Iowa Schedule of Consolidated Business Locations
page 2
Period
Due Date
Consolidated Permit Number: _________
From ________ To
__________
Legal Name: ________________________________________________
5%
LOCATIONS
PERMIT NUMBER
State Sales Tax
(not local option)
__________________________________
__________________________________
__________________________________
________________________
$
____________________
__________________________________
__________________________________
__________________________________
________________________
$
____________________
__________________________________
__________________________________
__________________________________
________________________
$
____________________
__________________________________
__________________________________
__________________________________
________________________
$
____________________
__________________________________
__________________________________
__________________________________
________________________
$
____________________
__________________________________
__________________________________
__________________________________
________________________
$
____________________
__________________________________
__________________________________
__________________________________
________________________
$
____________________
__________________________________
__________________________________
__________________________________
________________________
$
____________________
__________________________________
__________________________________
__________________________________
________________________
$
____________________
TOTAL 5% STATE SALES TAX
$ _____________________
Tax on goods consumed not assignable to a specific location
$ _____________________
30-060c (7/13/07)