Arizona Form 99t - Arizona Exempt Organization Business Income Tax Return - 2015

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Arizona Form

2015

Arizona Exempt Organization Business Income Tax Return

99T

For the

calendar year 2015 or

fiscal year beginning

M M D D

2 0 1 5 and ending

M M D D

2 0

Y Y



Name

Employer Identification Number (EIN)

CHECK ONE:



Original



Address – number and street or PO Box

Amended

Business Telephone Number

(with area code)

City, Town or Post Office

State

ZIP Code

CHECK BOX IF return filed under extension:



68 Check box if:

This is a first return

Name change

Address change

82F

M M D D Y Y Y Y

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

Date Arizona operations began ..................................................

Nature of unrelated business activities:

C Unrelated business activity codes:

D ARIZONA apportionment for multistate organizations only (check one box):



A IR Carrier

STANDARD

ENHANCED



Check if Multistate Provider Election and Computation (Arizona Schedule MSP) is included.

81 PM

66 RCVD



Indicate the year of the election cycle .................

Yr 1

Yr 2

Yr 3

Yr 4

Yr 5



Did you file an Arizona Form 99? ....................................................................

Yes



G Check federal form filed:

990-T

Other (specify)

Include a copy of the organization’s federal return.

Arizona Unrelated Business Taxable Income Computation

1 Unrelated business taxable income from federal Form 990-T .........................................................................................

2 Additions related to Arizona tax credits claimed ..............................................................................................................

3 Subtotal: Add line 1 and line 2 ........................................................................................................................................

4 Apportionment ratio for multistate organizations only: See instructions .........

•

5 Taxable income attributable to Arizona: Line 3 multiplied by line 4 (or if 100% Arizona, enter amount from line 3) .......

Arizona Tax Liability Computation

6 Enter tax: Tax is 6.0 percent of line 5, or $50, whichever is greater .........................................................................

7 Tax from recapture of tax credits from Arizona Form 300, Part 2, line 31 ........................................................................

8 Subtotal: Add line 6 and line 7 ........................................................................................................................................

9 Nonrefundable tax credits from Arizona Form 300, Part 2, line 56 ..................................................................................

10 Credit type:

Enter form number for each nonrefundable credit claimed: 10

11 Tax liability: Subtract line 9 from line 8 ............................................................................................................................

Tax Payments



12 Refundable tax credits: Check box(es) and enter amount: 12

308

342

349

13 Extension payment made with Arizona Form 120EXT or online ........................................

14 Estimated tax payments ....................................................................................................

15 Amended returns: Payment made with original return plus all payments made after it

was filed: See instructions ................................................................................................

16 Subtotal payments: Add lines 12 through 15 ....................................................................

17 Overpayments of tax from original return or later adjustments: See instructions .............

18 Total Payments: Subtract line 17 from line 16 ................................................................................................................

Computation of Total Due or Overpayment

19 Balance of tax due: If line 11 is larger than line 18, enter balance of tax due. Skip line 20 ...........................................

20 Overpayment of tax: If line 18 is larger than line 11, enter overpayment of tax ..............................................................

21 Penalty and interest .........................................................................................................................................................



22 Estimated tax underpayment penalty: If Form 220 is included, check this box .............................................22A

23 TOTAL AMOUNT DUE: Add lines 19, 21, and 22. If money is due, non-EFT payment must accompany return .........

24 OVERPAYMENT: See instructions .................................................................................................................................

25 Amount of line 24 to be applied to 2016 estimated tax ......................................................

26 Amount to be refunded: Subtract line 25 from line 24 ....................................................................................................

Continued on page 2 

ADOR 10419 (15)