original ustc form
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tax.utah.gov
62001
Utah State Tax Commission
210 N 1950 W • Salt Lake City, UT 84134-0400
TC-62S
Sales and Use Tax Return
Rev. 10/15
9998
Single Place of Business
Acct. #:
Start below this line. Enter your company name and address.
Period:
FROM (mmddyyyy)
TO (mmddyyyy)
Return Due Date:
(mmddyyyy)
Save postage & a check. File online at taxexpress.utah.gov
Check here if this is an AMENDED return. Enter
the correct TAX PERIOD (above) being amended.
Check here to STOP receiving PAPER FORMS.
Check here to close your account.
THIS RETURN MUST BE FILED, EVEN IF NO TAX IS DUE.
•
1. Total sales of goods and services
1
•
2. Exempt sales included in line 1
2
3. Taxable sales (line 1 minus line 2)
3
•
4. Goods purchased tax free and used by you
4
5. Total taxable amounts (line 3 plus line 4)
5
•
6. Adjustments (attach explanation showing figures)
6
•
7. Net taxable sales and purchases (line 5 plus or minus line 6)
7
8. Tax calculation
•
a. Non-food and prepared food sales
$
X
8a
(taxable sales)
(tax rate)
•
b. Grocery food sales
$
X
8b
(taxable sales)
(tax rate)
•
9. Total tax (line 8a plus line 8b)
9
•
10. Residential fuels included in line 7
$
X .0270
10
•
11. Total state and local taxes due (line 9 minus line 10)
11
12. Seller discount, for monthly filers only (line 11 x .0131)
12
13. Additional grocery food seller discount, for monthly filers only (line 8b x .0127)
13
•
14. NET TAX DUE (line 11 minus line 12, minus line 13)
14
Check here if payment is made by electronic
funds transfer for TAX TYPE CODE 0400.
I declare under the penalties provided by law that, to the best of my knowledge, this is a true and correct return.
USTC use only
Authorized Signature
Date
Telephone
Return the original form;
___________ 1D Barcode ___________
make a copy for your records.
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