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

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Arizona
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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
Arizona
Department of Revenue
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Arizona Department of Revenue
(602) 255-3381
1600 West Monroe Street
Phoenix, AZ 85007
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