ST-36
Part lll
Kansas Retailers' Sales
Tax Return
454103
(Rev. 7/03)
Business Name
Tax Account Number
EIN
Taxing Jurisdiction
(Column 1)
(Column 2)
(Column 3)
(Column 4)
(Column 5)
(Column 6)
(Column 7)
Name of
Code
Gross Sales
Merchandise
Part II (Non-Utility)
Net Sales
Combined
Net Tax
City/County
Consumed By You
Deductions
Tax Rate %
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8. Total Net Tax (Part lll).
Total Number of supplemental
.
pages included with this return.
9. Sum of additional Part lll supplemental pages.
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10. Total Tax (Add lines 8 and 9. Enter result here and on line 1, Part I).