Form 600 - Sales Tax Return - To'Nanees'Dizi
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1TC - FORM 600
TO'NANEES'DIZI LOCAL GOVERNMENT
TIN/SSN #
Sales Tax Return
Reporting Period
(Due 30 days after end of Quarter)
□
Calendar Year ______
Check Box is this an Amended Return
OFFICE USE
Mailing Address:
Taxpayer Name:
ONLY
Line
Business Description
Bus Class
Column 1
Column 2
Column 3
Gross Receipts
Tax Rate
Tax Amount
1
6%
2
6%
3
6%
4
6%
5
6%
6
6%
7
6%
8
6%
9
Subtotal (Lines 1 thru 8)
(=)
10
Total from TC-FORM 601 or 607 [Continuation Sheet]
(+)
11
Tax paid with extension request (TC-FORM 145 must be timely filed)
(-)
12
Balance Due (Lines 9,10 minus Line 11)
(=)
13
Interest (Attach Calculations)
(+)
14
Penalties (Attach Calculations)
(+)
15
Credit for tax already withheld or paid
(-)
16
Total Tax Due (Lines 12,13 and 14 minus Line 15)
(=)
For Payments under $10,000, make
Payments over $10,000, must be wire
check payable to the order of and mail to:
transferred to the following account
To'Nanees'Dizi Local Government - Tax Manger
TO'NANEES'DIZI LOCAL GOVERNMENT
Post Office Box 125
Account Number: ______________________
Tuba City, Arizona 86045
Wells Fargo Bank- Tuba City Branch
(928) 283-3289
Tuba City, Arizona 86045
□
Amount
Check Here if Payment
is made by wire transfer
$
I declare that the information contained in this document and any attachments
thereto is true and correct to the best of my knowledge and
belief pursuant to all Ordinance of the To'Nanees'Dizi Local Government Tax Code
and Navajo Nation laws and regulations
X
Date
Taxpayer or Duly Authorized Agent Signature
Print Name
Phone Number
A Signature is required to make this return valid. This return must be filed even if you have no taxes to report
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