Form Mt-520-I - Waste Tire Fee Report

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STATE OF ARKANSAS
REVENUE DIVISION
Department of Finance
Miscellaneous Tax Section
P. O. Box 896 - Room 2240
and Administration
th
1816 W. 7
St.
Little Rock, Arkansas 72203
Phone: 501-682-7189
FAX:
501-682-3699
To: Waste Tire Permit Holder
RE: Instructions to complete Waste Tire Reporting Form.
Line 1 Enter the number of tires sold under the Items column. Enter the number of tires under Column A through C.
Reminder: Column A is the total of all Automobile and Big truck tires sold.
Line 2 Waste tire fee rates – NO ENTRY REQUIRED
Line 3 Multiply Line 2 by Line 1 and enter the results on Line 3.
Line 4 Under the Items column, enter the number of months this report is late, multiply by 5%, and enter the total penalty rate.
Multiply the total penalty rate by the amounts shown on Line 3 and enter the results on Line 4, Columns A-C.
Line 5 Under the Items column, enter the number of months this report is late, multiply by .833%, and enter the total interest rate.
Multiply the total interest rate by the amounts shown on Line 3 and entered the results on Line 5, Columns A-C.
Line 6 Add amounts on Lines 3 through 5, Columns A-C and enter the results on Line 6, Columns A-C.
Line 7 Add amounts on Line 6 for all columns and enter the results on Line 7.
th
Due Date: The MT-520 Waste Tire Fee Report form and remittance are due by the 20
day of the month following the report month.
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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Report Month/Year:
State of
Cert. #
County:
District:
Class
Arkansas
Code
th
5757
Waste
Due by the 20
day following the report
Name:
month/year.
Tire Fee
Address:
A
B
C
Auto + Big truck
Big truck
Imported
tires
tires
Waste Tires
Items
1.
Number of taxable new tires sold
_____ Automobile tires _____ Big truck tires ____ Imported waste tires for disposal
2.
$1.00
Rates
$1.90
$2.85
$
$
$
3.
Amount due (Multiply Line 1 by Line 2 for each column)
4.
Penalty: Number of months late ______ X .05 = ______ X Line 3 of each column.
$
$
$
$
$
$
5.
Interest: Number of months late _____ X .00833 = ______ X Line 3 of each column.
$
$
$
6.
SUBTOTAL AMOUNTS DUE (Sum of Lines 3+4+5 for each column)
TOTAL AMOUNT DUE:
$
7.
(Sum of Line 6. Column Subtotal Amounts Due)
I declare under penalty of filing a false return that the above information is true and correct.
Signature:
Date:
Check #:
Check Date:
Remit with payment to: Miscellaneous Tax Section
Instructions copy
P.O. Box 896, 1816 West Seventh Street, Room 2240, Little Rock, AR 72203 (501-682-7187)
Should you have questions on how to complete this form, please contact our office.
MT-520-I Waste Tire Fee Report Instructions
(Revised 5/2008)

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