Form Et-1 - Supplemental Local Sales And Use Tax Schedule - 2009

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Supplemental Local Sales and Use Tax Schedule
Account
Number:
________________________
Use whole dollars only
Use blue or black ink only
Report Period Ending: ________________________
Tax
Taxable Sales
Less: 2%
Local Cap
C. Type
D. & Purchases
G. Discount
H. Rebate
A. City & County
B. Code
E. Rate
F. Gross Tax Due
I. Net Tax Due
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
SALES
USE
TOTAL LOCAL TAX DUE (include in total on Line 33 of form ET-1)
Rev 03/2009
ET-1 (Schedule L)

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