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Fee Filing Submission

All fields are required.

Business Tax ID
(numbers only) 

AZ License ID
(numbers only) 

Office Street Address 

 Sample: 12345 N 7TH AVE STE 123

Office Specialty 

Authorized First Name 

Authorized Last Name 



  • If you encounter an error, click the "RESET" button to clear the page history and begin again.
  • Numeric values: Dashes, slashes, dollar signs and commas are assumed and not needed for entry.
  • Addresses: Common items should be abbreviated. For example, N (North), S (South), E (East), W (West), St (Street), Ste (Suite), 1st, 2nd, etc.
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