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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 96-0567
for the current year.
Form 96-0567 Insurance Settlement Certificate - Arizona
What Is Form 96-0567?
This is a legal form that was released by the Arizona Department of Transportation - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 96-0567?
A: Form 96-0567 is an Insurance Settlement Certificate used in Arizona.
Q: What is the purpose of Form 96-0567?
A: The purpose of Form 96-0567 is to report insurance settlements.
Q: Who needs to file Form 96-0567?
A: Individuals or businesses who receive insurance settlements in Arizona need to file Form 96-0567.
Q: When is Form 96-0567 due?
A: Form 96-0567 is due within 60 days of receiving the insurance settlement.
Q: Is there a fee to file Form 96-0567?
A: No, there is no fee to file Form 96-0567.
Q: What information is required on Form 96-0567?
A: Form 96-0567 requires information about the insurance settlement, including the amount received and the type of claim.
Q: What happens if I don't file Form 96-0567?
A: Failure to file Form 96-0567 may result in penalties imposed by the Arizona Department of Revenue.
Form Details:
- Released on September 1, 2008;
- The latest edition provided by the Arizona Department of Transportation;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form 96-0567 by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.
