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Arizona has moved the individual income taxes deadline to May 17, 2021, without penalties and interest. The deadline for first quarter tax year 2021 individual estimated tax payments remains April 15, 2021.

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Transaction Privilege Tax Healthcare Exemption Certificate

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The purpose of the Certificate is to document tax-exempt transactions with qualified purchasers. It is to be filled out completely by the purchaser and furnished to the vendor. The vendor shall retain this Certificate along with a copy of the organization’s annual “Exemption Letter” for single transactions or for specified periods as indicated.

Form Number: 
5000HC
Category: 
TPT Forms
Form Year Form Published
Current PDF icon Download (267.7 KB) 12/04/2020
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Arizona Department of Revenue
(602) 255-3381
1600 West Monroe Street
Phoenix, AZ 85007
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