TPT Exemption Certificate - General

This Certificate is prescribed by the Department of Revenue pursuant to A.R.S. § 42-5009. The purpose of the Certificate is to document and establish a basis for state and city tax deductions or exemptions. It is to be filled out completely by the purchaser and furnished to the vendor at the time of the sale. The vendor shall retain this Certificate for single transactions or for the specified period as indicated below. Incomplete Certificates are not considered to be accepted in good faith. Only one category of exemption may be claimed on a Certificate.

Vendors should retain copies of the Form 5000 for their files.   

Do not use Form 5000 to claim sale for resale. Use Form 5000A.

Form Number
Form Year Form Publish Date
Current Download 09/29/2021