Form Fr-329 - Consumer Use Tax Return

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*013290310000*
*013290310000*
FR-329
2001
OFFICIAL USE
GOVERNMENT OF THE DISTRICT OF COLUMBIA
OFFICE OF TAX AND REVENUE
Consumer Use Tax Return
TAX YEAR beginning:
ending:
Date received
Name of Consumer/Purchaser/Lessee
Social Security Number
–
–
Street Address
Apt. No.
City
State
Zip Code
ENTER WHOLE DOLLAR AMOUNTS ONLY
TAX
Item
Amount Subject to Use Tax
1. Purchases/rentals taxable @ 5.75%
2. Purchases/rentals taxable @ 8%
3. Purchases/rentals taxable @ 10%
4. Total tax due (Add Lines 1,2 and 3)
5. Penalty 5% per month, or fraction of a month, of Line 4 amount (not to exceed 25%)
6. Interest: .0355921% per day of Line 4 amount
7. TOTAL AMOUNT DUE (Add Lines 4, 5 and 6)
OFFICIAL USE
Under penalties of the law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on all
information available to the preparer.
Signature
Telephone Number
Date
Signature of Preparer,
Address
Fed. Employer I.D. No., PTIN or SSN
Date
(if other than taxpayer)
Mail payment and Form FR-329 on or before April 15, 2002 to the Office of Tax and Revenue, 941 N. Capitol St., N.E.,
(sixth floor), Washington, D.C. 20002. Make check or money order payable to D.C. Treasurer. Enter your social security
number and “2001, FR-329” on your payment.
(SEE INSTRUCTIONS ON REVERSE SIDE OF THIS FORM)
DO NOT MAIL FORM FR-329
WITH YOUR
INDIVIDUAL INCOME TAX RETURN
SIGN THIS RETURN BEFORE MAILING
21

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