Form Txr-02.01 - Consumer Use Tax Return

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NEVADA DEPARTMENT OF TAXATION
Certificate No.: _________________
CONSUMER USE TAX RETURN
For Department Use Only
Mail Original To:
IF POSTMARKED AFTER DUE
Nevada Department of Taxation
DATE, PENALTY AND INTEREST
1550 E. College Parkway
WILL APPLY
Suite 115
Carson City NV 89706
Due on or before:
Quarter ending: __________________
For
Enter Business Name & Address Below:
If the name or address as shown is incorrect, if the
ownership or business location has changed, or if
you are out of business, notify a Nevada
Department of Taxation District Office
immediately.
A RETURN MUST BE FILED EVEN IF NO TAX LIABILITY EXISTS
ENTER AMOUNTS IN
AMOUNT SUBJECT TO USE TAX
TAXABLE AMOUNT
CALCULATED TAX
COUNTY OF USE
TAX CALCULATION
COLUMN A
X COLUMN B
= COLUMN C
FORMULA
0.0700
or
7.00%
01 CHURCHILL
0.0725
or
7.25%
02 CLARK
0.0675
or
6.75%
03 DOUGLAS
0.0650
or
6.50%
04 ELKO
05 ESMERALDA
0.0650
or
6.50%
0.0650
or
6.50%
06 EUREKA
0.0650
or
6.50%
07 HUMBOLDT
0.0650
or
6.50%
08 LANDER
0.0675
or
6.75%
09 LINCOLN
10 LYON
0.0650
or
6.50%
0.0650
or
6.50%
11 MINERAL
0.0675
or
6.75%
12 NYE
0.0700
or
7.00%
13 CARSON CITY
0.0650
or
6.50%
14 PERSHING
0.0725
or
7.25%
15 STOREY
0.0725
or
7.25%
16 WASHOE
or
6.875%
0.06875
17 WHITE PINE
TOTALS
I HEREBY CERTIFY THAT THIS RETURN INCLUDING ANY ACCOMPANYING
18. TOTAL CALCULATED TAX (COLUMN C)
18.
SCHEDULE AND STATEMENTS HAS BEEN EXAMINED BY ME AND TO THE BEST
OF MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT AND COMPLETE
19. ENTER COLLECTION ALLOWANCE (1 1/4% OR .OI25 OF LINE 18)
19.
RETURN.
RETURN MUST BE SIGNED
20. NET TAXES (LINE 18 MINUS LINE 19)
20.
_______________________________________________________________
21.
21. PENALTY (10% (.10) OF LINE 20)
SIGNATURE OF TAXPAYER OR AUTH. AGENT
22. INTEREST (1% OR 1.5% OF LINE 20 FOR EA. MO. PAST DUE)-see instructions
22.
_______________________________________________________________
TITLE
PHONE NUMBER (WITH AREA CODE)
23. PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT
23.
24. LESS CREDIT(S) APPROVED BY THE DEPARTMENT
_______________________________________________________________
24.
FEDERAL TAX IDENT NO.
DATE
25. TOTAL AMOUNT DUE AND PAYABLE
25.
26. TOTAL AMOUNT REMITTED WITH RETURN
26.
MAKE CHECKS PAYABLE TO NEVADA DEPARTMENT OF TAXATION
CONSUMER USE TAX RETURN
TXR-02.01
Revised 5-15-01

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