Arizona Property Management License Application

Property Management License Application
Property Management License Application
PROPERTY MANAGEMENT LICENSE APPLICATION
License and Registration
ARIZONA DEPARTMENT OF REVENUE
PO BOX 29032
Phoenix, AZ 85038-9032
Fax: 602-716-7990

IMPORTANT! Incomplete applications WILL NOT BE PROCESSED.
This form is used to license Property Management Companies (PMC) to file on behalf of property owners pursuant
to A.R.S § 42-5005(M). Licensure is required for the PMC to act in a fiduciary capacity as the agent of the property
owner in accordance with A.R.S § 42-6013. All required information is designated with an asterisk *.
For assistance, call Customer Care and Outreach: (602) 255-3381

SECTION A: Property Management Company (PMC) Business Information
1*	 Federal Employer Identification Number

or Social Security Number, required if sole proprietor with no employees

2*	 Legal Business Name

3*	 Type of Organization/Ownership – Tax exempt organizations must attach a copy of the Internal Revenue Service’s letter of determination.

 Individual/Sole Proprietorship
 Corporation

	
	

		

State of Inc.	

		

Date of Inc.	

MM D D Y Y Y Y

 Subchapter S Corporation
 Association
 Partnership
 Limited Liability Company

4*	 Business or “Doing Business As” Name or Trade Name

 Government
 Joint Venture
 Estate
 Receivership
 Trust
 Limited Liability Partnership

5*	 Business Phone No. (with area code)

6*	 Email Address (use this e-mail address to login or register on AZTaxes)

7*	 Mailing Address – number and street

City

8*	 Physical Location of Business

(Do not use PO Box, PMB or route numbers)

City

|

|

10*	County/Region
12*	Description of Business:

State

ZIP Code

|

|

13*	NAICS Code

PROPERTY MANAGEMENT COMPANY

531310

State

ZIP Code

|

|

9*	 City Region

ZZ - NOT APPLICABLE
11*	Date of PMC Registration in Arizona

MM D D Y Y Y Y

14*	Business Code

945

SECTION B: Identification of Owners, Partners, Corporate Officers Members/Managing Members
or Officials of this Employing Unit

If you need more space, attach Additional Owner, Partner, Corporate Officer(s) form available at www.azdor.gov. If the owner, partners, corporate officers or combination of
partners or corporate officers, members and/or managing members own more than 50% of or control another business in Arizona, attach a list of the businesses, percentages
owned and unemployment insurance account numbers or provide a Power of Attorney (Form 285) which must be filled out and signed by an authorized corporate officer.

Owner 3

Owner 2

Owner 1

*Social Security No.

*Title

*Last Name 	

First Name	

*Street Address
*ZIP Code

*County

*Phone Number (with area code) *Country

*Social Security No.

*Title

*Last Name 	

First Name	

*ZIP Code

*County

*Phone Number (with area code) *Country

*Social Security No.

*Title

*Last Name 	

First Name	

*County

*Phone Number (with area code) *Country

This Box for Agency Use Only.

ADOR 11348 (9/22)

Middle Intl.

	 |	|
*City
*State
* % Owned

*Street Address

DLN:	

Middle Intl.

	 |	|
*City
*State
* % Owned

*Street Address

*ZIP Code

Middle Intl.

	 |	|
*City
*State
* % Owned

	 Registration Number:	

	 Processed Date:	

	 Agent Name:	

ARIZONA DEPARTMENT OF REVENUE

GENERAL INSTRUCTIONS FOR
PROPERTY MANAGEMENT COMPANY REGISTRATION
Mail, fax, or email your application to:
Mailing Address
Arizona Department of Revenue
PO Box 29032
Phoenix, AZ 85038-9032

Customer Service
Center Locations
Phoenix Office
1600 W Monroe
Phoenix, AZ 85007
Tucson Office
400 W Congress
Tucson, AZ 85701
Phoenix and Tucson locations
8:00 a.m. – 5:00 p.m.
Monday through Friday
(Except legal Arizona state holidays)
Mesa Office
55 N Center
Mesa, AZ 85201
7:30 a.m. - 5:30 p.m.
Monday through Thursday
(Except legal Arizona state holidays)
(Closed on Friday)
To schedule an appointment
email [email protected]

Customer Service
Telephone Numbers
(602) 542-4576

(from area codes 520/928)
1-800-634-6494
WHO IS REQUIRED TO REGISTER:
For the taxable periods beginning from and after
December 31, 2017 all Property Management
Companies that act in a fiduciary capacity on behalf of
individual Property Owners MUST be registered with
the department to file and pay electronically.
IMPORTANT
•	 Incomplete registration forms will not be processed
•	 Required information is designated with an asterisk
(*).
ADOR 11348 (9/22)

Section A – Business Information
1.	 Provide your Federal Employer Identification No. (FEIN) or Social
Security No. (SSN) if you are a sole proprietor without employees.
Taxpayers are required to provide their taxpayer identification number
(TIN) on all returns and documents. A TIN is defined as the federal
employer identification number (EIN), or SSN depending upon how
income tax is reported. The EIN is required for all employers. A
penalty of $5 will be assessed by the Department of Revenue for each
document filed without a TIN.
2.	 Provide the Legal Business Name or owner or corporation as listed
in its articles of incorporation, or individual and spouse, or partners, or
organization owning or controlling the business.
3.	 Type of Organization/Ownership: Check as applicable. A corporation
must provide the state and date of incorporation.
4.	 Provide the Business Name, “Doing Business As” (DBA). DBA is
the name of a business other than the owner’s name or, in the case of
a corporation, a name that is different from the legal or true corporate
name as on file with the Secretary of State. If it is the same as the
Legal Business Name enter “same”.
5.	 Provide the Business Phone Number including the area code.
6.	 Provide the Email Address for the business. Use the same email
address as your username to register on AZTaxes.gov.
PREREQUISITE: This email address must already be registered to
an account on AZTaxes.gov.
7.	Provide the Mailing Address (number and street) where all
correspondence is to be sent. You may use your home address,
corporate headquarters, or accounting firm’s address, etc. if mailing
address differs for licenses (for instance withholding and
unemployment insurance), please send a cover letter with completed
application to explain.
8.	through 10. Provide the Physical Location, County/Region, and
Reporting City, if different than the Physical Location city of the
business. This cannot be a PO Box or Route Number. For example,
if the location for the listed address is listed in an adjacent city, such
as Scottsdale, but the location of the business is actually within
Phoenix.
11.	Provide a date on or after 1/1/2018 as the date the PMC registered
in Arizona to file electronic consolidated returns for the Property
Owners that act on behalf of.
12.	Description of Business is defaulted to Property Management
Company.
13.	North American Industries Classification System (NAICS)
Code(s) is the standard used by Federal statistical agencies in
classifying business establishment. NAICS is defaulted to Residential
Property Managers, 531310.
14.	Business Code is defaulted to 945.
Section B – Identification of Owners, Partners, Corporate Officers,
Members/Managing Members or Officials of this Employing Unit
Provide the full name, SSN and title of all Owners, Partners, Corporate
Officers, Members/Managing Members or Officials of the Employing
Unit. If the owner, partners, corporate officers or combination of partners
or corporate officers, members and/or managing members own more
than 50% of, or control another business in Arizona, attach a list of the
businesses, percentages owned and unemployment insurance account
numbers or provide a General Disclosure / Power of Attorney (Form 285)
which must be filled out and signed by an authorized corporate officer.