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Arizona: Arizona Form 5000 - Arizona Department of Revenue Transaction Privilege Tax Exemption Certificate
Please provide additional information required to generate the exemption forms:
Enter a valid start date for your certificate (ex. MM/DD/YYYY):
Enter a valid end date for your certificate (ex. MM/DD/YYYY):
Enter a tax identification number for one of the following:
Arizona Transaction Privilege Tax License
Federal Employer's Identification Number
Other Tax License Number
No Tax Identification Number
Sign Your Exemption Certificate.
By signing the certificate, I declare the information is true and accurate to the best of my knowledge and belief.
Move your mouse pointer inside the box, hold down the left mouse button and sign your name. Click "Clear" above to start over.
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