INSTRUCTIONS: ARIZONA COLLECTION INFORMATION STATEMENT FOR BUSINESSES (Form 10847)

In Arizona cases when taxpayers are unable to pay their taxes, a form 10847 may be filed as part of collections proceedings. This document can be obtained from the website of the Arizona Department of Revenue.

Arizona Collection Information Statement For Businesses 10847 Step 1: Section 1 concerns your business. Provide all identifying information requested.

Arizona Collection Information Statement For Businesses 10847 Step 2: Section 2 concerns business personnel and contacts. Provide all information requested.

Arizona Collection Information Statement For Businesses 10847 Step 3: Section 3 concerns other financial information. Provide all identifying information requested.

Arizona Collection Information Statement For Businesses 10847 Step 4: Enter your business name at the top of the second page and all subsequent pages.

Arizona Collection Information Statement For Businesses 10847 Step 5: Section 4 concerns your business assets. Provide all information requested about your automobiles and real estate.

Arizona Collection Information Statement For Businesses 10847 Step 6: Section 4 continues on the third page. Provide all information requested about your business assets.

Arizona Collection Information Statement For Businesses 10847 Step 7: Section 5 concerns federal and other taxes owed. Provide all information requested.

Arizona Collection Information Statement For Businesses 10847 Step 8: Section 6 concerns investment, banking and cash information.

Arizona Collection Information Statement For Businesses 10847 Step 9: Section 6 continues on the fourth page. Provide all information requested about bank accounts, cash on hand and your available credit.

Arizona Collection Information Statement For Businesses 10847 Step 10: Section 7 concerns accounts and notes receivable. Provide all information requested.

Arizona Collection Information Statement For Businesses 10847 Step 11: Section 8 concerns your monthly income and expenses. Document these as instructed.

Arizona Collection Information Statement For Businesses 10847 Step 12: Section 9 contains an asset and liability analysis. Document your cash on hand, bank accounts, taxes owed and other assets and liabilities as directed.

Arizona Collection Information Statement For Businesses 10847 Step 13: Section 10 provides space for additional information or comments regarding your financial condition. Information that should be included in this section includes court proceedings, anticipated bankruptcies, transfers of assets for less than full value, changes in market conditions, and company participation in trusts, estates or profit-sharing plans.

Arizona Collection Information Statement For Businesses 10847 Step 14: Enter your signature and the date on the last page.