Form St-141 - Individual Purchaser'S Periodic Report Of Sales And Use Tax (Page 2 of 3) in pdf

Page 2 of 3 ST-141 (6/11)

Part II — All other taxable items and services

List all other taxable items and services and taxable clothing and footwear not included in Part I on which no New York State or local tax was

collected from you at the time of purchase, or on which you owe additional local tax (see instructions). Attach additional sheets if necessary.

Note: Any unpaid sales or use tax on a motor vehicle, trailer, all-terrain vehicle, vessel, or snowmobile that must be registered or titled by the

New York State Department of Motor Vehicles is collected at the time of registration. Therefore, do not report or pay the sales or use tax on

these items on this form.

Purchase price

Combined

Tax

Tax paid to another

Tax due

state and local rate

taxing jurisdiction, if any

(see instructions)

(multiply column A

(subtract column D from column C;

(from Chart I;

by column B)

(see instructions)

do not enter less than zero)

see instructions)

2 Total

................................................ 2.

(add the Part II, column E amounts; do not enter less than zero)

3 Add lines 1 and 2; transfer this amount to the Computation of total sales or use tax due

section, line 1 on page 1 of this form ............................................................................................ 3.

Worksheet 2 — Nonbusiness-related purchases costing $1,000 or more each.

Use this worksheet for nonbusiness-related purchases where the item or service cost $1,000 or more each, excluding shipping and handling.

Attach additional sheets if necessary. If any item or service cost $25,000 or more each, excluding shipping and handling, you must also

complete Form IT-135, Sales and Use Tax Report for Purchases of Items and Services Costing $25,000 or More, and attach it to this form.

Note: Any unpaid sales or use tax on a motor vehicle, trailer, all-terrain vehicle, vessel or snowmobile that must be registered or titled by the

New York State Department of Motor Vehicles is collected at the time of registration. Therefore, do not report or pay the sales or use tax on

these items on this form.

Purchase price

Combined state

Tax

Tax paid to another

Tax due

and local rate

taxing jurisdiction, if any

(see instructions)

(multiply column A

(subtract column D from column C;

(from Chart I;

by column B)

(see instructions)

do not enter less than zero)

see instructions)

1 Total

(add the column E amounts; do not enter less than zero; transfer this amount to the Computation

................................................... 1.

of total sales or use tax due section, line 2 on page 1 of this form)

Worksheet 3 — Schedule C, C-EZ, and Schedule F taxable business purchases or Schedule E (Part I)

taxable royalty or rental real estate activity-related purchases.

Use this worksheet for nonbusiness-related purchases where the items or services cost less than $1,000 each, excluding shipping and handling.

However, the shipping and handling charges must be included in column A of Part I and Part II when computing your tax due. Therefore, the

total purchase price may exceed $110 (for the period January 1, 2011, through March 31, 2011), or $55 (on or after April 1, 2011) in column A of

Part I, and $1,000 in column A of Part II, when the shipping and handling charges are included.

Part I — Purchases of clothing and footwear eligible for exemption from New York State and some local sales and

use taxes.

For the period January 1, 2011, through March 31, 2011, purchases of clothing and footwear, excluding shipping and handling, costing less than

$110 are subject to the 4% New York State (NYS) sales and use tax, the d% tax in the Metropolitan Commuter Transportation District (MCTD) (if

applicable), and local sales tax in some localities. Use Chart 2 in the instructions to determine the appropriate tax rate to enter for your locality in

column B below on all purchases of clothing and footwear costing less than $110 per item if tax is due.

Starting April 1, 2011, purchases of clothing and footwear costing less than $55, excluding shipping and handling, are exempt from the 4% NYS

sales tax, the d% tax in the MCTD (if applicable), and some local taxes. If the locality where you reside chose not to provide the clothing and

footwear exemption, the local portion of the tax still applies.

Purchases in localities that elected to exempt purchases of qualifying clothing and footwear costing at least $55 but less than $110 from their local

sales tax are subject to the 4% NYS sales tax and the d% tax in the MCTD. Use Chart 3 in the instructions to determine the appropriate tax rate

to enter for your locality in column B below on all purchases of clothing and footwear starting April 1, 2011.

(continued)

Form St-141 - Individual Purchaser'S Periodic Report Of Sales And Use Tax Page 2

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