SD EForm -
1934
V12
Complete and use the button at the end to print for mailing.
HELP
SALES AND USE TAX RETURN
Reporting Period
Return
Return Due
If your address changed, please update below:
Mailing Address:
Physical Address:
Out of business? Last day of business:
License #
Please send your license card in with your return.
TAXABLE
RATE
TAX DUE
GROSS
SALES TAX CALCULATIONS
1. Gross Sales
2. Use Taxable
3. Non-Taxable Sales
4. Special Jurisdiction Sales (Detail in City Section)
Subtotal (Line 1 plus Line 2 minus Lines 3 and 4)
$0.00
5.
Net State Sales Taxable beginning June 1, 2016
$0.00
$0.00
6.
x 4.5%
Net State Sales Taxable through May 31, 2016 (Line 5 minus Line 6)
$0.00
7.
x 4.0%
Total State Tax Due (Line 6 Tax Due plus Line 7 Tax Due)
$0.00
8.
City and Special Jurisdiction Tax Calculation Detail:
9.
Rate
Tax Due
Code
Taxable
City/Special Jurisdiction Name
10.
0.00
11.
0.00
12.
0.00
13.
0.00
14.
0.00
15.
0.00
16.
0.00
17.
0.00
18.
0.00
19.
0.00
20.
0.00
21.
$0.00
Total City/Special Jurisdiction Tax (Add lines 11 through 21)
22.
$0.00
Total Tax Due (Line 8 plus Line 22)
23.
24. Penalty/Interest
25. Adjustment (Previous Credit/Balance Due)
$0.00
26. Total Due (Line 23 plus Line 24 plus Line 25)
27. Amount Remitted
I declare under the penalties of perjury this return has been examined by me and to the best of my knowledge and belief is a true,
correct and complete return.
Date
Preparer
RV11STRTN 03/16
Date
Licensee
CLEAR FORM
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