Form Ador 10193 - Business Account Update Page 2

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Business Account Update
Page 2 of 2
SECTION E. LOCATION OF TAX RECORDS
Location of Tax Records (Street Address, City, State and ZIP code)
Name of Company or Person to Contact
Phone Number
) Date you started business in cities
SECTION F. PROGRAM CITY TPT LICENSE FEES (
Indicate affected cities in “Total” column.
For Use Tax updates, indicate the city locations, but enter zero (0) in the “Total” column.
City/Town
Code
Fee
No. of
Total
City/Town
Code
Total
City/Town
Code
Fee
No. of
Total
Fee
No. of
Loc
Loc
Loc
San Luis
SU
2.00
Benson
BS
5.00
Guadalupe
GU
2.00
Bisbee
BB
1.00
Hayden
HY
5.00
Show Low
SL
2.00
Buckeye
BE
2.00
Holbrook
HB
1.00
Sierra Vista
SR
1.00
Bullhead City
BH
2.00
Huachuca City
HC
2.00
Snowflake
SN
2.00
Camp Verde
CE
2.00
Jerome
JO
2.00
Somerton
SO
2.00
South Tucson
ST
2.00
Carefree
CA
10.00
Kearny
KN
2.00
Casa Grande
CG
2.00
Kingman
KM
2.00
Springerville
SV
5.00
Cave Creek
CK
20.00
Lake Havasu
LH
5.00
St. Johns
SJ
2.00
Chino Valley
CV
2.00
Litchfield Park
LP
2.00
Star Valley
SY
2.00
Clarkdale
CD
2.00
Mammoth
MH
2.00
Superior
SI
2.00
Surprise
SP
10.00
Clifton
CF
2.00
Marana
MA
5.00
Colorado City
CC
2.00
Maricopa
MP
2.00
Taylor
TL
2.00
Coolidge
CL
2.00
Miami
MM
2.00
Thatcher
TC
2.00
Cottonwood
CW
2.00
Oro Valley
OR
12.00
Tolleson
TN
2.00
Dewey/Humboldt
DH
2.00
Page
PG
2.00
Tombstone
TS
1.00
Tusayan
TY
2.00
Duncan
DC
2.00
Paradise Valley
PV
2.00
Eagar
EG
10.00
Parker
PK
2.00
Wellton
WT
2.00
El Mirage
EM
15.00
Patagonia
PA
25.00
Wickenburg
WB
2.00
Eloy
EL
10.00
Payson
PS
2.00
Willcox
WC
1.00
Florence
FL
2.00
Pima
PM
2.00
Williams
WL
2.00
Pinetop/Lakeside
PP
2.00
Winkelman
WM
2.00
Fountain Hills
FH
2.00
Fredonia
FD
10.00
Prescott Valley
PL
2.00
Winslow
WS
10.00
Gila Bend
GI
2.00
Quartzsite
QZ
2.00
Youngtown
YT
10.00
Gilbert
GB
2.00
Queen Creek
QC
2.00
Yuma
YM
2.00
Globe
GL
2.00
Safford
SF
2.00
Sahuarita
SA
5.00
Goodyear
GY
5.00
NOTE: City fees are subject to change occasionally. You will be billed for the difference.
Indian Reservation
Code Indian Reservation
Code Indian Reservation
Code Indian Reservation
Code
(County)
(County)
(County)
(County)
Ak-Chin (Pinal)
PNA
Hopi (Coconino)
COJ
Pascua-Yaqui (Maricopa)
MAN
Tohono O’Odham (Pinal)
PNT
Cocopah (Yuma)
YMB
Hopi (Navajo)
NAJ
Pascua-Yaqui (Pima)
PMN
Tonto Apache (Gila)
GLU
Colorado River (La Paz)
LAC
Hualapai (Coconino)
COK Salt River Pima-Maricopa (Mar.)
MAO White Mtn Apache (Apache)
APD
Fort McDowell-Yavapai (Mar.)
MAE
Hualapai (Mohave)
MOK San Carlos (Apache (Gila)
GLP
White Mtn Apache (Gila)
GLD
Fort Mohave (Mohave)
MOF
Kaibab-Paiute (Coconino)
COL
San Carlos Apache (Graham)
GRP
White Mtn Apache (Graham)
GRD
Fort Yuma-Quechan (Yuma)
YMG Kaibab-Paiute (Mohave)
MOL San Carlos Apache (Pinal)
PNP
White Mtn Apache (Navajo)
NAD
Gila River (Maricopa)
MAH
Navajo (Apache)
APM San Juan Southern Paiute
COQ Yavapai Apache (Yavapai)
YAW
Gila River (Pinal)
PNH
Navajo (Coconino)
COM Tohono O’Odham (Maricopa)
MAT
Yavapai Prescott (Yavapai)
YAX
Havasupai (Coconino)
COI
Navajo (Navajo)
NAM Tohono O’Odham (Pima)
PMT
SECTION G. SIGNATURE of Individual legally responsible for the business (required)
UNDER PENALTY OF PERJURY I DECLARE THAT THE INFORMATION ON THIS DOCUMENT IS TRUE AND CORRECT.
Type or Print Name
Title
Signature
Date
THIS APPLICATION MUST BE COMPLETED, SIGNED AND RETURNED AS PROVIDED BY ARS § 23-722
Equal Opportunity Employer/Program  This document available in alternative formats by contacting the UI Tax Office.
ADOR 10193 (1/15)

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