Arizona Form A1-Apr - Arizona Annual Payment Withholding Tax Return

Arizona Form A1-Apr - Arizona Annual Payment Withholding Tax Return - 1999 Page 2

Form A1-APR (1999) Page 2

Amended Federal Form Transmittal Information for an Amended Form A1-APR

15. Number of federal Forms W-2, W-2c, W-2G, and 1099-R submitted. ..........................................................................................................

16. Gross wage change. .....................................................................................................................................................................................

17. Gross change in amount of Arizona income tax withheld. ............................................................................................................................

Explain why an amended Form A1-APR is being filed:

Reason for cancellation of employer's withholding account (check the applicable box):

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.

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