J) - (L) = (M)
                REG.          REGION  NAME OF BUS. BUS.DEDUCTION                 DESC. OF                            GROSS            DESCRIPTION FROMOF                  (F) - (G)You= (H)LOC. canCITYCOUNTYfindBUS. theDEDUCTIONtax(H) X (I)rates= (J)byCREDIT  checking ACCOUNTINGtheTAXDESCRIPTIONAZ/COUNTY RATE OF TABLES.  Enter 
                CODE          REGION                     CODE BUS. ACTIVITY                                          RECEIPTS                SCHEDULE A                   NET TAXABLE           TAX RATE                      TOTAL TAX                     RATE                  CREDIT      TAX DUE
22 City1Code [ColumnCODE                             CODE             CODEB]         DEDUCTION                    AMOUNT          DEDUCTION CODE                                  theCODEpercentageCODE                 CODEin decimalCODE          DEDUCTIONform .AMOUNTDo not includeDEDUCTIONtheCODEpercent sign (%) 
                  1                                                                  $                                                                                             8                                                               $
   Enter2the7two8235letter36937city code1038for which11$                                                you39are12remitting tax.4013                                          14with9 42the43amount.1544                      For4516example,$              176.5%46              should18 be entered4719               as .065.
                  3                                                                  $                                                                                            10                                                               $
23 Name3     of6 AZ/COUNTYCity [ColumnTOTAL DEDUCTIONS                              C]$                                                                                  30       Total11         Tax Amount$                                           [Column J]
   Enter20 7theAZ/COUNTY41nameTOTALSUBTOTAL ofMUSTtheEQUAL(AMOUNTcity forTOTALIN COLUMNwhichON PAGEM,you2, LINEare7, COLUMNremittingG tax.                                        Multiply12      column H by column$                                       I.  Enter the result in column J.
            MUST EQUAL PAGE 1, LINE AA) ....................................
                                                                                                                                                                                  13 CITY TOTAL DEDUCTIONS ................. $
                                                                                                                                                                          48         TOTAL MUST EQUAL TOTAL ON PAGE 2, LINE 14, COLUMN G
24 Business Code [Column D]                                                                                                                                              31       [Column K] - Leave blank
   This column identifies the three digit number corresponding to your 
   business activity, which can be found in TAX RATE TABLES.                                                                                                             32       City Credit [Column L]
           CITY TRANSACTION DETAIL                             (See Table 2 on the Tax Rate Table, www.azdor.gov)                                                                 FOR USE BY OWNER-BUILDERS OR SPECULATIVE BUILDERS 
25          (A)   (B)                                (C)                            (D)                    (E)                        (F)                           (G)                     (H)                               (I)                   (J)            (K)            (L)                 (M)
                                                                                                                                                           DEDUCTIONS                                                      CITY                                                               (J) - (L) = (M)
   DescriptionLOC.  CITY      of Business                                        BUS.          ActivityDESC. OF            [Column E]                               FROM          ONLY.(F) - (G) = (H)This tax TAXcredit(H)cannotX (I) = (J)                       be takenCITY          by aCITYconstruction 
   In this columnCODE CODEprovideNAMEaOFbriefCITY                     explanationCODE BUS. ACTIVITYof yourGROSSbusinessRECEIPTSactivity.SCHEDULE A                                contractorNET TAXABLE            as anRATEoffsetTOTALto theTAX            tax dueCREDITon construction TAX DUE                                   contracting 
26 Gross8      Receipts [Column F]                                                                                                                                                receipts or draws.   
   For each9 21line22item (reported23                                 business24                     activity25      by city or26town), enter                       27                      28                             29                       30             31             32                  33
   the gross10 amount collected.                                                                                                                                         33       City Tax Due [Column M]
        14 CITY SUBTOTAL  (AMOUNT IN COLUMN M, MUST EQUAL PAGE 1,                                                                                                                 Subtract column L from column J.  This is the tax due for this line item.
            LINE BB) .................................................................................................
27 Deductions34               from Schedule A [Column G]
   Enter the amount from Schedule A.                                                                                                                                     34       City Subtotal Line 14
                                                                                                                                                                                  Total amounts in each of the columns F, G, H, J, L and M.  Enter the 
                                                                                                                                                                                  result on this line for each column and enter this result on Page 1, line BB.

                                                         SCHEDULE A DEDUCTIONS:  STATE (AZ)/COUNTY

           SCHEDULE A - DEDUCTION DETAIL INFORMATION                                                                                                                      35SCHEDULE A - DEDUCTION DETAIL INFORMATION[Column A] - Leave blank
           STATE (AZ) /COUNTY DEDUCTIONS DETAIL                                                                                                                           CITY DEDUCTIONS DETAIL 
            (A)   (B)         (C)                    (D)                             (E)                                          (F)                                         (A)       (B)        (C)                  (D)                             (E)                              (F) 
                                                                                                                                                                                                                                                                                             
                REGION   BUS.  DEDUCTION                                                                                DESCRIPTION OF                                   36LOC. RegionCITY       BUS. CodeDEDUCTION                [Column                         B]             DESCRIPTION OF  
                 CODE         CODE                   CODE             DEDUCTION AMOUNT                                 DEDUCTION CODE                                        CODEEnterCODEtheCODEthreeCODEletterDEDUCTIONregion codeAMOUNTfor whichDEDUCTIONyouCODEare remitting tax.
        1                                                             $                                                                                                   8                                                        $
        2 35 36 37                                   38               $              39                                         40                                        9  42         43 44                           45         $                    46                               47
        3                                                             $                                                                                                  3710     Business Code$                                          [Column C]
        6 AZ/COUNTY TOTAL DEDUCTIONS                                  $                                                                                                   11      This column identifies$                                the three digit number corresponding to your 
   41       TOTAL MUST EQUAL TOTAL ON PAGE 2, LINE 7, COLUMN G                                                                                                            12      business activity, which$                                        can be found inTAX RATE TABLES. 
                                                                                                                                                                          13 CITY TOTAL DEDUCTIONS ................. $
   Schedule A must be completed for deductions to be 48 38TOTAL MUST EQUAL TOTAL ON PAGE 2, LINE 14, COLUMN GDeduction Code [Column D]
   allowed.                                                                                                                                                                       Choose the appropriate deduction code from the Deduction Code list.
ADOR 11263 (11/16)                                                                                                                                                                                                                                                                                                                 Page 3



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                                STATE (AZ) /COUNTY TRANSACTION DETAIL (See Table 1 on the Tax Rate Table, www.azdor.gov)  
(F)             (G)   (E)        (D)      (H)         (C)     (I)(B)       (A)                                            (J)         (K)          (L)             (M)
       DEDUCTIONS                                             AZ /                                                                    ACCTNG   (H) X (K) = (L)     (J) - (L) = (M)
GROSS           FROMDESC. OF    BUS.(F) - (G) =NAME(H)OF      COUNTYREG.                                       (H) X (I) = (J)        CREDIT   ACCOUNTING          AZ/COUNTY  
RECEIPTS SCHEDULE ACODE BUS. ACTIVITYNET TAXABLEREGION        TAX RATECODE                                     TOTAL TAX              RATE        CREDIT           TAX DUE
                                                                                                               1
12              13    11        10        14          9       158          7                                   2         16           17           18              19
                                                                                                               3
                     7 AZ/COUNTY SUBTOTAL  (AMOUNT IN COLUMN M,                                                          20
                MUST EQUAL PAGE 1, LINE AA) ....................................

                CITY TRANSACTION DETAIL            (See Table 2 on the Tax Rate                                               Table, www.azdor.gov)
 (F)     (E)          (D) (G)              (C)            (H) (B)         (A)                                  (I)             (J)            (K)  (L)             (M)
                      DEDUCTIONS                                                  CITY                                                                          (J) - (L) = (M)
     DESC. OF         BUS. FROM                       (F) - (G) = (H)LOC.  CITY  TAX                                          (H) X (I) = (J)      CITY            CITY
GROSS RECEIPTSCODE BUS. ACTIVITYSCHEDULE ANAME OF CITYNET TAXABLECODE CODERATE                                                 TOTAL TAX           CREDIT           TAX DUE
                Transaction Privilege, Use, and Severance Tax Return (TPT‑EZ)                                                                                                                                                       INSTRUCTIONS
                                                                                                               8
26       25           2427                23              2822            21299                                                30             31   32              33
                39       Deduction Amount10[Column E]                                                                                                                             40 Description of Deduction Code [Column F]
     14 CITY SUBTOTAL  (AMOUNT IN COLUMN M, MUST EQUAL PAGE 1, List  the  specific  amount  of  each  deduction.   The  total  itemized                                              Enter a brief description of the deduction you are taking on this line.
     LINE BB) .................................................................................................
                         deduction amount in Schedule34A – State (AZ)/County must equal the 
                         total deduction amount in column G on the Transaction Detail – State                                                                                     41 AZ/County Subtotal Line 6 
                         (AZ)/County section.                                                                                                                                        Total column E.  Enter the result on this line.  This total must be equal 
                                                                                                                                                                                     to the total on Page 2, line 7, column G.

                                                                                                                                      SCHEDULE A DEDUCTIONS:  CITY
       SCHEDULE A - DEDUCTION             SCHEDULEDETAILAINFORMATION- DEDUCTION DETAIL                                         INFORMATION
                      STATE (AZ)          /COUNTYCITY DEDUCTIONSDEDUCTIONSDETAILDETAIL                                                                                            44 Business Code [Column C]
(F)                  (E)                  (D) (A)     (B) (C) (C) (B)      (A)(D)                                              (E)                             (F)                   This column identifies the three digit number corresponding to your 
                                                                                                                                                                
 DESCRIPTION OF                  REGION  LOC.     BUS. CITYDEDUCTIONBUS.  DEDUCTION                                                                DESCRIPTION OF                    business activity, which can be found inTAX RATE TABLES. 
 DEDUCTION CODE DEDUCTION AMOUNT          CODECODE CODECODECODECODE       CODE                                             DEDUCTION AMOUNT        DEDUCTION CODE
                                $ 8                                                                            1          $
40                   39         $ 9       4238        43 4435 36 37452                                                    $          46                   47                      45 Deduction Code [Column D]
                                $10                                                                            3          $                                                          Choose the appropriate deduction code from the Deduction Code list.
                                $11 6 AZ/COUNTY TOTAL DEDUCTIONS                                                          $
         TOTAL MUST EQUAL TOTAL12         ON PAGE 2, LINE 7, COLUMN G                                                    41$                                                      46 Deduction Amount [Column E]
                                13 CITY TOTAL DEDUCTIONS ................. $
                           48             TOTAL MUST EQUAL TOTAL ON PAGE 2, LINE 14, COLUMN G                                                                                        List  the  specific  amount  of  each  deduction.   The  total  itemized 
                                                                                                                                                                                     deduction amount in Schedule A – City must equal the total deduction 
                                                                                                                                                                                     amount in column G on the Transaction Detail – City section.
                42       Location Code [Column A]
                         Enter the same location code as appears on the applicable City 
                         Transaction Detail.                                                                                                                                      47 Description of Deduction Code [Column F]
                                                                                                                                                                                     Enter a brief description of the deduction you are taking on this line.

                43       City Code [Column B]                                                                                                                                     48 Subtotals Line 13
                         This column identifies the city or town in which you conduct business.                                                                                      Total column E. Enter the result on this line.  This total must be equal 
                         The city code is two letters.  Please refer to the TAX RATE TABLES.                                                                                         to the total on Page 2, line 14, column G.

                ADOR 11263 (11/16)                                                                                                                                                                                                               Page 4






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