Form 720 V.i. - Gross Receipts Monthly Tax Return

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FORM 720 V.I.
(REV. 12/2003)
Gross Receipts Monthly Tax Return
Government of the U. S. Virgin Islands
BUREAU OF INTERNAL REVENUE
(Use for filing receipts of more than $120,000 per year.)
Employer Identification Number (EIN)
CURRENT MONTH
Please Print or
Type Clearly
-
200
Social Security Number (SSN)
Indicate Firm Type:
-
-
Accounting Method:
Sole Proprietor
Serial #
(FOR INTERNAL USE ONLY)
Partnership
CASH
Corporation
ACCRUAL
1.) GROSS RECEIPTS
1.
,
,
.
2.) (MINUS) EXEMPTION
(ex. Standard $5,000, Fishermen, EDC, lottery commissions,
affordable housing, reverse osmosis, etc.
2.
,
,
.
3.) PLEASE INDICATE REASON FOR
EXEMPTION TAKEN ON LINE 2 ABOVE
3.
,
,
.
(SEE REVERSE )
4.
4.) TAXABLE RECEIPTS
(line 1 minus line 2)
,
,
.
5.
5.) TAX DUE
multiply line 4 by the tax rate of 0.04 or 4%)
(
,
,
.
6.
6.) PENALTY
(if payment is late, multiply line 5 by .05 or 5% per month, but not to
,
,
.
exceed 25%)
7.
7.) INTEREST
(if payment is late, multiply line 5 by .01 or 1% per month)
,
,
.
8.
8.) (minus) CREDITS
(refunds, prior payments or withheld amounts)
,
,
.
9.) TOTAL AMOUNT DUE
9.
(add line 5, 6, 7 minus line 8)
,
,
.
Name
10.) Indicate Principal Business
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Activity Code:
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
D/B/A
(SEE REVERSE )
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
12.) Telephone Number
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
-
-
Mailing Address
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
PLEASE REMIT BY DUE DATE TO:
City
State
Zip Code
BUREAU OF INTERNAL REVENUE
ST. THOMAS, U.S.V.I. 00802
|___|___|___|___|___|___|___|___|___|___|___|___| |___|___| |___|___|___|___|___|
ST. CROIX, U.S.V.I. 00820
I DECLARE UNDER PENALTY OF PERJURY THAT THIS RETURN HAS BEEN EXAMINED BY ME AND TO THE BEST OF MY
KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT AND COMPLETE, PURSUANT TO TITLE 33 VIC SECTIONS 42 & 43.
Print Name: _____________________________________________________________ Title: ____________________________
(PRESIDENT, OWNER, ETC.)
Signature: _______________________________________________________________ Date: ___________________________

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