If you have any questions, please contact us:
Agencies/Universities
Nick Buta (602) 716-6891 nbuta@azdor.gov
Cities/Towns/Special Districts
Darlene Teller (602) 716-6436 DTeller@azdor.gov
Community College Districts
Karshannon Gene (602) 716-6942 KGene@azdor.gov
Counties (Bonded Indebtedness Only)
Elaine Smith (602)716-6924 ESmith@azdor.gov
School District (Lease Purchases Only)
Nick Buta (602) 716-6891 nbuta@azdor.gov
Mail your completed forms to:
Arizona Department of Revenue
Office of Economic Research & Analysis
1600 W. Monroe, 9th Floor
Phoenix, AZ 85007
or FAX to (602) 716-7991
Note: It is recommended that you use Adobe Reader 5.0 or higher to use these forms. If you need to upgrade click below to obtain a free copy of the latest version.
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.