SD EForm - 1781
V1
HELP
Complete and use the button at the end to print for mailing.
Telecommunications Gross Receipts Tax Application
Revised
South Dakota Department of Revenue and Regulation
05/03
445 E. Capitol Avenue | Pierre, SD 57501-3100 | 1-800-TAX-9188
Approved
Disapproved
FOR OFFICE USE ONLY
Comments:
O
w
n
r e
N
a
m
e
B
u
i s
e n
s s
N
a
m
e
t S
e r
t e
A
d
d
e r
s s
i C
y t
S
a t
e t
Z /
p i
C
o
e d
C
o
n
a t
t c
P
r e
o s
n
e T
e l
p
o h
e n
N
u
m
b
r e
S
o
u
h t
D
a
k
o
a t
S
l a
s e
T
x a
P
r e
m
t i
N
u
m
b
r e
- E
M
a
l i
Tax Information
The telecommunications gross receipts tax applies to wireless personal communications services, wireless local loop
services, enhanced special mobile radio services, fixed wireless services, and cellular services that provide two-way
communication. This is a 4% tax on the gross receipts on the retail sale of intrastate and interstate telecommunications
services if the customer’s place of primary use is located in South Dakota regardless of where the service actually
originates or terminates.
Telecommunication services do not include specialized mobile radio service, non-network two-way radio telephone
service, private mobile radio service, one-way cable television service, or two-way cable system subscriber interaction
that may be required for the selection of video or other programming services.
Description of Business:
I DECLARE under the penalties of perjury that I am authorized to sign this application on behalf of the above-named
organization and I have examined this application, including the accompanying statements, and to the best of my knowledge it
is true, correct, and complete.
r P
t n i
N
a
m
e
T
l e
p e
o h
e n
N
u
m
b
r e
i T
e l t
A
t u
o h
z i r
d e
S
g i
a n
u t
e r
D
a
e t
1.
PRINT FOR MAILING
CLEAR FORM