Form St-1-X - Amended Sales And Use Tax Return Information And Instructions - 2000 Page 4
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4ST-1-X Worksheet for Line 2
Amended tax period
_______________________________
IBT no.
_______________________________
Location
_______________________________
SIC
_______________________________
Column A
Column B
Most recent
Figures as they
1 Taxes collected from sales of the following:
figures filed
should have been filed
a General merchandise retail sales
1a ________________ ________________
b General merchandise service sales
1b ________________ ________________
c Food, drugs, and medical appliances retail sales
1c ________________ ________________
d Food, drugs, and medical appliances service sales
1d ________________ ________________
2 Add Items 1a through 1d. This is the total amount of taxes you collected. 2
________________ ________________
3 Resale
3
________________ ________________
4 Interstate commerce
4
________________ ________________
5 Cash refunds
5
________________ ________________
6 Newspapers and magazines
6
________________ ________________
7 State motor fuel tax rate. Multiply the rate times (x) the number of gallons and write the resulting tax amount in Column A
for originally reported gallons and Column B for corrected gallons.
Rate
Originally reported gallons
Corrected gallons
7a
x
_____________
_____________
= 7b ________________ ________________
Gasoline
19¢
7c
x
_____________
_____________
= 7d ________________ ________________
Gasohol
19¢
7e
x
_____________
_____________
= 7f ________________ ________________
Diesel
21.5¢
7g
x
_____________
_____________
= 7h ________________ ________________
Dieselhol
21.5¢
7i
x
_____________
_____________
= 7j ________________ ________________
Other special fuels 19¢
8 Gasohol exemption
8
________________ ________________
9 Sales of service. List the nontaxable portion from sales of the following:
a Repairs
9a ________________ ________________
b Prescriptions
9b ________________ ________________
c Other (identify) _______________________________________
9c ________________ ________________
10 Exempt organizations
10
________________ ________________
11 Food stamps
11
________________ ________________
12 Enterprise zone building materials and consumables or
high-impact business building materials
12
________________ ________________
13 Manufacturing machinery and equipment (including photoprocessing)
13
________________ ________________
14 Farm machinery and equipment
14
________________ ________________
15 Graphic arts, ethanol distillation, oil field, coal, and aggregate
15
________________ ________________
machinery and equipment
16 Other _________________________________________________
16a ________________ ________________
_________________________________________________
16b ________________ ________________
_________________________________________________
16c ________________ ________________
_________________________________________________
16d ________________ ________________
17 Add Items 3 through 16d. This is the total of your deductions.
17
________________ ________________
18 Add Items 2 and 17 and write this amount on Part 4, Line 2 on Form ST-1-X.
This is the sum of the total tax you collected, plus your total deductions.
18
________________ ________________
ST-1-X Instructions (R-12/00)
Page 4 of 4
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