Arizona Form 99t - Arizona Exempt Organization Business Income Tax Return - 2015 Page 2

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Name (as shown on page 1)

EIN

Apportionment Formula (Multistate Organizations Only)

SCHEDULE A

IMPORTANT: Qualifying air carriers must use Arizona Schedule ACA.

LIMITED TO UNRELATED BUSINESS AMOUNTS

Qualifying

multistate

service

providers

must

include

Arizona

COLUMN A

COLUMN B

COLUMN C

Schedule MSP. See instructions, pages 8, 9, and 10.

Total Within Arizona

Total Everywhere

Ratio Within Arizona

Round to nearest dollar.

A ÷ B

Be certain to enter amounts

A1 Property Factor

in Column C carried to six

a Value of real and tangible personal property (by averaging the

decimal places. You must

value of owned property at the beginning and end of the tax

type the decimal.

period; rented property at capitalized value). Total owned and

rented property .................................................................................

×1

×5.0

b Weight AZ property:

....

(STANDARD uses × 1; ENHANCED uses × 5.0)

c Property factor (for column A, multiply line a by line b;

for column B, enter amount from line a) ..........................................

•

A2 Payroll Factor

a Wages, salaries, commissions and other compensation paid

to officers or employees ...................................................................

×1

×5.0

b Weight AZ payroll:

.......

(STANDARD uses × 1; ENHANCED uses × 5.0)

c Payroll factor (for column A, multiply line a by line b;

for column B, enter amount from line a) ...........................................

•

A3 Sales Factor

a Sales delivered or shipped to Arizona purchasers ...........................

b Sales of services for qualifying multistate service providers

only (include Schedule MSP) ..........................................................

c Other gross receipts ........................................................................

d Total sales and other gross receipts .................................................

×2

OR ×90.0

e Weight AZ sales: (STANDARD uses ×2; ENHANCED uses ×90.0)

f Sales factor (For column A, multiply line d by line e;

for column B, enter the amount from line d) .....................................

•

A4 Total Ratio: Add A1c, A2c, and A3f, in column C .............................................................................................................

A5 Average Apportionment Ratio: Divide line A4, column C, by the denominator (STANDARD divides by four (4);

•

ENHANCED divides by one hundred (100)). Enter the result in column C, and on page 1, line 4 ...................................

Under penalties of perjury, I declare that I have examined this return, including the accompanying schedules and statements, and to

the best of my knowledge and belief, it is a true, correct and complete return, made in good faith, for the taxable year stated pursuant

Declaration

to the income tax laws of the State of Arizona.

Please

Sign

Here

OFFICER’S SIGNATURE

DATE