Arizona voters approved Proposition 207 (adult use marijuana) in the 2020 General Election. For more information, click here.

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Collections Forms

The Arizona Department of Revenue has services available to assist you in resolving your past due tax liabilities. Call us to see how we can help.

Category	Form Number	Title
Collections Forms	10523	Tax Clearance Application
Collections Forms	10834	Statement of Exemption & 2021 IRS Levy Exemption Chart
Collections Forms	10847	Collection Information Statement for Business
Collections Forms	10895	Collection Division Affidavit with Notary
Collections Forms	10895A	Collection Division Affidavit without Notary
Collections Forms	10896	Collection Information Statement - Personal
Collections Forms	11005	Offer-in-Compromise Booklet
Collections Forms	11206	Letter of Assumption
Collections Forms	140-IA	Individual Income Tax Installment Agreement Request
Other Forms	10523	Tax Clearance Application