Form TPT-1 Fillable TPT-1 Transaction Privilege, Use and Severance Tax Return

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Address Changed EIN SSN I TAXPAYER INFORMATION (CANCEL LICENSE) (Click to print form) Print Form (Click to select) Unchecked (Click to select: Yes) Unchecked (Click to select: Yes) Unchecked (Click to select: Yes) Unchecked (Enter MMDDYYYY digits only) (J) = (F I) (or exemption) are listed at right Some of the (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 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(text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 1 Total deductions from Schedule A 10 Penalty and interest + 11 TPT estimated payments to be used 12 13 Additional payment to be applied (for other periods) + 14 TOTAL AMOUNT REMITTED WITH THIS RETURN = 2 Total Tax Amount (from column H) 3 State excess tax collected + 4 Other excess tax collected + 5 Total Tax Liability: Add lines 2 3 and 4 = 6 Accounting Credit (from column J) 7 State excess tax accounting credit: Multiply line 3 by 01 + 8 Total Accounting Credit: Add lines 6 and 7 = 9 Net tax due line: Subtract line 8 from line 5 ACCOUNTING ACCOUNTING actual text of the statutory deduction exemption ADDRESS administrative guidance for each deduction code ADOR 10872 (9/13) ADOR 10872 (9/13)Please make check payable to Arizona Department of Revenue AIRCRAFT navigational and communication instruments sold to commercial airlines or foreign governments 508 Amended AMENDED RETURN ONLY AMOUNT any knowledge are provided on the Department s web site The Arizona Department of Revenue BAD DEBT deduction 558 BUSINESS BUSINESS BUSINESS Business Class reported The total of the amounts BUSINESS NAME CHEMICALS: SALES of chemicals used in certain businesses See ARS 42 5061(A)(39) 510 City Tax Code deduction provision) exists but is CLASS CLASS classification Several additional Deduction Codes as well as the statutory wording and any codes may be used for more than one business COMPUTER DATA CENTER EQUIPMENT sold to a qualified owner operator or qualified colocation tenant of CREDIT CREDIT RATE DEDUCTION DEDUCTION AMOUNT Deduction Amounts listed on page 1 (See page 4 Deduction Code 999 for a state deduction and DEDUCTION CODES Deduction Codes for itemizing deductions Deduction Detail DEDUCTIONS FOR SELLERS: (Purchasers are not allowed to claim TPT deductions) deductions on Form TPT 1 DESCRIPTION DOR USE DOR USE ONLY LABELED RETURN Final Return: FOOD for home consumption sold by qualifi ed retailer 506 FOOD items sold to a prison jail or other institution under control of DOC DPS or Sheriff s offi ce 514 FOOD purchased with food stamps from a qualifi ed retailer 513 FOOD sales to a school district or charter school by a RESTAURANT 562 For a listing of all Deduction Codes the relevant statutory text and any administrative guidance For assistance out of state or in the Phoenix area: (602) 255 2060 or FUEL: A retailer s SALES of vehicle fuel and aviation fuel See ARS 42 5061(A)(22) 515 FUEL: SALES of alternative fuels used to propel a motor vehicle 509 GENERAL DEDUCTIONS FOR SELLERS: CODE GROSS AMOUNT If a valid state statutory deduction (or Model II TRANSACTION DETAIL (If more reporting lines are necessary please attach continuation pages ) III TAX COMPUTATION INTERNET ACCESS: SALES of Internet access by a telecommunications business 517 INTERSTATE COMMERCE: Sales made in interstate commerce 504 itemized by category for each Region Code and JOB PRINTING: Actual postage and freight expenses separately stated on invoices 561 knowledge and belief it is true correct and complete Declaration of preparer (other than taxpayer) is based on all information of which preparer has LINE(A) LINE1 listed in Schedule A must equal the total of the LIVESTOCK AND POULTRY: Sales of feed salts vitamins and other additives to business 520 LIVESTOCK AND POULTRY: Sales of growth promotant implants/injectable medicines to business 516 LOTTERY TICKETS: A retailer s SALES of lottery tickets 521 M D D Y Y Y YM M&E; or transmission lines used directly in producing or transmitting electrical power 524 M&E; technology or related supplies sold to qualified persons (See ARS 42 5061 exemptions ) 525 M&E; used directly in manufacturing processing fabricating printing refining or metallurgical operations 522 M&E; used directly in mining operations 523 M&E; used in research and development 553 MACHINERY AND EQUIPMENT (M&E;) SALES of: MEDICAL EQUIPMENT including eyeglasses hearing aides DME prosthetic appliances 526 MEMBERSHIPS (Class 12 only): Health fitness or private recreational establishments; Monthly or longer 527 MOTOR VEHICLE (MV): Multipage MV and parts sold to a motor carrier subject to the Title 28 motor carrier fee who leases the vehicle 528 MV LEASE: First month s lease payment transferred to third party leasing company 556 MV sold at auction to a nonresident if delivered or shipped out of state 529 MV sold to a qualified Native American 530 MV sold to a qualifying nonresident (See ARS 42 5061 exemptions ) 531 MV: Manufacturer s cash rebate assigned by purchaser to dealer 501 NET TAXABLE AMOUNT not shown in the listed Deduction Codes use of the TPT 1 Instructions ) on the lines in Section II Column E must be One Time Only Return or exclusion is controlling for amounts taken as ORIGINAL REMITTED AMOUNT OTHER CITY deductions (use when specific deduction is not listed below) 888 OTHER STATE deductions (use when specific deduction is not listed below) 999 PAID PREPARER S SIGNATURE (OTHER THAN TAXPAYER) PC: 35% reduction (= Gross Receipts Statutory Deductions 35%) 502 PC: Development or impact fees paid to state or local government 560 PC: Income derived from direct costs of providing architectural / engineering services 557 PC: Land deduction (fair market value) 518 PC: Subcontracting income 550 PERIOD BEGINNING: PERIOD ENDING: PIPES OR VALVES 4 diameter or larger to transport oil natural/artificial gas water coal slurry 535 please go to www azdor gov/Forms/TPT aspx and click on TPT 1 Deduction Codes PO BOX 29010 PHOENIX AZ 85038 9010 POSTMARK DATE PRESCRIPTION DRUGS or prescribed medical oxygen including equipment 536 PRIME CONTRACTING (PC): RECEIVED DATE REGION REGION RESALE: Sales for resale 503 Return SCHEDULE A Schedule A: Deduction Detail Information SEEDS and other propagative material sold to COMMERCIAL AGRICULTURE businesses 537 SERVICES provided in connection with retail sales 549 SOLAR ENERGY DEVICES sold by a registered solar retailer or prime contractor 538 STATE LICENSE NUMBER: STATE ZIP Statewide toll free from area codes 520 and 928: (800) 843 7196 Subtotal TANGIBLE PERSONAL PROPERTY (TPP): TAX collected or factored 551 TAX RATE TAXPAYER IDENTIFICATION NUMBER: TAXPAYER S SIGNATURE DATE PAID PREPARER S EIN OR SSN TEXTBOOKS that are required by a state university or community college 505 the computer data center 565 The deduction amounts that have been listed Total amount due this period = Total Deductions TOTAL TAX AMOUNT TPP shipped or delivered directly to a destination outside the U S for use in that foreign country 540 TPP sold or rented to a QUALIFYING HEALTH CARE ORGANIZATION to be used for specifi ed purposes 545 TPP sold or rented to a QUALIFYING HOSPITAL 546 TPP sold or rented to an IRS 501(C)(3) ORGANIZATION that feeds the needy and indigent for free 544 TPP sold to a nonresident and shipped or delivered out of state by the seller for use outside of Arizona 541 TPP sold to a taxable PRIME CONTRACTOR or sub to be physically incorporated into a project or structure 552 TPT 1 return is due the 20th day of the month followingthe reporting period TRANSACTION DETAIL (ADDITIONAL TRANSACTIONS) Transaction Privilege Use and Severance Tax Return (TPT 1) LICENSE NO TRANSACTION PRIVILEGE USE ANDSEVERANCE TAX RETURN (TPT 1) U S GOVT: Other RETAIL sales directly to U S GOVT (TPT: 50% deduction; USE TAX: 100% deduction) 548 U S GOVT: Retail sales to manufacturer modifier assembler or repairer if end product sold to U S GOVT 543 U S GOVT: Retail sales to U S GOVT by a manufacturer modifier assembler or repairer (100% deduction) 547 Under penalties of perjury I declare that I have examined this return including accompanying schedules and statements and to the best of my use Code 888 for a city deduction WARRANTIES or service contracts 542 with a paraphrased description of the deduction

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