Arizona Form Tpt-Es - Annual Estimated Payment Form For Transaction Privilege Tax
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1
2ARIZONA FORM
Annual Estimated Payment Form For
TPT-ES
Transaction Privilege Tax
7036
112
0390
Mail to: ARIZONA DEPARTMENT OF REVENUE PO BOX 29010, PHOENIX AZ 85038-9010
6
State License Number
Taxpayer Identifi cation Number
EIN
5
SSN
8
Estimated Payment Amount
Period Covered
Month:
Year:
7
06
For Department Use Only
BD#
Business name
1
Mailing address
2
City, state, ZIP code
3
Under penalties of purjury, I declare that I have examined this return, including
Postmark
Receipt
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.
4
Taxpayer’s signature
Date
Daytime phone number
Paid preparer’s signature (other than taxpayer)
Daytime phone number
Paid preparer’s EIN or SSN
Instructions for completing Form TPT-ES, Annual Estimated Payment Form for Combined Transaction
Privilege, Telecommunication Services Excise and County Excise Taxes.
Annual estimated payments of the transaction privilege, telecommunication services excise and county excise taxes are
required, if a taxpayer’s actual combined tax liability for the transaction privilege, telecommunication services excise
and county excise taxes in the preceding calendar year was $100,000 or more, or if the taxpayer can reasonable
anticipate a liability for such taxes of $100,000 or more in the current year. For purposes of the annual estimated
tax payment, “taxpayer” is defi ned as the business entity under which the business reports and pays state income
taxes, regardless of the number of business locations collecting the transaction privilege, telecommunication services
excise and county excise taxes.
This estimated payment must be equal to either one-half of the tax due for the month of May or the tax due
for the fi rst 15 days of June. The due date for this estimated payment is the 20th of June. The payment
must be postmarked by the 20th of June or received in the Department by the business day preceding the
last business day of June.
Please double check that payment is enclosed with this form and that the state license number is on the check.
Estimated payments will not be applied to the June report if the payment is received after the fi ling of the June report.
Any late estimated payments will be credited.
For Line-by-Line instructions, please see the back of this page.
ADOR 20-1052 (4/02)
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