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Form MOU Memorandum of Understanding

11156_f.pdf

Form Instructions

INSTRUCTIONS: ARIZONA MEMORANDUM OF UNDERSTANDING (Form 11156)

A Memorandum of Understanding is a statement filed by a payroll service company with the Arizona Department of Revenue stating they are authorized to receive confidential documentation related to tax issues, and to file returns and make payments. This Memorandum of Understanding can be obtained from the website of the Arizona Department of Revenue.

Arizona Memorandum Of Understanding 11156 Step 1: On the first blank line, enter the name of your payroll service company.

Arizona Memorandum Of Understanding 11156 Step 2: The next section has information about the state, which should be pre-completed.

Arizona Memorandum Of Understanding 11156 Step 3: The next section requires information about the payroll service company. On the first blank line, enter your company name.

Arizona Memorandum Of Understanding 11156 Step 4: On the second blank line, enter your employer identification number (EIN).

Arizona Memorandum Of Understanding 11156 Step 5: On the third blank line, enter your street address.

Arizona Memorandum Of Understanding 11156 Step 6: On the fourth blank line, enter your city, state and zip code.

Arizona Memorandum Of Understanding 11156 Step 7: On the fifth blank line, give the name of a contact person.

Arizona Memorandum Of Understanding 11156 Step 8: On the sixth blank line, give the contact person's phone number.

Arizona Memorandum Of Understanding 11156 Step 9: On the seventh blank line, give the contact person's fax number.

Arizona Memorandum Of Understanding 11156 Step 10: Paragraph A discusses the payroll service company's duties.

Arizona Memorandum Of Understanding 11156 Step 11: Paragraph B discusses confidentiality.

Arizona Memorandum Of Understanding 11156 Step 12: Paragraph C discusses security.

Arizona Memorandum Of Understanding 11156 Step 13: Paragraph D discusses termination of this form.

Arizona Memorandum Of Understanding 11156 Step 14: Paragraph E discusses amending this form.

Arizona Memorandum Of Understanding 11156 Step 15: A representative of the payroll service company should print their name on the first blank line at the bottom of the form.

Arizona Memorandum Of Understanding 11156 Step 16: On the second blank line, the representative should sign their name.

Arizona Memorandum Of Understanding 11156 Step 17: On the third blank line, the representative should enter their title.

Arizona Memorandum Of Understanding 11156 Step 18: On the fourth blank line, enter the representative should enter the date.

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