Owner Information Input Form(not in use)

Additional Owner(s)

Yes

No

Is the home owned by a Trust, LLC or Corp?

Yes

No

Are all owners/managers of the LLC or Corp listed above?

Yes

No

N/A

Does the owner already have a TPT account with the Arizona Department of Revenue?

Yes

No

N/A

Click here if you would rather a paper check be mailed to your mailing address above

Mail a paper check

If YES for a PAPER CHECK, which mailing address should it be sent to?

Owner 1 mailing address

Owner 2 mailing address

LLC or Corp mailing address

Yes, I would rather have an ELECTRONIC FUNDS TRANSFER directly to my bank account (provided below)

Yes, Electronic Funds Transfer (EFT)

Is this account a Checking Or Savings

Checking

Savings

480-877-9814

Owner Information Input Form

Address of the property to be managed:
(If you have multiple properties, You can add them at the end of this form)

Owner Information:
(If you have multiple properties, You can add them at the end of this form)

Mailing Address (Owner 1)

Please fill out additional owner info if there are multiple owners.

Mailing Address (Owner 2)

LLC or Corp Mailing Address
(If different than Owner 1)

If no, then please contact Moxie Real Estate.

PAYMENT DISBURSEMENT METHOD

Electronic Funds Transfer Setup