Privilege(Sales) Tax Return Form - City Of Phoenix
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1
2City of Phoenix Privilege
(Sales) Tax Return
City Treasurer
P.O. Box 29125
Please indicate mailing address change here
Phoenix, AZ
FOR CITY USE ONLY
85038-9125
CITY ACCOUNT NO.
INTERNET FILLABLE RETURN
PERIOD ENDING
PLEASE USE BLACK OR BLUE INK ONLY
M
M
/
Y
Y
THIS RETURN IS DUE ON THE 20
OF
Business Name __________________________ FEIN # ___________________
TH
THE FOLLOWING MONTH
Filing Frequency
In Care of _______________________________ Phone # __________________
M
To cancel your license
Mailing Address ____________________________________________________
Check the box at the left, note the
reason and date of cancellation,
Mailing City, State Zip ________________________________________________
and sign the bottom of the form.
You may not receive credit for filing your return or payment of your
taxes if you do not have an account with the City of Phoenix. You
Reason______________________________
may establish an account by completing an application provided at
Effective Date_________________________
DEDUCTIONS MUST BE DETAILED
Column 1
Column 2
Column 3
Col. 4
Column 5
ON THE BACK OF THIS FORM
Gross Receipts
Less: Deductions
Column 1 - Column 2 =
X Tax
Bus.
Business Activity
= Tax Amount
or Jet Fuel Gallons / # of Games
From Sch. A on Back
Net Taxable
Rate
Code
1
Use Taxable
29
XXXXXXXXXX
XXXXXXXXXXX
Purchases
,
,
.
,
.
0.00
2.0%
2
,
,
.
,
.
0.00
0.00
0.00
0.0%
3
,
,
.
,
.
0.00
0.00
0.00
0.0%
4
,
,
,
.
.
0.00
0.00
0.00
0.0%
5
TOTAL FROM ADDITIONAL TAX RETURN PAGE(S)
Plus (+)
,
.
XXXXXXXXXXXXXX
6
ENTER EXCESS CITY TAX COLLECTED (From SCHEDULE C on the back)
Plus (+)
,
.
0.00
7
GRAND TOTAL (Add lines 1 through 6)
Equals (=)
,
.
0.00
PENALTY AND INTEREST (5% late filing per month & 10% late payment. A variable
8
Plus (+)
interest rate is charged each month matching the State rate.)
,
.
9
ENTER TOTAL LIABILITY (Add lines 7 plus 8)
Equals (=)
,
.
0.00
10
ENTER CREDIT BALANCE TO BE APPLIED (From SCHEDULE B on back)
Minus (-)
,
.
11
ENTER NET AMOUNT DUE (Line 9 minus line 10)
Equals (=)
,
.
0.00
12
ENTER TOTAL AMOUNT PAID (Payable to PHOENIX CITY TREASURER). Write your account number on your check.
,
.
Do not write below.
Signature of Taxpayer/Paid Preparer
Date
Printed Name of Taxpayer/Paid Preparer
Phone Number
Under penalties of perjury, I declare that I have examined this return, including the accompanying schedules
and statements, and to the best of my knowledge and belief, it is true, correct and complete. The
declaration of the paid preparer is based upon all information of which the preparer has any knowledge.
A SIGNATURE IS REQUIRED TO VALIDATE THIS RETURN.
SEND THIS ORIGINAL ONLY
51/46 - 1 Page Original
Click to PRINT RETURN in COLOR and 2 sided
KEEP A COPY FOR YOUR RECORDS
51/47 - All others
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