Form Lm 10 9801 - License/ Excise Monthly Return

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DELAWARE DIVISION OF REVENUE
L M
LICENSE/EXCISE MONTHLY RETURN - GAS USE TAX - FORM LM10 9801
ACCOUNT NUMBER
TAX PERIOD ENDING
DUE ON OR BE FORE
BUSINESS CODE GROUP DESCRIPTION
0054-01
0-000000000-000
01-31-07
02-20-07
704 PBL UTL GAS USE TAX
Reset
00540106000000000000001310702200700000000007040000000
Print Form
Check Here
BUSINESS NAME AND ADDRESS
If A Request
1. TOTAL AMOUNT OF GAS CONSUMED
CU FT.
For Change
$
00
Form Is
2. AMOUNT PAID FOR GAS MANUFACTURING
Being Filed
$
0
00
3. USE TAX, LINE 2 X 0.0200
$
00
4. AMOUNT PAID FOR GAS - OTHER
$
00
5. USE TAX, LINE 4 X 0.0425
0
$
00
6. BALANCE DUE
(ADD LINE 3 AND LINE 5)
0
MAKE ANY CHANGES ON THE REQUEST FOR CHANGE FORM. CHECK THE BOX IF YOU ARE FILING A CHANGE FORM.
Mail This Form With Remittance Payable To:
AUTHORIZED SIGNATURE
I declare under penalties of perjury, that this is a
DATE
TELEPHONE NUMBER
Delaware Division of Revenue
true, correct and complete return.
P.O. Box 2340, Wilmington, DE 19899-2340
For questions, call (302) 577-8780
If desired, provide an e-mail address where we may contact you regarding this return.
E-MAIL ADDRESS
CUT ALONG THIS LINE AND SEND THE ABOVE PORTION WITH ANY PAYMENT DUE
GROSS RECEIPTS TAX RETURN - MONTHLY
Complete the return above, sign, date and file by the due date. You may file all monthly or quarterly returns at the end of the year if no tax is
due on any of the returns.
To Update Your Contact/Business Information on File with Revenue:
Remit a License Request for Change form
To Change Tax Information You’ve Already Reported:
Remit an Amended return
SPECIFIC LINE INSTRUCTIONS
PLEASE NOTE: THE DIVISION OF REVENUE REQUIRES ROUNDING OF ALL AMOUNTS ON ALL GROSS RECEIPTS RETURNS.
Line 1.
Enter the amount of your total gas consumed from sales, rents, services, or commissions for the tax period.
Line 2.
Enter the total amount paid for gas manufacturing.
Line 3.
Multiply Line 2 by 0.0200.
Line 4.
Enter your total amount paid for gas, other than what was entered on Lines 1 and 2.
Line 5.
Multiply Line 4 by 0.0425.
Line 6.
Add Line 2 and Line 5. This is your total Balance Due for your Gas Use Tax. Please remit twith payment
.
If you have not already renewed this year’s business license, do it now to avoid a $200 penalty.
Go to
to renew your business license online!
SAMPLE COMPLETED RETURN
1. TOTAL AMOUNT OF GAS CONSUMED
$
210,000.00
2. AMOUNT PAID FOR GAS MANUFACTURING
$
60,000.00
3. LINE 2 X 0.0200
$
1200.00
4. AMOUNT PAID FOR GAS - OTHER
$
8,900.00
5. LINE 4 X 0.0425
$
378.00
6. BALANCE DUE (Add Line 3 and Line 5.)
$
1,578.00
Monthly Gross Receipts Tax Returns are due on or before the 20th day of the month following the end of the tax period.
MONTH END
DUE DATE
MONTH END
DUE DATE
MONTH END
DUE DATE
MONTH END
DUE DATE
01/31/2007
02/20/2007
04/30/2007
05/21/2007
07/31/2007
08/20/2007
10/31/2007
11/20/2007
02/28/2007
03/20/2007
05/31/2007
06/20/2007
08/31/2007
09/20/2007
11/30/2007
12/20/2007
03/31/2007
04/20/2007
06/30/2007
07/20/2007
09/30/2007
10/22/2007
12/31/2007
01/22/2008
For questions or to speak with a customer service representative, please call Revenue’s Gross Receipts Department at (302) 577-8780.
Forms
Renew Business License
File Online
Tax Tips

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