Form Ador 11186 - Transaction Privilege Tax City Only Application Page 5
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5CITY ONLY APPLICATION
INSTRUCTIONS
Section A: BUSINESS INFORMATION
Section C: CITY LICENSE FEE WORKSHEET
1. Type of Ownership:
Check as applicable.
A
To calculate the city license fees, use the listing of cities on
corporation must provide the state and date of
page 2 of this application. City fees are subject to change.
incorporation.
Check for updates at
AA: TOTAL City Fees DUE– To calculate the city fee,
2. Provide the Legal Business Name or owner or
multiply No. of Locations by the license fee and enter
corporation as listed in its articles of incorporation,
sum in Subtotal City License Fees. Then calculate
or individual and spouse, or partners, or organization
and enter the sum of columns 1 + 2 + 3.
owning or controlling the business.
3. Provide your Federal Employer Identification No.
Please send your payment for this amount.
Failure to
(FEIN) or Social Security No. (SSN) if you are a sole
include your payment with this application will result in a
proprietor without employees. Taxpayers are required
delay in processing your license. Licenses are not issued
to provide their taxpayer identification number (TIN)
until all fees have been paid.
on all returns and documents. A TIN is defined as the
Make checks payable to the Arizona Department of
federal employer identification number (EIN) or social
Revenue. Be sure to return all pages of the application
security number (SSN), depending upon how income
with your payment. Retain a copy of the application for your
tax is reported.
records.
4. Business DBA (doing business as) Name: Provide
DO NOT SEND CASH
the name that the business operates under. If it is the
Include your EIN or SSN on payment
same as the Legal Business Name indicate “Same”
Section D: RENTAL PROPERTIES
5. Provide the Business Phone Number including the
For businesses licensing as a Residential Rental or
area code.
Residential Rental/Property Management Co. provide a
6. Provide the Email Address for the business or contact
complete physical address for each rental property.
person.
NOTE: Residential rental properties rented for periods
of less than 30 days are taxable under the Transient
7. Provide the Date Business Started in Arizona. Provide
Lodging classification (Code 025) and are not taxable
the Date Sales Began in Arizona or estimate when you
under the Residential Rental classification according to
plan to begin selling in Arizona.
the Model City Tax Code. Transient Lodging type rentals
8. Provide the Mailing Address (number and street) where
are taxed at a different rate and require a State TPT license.
all correspondence is to be sent. You may use your
Do not use this form for properties classified as Transient
home address, corporate headquarter, or accounting
Lodging.
firm’s address, etc.
Section E: AZTAXES.GOV SECURITY ADMINISTRATOR
9. Location of Tax Records:
Indicate the physical
address where your tax records are located. Include
Complete this section to register for online services at
the company name, contact person’s name, and phone
(the Arizona Department of Revenue’s
online customer service center). The authorized users will
number with area code.
have full online access to transaction privilege tax account
10. Select the Business Type/NAICS Code from the list.
information and services. The authorized individual will
11. Provide a brief Description of Business by describing
be able to add or delete users and grant user privileges.
the major taxable business activity, principle product you
Online services include viewing tax account information,
manufacture, commodity sold, or services performed.
filing tax returns, signing returns electronically with a Self-
Select Personal Identification Number (PIN) and remitting
Section B: IDENTIFICATION OF OWNERS,
tax payments on behalf of the business identified in Section
PARTNERS, CORPORATE OFFICER(S)
A. The name and email address of the authorized user are
Provide the full name, social security number and title
required for registration.
of all Owners, Partners, Corporate Officers, Members/
Section F: REQUIRED SIGNATURES
Managing Members or Officials of the Employing Unit.
If
you need additional space, attach Additional Owners,
This application must be only signed by either a sole owner,
Partners, Corporate Officer(s) Addendum available at
at least two partners, managing member or corporate
If the owner, partners, corporate officers or
officer legally responsible for the business. This application
combination of partners or corporate officers, members and/
CANNOT be signed by agents or representatives.
or managing members own more than 50% of, or control
another business in Arizona, attach a list of the businesses,
percentages owned and unemployment insurance account
numbers or provide a General Disclosure/ Power of
Attorney (Form 285) which must be filled out and signed by
an authorized corporate officer.
NOTE: Businesses with more than one physical location are required to file electronically.
Instructions Page 2
ADOR 11186 (5/16)
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