Application For Transaction Privilege (Sales) Tax License Form
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1FEE MUST BE
APPLICATION FOR TRANSACTION
MAILED WITH
PRIVILEGE (SALES) TAX LICENSE
APPLICATION
City of Phoenix
(see page 3)
ACCOUNT NO.
Finance Department
Tel: 602-262-6785,
press 4,1
TTY: 602-534-5500
Previous City License #
Former Owner (if applicable)
Check one: Ο Permanent
Check one: Ο New Business
Ο Temporary
Ο New Owner of Existing Business
Section I. Business Information
Verify if your business is in Phoenix
K&&/ h^
Business Name (Individual, Company or “DBA” first name first):
Owning Entity Name (Corp, LLC etc.)
KE>z
EKs
/^s
Physical Business Street Address of retail store, rental property, etc (NOT a P.O. Box Number, a PMB, or single family home rentals)
^d
City, State, Country, Zip Code +4:
Business Phone (Including Area Code)
E-Mail address:
When did your tax liability start in Phoenix?
State License #:
Federal ID #:
E /^
Section II. Mailing Address & Phone Number
Enter Name if Different from Section I (above) or Enter Care-of Name:
Z
h
Mailing Address:
K
d
City, State, Country, Zip Code +4:
Phone (Including Area Code)
Z
D
Section III. Business Ownership
* Sole and Husband/Wife must submit a photo ID with application. See instructions for more info.
Ownership:
LLC
Corp.-State Inc. _______
Gen. Partnership
Ltd. Partnership
*Sole
*Husband/Wife
>
Revocable Trust
Irrevocable Trust
Other explain__________________________________________
List of
1)Name
Title
officers
Home Address
SSN #
attached?
Yes
No
/
City, State, Country, Zip Code +4:
Phone No.
2)Name
Title
Home Address
SSN #
City, State, Country, Zip Code +4:
Phone No.
Section IV. Business Type (Check all that apply) Provide a detailed description of your business.
Do you sell Liquor?
NAICS Code: (6 digit)
Retail
Restaurant/Bar
Hotel/Motel
Yes
No
Commercial Rental Property
Residential Rental Property-# of Units_____
_ _ _ _ _ _
Accounting
Advertising
Job Printing
Personal Property Rental
Method
Short Term Motor Vehicle Rental
Telecommunications
Amusement
Principal business codes
Cash
Construction Contracting AROC#_____________________
Home Builder/Spec. Sale
available at:
Accrual
Use Tax (Phoenix Business)
Use Tax (Out of State Business with no AZ Nexus)
Describe Nature of Business:
Section V. Business Premises Status
Do you own your business location?
Yes
No
If yes, is this your residence?
Yes
No
If yes, skip to Signature
Do you rent a portion of the business premises to another entity or business?
No
Yes If yes, see instructions for more info.
Landlord/Property Manager
Mailing Address
Phone Number
I certify that the statements made in this application are true and complete to the best of my knowledge. I accept the
permit authorized and issued in response to this application with the condition that I report timely and pay any and all
FOR CITY USE ONLY BELOW
taxes due by me to the City of Phoenix.
IF APPLICABLE, BE SURE ALL SALES TAX HAS BEEN PAID BY FORMER OWNER.
BY LAW YOU MAY BE LIABLE FOR ANY UNPAID TAX.
Applications received incomplete or without payment may not be processed.
Print Name
Title
Click here to PRINT APPLICATION
Signature
Date
Checks Payable to Phoenix City Treasurer, P.O. Box 2005 , Phoenix, AZ 85001-2005
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