
ADOR 10759 (1/15)
Do you have employees? Check yes if you employ individuals in the state of Arizona. If you do not have employees or only have immediate family members
who assist you during a special event or at a swap meet, check no.
Legal business name or Enter the individual’s and spouse’s name if Individual was selected for ownership type.
owner name Enter all partner’s names if Partnership was selected for ownership type. Additional owners may be listed on a separate sheet
and attached.
Enter the organization name owning or controlling the business if Corporation was selected for ownership type.
Business (or DBA) name Enter the name of the business/DBA (doing business as) name, if the same as legal business name, enter same. Commonly, the
business name is the name by which the public knows your business/company/shop. If you wish correspondence to be sent to a name
Location and Date of event/ Enter the address and date of the special event or swap meet. If you do not know the actual address of the event, enter the city/town
swap meet name in which the event will be held. The location is very important in determining whether an additional city/town license must be
obtained for those licensed by the state. Use the City or Town Licensed By The State chart below to determine if you must be licensed
through the state for the location in which your event occurs. For cities not listed, please contact the city directly. Also add the city fee
amount to the license fee which appears in the lower right corner of the front page.
Mailing address Enter mailing address where all correspondence is to be sent. You may elect to use your home address, corporate headquarters, or
Primary location of business Enter the street address for the primary location of the business. If you conduct most of your business at various special events or swap
meets throughout the state, you may wish to enter your resident location. Even if your mailing address is a PO Box, you must provide a
physical location. For example if you live in a rural community, your physical location may be the intersection of two roads, interstates, or
milepost marker.
Description of business Describe the major activity and principal product you manufacture or commodity sold or service performed. Your description of your business
is very important because it determines your sales tax rate and provides a basis for state economic forecasting.
security numbers of owners is provided in ARS § 42-1105.
Fees The state fee is $12 no matter how many special events you attend.
However, a separate city license fee is required for each city unless
you are currently licensed for the city in which an event will be held.
List the cities in which you will be doing business on the front of the
application form and total to determine the amount due.
CITY/TOWN CITY/TOWN CITY/TOWN
C
O
C
O
C
O
F
F
F
Ak-Chin (Pinal) PNA Pascua-Yaqui (Pima) PMN
Cocopah (Yuma) YMB Salt River Pima-Maricopa (Mar.) MAO
Colorado River (La Paz) LAC San Carlos Apache (Gila) GLP
Fort McDowell-Yavapi (Mar.) MAE San Carlos Apache (Graham) GRP
Fort Mojave (Mohave) MOF San Carlos Apache (Pinal) PNP
Fort Yuma-Quechan (Yuma) YMG San Juan Southern Paiute COQ
GilaRiver (Maricopa) MAH Tohono O’Odham (Maricopa) MAT
GilaRiver (Pinal) PNH Tohono O’Odham (Pima) PMT
Havasupai (Coconino) COI Tohono O’Odham (Pinal) PNT
Hopi (Coconino) COJ Tonto Apache (Gila) GLU
Hopi (Navajo) NAJ White Mtn Apache (Apache) APD
Hualapai (Coconino) COK White Mtn Apache (Gila) GLD
Hualapai (Mohave) MOK White Mtn Apache (Graham) GRD
Kaibab-Paiute (Coconino) COL White Mtn Apache (Navajo) NAD
Kaibab-Paiute (Mohave) MOL Yavapai Apache (Yavapai) YAW
Navajo (Apache) APM Yavapai Prescott (Yavapai) YAX
Navajo (Coconino) COM
Navajo (Navajo) NAM
Pascua-Yaqui (Maricopa) MAN
Sales Withholding NAICS code Business code PRG code
Cities
SAN LUIS SU 2.00
SHOW LOW SL 2.00
SIERRA VISTA SR 1.00
SNOWFLAKE SN 2.00
SOMERTON SO 2.00
SOUTH TUCSON ST 2.00
SPRINGERVILLE SV 5.00
ST. JOHNS SJ 2.00
STAR VALLEY SY 2.00
SUPERIOR SI 2.00
SURPRISE SP 10.00
TAYLOR TL 2.00
THATCHER TC 2.00
TOLLESON TN 2.00
TOMBSTONE TS 1.00
TUSAYAN TY 2.00
WELLTON WT 2.00
WICKENBURG WB 2.00
WILLCOX WC 1.00
WILLIAMS WL 2.00
WINKELMAN WM 2.00
WINSLOW WS 10.00
YOUNGTOWN YT 10.00
YUMA YM 2.00
BENSON BS 5.00
BISBEE BB 1.00
BUCKEYE BE 2.00
BULLHEAD CITY BH 2.00
CAMP VERDE CE 2.00
CAREFREE CA 10.00
CASA GRANDE CG 2.00
CAVE CREEK CK 20.00
CHINO VALLEY CV 2.00
CLARKDALE CD 2.00
CLIFTON CF 2.00
COLORADO CITY CC 2.00
COOLIDGE CL 2.00
COTTONWOOD CW 2.00
DEWEY/HUMBOLDT DH 2.00
DUNCAN DC 2.00
EAGAR EG 10.00
EL MIRAGE EM 15.00
ELOY EL 10.00
FLORENCE FL 2.00
FOUNTAIN HILLS FH 2.00
FREDONIA FD 10.00
GILA BEND GI 2.00
GILBERT GB 2.00
GLOBE GL 2.00
GOODYEAR GY 5.00
GUADALUPE GU 2.00
HAYDEN HY 5.00
HOLBROOK HB 1.00
HUACHUCA CITY HC 2.00
JEROME JO 2.00
KEARNY KN 2.00
KINGMAN KM 2.00
LAKE HAVASU LH 5.00
LITCHFIELD PARK LP 2.00
MAMMOTH MH 2.00
MARANA MA 5.00
MARICOPA MP 2.00
MIAMI MM 2.00
ORO VALLEY OR 12.00
PAGE PG 2.00
PARADISE VALLEY PV 2.00
PARKER PK 2.00
PATAGONIA PA 25.00
PAYSON PS 2.00
PIMA PM 2.00
PINETOP/LAKESIDE PP 2.00
PRESCOTT VALLEY PL 2.00
QUARTZSITE QZ 2.00
QUEEN CREEK QC 2.00
SAFFORD SF 2.00
SAHUARITA SA 5.00