5005 - Arizona Department of Revenue-2026

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The Arizona Department of Revenue's Prime Contractor’s Certificate (Form 5005) is designed to validate tax exemption for subcontractors on specific projects, establishing the prime contractor's liability for transaction privilege tax. The form must be fully completed to be valid; otherwise, it may be disregarded by the Department. It includes sections for both prime contractors and subcontractors, requiring essential information such as names, addresses, and transaction privilege license numbers. The certificate can be issued for a single project or as a blanket certificate with specified exceptions and can have retroactive effects if signed within four years of project completion.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Prime Contractor section. Ensure you complete the required fields: NAME, TRANSACTION PRIVILEGE LICENSE #, and ADDRESS. Include your AZ Contractor License # and Telephone # for additional context.
Next, move to the Subcontractor section. Again, fill in the mandatory fields: NAME, TRANSACTION PRIVILEGE LICENSE #, and ADDRESS. Providing your AZ Contractor License # and Telephone # is also recommended.
In the Type of Certificate section, select either 'Single Project Certificate' or 'Blanket Certificate'. If you choose 'Single Project', provide a detailed PROJECT DESCRIPTION. For 'Blanket Certificate', specify the duration by checking either 'From: Through:' or 'Until revoked'.
Complete any specific exceptions if applicable, detailing any exclusions related to projects or time periods.
Finally, sign the form by filling in your SIGNATURE, PRINT NAME, TITLE, and DATE SIGNED fields. Ensure all required fields are completed to avoid invalidation.

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