Arizona Form 122 - Authorization And Consent Of Subsidiary Corporation To Be Included In A Consolidated Income Tax Return - 2014

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Authorization and Consent of Subsidiary Corporation
Arizona Form
2014
122
to be Included in a Consolidated Income Tax Return
Please type or print. Include with your return.
M M D D
2 0 1 4 and ending
M M D D
2 0
Y Y
For the calendar year 2014 or fiscal year beginning
.
For the first taxable year a consolidated return is filed, this form must be completed by each subsidiary and included with the return.
Name
Employer Identification Number (EIN)
Address – Number and street or PO Box
City, Town or Post Office
State
ZIP Code
Name of Common Parent Corporation
Employer Identification Number (EIN)
The subsidiary corporation named above authorizes its common parent corporation to include it in a consolidated return for the
taxable year indicated. The authorization also applies to each succeeding taxable year, unless the department consents to a change
of filing method.
Signature
Under penalties of perjury, I declare that the subsidiary named above has authorized me to sign this form on its behalf, that I have
Declaration
examined this form and the information contained herein, and to the best of my knowledge and belief, it is correct and complete.
Please
Sign
SIGNATURE OF CORPORATE OFFICER
DATE
TITLE
Here
NAME OF CORPORATE OFFICER
PHONE NUMBER (with area code)
Print
General Instructions
Purpose of Form
How to Make an Election to File an Arizona Consolidated
Return
The common parent of an affiliated group that files a federal
consolidated return may elect to file an Arizona consolidated
• Complete a separate Form 122 for each subsidiary included
return. The election by the common parent is effective only if
in the federal affiliated group for the taxable year for which the
it is accompanied by written consents to the election signed by
election is made. The Form 122 for each subsidiary must be
each of the members of the affiliated group. This form is used
signed by a current officer of that subsidiary.
by each of the subsidiary corporations included in the affiliated
group to consent to the election made by the common parent.
• File all of the completed Form(s) 122 (for each subsidiary
The consent form must be signed by a current officer of each
included in the federal affiliated group) AND the tax return by
subsidiary in the affiliated group.
the due date, including extensions, for filing the original return.
NOTE: Refer to A.R.S. § 43-947 and Form 120 instructions
for further information regarding the election to file an Arizona
consolidated return.
The election must be made by the common parent on or before
the due date, including any extensions, for filing the original
return (Form 120). The completed Form(s) 122 must be included
with Form 120 filed with the department for the first taxable year
a consolidated return is filed. The consent form must be signed
by a current officer of each subsidiary in the affiliated group.
ADOR 10147 (14)

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