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AZ.gov Arizona's Official Web Site
State of Arizona
Department of Revenue

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Collection Forms

Form NumberForm NameGet Form
10523Tax Clearance ApplicationDownload Form
10896Collection Information Statement - PersonalDownload Form
10896Collection Information Statement - Personal (Non-Fillable)Download Form
10847Collection Information Statement for BusinessDownload Form
10847Collection Information Statement for Business (Non-Fillable)Download Form
10153Individual Income Tax Installment Agreement RequestDownload Form
10834Statement of Exemption & 2017 IRS Levy Exemption ChartDownload Form
11005Offer-in-Compromise BookletDownload Form
11206Letter of Assumption ChecklistDownload Form
10895Collection Division Affidavit with NotaryDownload Form
10895ACollection Division Affidavit without NotaryDownload Form