State Form 25341 - County Admissions Tax Return
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1Indiana Department of Revenue
I.C. 6-9-13-1
County Admissions Tax Return
CAT-103
Your FID# (Federal Identification Number)
State Form 25341
-
R1/ 5-05
Tax Period
(Month and Year)
County
Due Date
(Due before 15th of the month following collection.)
Name of Taxpayer
Address
City
State
Zip
A.
Enter total admissions for professional sporting events for
$
Month/Year
B.
Enter county admissions tax due
$
(6% of Line A)
C.
Total Amount Due
$
Please make check payable to the:
Indiana Department of Revenue
Payments must be made with U.S. funds.
Please do not include check stubs when mailing your payments.
Mail to: Indiana Department of Revenue
100 N Senate Ave IGCN 140
Indianapolis IN 46204
I declare under the penalty of perjury that this is a true, correct and complete return.
Signature/Title
Date
Phone
This Return Must Be Filed Even If No Tax Is Due
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Parent category: Financial