ARIZONA FORM
Arizona Exempt Organization Business Income Tax Return
1998
99T
For calendar year 1998 or
CHECK ONE
taxable year beginning _________________, 19 ____, and ending _________________, 19 ____.
Original
Amended
CHECK ONE
Mail to: Arizona Department of Revenue, PO Box 29079, Phoenix AZ 85038-9079
Calendar year
Fiscal year
Business telephone number
Federal employer ID number
Name
Please
(
)
print
Number and street
AZ withholding tax number
or
Unrelated business activity codes
type
AZ transaction privilege tax number
City or town, state and ZIP code
For DOR use only
Check box if:
This is a first return
Name change
Address change
Information
A Date Arizona operations began
B Date of letter granting exemption from Arizona income tax
68
C Nature of business income activity
88
D Did you file an Arizona Form 99? Yes
No
E Check federal form filed:
990T
Other, specify
Enclose copy of federal form with this return.
81
66
(c)
(a)
(b)
Apportionment
Limited to Unrelated Trade
Ratio Within Arizona
Total Within Arizona
Total Everywhere
Formula
or Business Amounts
(a) / (b)
- for organizations
deriving income
I Average yearly value of real and tangible personal property ...........
from sources
II Wages, salaries and other compensation of employees ..................
within and without
III (a) Gross receipts, less returns and allowances ..............................
Arizona
X 2
(b) Double weight sales factor ..........................................................
(c) Sales factor ratio. For column (a), multiply line III(a) by line III(b);
for column (b) enter the amount from line III(a) ................................
IV Total ratio - add lines I, II and III in column (c) ............................................................................................................
V Average ratio - divide line IV, column (c) by four. Enter the average ratio. See instructions ......................................
1 Unrelated trade or business taxable income - from federal Form 990T ....................................................................
1
00
Tax
2 Apportionment ratio .....................................................................................
2
Computation
3 Taxable income attributable to Arizona - line 1 multiplied by line 2 (or enter line 1, if 100% Arizona) ....................
3
00
4 Enter tax - tax is 8% of line 3, or $50, whichever is greater .....................................................................................
4
00
5 Tax paid when filing Arizona Form 120EXT - attach copy. See instructions ..........
5
00
Payments
6 Estimated tax payments made with Arizona Form 120ES - see instructions ...........
6
00
7 Total payments - add lines 5 and 6. Amended returns: see instructions ..................................................................
7
00
8
8 Balance of tax due - If line 4 is larger than line 7, enter balance of tax due. Skip line 9 ..........................................
00
9
9 Overpayment of tax - If line 7 is larger than line 4, enter overpayment of tax ..........................................................
00
10 Penalty and interest ..................................................................................................................................................
00
10
11 Estimated tax underpayment penalty and interest. If Form 220 is attached, check box ...........................
00
11
Refund or
11A
12 TOTAL AMOUNT DUE - Add lines 8, 10 and 11. If money is due, payment must accompany return ....................
00
12
Tax Due
13 OVERPAYMENT - see instructions ..........................................................................................................................
13
00
See Instructions
14 Amount of line 13 to be applied to your 1999 estimated tax .....................................
14
00
15 Amount to be refunded - subtract line 14 from line 13 ..............................................................................................
15
00
Ext. Code
82
Certification
Under penalties of perjury, I declare that I have examined this return, including 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 to the income tax laws of the State of Arizona.
Please
Sign here
Signature of officer
Date
Title
Paid
Preparer's
Preparer's signature
Date
Use Only
Firm's name (or preparer's, if self-employed)
Preparer's TIN
Firm's address
ZIP code
ADOR 06-0023 (98)