Instructions For Arizona Exempt Organization Annual Information Return (Arizona Form 99) - 2014 Page 3
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3Arizona Form 99
Line 23 -
NOTE: The amounts entered on lines C2a, C2b, C3a, C3b,
C7a, and C7b and on any included schedules should be end
Enter all other disbursements not itemized on Schedule A or
of year amounts.
Schedule B. Include a schedule detailing these disbursements
with the return.
Line C2 -
Lines 24 through 26 -
On line C2a, enter accounts receivable. Subtract the amount
on line C2b from the amount on line C2a. Enter the
Enter the applicable amounts to report the accumulation of
difference on line C2c in column (b).
income.
Line C3 -
Line 27 -
On line C3a, enter other notes and loans receivable. Subtract
This form is an information return. An information return
the amount on line C3b from the amount on line C3a. Enter
that is incomplete or filed after its due date (including
the difference on line C3c in column (b).
extensions) is subject to a penalty of $100 for each month,
or fraction of a month, that the failure continues, up to a
Line C7 -
maximum penalty of $500.
On line C7a, enter land, buildings, and equipment; basis.
If the organization or dispensary files this return after its due
Subtract the amount on line C7b from the amount on
date (including extensions), enter the penalty due on this line.
line C7a. Enter the difference on line C7c in column (b).
Payments can be made via check or money order.
Certification
Make checks payable to Arizona Department of Revenue.
Enter the organization's EIN or the dispensary’s TIN on the
An officer of the organization or dispensary must sign the
front of the check or money order. Include the check or
return on page 3.
money order with the return.
Paid preparers: Sign and date the return on page 3.
Complete the firm name and address lines (the paid
Schedule C - Balance Sheet
preparer’s name and address, if self-employed). Enter the
Complete column (a), for beginning of year amounts, and
paid preparer’s TIN, which is the firm’s EIN or the individual
column (b), for end of year amounts.
preparer’s social security number.
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