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- Form ADOR11263 "Transaction Privilege, Use, and Severance Tax Return - (Tpt-Ez)" - Arizona
Form ADOR11263 "Transaction Privilege, Use, and Severance Tax Return - (Tpt-Ez)" - Arizona
What Is Form ADOR11263?
This is a legal form that was released by the Arizona Department of Revenue - a government authority operating within Arizona. Check the official instructions before completing and submitting the form.
Form Details:
- Released on July 1, 2016;
- The latest edition provided by the Arizona Department of Revenue;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form ADOR11263 by clicking the link below or browse more documents and templates provided by the Arizona Department of Revenue.
Download Form ADOR11263 "Transaction Privilege, Use, and Severance Tax Return - (Tpt-Ez)" - Arizona
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Page 1
TRANSACTION PRIVILEGE, USE, AND SEVERANCE TAX RETURN - (TPT-EZ)
Calculate
Reset
Arizona Department of Revenue
Form TPT-EZ is for filing
PO Box 29010 - Phoenix, AZ 85038-9010
TPT-EZ return is due the 20th day of the month following
periods beginning on or
For assistance out of state or in the Phoenix area: (602) 255-3381 or
the month in which the transactions were conducted
after June 1, 2016.
Statewide, toll free area codes 520 and 928: (800) 352-4090
TAXPAYER IDENTIFICATION NUMBER
SSN
EIN
LICENSE NUMBER
TAXPAYER INFORMATION
PERIOD BEGINNING
PERIOD ENDING
AMENDED RETURN
FINAL RETURN
CHECK HERE AND SIGN BELOW IF YOU
M
M D D Y Y Y Y
M
M D D Y Y Y Y
(Cancel License)
HAVE NO GROSS RECEIPTS TO REPORT
BUSINESS NAME
REVENUE USE ONLY. DO NOT MARK IN THIS AREA
REMINDER ABOUT PRINTING:
C/O
* Use the Blue PRINT buttons to print your completed
return with calculations.
MAILING ADDRESS
* Do NOT use the print icon on the menu bar.
RESET BUTTON:
CITY
STATE
ZIP CODE
* Use reset button to reset ALL fields.
POSTMARK DATE
RECEIVED DATE
CALCULATE BUTTON:
BUSINESS PHONE NUMBER
* Yellow fields will auto-calculate, if not click Calculate
ADDRESS CHANGED (MAILING ADDRESS ONLY)
button.
AA NET AZ/COUNTY TAX (PAGE 2, LINE 7, COLUMN (M)) .......................................................................................................................................................................................................... AA
0.00
A1 STATE EXCESS TAX COLLECT ......................................................................................................................................................................................................................................... A1
A2 EXCESS TAX ACCOUNTING CREDIT ............................................................................................................................................................................................................................... A2
A3 SUBTOTAL (LINE AA + A1 – A2 = NET/AZ COUNTY TAX) ............................................................................................................................................................................................... A3
BB NET CITY TAX (PAGE 2, LINE 14, COLUMN (M)) ..................................................................................................................................................................................................................... BB
0.00
B1 CITY EXCESS TAX COLLECTED ....................................................................................................................................................................................................................................... B1
B2 SUBTOTAL (LINE BB + B1 = NET CITY TAX) .................................................................................................................................................................................................................... B2
CC NET TAX DUE ON THIS RETURN (LINE A3 + LINE B2 = LINE CC) ........................................................................................................................................................................................ CC
DD TPT ESTIMATED PAYMENTS TO BE USED ON THIS RETURN (JUNE RETURN ONLY, DUE IN JULY) .............................................................................................................................. DD
EE TAX DUE NET OF TPT ESTIMATED PAYMENTS (LINE CC - LINE DD = LINE EE) ................................................................................................................................................................ EE
$
FF TOTAL AMOUNT REMITTED WITH THIS RETURN.................................................................................................................................................................................................................. FF
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.
The taxpayer designates the individual listed below as the person to contact to schedule an audit of
this return and authorizes the disclosure of confidential information to this individual.
TAXPAYER PRINTED NAME
PAID PREPARER’S PRINTED NAME (OTHER THAN TAXPAYER)
PAID PREPARER’S TIN
TAXPAYER SIGNATURE
DATE
TAXPAYER PHONE NO.
TITLE
PAID PREPARER’S SIGNATURE (OTHER THAN TAXPAYER)
PAID PREPARER’S PHONE
PLEASE MAKE CHECK PAYABLE TO: ARIZONA DEPARTMENT OF REVENUE
ADOR 11263 (7/16)
Print All Pages
Page 1
TRANSACTION PRIVILEGE, USE, AND SEVERANCE TAX RETURN - (TPT-EZ)
Calculate
Reset
Arizona Department of Revenue
Form TPT-EZ is for filing
PO Box 29010 - Phoenix, AZ 85038-9010
TPT-EZ return is due the 20th day of the month following
periods beginning on or
For assistance out of state or in the Phoenix area: (602) 255-3381 or
the month in which the transactions were conducted
after June 1, 2016.
Statewide, toll free area codes 520 and 928: (800) 352-4090
TAXPAYER IDENTIFICATION NUMBER
SSN
EIN
LICENSE NUMBER
TAXPAYER INFORMATION
PERIOD BEGINNING
PERIOD ENDING
AMENDED RETURN
FINAL RETURN
CHECK HERE AND SIGN BELOW IF YOU
M
M D D Y Y Y Y
M
M D D Y Y Y Y
(Cancel License)
HAVE NO GROSS RECEIPTS TO REPORT
BUSINESS NAME
REVENUE USE ONLY. DO NOT MARK IN THIS AREA
REMINDER ABOUT PRINTING:
C/O
* Use the Blue PRINT buttons to print your completed
return with calculations.
MAILING ADDRESS
* Do NOT use the print icon on the menu bar.
RESET BUTTON:
CITY
STATE
ZIP CODE
* Use reset button to reset ALL fields.
POSTMARK DATE
RECEIVED DATE
CALCULATE BUTTON:
BUSINESS PHONE NUMBER
* Yellow fields will auto-calculate, if not click Calculate
ADDRESS CHANGED (MAILING ADDRESS ONLY)
button.
AA NET AZ/COUNTY TAX (PAGE 2, LINE 7, COLUMN (M)) .......................................................................................................................................................................................................... AA
0.00
A1 STATE EXCESS TAX COLLECT ......................................................................................................................................................................................................................................... A1
A2 EXCESS TAX ACCOUNTING CREDIT ............................................................................................................................................................................................................................... A2
A3 SUBTOTAL (LINE AA + A1 – A2 = NET/AZ COUNTY TAX) ............................................................................................................................................................................................... A3
BB NET CITY TAX (PAGE 2, LINE 14, COLUMN (M)) ..................................................................................................................................................................................................................... BB
0.00
B1 CITY EXCESS TAX COLLECTED ....................................................................................................................................................................................................................................... B1
B2 SUBTOTAL (LINE BB + B1 = NET CITY TAX) .................................................................................................................................................................................................................... B2
CC NET TAX DUE ON THIS RETURN (LINE A3 + LINE B2 = LINE CC) ........................................................................................................................................................................................ CC
DD TPT ESTIMATED PAYMENTS TO BE USED ON THIS RETURN (JUNE RETURN ONLY, DUE IN JULY) .............................................................................................................................. DD
EE TAX DUE NET OF TPT ESTIMATED PAYMENTS (LINE CC - LINE DD = LINE EE) ................................................................................................................................................................ EE
$
FF TOTAL AMOUNT REMITTED WITH THIS RETURN.................................................................................................................................................................................................................. FF
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.
The taxpayer designates the individual listed below as the person to contact to schedule an audit of
this return and authorizes the disclosure of confidential information to this individual.
TAXPAYER PRINTED NAME
PAID PREPARER’S PRINTED NAME (OTHER THAN TAXPAYER)
PAID PREPARER’S TIN
TAXPAYER SIGNATURE
DATE
TAXPAYER PHONE NO.
TITLE
PAID PREPARER’S SIGNATURE (OTHER THAN TAXPAYER)
PAID PREPARER’S PHONE
PLEASE MAKE CHECK PAYABLE TO: ARIZONA DEPARTMENT OF REVENUE
ADOR 11263 (7/16)
TRANSACTION PRIVILEGE, USE, AND SEVERANCE TAX RETURN - (TPT-EZ)
Page 2
LICENSE NUMBER:
STATE (AZ) /COUNTY TRANSACTION DETAIL (See Table 1 on the Tax Rate Table, www.azdor.gov)
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
(J)
(K)
(L)
(M)
DEDUCTIONS
AZ /
ACCTNG
(H) X (K) = (L)
(J) - (L) = (M)
FROM
(F) - (G) = (H)
(H) X (I) = (J)
REG.
NAME OF
BUS.
DESC. OF
GROSS
COUNTY
CREDIT
ACCOUNTING
AZ/COUNTY
CODE
REGION
CODE
BUS. ACTIVITY
RECEIPTS
SCHEDULE A
NET TAXABLE
TAX RATE
TOTAL TAX
RATE
CREDIT
TAX DUE
1
2
3
4
5
6
7 AZ/COUNTY SUBTOTAL (AMOUNT IN COLUMN M,
MUST EQUAL PAGE 1, LINE AA) ....................................
0.00
CITY TRANSACTION DETAIL (See Table 2 on the Tax Rate Table, www.azdor.gov)
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
(J)
(K)
(L)
(M)
DEDUCTIONS
CITY
(J) - (L) = (M)
LOC.
CITY
BUS.
DESC. OF
FROM
(F) - (G) = (H)
TAX
(H) X (I) = (J)
CITY
CITY
SCHEDULE A
CODE
CODE
NAME OF CITY
CODE
BUS. ACTIVITY
GROSS RECEIPTS
NET TAXABLE
RATE
TOTAL TAX
CREDIT
TAX DUE
8
9
10
11
12
13
14 CITY SUBTOTAL (AMOUNT IN COLUMN M, MUST EQUAL PAGE 1,
LINE BB) .................................................................................................
0.00
NOTE: The deduction amounts that have been listed on the lines in column G must be itemized by category for each region code and business code reported.
The total of the amounts listed in Schedule A must equal the total of the Deduction Amounts listed in column G.
SCHEDULE A - DEDUCTION DETAIL INFORMATION
SCHEDULE A - DEDUCTION DETAIL INFORMATION
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
LOC.
CITY
BUS.
DEDUCTION
DESCRIPTION OF
CODE
CODE
CODE
DEDUCTION AMOUNT
DEDUCTION CODE
CODE
CODE
CODE
CODE
DEDUCTION AMOUNT
DEDUCTION CODE
$
$
1
8
$
$
2
9
$
$
3
10
$
$
4
11
$
$
5
12
$
$
6 AZ/COUNTY TOTAL DEDUCTIONS
13 CITY TOTAL DEDUCTIONS .................
TOTAL MUST EQUAL TOTAL ON PAGE 2, LINE 14, COLUMN G
TOTAL MUST EQUAL TOTAL ON PAGE 2, LINE 7, COLUMN G
ADOR 11263 (7/16)
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