South Dakota Delay In Sales/use Tax Form printable pdf download

Department of Revenue & Regulation

Delay in Sales/Use Tax

I. Applicant Information

1. Owner, Partner or Corporation Name _________________________________________________________________

2. Business Name ___________________________________________________________________________________

3. Address where forms are to be mailed: Street or box no. __________________________________________________

City__________________________

State ________ Zip Code _____________ County _____________________

4. Sales Tax License Number __________________________________________________________________________

Contractors’ Excise Tax License Number ______________________________________________________________

5. Federal Employer’s Identification (FEI) Number _________________________________________________________

6. Type of ownership:

Single owner

Partnership

Corporation - State of Incorporation ___________

Date of Incorporation ____________________________________________________________

If other than a S.D. corporation, date of registration with S.D. Secretary of State ________________________________

II. Business Location Where Equipment will be Installed

7. Address of business (if different from #3): Street or box number ____________________________________________

City__________________________

State ________ Zip Code _____________ County _____________________

8. Business telephone ________________________________________________________________________________

9. Name and number where person responsible for filing sales, use or contractors’ excise tax returns can be reached during

work day:

______________________________________________________________________________________

10. Location where the supporting documents will be kept ____________________________________________________

III. Project Description

11. Type of business

Manufacturing

Fabricating

Processing

12. Description of business _____________________________________________________________

13. Equipment description ______________________________________________________________________________

14. How is equipment used _____________________________________________________________________________

15. Date of equipment purchase _________________________________________________________________________

16. Cost of equipment _________________________________________________________________________________

17. Cost of equipment installation ________________________________________________________________________

18. Date of equipment installation ________________________________________________________________________

19. Name of company/person installing the equipment ________________________________________________________

Attach a copy of project documents to support estimated equipment costs.

RV 134 05/01

South Dakota Delay In Sales/use Tax Form