City of Nogales                                                                                                                CITY LICENSE NO.
777 N Grand Ave.
Nogales, AZ 85621                                                                                                              PERIOD COVERED
Transaction Privilege Sales Tax Return                                                                                         FROM                THROUGH
(NG-1) Rev. 01
                                                                                                                             DELINQUENT IF NOT RECEIVED BY

                                                                                                                               RECEIVED
Name:
Address:                                                                                                                       AZ LICENSE
City:                                State:       Zip
Phone Number:                                                                                                                  TAXPAYER ID
Email Address:
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                                                SPECIAL NOTICE                                                                 Check here to cancel your license
              Now you can pay your Privilege Sales Tax Online at www.nogalesaz.gov. It's fast, safe and convenient!
JUST PLACE A CHECK HERE AND SIGN AT                                                                THIS RETURN IS DUE ON 
THE BOTTOM IF YOU HAVE NO TAX TO FILE                                                              THE 20TH OF THE MONTH
                                                Column 1             Column 2                      Column 3                    Column 4        Column 5
Business                             Region                          Allowable pg 2 - 
Description          Line Bus. Class Code       Gross                Deductions                    = Net Taxable               X Tax Rate = Tax Amount
                     1                                               $                          -  $                        -             0.02 $                  -
                     2                                                                           -                           -                                     -
                     3                                                                           -                           -                                     -
                     4                                                                           -                           -                                     -
                     5 SUBTOTAL             $                      - $                          -  $                        -                  $                  -
                     6 TOTAL FROM ADDITIONAL PAGES
                     7 SUBTOTAL (Add Col 5, Lines 5 and 6)                                                                                     $                  -
                     8 ENTER EXCESS CITY TAX COLLECTED (Total from Schedule B)                                                 Plus       (+)                      -
                     9 GRAND TOTAL                                                                                             Equals   (=)    $                  -
                     10 PENALTY & INTEREST (see instructions)                                                                  Plus       (+)
                     11 ENTER TOTAL LIABILITY                                                                                  Equals   (=)                        -
                     12 ENTER CREDIT BALANCE TO BE APPLIED (Total from Schedule B)                                             Minus    (-)                        -
                     13 ENTER NET AMOUNT DUE                                                                                   Equals   (=)    $                  -
                     14 ENTER TOTAL AMOUNT PAID                                                                                Equals   (=)                        -
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the 
best of my knowledge and belief it is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all 
information of which preparer has any knowledge.
                          PLEASE ATTACH A COPY OF YOUR AZ PRIVILEGE TAX REPORT (TPT-1)

Taxpayer's Signature                              Date                                                        Paid Preparer's Signature

Print Name                                        Phone                                                       Print Paid Preparer's Signature
                                            A SIGNATURE IS REQUIRED TO MAKE THIS RETURN VALID
                          Please make checks payable to: CITY OF NOGALES - 777 N Grand Ave., Nogales, AZ 85621

License #:                               Report Period:                                         thru
DUE DATE:          The due date for the city privilege tax is the 20th of the month following the reporting period. A return is considered timely if received by the last 
                   business day of the month. A business day is any except Saturday, Sunday or a legal holiday.
                                         POSTMARKS ARE NOT EVIDENCE OF TIMELY FILING
PENALTIES:         1.   Failure to File - A penalty of 5% of the tax due will be assessed for each month, or fraction elapsing between the delinquency date of the 
                   return and the date on which it is filled. Filling your return on time, whether or not you pay the tax due, will avoid the late filing penaly.
                   2.   Failure to Pay - A penalty of 10% of the unpaid tax will be assessed if the tax is not paid timely.
                   3.   Total Penalty - Total penalties assessed will not exceed 25%.
INTEREST:          Taxes received after the delinquency date will be assessed interest at a rate of 0.005% per month until paid.
                   The interest MAY NOT be abated by the Tax Collector.
CHECK YOUR         Check the amounts recorded by the type of income for each line item as follows:
RETURN                    *Itemized deductions equal the total deductions recorded.
                          *Taxable income equals gross income less total deductions.
                          *Tax due is equal to the amount obtained by applying the preprinted tax rate to the taxable income amount.
                          *Total tax due equals tax due plus any excess tax collected.
FOR ASSISTANCE, CALL: City of Nogales (520) 287-6571  Fax (520) 287-2230
SCHEDULE A - DETAILS OF DEDUCTIONS: Enter below the deductions and exclusions you used in computing your city transaction privilege tax. You must keep a detailed 
record of all deductions and exclusions. Failure to maintain proper documentation and records required by city ordinance may result in their disallowance. A separate 
detail of city records and documentation must be maintained only when the income, deductions or exemptions are different from the state requirements.

Please note: Not all deductions are available to all business classifications. 
NOTE: Line number at the top of each column below corresponds with the line number of the business descriptions on the front page.
                                                                                      Bus Class                 Bus Class                      Bus Class       Bus Class
                                         Code                                                            -                              -                 -                      -
                                                                                      Line 1                    Line 2                         Line 3          Line 4
1. Total tax collected or factored 
(State, county, and city)
2. Bad debts on which tax was paid
RETAIL & PERS. PROP. RENTALS
3. Sales for resale
4. Repair, service, or installation labor
5. Discounts and refunds
6. Sales to qualified  health care org.
SALES TO U.S. GOVERNMENT
7. By retailer 50% deductible
8. By manufacturer and repairer
(100% deductible)
9. Sales to nonresidents for use
out-of-state when vendor ships
or delivers out-of-state
10. Cost of land
11. 35% standard deduction
12. Exempt sub-contracting income
13. Out-of-city city contracting
14. Resale sales to foreign purchasers
15. Sales of gasoline and use fuel
16. Sales of exempt machinery & equip.
17. Prescription drugs/prosthetics
18. Other (explain)
19. Other (explain)
20. Other (explain)
TOTAL DEDUCTIONS                                                               $                              - $                            - $             - $                     -
SCHEDULE B
Excess Tax Collected by Activity
Allowable Credits by Activity