Jt 1 Arizona Tax Form – Fill Out and Use This PDF

Customer Care and Outreach

ARIZONA DEPARTMENT OF REVENUE

PO BOX 29032

Phoenix, AZ 85038-9032

IMPORTANT! Incomplete applications WILL NOT BE PROCESSED.

•Please read form instructions while completing the application. Additional information and forms available at www.azdor.gov

•Required information is designated with an asterisk (*).

•Return completed application AND applicable license fee(s) to address shown at left.

•For licensing questions regarding transaction privilege tax, call Customer Care and Outreach: (602) 255-3381

You can register, file

and pay for this

application online at www.AZTaxes.gov. It is fast and secure.

1* Federal Employer Identification Number

or Social Security Number, required if sole proprietor with no employees

2* License Type – Check all that apply:
 Transaction Privilege Tax (TPT)	 Use Tax
 Withholding/Unemployment Tax (if hiring employees)	TPT for Cities ONLY

FOR AGENCY USE ONLY

CASHIER’S STAMP ONLY. DO NOT MARK IN THIS AREA.

New

Change

Revise

Reopen

ACCOUNT NUMBER	DLN
START	TRANSACTION PRIVILEGE TAX
S/E DATE	WITHHOLDING / SSN / EIN
COMPLETED DATE	EMPLOYEE’S NAME
LIABILITY	LIABILITY ESTABLISHED

JT-1/UC-001 (1/18)

Name (as shown on page 1)

FEIN or SSN (as shown on page 1)

	*Social Security No.		*Title
1
Owner	*Street Address
	*ZIP Code		*County
	*Social Security No.		*Title
2
Owner	*Street Address
	*ZIP Code		*County
	*Social Security No.		*Title
3
Owner	*Street Address
	*ZIP Code		*County

*Last Name	First Name			Middle Intl.
|				|
*City			*State	* % Owned
*Phone Number (with area code)		*Country
*Last Name	First Name			Middle Intl.
|				|
*City			*State	* % Owned
*Phone Number (with area code)		*Country
*Last Name	First Name			Middle Intl.
|				|
*City			*State	* % Owned
*Phone Number (with area code)		*Country

County

9* Name of Contact

|	|
Country
* Phone Number (with area code)	Extension
	|

1* Business Name, “Doing Business As” or Trade Name at this Physical Location

2* Phone Number (with area code)

Residential Rental Only – Number of Units

Reporting City (if different than the physical location city)

JT-1/UC-001 (1/18)

Name (as shown on page 1)

FEIN or SSN (as shown on page 1)

1 Print or Type Name

2 Print or Type Name

Title

Title

Date

Date

Signature

Signature

JT-1/UC-001 (1/18)

Name (as shown on page 1)

FEIN or SSN (as shown on page 1)

•Make check payable to Arizona Department of Revenue.

•Include FEIN or SSN on payment.

•Do not send cash.

•License will not be issued without full payment of fee(s).

Online Application

Go to www.AZTaxes.gov

Notice for Construction Contractors: Due to bonding requirements, construction contractors are not permitted to license for transaction privilege tax online. For more information, please contact us.

Mailing Address

Arizona Department of Revenue

PO Box 29032

Phoenix, AZ 85038-9032

Customer Service

Center Locations

8:00 a.m. - 5:00 p.m.

Monday through Friday

(except Arizona holidays)

Phoenix Office

1600 W Monroe

Phoenix, AZ 85007

Tucson Office

400 W Congress

Tucson, AZ 85701

7:00 a.m. - 6:00 p.m.

Monday through Thursday

8:00 a.m. - 12:00 p.m.

Friday

(except Arizona holidays)

Mesa Office

55 N Center

Mesa, AZ 85201

(This office does not handle billing or account disputes.)

Customer Service

Telephone Numbers

Licensing for TPT, Withholding or Use Tax

(Arizona Department of Revenue)

(602) 255-3381

Unemployment Tax

(Arizona Department of

Economic Security)

(602) 771-6602

E-mail: uitstatus@azdes.gov

The Arizona Joint Tax Application (JT-1) is used to apply for Transaction Privilege Tax, Use Tax, and Employer Withholding and Unemployment Insurance. The Application is called “Joint” because it is used by both the Department of Revenue and Economic Security.

USE THIS APPLICATION TO:

License New Business: If you are selling a product or engaging in a service subject to transaction privilege tax, you will most likely need to obtain the state transaction privilege tax license (TPT) license.

Change Ownership: If acquiring or succeeding to all or part of an existing business or changing the legal form of your business (sole proprietorship to corporation, etc.).

IMPORTANT: To avoid delays in processing of your application, we recommend you read these instructions and refer to them as needed to ensure you have accurately entered all the required information. This application must be completed, signed, and returned as provided by A.R.S. § 23-722.

Please read form instructions while completing the application. Additional information and forms are available at www.azdor.gov.

Required information is designated with an asterisk (*).

Please complete Section I: State/County & City License Fee Worksheet to calculate and remit Total Amount Due with this application.

Whencompletingthisform,pleaseprintortypeinblackink. Legible applications are required for accurate processing. The following numbered instructions correspond to the numbers on the Form JT-1.

If you need to update a license, add a business location, get a copy of your license, or make other changes: Complete a Business Account Update form and include a State fee of $12 per location and any applicable fees related to locations within the City/Town jurisdictions. Additional information and forms are available at www.azdor.gov.

Section A: BUSINESS INFORMATION

1.Provide your Federal Employer Identification No. (FEIN) or Social Security No. (SSN) if you are a sole proprietor without employees. Taxpayers are required to provide their taxpayer identification number (TIN) on all returns and documents. A TIN is defined as the federal employer identification number (EIN) or SSN, depending upon how income tax is reported. The EIN is required for all employers. A penalty of $5 will be assessed by the Department of Revenue for each document filed without a TIN.

2.License Type (Check all that apply):

Transaction Privilege Tax (TPT): Anyone engaged in a business taxable under the TPT statutes must apply for a TPT License before engaging in business. For TPT, you are required to obtain and display a separate license certificate for each business or rental location. This may be accomplished in one of the following ways:

Each location may be licensed as a separate business with a separate license number for purposes of reporting transaction privilege and use taxes individually. Therefore, a separate application is needed for each location.

Multiple locations may be licensed under a consolidated license number, provided the ownership is the same, to allow filing of a single tax return. If applying for a new license, list the various business locations as instructed below. If already licensed and you are adding locations, do not use this application to consolidate an existing license. Please submit a Business Account Update form, available at www.azdor.gov.

Withholding & Unemployment Taxes: Employers paying wages or salaries to employees for services performed in the State must apply for a Withholding number & Unemployment number.

Use Tax: Out-of-state vendors (that is, vendors with no Arizona location) making direct sales into Arizona must obtain a Use Tax Registration Certificate. In-state business not required to be licensed in Arizona for TPT purposes, making out-of state purchases for their own use (and not for resale) must also obtain the Use Tax registration.

TPT for cities only: This type of license is needed if your business activity is subject to city TPT which is collected by the state, but the activity is not taxed at the state level.

3.Type of Organization/Ownership: Check as applicable. A corporation must provide the state and date of incorporation.

4.Provide the Legal Business Name or owner or corporation as listed in its articles of incorporation, or individual and spouse, or partners, or organization owning or controlling the business.

5.Provide the MailingAddress (number and street) where all correspondence is to be sent. You may use your

home address, corporate headquarters, or accounting firm’s address, etc. If mailing address differs for licenses (for instance withholding and unemployment insurance), please send a cover letter with completed application to explain.

6.Provide the Business Phone Number including the area code.

7.Provide the Email Address for the business or contact person.

8.Provide the Business Fax Number including the area code.

9.Provide the Description of Business by describing the major taxable business activity, principle product you manufacture, commodity sold, or services performed. Your description of business is very important and MUST link to the appropriate NAICS Code and Business Code.

10.Provide all North American Industries Classification System (NAICS) Code(s) that apply. The NAICS is identified for your business, based on your major business activity, principle product you manufacture, commodity sold, or services performed. You must indicate at least one NAICS code. A current listing is available at www.azdor.gov.

11.If you acquired or changed the legal name of an existing business, you must complete Section F of this application. If you check NO, proceed to number 12.

12.If you are a construction contractor, read bonding requirements and submit the appropriate bonding paperwork with this application. If you check NO, proceed to number 13.

13.Provide the Withholding Physical Location of the business. This address cannot be a PO Box or Route Number.

Section B: IDENTIFICATION OF OWNERS, PARTNERS, CORPORATE OFFICERS,

MEMBERS/ MANAGING MEMBERS OR

OFFICIALS OF THIS EMPLOYING UNIT

Provide the full name, social security number and title of all Owners, Partners, Corporate Officers, Members/ Managing Members or Officials of the Employing Unit. If you need additional space, attach Additional Owners, Partners, Corporate Officer(s) Addendum available at www.azdor.gov. If the owner, partners, corporate officers or combination of partners or corporate officers, members and/ or managing members own more than 50% of, or control another business in Arizona, attach a list of the businesses, percentages owned and unemployment insurance account numbers or provide a General Disclosure/ Power of Attorney (Form 285) which must be filled out and signed by an authorized corporate officer.

Section C: TRANSACTION PRIVILEGE TAX (TPT)

1.Provide the Date Business Started in Arizona.

2.Provide the Date Sales Began in Arizona or estimate when you plan to begin selling in Arizona.

3.Tax Liability: Provide the amount of gross income you can reasonably expect to generate in your first twelve months of business. You will be set up for monthly filing unless your Estimated Tax Liability will result in a tax liability of less than $8,000, which will require you to file quarterly.

4.Based on your tax liability, provide your filing frequency. If your total estimated annual combined Arizona, county and municipal TPT liability is:

•Less than $2,000, you may file and pay annually.

•Between $2,000 and $8,000, you may file and pay quarterly.

•Otherwise, your transaction privilege taxes are due

monthly.

If your business is Seasonal or you are a transient vendor, indicate the months in which you intend to do business in Arizona.

5.Indicate whether your business sells tobacco products. If you checked yes, check the box to indicate if you are a retailer or distributor of tobacco products.

6.TPT Filing Method: Check which filing method your business uses for determining tax liability. Cash basis requires the payment of tax based on sales receipts actually received during the period covered on the tax return. When filing under the accrual basis the tax is calculated on the sales billed rather than actual receipts.

7.If you sell new Motor Vehicle Tires or Vehicles, you must file the Motor Vehicle Waste Tire Fee form (TR-1) available at www.azdor.gov. Sellers of new motor vehicles and motor vehicle tires in the state, for on-road use, are required to report and pay a waste tire fee to the Department of Revenue.

8.through 9. Tax Records Physical Location indicate the physical address where your tax records are located. Include the contact person’s name and phone number.

Section D: TRANSACTION PRIVILEGE TAX (TPT)

PHYSICAL LOCATION

1.Provide the Business Name, “Doing Business As” (DBA). DBA is the name of a business other than the owner’s name or, in the case of a corporation, a name that is different from the legal or true corporate name. If it is the same as the Legal Business Name enter “same”.

2.Provide the Business Phone Number including the area code.

3.Provide the Physical Location of the business. This address cannot be a PO Box or Route Number. Provide:

County/Region

Residential Rentals ONLY - Number of Units

Reporting City, if different from the Physical Location city. For example, if the location for the listed address

is listed in an adjacent city, such as Scottsdale, but the location of the business is actually within the city of Phoenix. See “TPT Rate Look Up” on www.AZTaxes.gov .

4.Provide if your business is located on an Indian Reservation; provide the Additional County/Region Indian Reservation Code(s). A current listing is available at www.azdor.gov.

Provide the Business Code(s) including all State and City Business Code(s) that apply; based on your major business activity, principle product you manufacture, commodity sold, or services performed. You must indicate at least one business code. A current listing is available at www.azdor.gov.

If you have more locations, attach Additional Business Locations form available at www.azdor.gov.

Section E: WITHHOLDING & UNEMPLOYMENT TAX

APPLICANTS

1.Provide the Date Employees First Hired in Arizona.

2.If you are liable for Federal Unemployment Tax, check YES and enter the first year of liability.

3.If individuals in your business are performing services that are excluded from withholding or unemployment tax, check YES and describe the services these individuals are performing.

4.If your business has an IRS ruling that grants an exclusion from Federal Unemployment Tax, check YES and you must attach a copy of the Ruling Letter to this application.

5.If you have, or previously had an Arizona unemployment tax number, check YES and provider the business name you used and the unemployment number.

6.Provide the first calendar quarter Arizona employees were or will be hired and paid.

7.When do you anticipate or did you first pay a total of $1,500 or more in gross wages in a calendar quarter? Indicate the year and quarter in which this occurred or will occur.

8.When do you anticipate or did you first reach the 20th week of employing 1 or more individuals for a full or partial day within the same calendar year? Indicate the year and quarter in which this occurred or will occur.

Section F: ACQUIRED BUSINESS INFORMATION

1.Did you acquire or change all or part of an existing business? If part, to obtain an unemployment tax rate based on the business’s previous account, you must request it no later than 180 days after the date of acquisition or legal form of business change; contact the Unemployment Tax Office Experience Rating Unit for an Application & Agreement for Severable Portion Experience Rating Transfer (form UC-247; printable version available online at www.azui.com).

2.Provide the date you acquired the previous owner’s business or changed the legal form of your existing business (sole proprietor to corporate, etc.).

3.through 6. Complete as indicated if you know the previous owner’s information.

7.through 9. If you merely changed the legal form of your existing business, indicate whether or not you changed all or part of the business, the date of change and EIN of previous Legal Form of Business.

Section G: AZTAXES.GOV SECURITYADMINISTRATOR

Visit www.AZTaxes.gov (the Arizona Department of Revenue’s online customer service center) to register for online services. The authorized individual will have full online access to transaction privilege, use, withholding and corporate tax account information and services. The authorized individual will be able to add or delete users and grant user privileges. Online services include viewing tax account information, filing tax returns, signing returns electronically with a Self-Select Personal Identification Number (PIN) and remitting tax payments.

Section H: REQUIRED SIGNATURES

This application must be signed only by either a sole owner, at least two partners, managing member or corporate officer legally responsible for the business. This application CANNOT be signed by agents or representatives.

Section I: STATE/COUNTY & CITY LICENSE FEE

WORKSHEET

There are no fees for Withholding/Unemployment Insurance, or Use Tax registrations. State license fees are calculated per business location. To calculate the city license fees, use the listing of cities on page 4, Section I of this application. City fees are subject to change. Check for updates at www.azdor.gov.

AA: TOTAL City License Fees – To calculate the city fees, multiply No. of Locations in the city by the license fee and enter sum in Subtotal City License Fees. Then calculate and enter the sum of columns 1 + 2 + 3. If you have a location in Phoenix and the business is only under Class 213, Commercial Lease, there is no license fee due.

BB: TOTAL State License Fees – To calculate the state fees, multiply the No. of locations in the state by $12.

CC: TOTAL City Residential Rental License Fee –

USE THIS SECTION FOR CHANDLER, PHOENIX AND SCOTTSDALE ONLY. These cities WILL NOT use the larger fee chart. To calculate Residential Rental license fee, multiple the No. of units by the No. of locations by $2.00 ($50.00 Annual Cap per license). The amount for each city CANNOT EXCEED $50.00.

DD: TOTAL DUE – Add lines AA + BB + CC.

Please send your payment for this amount. Failure to include your payment with this application will result in a delay in processing your license. Licenses are not issued until all fees have been paid.

Make checks payable to the Arizona Department of Revenue. Be sure to return all pages of the application with your payment. Retain a copy of the application for your records.

DO NOT SEND CASH

Include your EIN or SSN on payment