Arkansas Excise Tax Return
ET-1 Form
12345678-SLS
ACCOUNT ID:
July 31, 2014
PERIOD ENDING:
LITTLE ROCK AR 72
DUE ON OR BEFORE: August 20, 2014
Check box and attach a detailed explanation and
Amended Return
supporting documentation for amending the return.
Use whole dollars only.
Use blue or black ink only.
Gross Receipts Tax
A. Taxable Sales
B. Rate
C. Gross Tax Due
D. 2% Discount
E. Tourism Credit
F. Net Tax Due
1. State Tax
6.500%
2.
Food Tax
1.500%
3.
Mfg. Utility Tax
1.625%
»»»»»»»»»»»»»»
4.
Aviation Tax
6.500%
»»»»»»»»»»»»»»
Vendor Use Tax
A. Taxable Sales
B. Rate
C. Net Tax Due
6.500%
5.
State Tax
»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»
1.500%
6.
Food Tax
»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»
1.625%
7.
Mfg. Utility Tax
»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»
6.500%
8.
Aviation Tax
»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»
Consumer Use Tax
A. Taxable Purchases
B. Rate
C. Gross Tax Due
D. Economic Dev Credit
E. Net Tax Due
6.500%
9.
State Tax
1.500%
10.
Food Tax
11.
Mfg. Utility Tax
1.625%
6.500%
12.
Aviation Tax
5.500%
13.
Mfg. Repair Tax
........................
I DECLARE THIS RETURN (INCLUDING ANY ACCOMPANYING SCHEDULES)
33. Total State Tax
(add Net Tax Due for lines 1 thru 13)
HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY KNOWLEDGE
AND BELIEF IS TRUE, CORRECT AND COMPLETE.
....
34.
Total Special & Alcoholic Beverage Taxes
(from line 25)
SIGN
HERE
35.
.................................................
Total Local Tax
(from line 32)
Owner, Partner or Corporate Officer
PRINT
......................................
36.
Total Tax Due
(add lines 33, 34, and 35)
HERE
Contact Person
.............................................
37.
Less Prepayments
(if required)
.......................
38.
Net Tax Due
(enter this amount on the voucher below)
Date
Phone Number
Do Not Remove Voucher.
Department of Finance & Administration
Taxpayer Name:
Payment Voucher
Make your check payable to “Department of Finance &
Administration”. Write your Account ID on the check. Please
Account ID:
12
-SLS
mail return and voucher with payment to the address
below:
Period Ending:
July 31, 2014
DEPARTMENT OF FINANCE &
Amount Paid:
ADMINISTRATION
P.O. BOX 3861
$
LITTLE ROCK, AR 72203-3861
SLSACC12345678SLS07312014RTNPYM00000000000000000000000