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Click ‘Get Form’ to open the az form 5005 PDF in the editor.
Begin by filling out the Contractor section. Enter the required fields: Name, TPT License Number, Address, City, State, ZIP Code, and Phone Number. Ensure all asterisked (*) items are completed for validity.
Next, move to the Subcontractor section. Again, complete the mandatory fields: Name, TPT License Number (write 'N/A - MRRA only' if applicable), Address, City, State, ZIP Code, and Phone Number.
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'.
Finally, complete the Signature section by entering your Signature, Printed Name, Title, and Date Signed. Remember that incomplete forms may be disregarded by the Arizona Department of Revenue.
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Contractors Certificate | Arizona Department of Revenue
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