Transaction Privilege Tax Return Form

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GILA RIVER INDIAN COMMUNITY
Office of the Treasurer
TRANSACTION PRIVILEGE
PO Box 2160
TAX RETURN
Sacaton, AZ 85147
(520) 562-9550
Tribal License No.
Month/Year
This return must be filed even if you had zero gross receipts.
Postmark Date
Receipt Date
(Tribal use only)
(Tribal use only)
Check if mailing address changed
Column 1
Column 2
Column 3
Column 4
Column 5
Activity
Business Description
Code
Gross
- Deductions
= Net Taxable
x Tax Rate
= Tax Amount
6.0%
Retail
001
2.5%
Tobacco
020
8.0%
Alcohol
002
1.5%
Telecommunication
005
6.0%
Advertising
006
6.0%
Amusements
007
12.0%
Hotel/Motel
008
6.0%
Parking
009
6.0%
Garaging or Storage
014
6.0%
Nonresidential Rental
010
6.0%
Nonresidential Contracting
011
6.0%
Restaurant & Bar
012
See reverse side for worksheet
Aviation & Jet Fuel
013
See reverse side for worksheet
Tobacco
003
6.0%
Utilities
015
Subtotal
Tribal Excess
Enter excess tribal tax collected
Plus (+)
997
Grand Total
Interest (see instructions)
Plus (+)
998
Penalty (see instructions)
Plus (+)
999
Enter Total Liability
Equal
Enter Credit Amounts to be Applied
Minus (-)
Enter Net Amount Due
Equal
Under penalties of perjury, I declare that I have examined this return, including any schedules and statements, and to the best of my knowledge and belief it is true, correct and complete.
Taxpayer's Signature
Taxpayer's Printed Name
Date
Make checks payable to:
GILA RIVER INDIAN COMMUNITY
Shaded Area For Tribal Use Only
Regular
Revised 01.01.2014
=
Net Amount Due
Less Tobacco Tax Amount
Less 50% of Alcohol Tax
Less 50% of Alcohol Tax
Difference

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