Arizona Form 99t - Arizona Exempt Organization Business Income Tax Return - 2005
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1
2Arizona Exempt Organization Business Income Tax Return
ARIZONA FORM
2005
99T
CHECK ONE:
MM
DD
YYYY
MM
DD
YYYY
For taxable year beginning ______/______/________, and ending ______/______/________
Original
Amended
CHECK ONE:
Mail to: Arizona Department of Revenue, PO Box 29079, Phoenix AZ 85038-9079
Calendar year
Fiscal year
Business telephone number
Name
Employer identifi cation number (EIN)
Please
(
)
Number and street or PO Box
Type
Unrelated business activity codes
AZ transaction privilege tax number
or
City or town, state and ZIP code
Print
CHECK BOX IF:
F
82
82
Federal extension used to fi le return.
Check box if:
This is a fi rst return
Name change
Address change
68
FOR DOR USE ONLY
MM
DD
YYYY
A
Date Arizona operations began ______/______/________
MM
DD
YYYY
B
Date of letter granting exemption from Arizona income tax ______/______/________
C
Nature of unrelated trade or business activities ___________________________________
D
Did you fi le an Arizona Form 99?
Yes
No
E
Check federal form fi led:
990T
Other (specify) ________________________
81
66
Enclose copy of federal form with this 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, whichever 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......................................................................
8
00
9 Estimated tax payments ...................................................................................................................
9
00
10 Payment made with original return plus all payments made after it was fi led - see instructions ......
10
00
11 Subtotal payments - add line 8 through 10 .......................................................................................
11
00
12 Overpayments of tax from original return or later adjustments - see instructions.............................
12
00
13 Total Payments - subtract line 12 from line 11 .................................................................................................................................
13
00
Computation of Total Due or Overpayment
14 Balance of tax due - If line 7 is larger than line 13, enter balance of tax due. Skip line 15..............................................................
14
00
15 Overpayment of tax - If line 13 is larger than line 7, enter overpayment of tax ...............................................................................
15
00
16 Penalty and interest .........................................................................................................................................................................
16
00
17 Estimated tax underpayment penalty. If Form 220 is attached, check box ...................................................................
A
17
00
17
18 Donation to Citizens Clean Elections Fund - Enter the amount of the donation. Amended returns - see instructions ....................
18
00
19 TOTAL AMOUNT DUE - Add lines 14, 16, 17, and 18. If money is due, payment must accompany return ...................................
19
00
20 OVERPAYMENT - see instructions .................................................................................................................................................
20
00
21 Amount of line 20 to be applied to 2006 estimated tax.....................................................................
21
00
22 Amount to be refunded - subtract line 21 from line 20.....................................................................................................................
22
00
ADOR 91-0023 (05)
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