- 2 -
|
Transaction Privilege, Use, and Severance Tax Return (TPT‑EZ) INSTRUCTIONS
Page 1
TRANSACTION PRIVILEGE, USE, AND SEVERANCE TAX RETURN - (TPT-EZ) Summary Totals
Arizona Department of Revenue
ForPO Boxassistance29010out- Phoenix,of stateAZ or in85038-9010the Phoenix area: (602) 255-3381 or periodsForm TPT-EZbeginningis foronfilingor TPT-EZthe monthreturnin whichis duethethetransactions20th day ofwerethe monthconductedfollowing
Statewide, toll free area codes 520 and 928: (800) 352-4090 after June 1, 2016. TAXPAYER IDENTIFICATION NUMBER SSN EIN 5 Line AA: Net AZ/County Tax
2 LICENSE NUMBER Enter the amount from Page 2, line 7, column M of this form.
3
M M D D Y Y Y Y M M D D Y Y Y Y
TAXPAYER AMENDED RETURNINFORMATION FINAL RETURN CHECK HERE AND SIGN BELOW IF YOU 4 PERIOD BEGINNING PERIOD ENDING
BUSINESS NAME 1 (Cancel License) HAVE NO GROSS RECEIPTS TO REPORT REVENUE USE ONLY. DO NOT MARK IN THIS AREA Line A1: State Excess Tax Collect
C/O By law, if you collected more tax than is calculated as due, the
MAILING ADDRESS combined excess tax must be reported and paid to the Department of
CITY STATE ZIP CODE POSTMARK DATE RECEIVED DATE Revenue. Enter State excess tax collected on this line.
ADDRESS CHANGED (MAILING ADDRESS ONLY) BUSINESS PHONE NUMBER
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
Add lines AA and A1, subtract line A2, enter the results on this line.
6 complete. UnderDDCCBBAAEEFFNETB1 TPTNETB2 TOTALTAXA2 A3 NETA1 penaltiesAZ/COUNTYSUBTOTALCITYEXCESSSTATESUBTOTALESTIMATEDDUETAXCITYDeclarationAMOUNTEXCESSDUENETTAXEXCESSofTAXOFON(PAGEperjury,(LINE(LINETAXPAYMENTSREMITTEDACCOUNTINGTPTTHISTAXofTAX(PAGEBBAA2,ESTIMATEDpreparerCOLLECTEDRETURNLINEICOLLECT++declareB1A12,WITHTO14,LINE=– A2NETCREDIT (LINEBE(otherCOLUMNTHISthatPAYMENTS=...............................................................................................................................................................................................................................................7,USED.............................................................................................................................................................................................................................................CITYNET/AZCOLUMNA3RETURN........................................................................................................................................................................................................................Ithanhave.....................................................................................................................................................................................................................................+TAX)ON(M))LINECOUNTYtaxpayer)THIS(LINE...........................................................................................................................................................................................................................examined(M))..........................................................................................................................................................................................................................B2RETURN................................................................................................................................................................................................................=CCLINETAX)-isLINEthisCC)based.....................................................................................................................................................................................................(JUNEDD..............................................................................................................................................................................................return,=onRETURNLINEallincludingEE)informationONLY,......................................................................................................................................................................accompanyingDUEofINwhichJULY) Thethis....................................................................................................................................preparerschedulesreturntaxpayerandhasdesignatesandauthorizesanystatements,knowledge.thetheindividualdisclosureand tolistedtheof confidentialbestbelowofasmytheinformationknowledgeperson totoandcontactthis$belief,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
TAXPAYER SIGNATURE DATE Line BB: Net City Tax
TAXPAYER PHONE NO. TITLE PAID PREPARER’S SIGNATURE (OTHER THAN TAXPAYER) PAID PREPARER’S PHONE Enter the amount from Page 2, line 14, column M of this form. If there
PLEASE MAKE CHECK PAYABLE TO: ARIZONA DEPARTMENT OF REVENUE is only city tax reported, complete the city detail and Schedule A City
ADOR 11263 (4/16)
The following numbered instructions correspond to the numbers on section only.
the sample Form TPT‑EZ. Line B1: City Excess Tax Collect
By law, if you collected more tax than is calculated as due, the
If the return is an amended return, if you are canceling your license combined excess must be reported and paid to the Department of
and this is your final return, or if you have no gross receipts (zero Revenue. Enter city excess tax collected on this line.
sales income) to report, please check the appropriate box.
Line B2: Subtotal
NOTE: The “Check here and sign below if you have no gross Add lines BB and B1, enter the results on this line.
receipts to report” check box is ONLY used if you are filing a
return to report that you have zero sales income or no gross Line CC: Net Tax Due
receipts to report. Do not check this box if there is tax due and Add lines A3 and B2, enter the results on this line.
no payment is submitted with this return.
Line DD: TPT Estimated Payments to be Used on
Taxpayer Information this Return
Enter the amount previously paid as an estimated tax payment. This
only applies to the June TPT-EZ return due in July. If you are not
1 Business Name and Address required to pay an annual estimated tax payment or did not make an
Make corrections on the form as required. If you make changes to the estimated tax payment, then leave this blank.
address, check the “Address Changed” box.
Line EE: Tax Due Net of TPT Estimated Payment
2 Taxpayer Identification Number Subtract line DD from line CC and enter the result on this line.
A Taxpayer Identification Number is required when filing any return;
enter either your federal employer identification number (EIN) or Line FF: Total Amount Remitted with this Return
social security number (SSN). Enter the total amount remitted with this return.
3 License Number 6 Taxpayer’s Signature
This number should include all eight numerical digits. The license Enter your first and last name, and sign and date this form. Please
number must also be entered in the top right hand corner of Page 2. include a daytime phone number.
NOTE: There are two different sections for transaction detail;
4 Reporting Period one is for State (AZ)/County transactions and the other is for
Check the accuracy of the PERIOD BEGINNING and the PERIOD City transactions.
ENDING boxes, and make corrections as required. If this information
is missing, enter the correct periods in as (MMDDYYYY) format 7 [Column A] - Leave blank
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)
(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
CODEREG. NAMEREGIONOF CODEBUS. BUS.DESC.ACTIVITYOF RECEIPTSGROSS
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) ....................................
8 Region Code [Column B] 48 TOTAL10MUSTBusinessEQUAL TOTAL ON PAGECode2, LINE 14, COLUMN[ColumnG D]
13 CITY TOTAL DEDUCTIONS ................. $
41 12 $
6 AZ/COUNTY TOTAL DEDUCTIONS $ (D) (E) (F) 11 business(H) activity,CITY(I) $ which(J) can(K) be(L) found(J) - (L)(M)in= (M)TAX RATE TABLES.
9 Name of Region3CODELOC. CITYCODE[Column$C] GROSS RECEIPTS 10 $
2 $
Enter the three letterCITY35TOTAL(A) TRANSACTION36MUST(B)region37EQUALNAMETOTALcodeDETAIL(C)38OF ONCITY (SeePAGEforTable2,whichLINECODEBUS.239on7,BUS.COLUMNtheDESC.youACTIVITYTaxGRateOF areTable,remittingwww.azdor.gov)40 tax. DEDUCTIONS SCHEDULEFROM(G) A9 42 NET43(F)This-TAXABLE(G)44= (H)column45RATE TAXidentifies$ (H)TOTALX (I)46=TAX(J)the threeCREDITCITY digit47 TAXCITYnumberDUEcorresponding to your
Enter the name18of the county or special$ region for which you are 8 11 Description$ of Business Activity [Column E]
remitting tax. 921REGION CODE22 CODEBUS. DEDUCTION23CODE DEDUCTION24 AMOUNT25 DEDUCTIONDESCRIPTION26CODEOF 27 CODELOC. CODECITYThis28CODEBUS. columnDEDUCTIONCODE29willDEDUCTIONidentify30 AMOUNT31your32DEDUCTIONtypeDESCRIPTIONofCODE33business,OF or business activity.
10 (A) (B) (C) (D) (E) (F) (A) (B) (C) (D) (E) (F)
14STATECITY SUBTOTAL (AZ) /COUNTY(AMOUNTDEDUCTIONSIN COLUMN M,DETAILMUST EQUAL PAGE 1, CITY DEDUCTIONS DETAIL
ADOR 11263 (4/19) 34 SCHEDULE A - DEDUCTION DETAIL INFORMATIONLINE BB) ................................................................................................. SCHEDULE A - DEDUCTION DETAIL INFORMATION Page 2
|