Arizona Proof of Restricted Account From Depository or Financial Institution — Form 10 (also known as “Arizona Restricted Account Statement”) is a document issued by an Arizona financial institution or depository to verify that an account is held and used exclusively for an Arizona Restricted Account. It is used to document the funds held in the account, the account holder’s name, and other identifying information. The Arizona Proof of Restricted Account Form 10 can be used for any type of account, including savings, checking, certificate of deposit, money market, and brokerage accounts. There are two types of Arizona Proof of Restricted Account From Depository or Financial Institution — Form 10: Original and Amended. The Original Form 10 must be completed and submitted to the Arizona Department of Revenue within 30 days of the account being opened. The Amended Form 10 is used for changes to an existing account, such as the addition or removal of funds or a change in the account holder’s name.