Arizona Form A1-Apr - Arizona Annual Payment Withholding Tax Return - 2006 Page 2

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AZ Form A1-APR (2006) Page 2

Explain why an amended Form A1-APR is being ﬁ led:

eason for cancellation of employer’s withholding account (check the applicable box):

1. Reorganization or change in business entity (example: from corporation to partnership)

2. Business sold

3. Business stopped paying wages and will not have any employees in the future

4. Business permanently closed

5. Business has only leased or temporary agency employees

6. Other (specify reason)

Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief, it is a true, complete and correct return.

Please

Sign Here

Signature

Date

Business telephone number

Paid

Preparer’s

Preparer’s signature

Date

Business telephone number

Use Only

Firm’s name (or preparer’s, if self-employed)