Form 01-114 - Texas Sales And Use Tax Return
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1PRINT FORM
CLEAR FIELDS
01-114
DDDD
(Rev.2-08/36)
Instructions in English
TEXAS SALES AND USE TAX RETURN
b.
26100
SEE INSTRUCTIONS FORM 01-922
a.
Do not staple or paper clip.
Do not write in shaded areas.
Page 1 of
c. Taxpayer number
d. Filing period
e.
f. Due date
Blacken this box if your mailing
Taxpayer name and mailing address
address has changed. Show changes
g.
by the preprinted information.
1.
Blacken this box if you are no longer
in business. Write in the date you went
out of business.
2.
Blacken this box if one of your
locations is out of business or has
changed its address.
3.
You have certain rights
under Chapters 552 and 559, Government Code, to review, request, and correct
h.
i.
information we have on file about you. Contact us at the address or toll-free number listed on this form.
RETURN MUST BE FILED EVEN IF NO TAX IS DUE
l.
NO SALES -
1
If you had zero to report in Items 1, 2 and 3 for ALL locations
for this filing period, blacken this box, sign and date this return and mail it
to the Comptroller's office.
j. Are you taking credit to reduce taxes due on this
YES
NO
return for taxes you paid in error on your own
1
2
purchases?
PLEASE PRINT YOUR
(Blacken appropriate box)
NUMERALS LIKE THIS
k. Did you refund sales tax for items exported outside
YES
NO
the U.S. based on a Texas Licensed Customs
1
2
Broker Export Certificate?
6. Physical location (outlet) name and address
(Blacken appropriate box)
Outlet
(Do not use a P.O. box address.)
no.
If you answered yes to either question j or k, you must complete
Form 01-148 and submit it with your return.
1. TOTAL SALES
(Whole dollars only)
2. TAXABLE SALES
(Whole dollars only)
7. AMOUNT OF TAX DUE FOR THIS OUTLET
(Dollars and cents)
(Multiply "Amount subject to tax" by "TAX RATE" for state and local tax due)
3. TAXABLE PURCHASES
TAX RATES
(Whole dollars only)
4. Amount subject
7a.State tax
(include in Item 8a)
to state tax
=
X
0.062500
(Item 2 plus Item 3)
5. Amount subject to local tax
7b.Local tax
(include in Item 8b)
(Amount for city, transit,
county and SPD must
=
X
be equal.)
26180
STATE TAX - Column a
LOCAL TAX - Column b
8. Total tax due
(from all outlets or list supplements)
01-114
DDDD
_
(Rev.2-08/36)
9. Prepayment credit
=
10. Adjusted tax due
(Item 8 minus Item 9)
_
11. TIMELY FILING DISCOUNT
_
12. Prior payments
=
13. Net tax due
(Item 10 minus Items 11 & 12)
+
14. Penalty and interest
(See instructions)
15a. Total state amount due
15b. Total local amount due
15. TOTAL STATE AND LOCAL AMOUNT DUE
=
(Item 13 plus Item 14)
Mail to: COMPTROLLER OF PUBLIC ACCOUNTS
P.O. Box 149354
Austin, TX 78714-9354
T Code
Taxpayer number
Period
16. TOTAL
AMOUNT PAID
26020
(Total of Items
15a and 15b)
Taxpayer name
n.
I declare that the information in this document and any attachments is true and correct to the best of my knowledge.
Make check payable to:
Taxpayer or duly authorized agent
Date
Daytime phone (Area code & number)
STATE COMPTROLLER.
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