Glendale, AZ · Maricopa County
Self-Reporting Tax Form
Businesses use this form to report gross income and deductions for a Glendale tax period and provide business and taxpayer information.
What this form is
This form lets a business report gross income, deduction codes and amounts, and adjusted gross income for a month and year. It also requests business details, tax and license numbers, and taxpayer or paid preparer signatures. The form states that Glendale will provide notification of tax liability and any applicable license fees through an updated statement of account.
Who needs it
A business reporting gross income and deductions for a Glendale tax period can use this form to provide its business details and signed declaration.
How to submit it
Return it to Revenue Recovery at [email protected] or [email protected]; the form also lists Robert Birr at 623-930-2239.
About notarization
This document is signed without a notary; the taxpayer signs and dates the perjury declaration, and a paid preparer may also sign.
How to submit this form
- 1
Download The Form
Download the Self-Reporting Tax Form PDF.
- 2
Complete The Business Details
Enter the business legal name, DBA, address, business activity, state TPT number, and Glendale license number.
- 3
Report Income And Deductions
Enter the month and year, gross income, deduction codes and amounts, and adjusted gross income.
- 4
Gather Supporting Certificates
If applicable, provide fully executed exemption certificates to substantiate the deductions claimed.
- 5
Sign And Return The Form
Sign and date the declaration, then return the form to Revenue Recovery using an email listed on the form.
Frequently asked questions
- What information does the Self-Reporting Tax Form request?
- It requests business details, a tax period, gross income, deduction codes and amounts, adjusted gross income, and taxpayer and paid preparer information and signatures.
- Do I need a notary for the Self-Reporting Tax Form?
- No. The form has no notary block; the taxpayer signs and dates the perjury declaration, and a paid preparer may also sign.
- How do I submit the Self-Reporting Tax Form?
- Return it to Revenue Recovery at [email protected] or [email protected]. The form also lists Robert Birr at 623-930-2239.
Need something notarized?
This Self-Reporting Tax Form doesn’t need a notary — but if you have another Glendale form that does, a commissioned online notary can help.