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Arizona Form A1QRT Part 1 Name Arizona Quarterly Withholding Tax Return File no more than one original A1QRT per EIN per quarter. Taxpayer Information Employer Identification Number (EIN) Number and
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2017 Arizona A1 EIN QRT B1 B4 PREPARERS B3 B2 ADOR PTIN RCVD SSN AZ Computation Reorganization Amended depositors incurred Subtract Taxpayer payable Quarterly specify Predecessor penalties withheld leased FIRMS Taxpayers successor

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