If you have any questions, please contact us:
Cities or Towns/Special Districts
Darlene Teller (602) 716-6436 - DTeller@azdor.gov
Community College Districts
Karshannon Gene (602) 716-6942 - KGene@azdor.gov
Counties (Both Forms)
School Districts (Bonded Indebtedness Form 10964 only)
Elaine Smith (602) 716-6924 - ESmith@azdor.gov
State Agencies and Universities (Both Forms)
School Districts (Lease Purchase Form 10968 only)
Nick Buta (602) 716-6891 - NButa@azdor.gov
Email completed forms to the staff assigned to your jurisdiction noted above OR fax to (602) 716-7991.
Alternatively, mail your completed forms to:
Arizona Department of Revenue
Office of Economic Research & Analysis
P.O. Box 29099
Phoenix, AZ 85038
Completed forms should be submitted to the department by Friday, September 20, 2013.
Note: Fillable forms are in PDF format and require Adobe Acrobat Reader 7.0 or higher for viewing.
To download Acrobat Reader, visit Adobe's web site. If you have the Acrobat Reader open, click "Help", then "Check for Updates".
You will not be able to "save" the completed form. You will need to print a copy of it. It is recommended that you print 2 copies so that you have one for your records; be sure to sign the other copy and mail it to the department.