Form 72-010-01-8-1-000 - Sales Tax Return Form

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DIRECT 001
Mississippi
Form 72-010-01-8-1-000 (Rev. 8/02)
SL
Sales Tax Return
DO NOT STAPLE THIS RETURN
Instructions
Round to nearest dollar. Do not include pennies.
This form must be filed even though no tax is due.
See enclosed for detailed instructions.
Copies or reproductions of the official form are not acceptable.
Please insert the appropriate Tax Code for each Tax Category in the
Failure to submit your return on the original form may result in a
boxes provided. The Tax Codes are listed in the instructions.
penalty.
Your return cannot be processed without the Tax Code.
Due Date: Due 1st to 20th; delinquent after 20th. No discount
allowed and add penalty if delinquent.
Name
1a.
Tax Code for General Sales Tax Rate....................................
7 4
,
,
.
00
2a.
Gross Income or Sales...
Address
,
,
.
3a.
Deductions (From
00
Schedule on back).........
,
,
.
City
State
Zip
00
4a.
Taxable Gross Income...
%
7
5a.
Rate of Tax (From Table in instructions).............................................
Account Number If your Account Number is not on the label or no label is
,
,
.
present, enter your Account Number here.
6a.
Tax Calculated - To
00
Line 7 or Line 12.......
-
-
1b.
Tax Code (From Table in instructions)...................................
Month
Year
,
,
.
Filing Period:
Monthly
0
7
0 2
00
2b.
Gross Income or Sales...
,
,
.
3b.
Deductions (From
OR
00
Schedule on back).........
First Month
Last Month
Year
,
,
.
Quarterly
m m
m m
y y
00
4b.
Taxable Gross Income...
OR
to
Annual
5b.
Rate of Tax (From Table in instructions).............................................
You MUST use the filing period
,
,
.
6b.
Tax Calculated - To
Quarterly: 01 to 03, 04 to 06, 07 to 09, or 10 to 12
assigned by the Tax Comm.
00
Line 7 or Line 12.......
Only standard filing periods
Annual: 01 to 12
may be used. The periods are:
1c.
Tax Code (From Table in instructions)...................................
Change of Status
,
,
.
00
Address Change
Amended
Additional
Final Return -
2c.
Gross Income or Sales...
Make changes above
Return
Tax
Close Account
,
,
.
3c.
Deductions (From
00
Schedule on back).........
Tax Summary
,
,
.
(This Section Must be Completed)
00
4c.
Taxable Gross Income...
,
,
.
7.
Tax Due for Tax Codes 12, 13, 28,
00
5c.
Rate of Tax (From Table in instructions).............................................
56, 65, 73, 74, and 93
,
,
.
,
,
.
6c.
Tax Calculated - To
00
00
Line 7 or Line 12.......
8.
Excess Collections
,
,
.
00
9.
Balance (Line 7 plus Line 8)
1d.
Tax Code (From Table in instructions)...................................
,
,
.
10.
Discount (2% of Line 9,
00
,
,
.
Limited to $50.00 per Return)
00
2d.
Gross Income or Sales...
,
,
.
11.
Balance of Tax Due (Line 9
00
,
,
.
minus Line 10)
3d.
Deductions (From
00
Schedule on back)........
,
,
.
12.
Tax Due for Tax Codes 60, 61, 62,
00
64, 71, 72, 80, 85, 86 & 87
,
,
.
00
4d.
Taxable Gross Income...
,
,
.
13.
Total Tax Due (Line 11 plus
00
Line 12)
5d.
Rate of Tax (From Table in instructions).............................................
,
,
.
00
,
,
.
14.
Tax Credit (See Instructions)
6d.
Tax Calculated - To
00
Line 7 or Line 12.......
,
,
.
15.
Net Tax Due (Line 13 Minus
00
Line 14)
,
,
.
00
1e.
Tax Code (From Table in instructions)...................................
16.
Penalty ( See Instructions)
,
,
.
,
,
.
17.
Credit Adjustments (See
00
00
2e.
Gross Income or Sales...
Instructions)
,
,
.
,
,
.
3e.
Deductions (From
18.
Additional Assessments (See
00
00
Schedule on back).........
Instructions)
,
,
.
,
,
.
00
00
19.
Total Due
4e.
Taxable Gross Income...
5e.
Rate of Tax (From Table in instructions).............................................
I declare, under the penalties of perjury, that this return (including any
,
,
.
accompanying schedules) has been examined by me and to the best of my
6e.
Tax Calculated - To
00
knowledge and belief is a true, correct and complete return.
Line 7 or Line 12.......
Signature of Taxpayer or Agent
Mail Return To:
Mississippi Tax Commission
P. O. Box 960
Jackson, MS 39205
Date
Phone Number

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