Form 72-300-01-5-1-000 - Distribution Of Sales Tax By Cities Number - Mississippi

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Mississippi
Form 72-300-01-5-1-000 (Rev. 7/01)
MS
Distribution of Sales Tax by Cities Number
723000151000
IMPORTANT: Photocopies or hand completions of this form are NOT acceptable.
AC
C1
C9
C17
T1
T9
T17
PM
C2
C10
C18
T2
T10
T18
PO
C3
C11
C19
T3
T11
T19
C4
C12
C20
T4
T12
T20
C5
C13
C21
T5
T13
T21
AM
C6
C14
T6
T14
T22
C7
C15
T7
T15
C8
C16
T8
T16
For Computer Use Only - Do Not Write Above This Line
Instructions
Due Date
Round to nearest dollar. Do not include pennies.
Due 1st to 20th; delinquent after 20th. Add penalty if delinquent.
This return must be filed, even if no tax is due.
Filing Period
Month
Year
Name
MONTHLY
Address
First Month
Last Month
Year
QUARTERLY
OR
ANNUAL
thru
City
State
Zip
Zip
Account Number
You MUST use the filing period assigned by the Tax
Commission. Only standard filing periods may be used.
The periods are:
Quarterly: 01 to 03, 04 to 06, 07 to 09, or 10 to 12
Change of Status
Annual: 01 to 12
Amended
Report
(Column 1)
(Column 2)
(Column 3)
City Number
Total Sales Tax Inside the City
Name of City (See Instructions)
(See Reverse)
(Column 1)Column
Total.............................................................................................

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