Form Ador 11186 - Transaction Privilege Tax City Only Application Page 4
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5ARIZONA DEPARTMENT OF REVENUE
GENERAL INSTRUCTIONS FOR CITY ONLY APPLICATION
Note: Businesses with employees
The City Only Application is used by Arizona businesses
cannot use this form. Businesses
with business activity taxable only to cities (residential
rental, advertising, etc.) when those businesses have no
with employees must submit a
employees.
Joint Tax Application ( JT-1).
USE THIS APPLICATION TO:
Mailing Address
License New Business:
If you are conducting
Arizona Department of Revenue
business activity taxable to a city only.
PO Box 29032
Phoenix, AZ 85038-9032
Change Ownership: If acquiring or succeeding to
all or part of an existing business or changing the
Customer Service
legal form of your business (sole proprietorship to
Center Locations
corporation, etc.).
8:00 a.m. – 5:00 p.m.
Monday through Friday
IMPORTANT:
To avoid delays in processing of your
(Except legal Arizona state holidays)
application, we recommend you read these instructions
and refer to them as needed to ensure you have accurately
Phoenix Office
entered all the required information.
This application
1600 West Monroe
must be completed, signed, and returned as provided
Phoenix, AZ 85007
by A.R.S. § 23-722.
Mesa Office
Please read the form instructions while completing
1840 South Mesa Drive
the application. Additional information and forms are
Building #1352
available at
Mesa, AZ 85201
(This office does not handle billing or account
Required information is designated with an asterisk (*).
disputes)
Tucson Office
Please complete Section C:
City License Fee
400 West Congress
Worksheet to calculate and remit Total Amount Due
Tucson, AZ 85701
with this application.
Customer Service
When completing this form, please print or type in black ink.
Telephone Numbers
Legible applications are required for accurate processing.
Licensing questions on Transaction
The following numbered instructions correspond to the
Privilege, Withholding or Use Tax
numbers on the City Only Application.
(Arizona Department of Revenue)
(602) 255-3381
If you need to update a license, add a business location,
get a copy of your license, or make other changes,
complete a Business Account Update form and include a
State fee of $12 per location and any applicable fees related
to locations within the City/Town jurisdictions. Additional
information and forms are available at
Instructions Page 1
ADOR 11186 (5/16)
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Parent category: Financial