Arizona Transaction Privilege and Use Tax Return
Online Filing Available at www.salestaxonline.com
Documentos en Español Disponible en www.revds.com
Business Name: ___________________________________________ Remittance Address:
RDS Attn: AZ – Privilege Tax
DBA: ___________________________________________ PO Box 830725 Birmingham, AL 35283-0725
Address: ___________________________________________ Phone (866) 940-7660 Fax (205) 423-4099
___________________________________________ Email: azsupport@revds.com ● Website: www.revds.com
___________________________________________
Total Amount Remitted with This Return:
$__________________________________________
RDS Account #: ___________________ MAKE CHECK PAYABLE TO: TAX TRUST ACCOUNT
Tax Period Covered: _______________ Due Date: ______________ Do not staple or tape payment to your return. Do not
send cash. th
DUE DATE: Taxes are due on the 20 of the month following
Quarterly / Annual Filers check here (must be pre-approved) the collection month. However, the statute allows that a filing
Check Here If Business Has Closed Check Here For Address Change will be considered timely if it is received on or before the last
business day of the month when due.
New Address: _______________________________________________________
A RETURN MUST BE FILED EVEN IF YOU HAVE NO TAXES TO REPORT.
For a current listing of Municipalities that Partner with RDS, visit www.revds.com.
See RDS Rate Sheet for Region Codes, Business Description Codes, Business Class Codes and Tax Rates.
Questions? Contact RDS Taxpayer Support at (866) 940-7660 or by emailing azsupport@revds.com.
Check Box if there is no income to report, and sign at the bottom. This return must be filed even if you have no taxes to report.
Note: If you list an amount in column 2 for deductions, you must provide a completed Schedule A Deduction Form. The total listed on your tax form must match back
to the total listed on your Schedule A. Failure to do so could result in penalties and interest.
Description Business Business
Column 1 Column 2 Column 3 Column 4 Column 5
Region Line Code Code Class Tax Column 6
Code Rate Plus
% Gross Less Deductions =Taxable Tax Due Penalty / =Tax Amount
(must be attached)
City/Town Name Income from Schedule A Income Interest
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16 Total From Additional Pages (Must be attached) Plus (+)
17 Enter Excess City/Town Tax Collected Plus (+)
18 Grand Total Due (Add Column 6, Lines 1 Through 17) Equals (=)
Under penalties of perjury, I declare that I have examined this return 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.
Taxpayer’s Signature:_____________________________________ Date: ____________Telephone:___________________Fax:_______________________
Print Taxpayer’s Name: ___________________________________ Email: _______________________________FEIN:______________________________
Paid Preparer’s Signature: __________________________________ Print Paid Preparer’s Name: _______________________________________________
A SIGNATURE IS REQUIRED TO MAKE THIS TAX RETURN VALID. Please send the original tax return with remittance to the address shown above.
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RDS AZ Universal Forms - Page 1 of 5 ● Updated 03/2013