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 & 2019 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 |