Combined Excise Tax Return Form - Jan - Dec 2001 Page 4
ADVERTISEMENT
1
2
3
4
5Line 15 – Retailing (B&O)
I.D.
Amount
Line 47 - Power
I.D.
Amount
Bad Debts
0201
Bad Debts
4901
Cash & Trade Discounts
0202
Cash & Trade Discounts
4902
Interstate & Foreign Sales
0204
Interstate & Foreign Sales
4904
Motor Vehicle Fuel Tax
0205
Amounts Paid to Another for Services Jointly Provided
4939
Advances Reimbursements; Rtrns & Allowances
0207
Amounts Expend. to Improve Consumer’s Efficiency
4942
of Energy
No Local Activity
0208
Low Density/Wholesale Power Costs
4947
Casual Sales; Accommodation Sales
0213
Other (Explain):
4999
Tax in Gross
0214
TOTAL
Consignment Sales
0215
Artistic/Cultural Activities
0216
Line 48 - Gas Distribution; Telegraph
I.D.
Amount
Presc. Drugs Sold by Pub. Oper/Nonprofit Hospitals
0217
Bad Debts
2601
Other (Explain):
0299
Cash & Trade Discounts
2602
TOTAL
Interstate & Foreign Sales
2604
Not all deductions are allowable from both
Amounts Paid to Another for Services Jointly Provided
2639
Retailing (B&O Tax) and Retail Sales Tax.
Other (Explain):
2699
Line 16 - Retail Sales Tax
I.D.
Amount
TOTAL
Bad Debts
0101
Line 49 - Motor Transportation; Railroad…
I.D.
Amount
Cash & Trade Discounts
0102
Bad Debts
0801
Interstate & Foreign Sales
0104
Cash & Trade Discounts
0802
Tax in Gross
0114
Interstate & Foreign Sales
0804
Sales to U.S. Government
0118
Amounts Paid to Another for Services Jointly Provided
0839
Motor Vehicle Fuel Sales
0119
Other (Explain):
0899
Prescription Drugs/Hearing Aids/Lenses/etc
0121
TOTAL
Exempt Food Sales
0122
Line 50 - Urban Transportation; Vessels…
I.D.
Amount
Qualified Nonresident Sales
0123
Bad Debts
1201
Trade-in Allowance
0124
Cash & Trade Discounts
1202
Newspapers
0125
Interstate & Foreign Sales
1204
Certain Network Telephone Service
0126
1239
Amounts Paid to Another for Services Jointly Provided
Sales to Indians with Delivery on the Reservation
0128
Other (Explain):
1299
Sales of Feed to Fish Farmers
0129
TOTAL
Taxable Amount for Tax Paid at Source
0130
Line 51 - Other Public Service Business
I.D.
Amount
Returns & Allowances
0131
Bad Debts
1301
Sales to Nonprofit Organizations of Artistic/Cultural Art
0132
Objects for Displays
Cash & Trade Discounts
1302
Ride-Sharing Vans
0134
Interstate & Foreign Sales
1304
Purebred Livestock for Breeding
0135
Amounts Paid to Another for Services Jointly Provided
1339
Tax Deferral/Investment Certificate No._________ 0136
Other (Explain):
1399
Sale of Manufacturing Mach/Equip; Install Labor
0156
TOTAL
Direct Pay Permits
0170
Line 52 - Tobacco Products
I.D.
Amount
Other (Explain):
0199
Interstate & Foreign Sales
2004
TOTAL
Sales to U.S. Government
2018
Line 45 - Water Distribution
I.D.
Amount
Returned/Destroyed Goods
2043
Bad Debts
6001
Other (Explain):
2099
Cash & Trade Discounts
6002
Interstate & Foreign Sales
6004
TOTAL
Amounts Paid to Another for Services Jointly Provided
6039
Line 53 - Refuse Collection
I.D.
Amount
Amounts Received by Nonprofit Water Association
6040
6401
Bad Debts
for Capital Projects
Amounts Derived From Distribution of Water Through
6041
Sales to U.S. Government
6418
Irrigation Systems
Sales to Other Refuse/Solid Waste Collectors
6445
Conservation Expenditures
6057
Other (Explain):
6499
Reclaimed Water
6058
Other (Explain):
6099
TOTAL
TOTAL
Line 54 - Petroleum Tax
I.D.
Amount
Line 46 - Sewer Collection
I.D.
Amount
Petroleum Products Exported Out of State
5746
Bad Debts
6101
Other (Explain):
5799
Cash & Trade Discounts
6102
TOTAL
Amounts Paid to Another for Services Jointly Provided
6139
Line 55 - Hazardous Substance
I.D.
Amount
Other (Explain):
6199
Other (Explain):
6599
TOTAL
TOTAL
REV 40 2406 A01 (10-31-01)
4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial