Arizona Form
Renter's Certificate of Property Taxes Paid
201
Example:
Instructions for Landlord
Landlord L owns a duplex. Landlord L had three
Notice to Landlord
tenants during 2011. During 2011 Landlord L
received $20,000 of rental income from these tenants.
If your tenant requests a Form 201, you must provide that
During 2011, each tenant paid the following amount
tenant with Form 201 to comply with Arizona law (A.R.S. §
of rent.
43-1072). You must complete and sign the Form 201 before
you give the form to your tenant.
Tenant A rented unit one for 8
$ 7,200
months
Part I Heading - (To be completed by the tenant)
Tenant B rented unit one for 4
$ 3,400
Use black ink only. Type or print your first name, middle
months
initial, and last name. Make sure you write your social
Tenant C rented unit two for the
security number (SSN) in the space provided.
$ 9,400
full year
Part II - (To be completed by the landlord or
Total rental income
$ 20,000
the designated agent)
Landlord L paid $2,120 in property taxes for 2011.
The landlord or the landlord's agent must complete Part II of
Landlord L figures the property tax factor as follows:
this form and furnish the form to the tenant. The tenant will
Landlord L divides the property taxes paid in 2011 by
need the information in Part II to claim the property tax credit.
the total rental income received in 2011.
Lines 1, 2, and 3 -
$ 2,120 =.106 = Factor
Use black ink only. Type or print your name, address, and
$20,000
ZIP code.
Lines 4, 5, and 6 -
Each tenant uses the same factor.
Type or print the business name. Also type or print the
Line 11 -
address of the rental property.
The owner, lessor, or manager of the rental property must
Line 7 -
sign and date the Form 201.
Check the box on line 7 if one or more of your tenants
Line 12 -
received a rent subsidy from federal, state, or local
Type or print the name signed on line 11. Also type or print
government.
the telephone number the department can use to verify
information on the form.
NOTE: Public housing operated by the city, county, state,
or qualified charitable institutions that do not pay property
Instructions for Tenant
taxes will report a property tax factor of zero on line 10.
)
Part III - (To be completed by the tenant
Add any rent (or property tax) paid by a government agency
(i.e., HUD, Arizona Department of Economic Security, etc.)
NOTE: Only one renter in each rental unit can claim the
to the rent received from the tenant to calculate the property
property tax credit. If you are filing a joint Arizona return,
tax factor.
enter your names (in the space provided above Part I) as
they appear on your return. Only enter the social security
For more information, see Arizona Department of Revenue
number of the person claiming the credit.
Income Tax Ruling ITR 94-6. To get a copy of this ruling,
Some qualifications to claim the Property Tax Credit are as
visit our web site at
follows:
Line 8 -
You paid rent.
Check the box on line 8 if the property was exempt from
You are 65 or older on December 3l, 2011, OR if you
property tax during 2011. If you check this box, tenants may
are under age 65, you are on SSI Title 16.
not claim the property tax credit on any form or schedule.
You do not live in public housing operated by the city,
Line 9 -
county, state, or qualified charitable institutions that do
Check the box on line 9 if you occupy any portion of the
not pay property taxes.
property you rent or lease to others.
Line 13 -
Line 10 -
Enter the total rents you paid for the taxable year. Do not
The landlord must provide a property tax factor to each
include any rent subsidies you received from federal, state,
tenant requesting a Form 201. Use the following formula to
or local governments.
calculate the factor.
Line 14 -
If property tax factor, line 10, is zero, you may not claim a
Total property tax paid on rental units = Property tax factor
property tax credit from this form.
Total rental income
Important: Keep one copy of this form for your tax
records.