Arizona Form 99t - Arizona Exempt Organization Business Income Tax Return - 2001
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1
2Arizona Exempt Organization Business Income Tax Return
2001
ARIZONA FORM
99T
CHECK ONE:
For taxable year beginning ______/______/________, and ending ______/______/________
MM
DD
YYYY
MM
DD
YYYY
Original
Amended
CHECK ONE:
Mail to: Arizona Department of Revenue, PO Box 29079, Phoenix AZ 85038-9079
Calendar year
Fiscal year
Federal employer ID number (FEIN)
Business telephone number
Name
Please
AZ withholding tax number
Type
(
)
Number and street
Unrelated business activity codes
or
AZ transaction privilege tax number
City or town, state and ZIP code
Print
FOR DOR USE ONLY
Check box if:
This is a rst return
Name change
Address change
68
A
Date Arizona operations began ______/______/________
MM
DD
YYYY
B
Date of letter granting exemption from Arizona income tax ______/______/________
MM
DD
YYYY
C
Nature of unrelated trade or business activities ___________________________________
D
Did you le an Arizona Form 99?
Yes
No
81
66
E
Check federal form led:
990T
Other (specify) ________________________
CHECK BOX IF:
F
82
82
Enclose copy of federal form with this return.
Federal extension used to le return.
Arizona Unrelated Trade or Business Taxable Income Computation
1 Unrelated trade or business taxable income - from federal Form 990T .......................................................................................
1
00
2 Apportionment ratio. Multistate organizations only - see instructions...............................
2
•
3 Taxable income attributable to Arizona - line 1 multiplied by line 2 (or enter amount from line 1, if 100% Arizona) .....................
3
00
Arizona Tax Liability Computation
4 Enter tax - tax is 6.968 percent of line 3, or $50, which ever is greater........................................................................................
4
00
5 Clean Elections Fund Tax Reduction. Check this box to send $5 to the fund and reduce the tax liability (line 4) by $5.
Enter the amount of the tax reduction................................................................................................................................
A
5
00
5
6 Clean Elections Fund Tax Credit. SEE INSTRUCTIONS BEFORE COMPLETING THIS LINE...................................................
6
00
7 Tax liability after Clean Elections Fund tax reduction and tax credit - subtract the sum of lines 5 and 6 from line 4....................
7
00
Tax Payments
8 Extension payment made with Arizona Form 120EXT - see instructions ........................................
8
00
9 Estimated tax payments - see instructions ......................................................................................
9
00
10 Total payments - add lines 8 and 9. Amended returns - see instructions .....................................................................................
10
00
Computation of Total Due or Overpayment
11 Balance of tax due - If line 7 is larger than line 10, enter balance of tax due. Skip line 12...........................................................
11
00
12 Overpayment of tax - If line 10 is larger than line 7, enter overpayment of tax ............................................................................
12
00
13 Penalty and interest ......................................................................................................................................................................
13
00
14 Estimated tax underpayment penalty. If Form 220 is attached, check box ...................................................................
A
14
00
14
15 Donation to Citizens Clean Elections Fund - Enter the amount of the donation. Amended returns - see instructions .................
15
00
16 TOTAL AMOUNT DUE - Add lines 11, 13, 14, and 15. If money is due, payment must accompany return ................................
16
00
17 OVERPAYMENT - see instructions..............................................................................................................................................
17
00
18 Amount of line 17 to be applied to 2002 estimated tax....................................................................
18
00
19 Amount to be refunded - subtract line 18 from line 17..................................................................................................................
19
00
ADOR 91-0023 (01) rj
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