Form Txr-01.01 - Sales & Use Tax Return
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1
2NEVADA DEPARTMENT OF TAXATION
PERMIT NUMBER: 001-
COMBINED SALES
Please enter your 9 digit Permit
FOR DEPARTMENT USE ONLY
AND USE TAX RETURN
Number without dashes
Mail Original To:
STATE OF NEVADA-SALES/USE
PO BOX 7165
SAN FRANCISCO, CA 94120-7165
04/30
/04
MONTH
Return for
ending
Due on or before
IF POSTMARKED AFTER DUE DATE,
PENALTY AND INTEREST WILL APPLY
0
IF LATE, ENTER NUMBER OF MONTHS ___
If the name or address as shown is incorrect, if
ownership has changed, or if you are out of
business, notify a Department of Taxation District
Office immediately
A RETURN MUST BE FILED EVEN IF
NO TAX LIABILITY EXISTS
B. Amt subject
Enter Amts in County
x
+
-
=
=
of sales/use or delivery
A. Total Sales
C. Exemptions
D. Taxable Amt
E. Rates
F. Calculated Tax
to Use Tax
01 Churchill
0.00
0.00
7.000%
02 Clark
0.00
0.00
7.500%
03 Douglas
6.750%
0.00
0.00
04 Elko
6.500%
0.00
0.00
05 Esmeralda
6.500%
0.00
0.00
06 Eureka
6.500%
0.00
0.00
07 Humboldt
6.500%
0.00
0.00
08 Lander
6.750%
0.00
0.00
09 Lincoln
6.750%
0.00
0.00
10 Lyon
6.500%
0.00
0.00
11 Mineral
6.500%
0.00
0.00
12 Nye
6.750%
0.00
0.00
13 Carson City
7.000%
0.00
0.00
14 Pershing
6.500%
0.00
0.00
15 Storey
7.250%
0.00
0.00
16 Washoe
7.375%
0.00
0.00
17 White Pine
7.125%
0.00
0.00
TOTALS
0.00
18. Total Calculated Tax (Column F)
I hereby certify that this return including any accompanying
0.00
19. Enter Collection Allowance (
0.5%
or
0.005
of Line 18)
schedule and statements has been examined by me and to the
best of my knowledge and belief is a true, correct and
0.00
20. Net Taxes (Line 18 - Line 19)
complete return. THIS RETURN MUST BE SIGNED
0.00
21. Penalty (10% of Line 20)
Signature
0.00
22. Interest (1% of Line 20) for each month (full or part) late
Title
Phone Number
23. Plus Liabilities established by the Department
(
)
24. Minus Credits established by the Department
Date
Federal Tax ID or SSN
*
25. Total Amount Due and Payable
0.00
26. Total Amount Remitted with Return
MAKE CHECKS PAYABLE TO NEVADA
*
If you have Supplemental Taxes (Ocular, Trade In
DEPARTMENT OF TAXATION
Trade Down, etc.) please enter them here
*001043004000000*
SALES/USE TAX RETURN
TXR-01.01
Revised 12/09/15
DO NOT DETACH COUPON
STATE OF NEVADA SALES AND USE TAX COUPON
Permit Number: 001-
04/30
/04
Period Ending:
TOTAL AMOUNT DUE
STATE OF NEVADA SALES/USE
0.00
P.O. BOX 52609
PHOENIX AZ 85072-2609
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