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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.
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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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