Form Os-3105g - Business Gross Revenue Tax Quarterly Return Page 2
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4BUSINESS GROSS REVENUE TAX QUARTERLY RETURN
SCHEDULE OF GROSS INCOME BY ACTIVITY
SCHEDULE OS-3105A
I.3.
I.1.
I.4.
I.5.
I.2.
Gross revenue derived
Check ( ) if activity is
Activity Code
Specify activity if code is not listed
FOR OFFICIAL USE ONLY
final for this quarter
from each activity
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
$
TOTAL GROSS REVENUE. ENTER ON LINE J FOR THIS QUARTER
Business Activity
Business Activity
Business Activity
CODE
CODE
CODE
6000
Agricultural/Farming
6903
Financial Service (non-depository)
6904
Offshore Banking
6618
Other Retail Trades
6606
Florist
6701
Air (Tour, including Helicopter)
(not otherwise classified)
6700
Air Transportation (Airlines, etc.)
7510
Other Services (not otherwise classified)
6708
Freight & Trucking Services
7509
Funeral Homes/Funeral Services
7515
Air-conditioning repair, parts & service
6617
Pet, & Pet Supplies Stores
6607
Furniture Store
7400
Apartment
7900
Pawn Brokers
6702
Auto & Tire Repairs/Towing
6608
Gasoline Service Station
6613
Photo Shops/Photographic Services
6601
Auto Parts/Supplies & Services
6300
General Contractors/Construction
8000
Poker Machines
6600
Automobile Dealers
6609
General Merchandise/Department Stores
7001
Real Estate Sale/Lease
6610
Glass
6900
Banks & Financial Institution
7701
Restaurants & Snack Bars
7500
Beauty Salon & Barber Shop
8400
Golf Courses
6619
Roadside Vendors
7002
Sale of Leasehold Interest
8200
Government & Agencies (CNMI & USA)
6703
Bus and Limousine Service
7102
Secretarial/Other Business Services
6704
Car Rental (U - Drive)
6611
Grocery/Food Store
(Tax, Payroll, Data Processing, Audit, Actg.)
6500
Hardware
6905
Securities Dealers/Brokers
7200
Carpet/Upholstery Cleaning
7300
Child Care Services
7303
Health Provider Services
7511
Security Services
(Child Day Care Services)
7501
Cleaning Services/Maintenance
7401
Hotels and Motels
6705
Shipping Company
(Yard, Janitorial, Landscaping)
6614
Shoe Store
6602
Clothing
7402
House Rentals
6603
Coin Operated
6615
Sporting Goods
7600
Imports
Amusement / Vending Machines
6620
Sports, Recreation, Entertainment,
7201
Collection Agencies
6902
Insurance Brokers & Agents
Amusement
6001
Commercial Fishing
6612
Jewelry, Gift, Novelty and Souvenir Shop
6616
Stationary, Office and School Supplies
7403
Commercial Space Rental
7000
Land Lease
7512
Tailoring Shops/Seamstress
6604
Computer/Software
7503
Laundromats/Dry Cleaners
6706
Taxi
7502
Consulting
7101
Legal Services or Lawyers
6801
Telecommunications/Broadcasting
7103
Testing Laboratories
6621
LP Gas
6709
Courier or Package Delivery Services
7505
Tour Services
6901
Currency Remittance Services
7504
Maids & Farmers
(including scuba instruction & tour)
7301
Dental and Optical Clinics
7514
Manpower Services
7507
Travel Agent
7202
Document Handling/Notaries
7508
Massage Parlors
6200
Utilities (power, water, sewer)
7003
Video Rentals & Sales
7302
Drug and Pharmacy
7304
Medical & Diagnostic Laboratories
6707
Warehouses/Storage Facilities
6605
Electronic/Appliances Stores
7305
Medical & Health Services (Private Practice)
7506
Waste Disposal
Embroidery
6800
Newspaper/Publishing Industries
7513
7100
Engineering, Architectural & Surveying
8300
All Others Not Elsewhere Classified
7700
Night Clubs & Bars
7203
Exterminators & Pests Control
7800
Non-Profit Org. (Schools, Churches, etc.)
Form: OS-3105G (Rev. 4/2009)
NOTE: This revision is effective 1st Quarter 2009
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