Arizona Form 652 PDF Details

When you are filing your Arizona state income tax return, you will need to use Form 652. This form is used to calculate your taxable income and to determine your tax liability. You can use the instructions on this page to help you complete the form correctly. Additionally, you can use our free online tax calculator to estimate your taxes. If you have any questions about completing the form, please contact us for assistance. Thank you for choosing Tax-Cutters as your source for tax information!

QuestionAnswer
Form NameArizona Form 652
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesstste, arizona unclaimed property form 652, NAUPA, SSN

Form Preview Example

ARIZONA FORM Arizona Department of Revenue • Unclaimed Property Section

652 REPORT OF ABANDONED PROPERTY - SCHEDULE A

HOLDER NAME

Federal Employer Indenti

Grand Total Remitted

$

Item no.

Account #

 

 

 

 

 

Check #

 

 

 

 

 

NAUPA property type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash amount remitted

 

 

 

Interest rate

 

 

 

 

 

 

Last activity date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner’s last name

 

 

 

Owner’s first name / middle initial

Owner’s mailing address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, ZIP code

 

 

 

Country

 

Owner’s Tax ID (SSN or EIN)

Owner’s date of birth

NAUPA relationship code

 

 

 

 

 

 

 

 

 

 

 

Fee/Drilling cost

No.of shares remitted

 

Security/Mutual Fund name

 

 

CUSIP no.

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE THE FIELDS BELOW IF THERE IS MORE THAN ONE OWNER FOR THIS PROPERTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name / middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name

/ middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item no.

Account #

 

 

 

 

 

Check #

 

 

 

 

 

NAUPA property type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash amount remitted

 

 

 

Interest rate

 

 

 

 

 

 

Last activity date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner’s last name

 

 

 

Owner’s first name / middle initial

Owner’s mailing address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City, State, ZIP code

 

 

 

Country

 

Owner’s Tax ID (SSN or EIN)

Owner’s date of birth

NAUPA relationship code

 

 

 

 

 

 

 

 

 

 

 

Fee/Drilling cost

No.of shares remitted

 

Security/Mutual Fund name

 

 

CUSIP no.

Date of Death

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE THE FIELDS BELOW IF THERE IS MORE THAN ONE OWNER FOR THIS PROPERTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name / middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s last name

 

 

Additional owner’s first name

/ middle initial

Additional owner’s Tax ID (SSN or EIN)

Relationship code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional owner’s date of birth

 

Additional owner’s date of death

Other information available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAGE OF

ADOR 11017 (8/11)

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Step # 1 in submitting EIN

2. The third step is to fill in the following blanks: dettimer tnuoma hsaC, etar tseretnI, etad ytivitca tsaL, eman tsal srenwO, srenwO, fi rst name middle initial Owners, ytiC, State, edoc PIZ , yrtnuoC, htrib fo etad srenwO NIE ro NSS DI, edoc pihsnoitaler APUAN, FeeDrilling cost, Noof shares remitted, and SecurityMutual Fund name.

The way to fill in EIN portion 2

It is possible to make an error when filling in the FeeDrilling cost, therefore you'll want to go through it again before you'll submit it.

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