INSTRUCTIONS: ARIZONA TRANSACTION PRIVILEGE TAX EXEMPTION CERTIFICATE (Form 5000)

Qualified Arizona purchasers must provide a vendor with a completed form 5000 in order not to pay sales and use tax. This document can be found on the website of the Arizona Department of Revenue.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 1: In the section where indicated, give the name and address of the purchaser. Give their vendor name.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 2: Indicate with a check mark whether this certificate concerns a single purchase or covers purchases made over an extended period of time. If the latter, give the starting and ending dates.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 3: Four types of transactions are listed below. You may only document one type of transaction per certificate. The first listed transaction is one with a business. You must enter your state privilege tax license number, tax license number, and a description of the nature of your business.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 4: The second listed transaction concerns those made with Native Americans and their businesses. You must provide their tribal business license number or tribal identification number, as well as their name.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 5: The third listed transaction concerns those made with a government unit or certain qualified health care institutions.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 6: The fourth listed transaction concerns those made with nonresidents. Provide all required identification information.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 7: 19 reasons are listed as the basis for a business exemption below this. If this is your type of transaction, check the box next to the statement describing the purchase.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 8: Reasons 20 through 23 concern exemptions related to purchase by governments, public schools or health care institutions.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 9: Reasons 24 and 24a concern transactions involving Native Americans.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 10: Reasons 25 and 26 concern transactions with non-residents.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 11: The purchaser should enter their name where indicated.

Arizona Transaction Privilege Tax Exemption Certificate 5000 Step 12: The purchaser should sign the form, and give their title and the date.