Skip to main content

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

Customer Notice: Due to COVID-19, ADOR's in-person lobby services are by appointment only and in compliance with local municipal and county face covering policies.

 

taxes
Arizona
Department of Revenue
    • Home
    • Business
    • E-File Services
    • Forms
    • News & Notices
    • Reports, Statistics and Legal Research
    • Tax Credits
    • Transaction Privilege Tax (TPT)
    • View My 1099-G
    • Unclaimed Property
    • Contact Us
  • Home
  • Business
  • E-File Services
  • Forms
  • News & Notices
  • Reports, Statistics and Legal Research
  • Tax Credits
  • Transaction Privilege Tax (TPT)
  • View My 1099-G
  • Unclaimed Property
  • Contact Us
  • About
  • Contact Us
  • Site Map
  • Subscribe
  • facebook
  • twitter
  • linkedin
  • Home
  • Forms
  • Unclaimed Property Forms
  • Holder Reimbursement Request Form
  • Forms
    • TPT Forms
    • Bingo Forms
    • Collections Forms
    • Corporate Tax Forms
    • Tax Credits Forms
    • Estate Tax Forms
    • Fiduciary Forms
    • Exempt Organization Forms
    • Individual
    • Other Forms
    • License Compliance Forms
    • Liquor Forms
    • Partnership Forms
    • Power of Attorney (POA) / Disclosure Forms
    • Property Tax Forms
    • Tobacco Forms
    • Unclaimed Property Forms
    • Withholding Forms
    • GPLET Forms
    • Payment Vouchers
    • Forms Technical Information
    • Approved Tax Software Vendors
    • Booklet X
    • Information for Tax Preparers
    • Corporate Income Tax Highlights
    • Exempt Organization Tax Highlights
    • Individual Income Tax Highlights
    • Partnership Highlights
    • Withholding Highlights

Holder Reimbursement Request Form

After a report is submitted, a holder may choose to repay the owner directly or may determine that items within the report were filed in error. In these cases, the holder may seek reimbursement by submitting the Holder Request for Reimbursement form (Arizona Form 670) along with the required documentation substantiating the repayment or error. Please use the current version, 670 revised 09/09. All other forms are obsolete and will not be accepted.

Form Number: 
670
Category: 
Unclaimed Property Forms
Form Year Form Instructions Published
Current PDF icon Download (200.98 KB) PDF icon Download (141.72 KB) 09/01/2009
Arizona
Department of Revenue
  • Contact Us
    • Report an AZTaxes Issue
    • Report a Web Issue
    • FAQs
    • Locations and Services
    • Mailing Addresses
    • Customer Satisfaction Surveys
    • Report Tax Fraud
Arizona Department of Revenue
(602) 255-3381
1600 West Monroe Street
Phoenix, AZ 85007
  • facebook
  • twitter
  • linkedin
  • Subscribe for Updates
  • Site Map
    • Forms
    • Where's My Refund?
    • AZTaxes.gov
  • News & Notices
  • Report Tax Fraud
  • Privacy
  • Accessibility
  • Careers