City Account #
Period Covered
SALES TAX DEPARTMENT
11465 W. CIVIC CENTER DRIVE, #270
AVONDALE, ARIZONA 85323-6808
For questions call: 623-333-2001
DELINQUENT IF NOT PAID BY THE LAST
BUSINESS DAY OF THE MONTH
TAXPAYER NAME & ADDRESS
RETURN THIS FORM WITH
YOUR REMITTANCE TO:
CITY OF AVONDALE
SALES TAX DEPARTMENT
11465 W. CIVIC CENTER DR STE 270
AVONDALE AZ 85323-6808
SPECIAL NOTICE
Place a check here and sign at
THIS RETURN IS DUE ON
THE 20TH OF THE MONTH
the bottom if you have no taxes to file
Column 1
Column 2
Column 3
Column 4
Column 5
Business Description
Line Bus . Class
Gross
- Deductions
= Net Taxable
x% Tax Rate
= Tax Amount
1
2
3
4
5
6
PRIOR BALANCE
7
SUBTOTAL (Total Col 5 Lines 1 Through7)
8
ENTER EXCESS CITY TAX COLLECTED
9
Plus
(+)
GRAND TOTAL
10
Equals (=)
PENALTY
11
Plus
(+)
INTEREST
12
Plus
(+)
NET AMOUNT DUE
13
Equals (=)
ENTER TOTAL AMOUNT PAID
14
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my
knowledge and belief it is true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer
has any knowledge.
Taxpayer’s Signature
Date
Paid Preparer’s Signature
Print Name
Phone #
Print Paid Preparer’s Name
( ) Check here if any changes in account status and complete the back of this form.
A SIGNATURE IS REQUIRED TO MAKE THIS RETURN VALID
Return original with remittanceto address above.
Please make check payableto: CITY OF AVONDALE
(TPT-1) (Rev. 7-00)