Form 31-089 Rf01b - Iowa Sales Tax Monthly Deposit - 2001 Page 3
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1
2
3Information Form
Check here to cancel
Use this form to report address and name changes, cancel your permit, change
your permit and enter the last
your filing frequency, or request information on Electronic Funds Transfer (EFT).
date of making taxable sales:
Permit number
Enter weekday phone number
______________________
Check here to change
Location name and address
Mailing name and address
your filing frequency. See
explanations on the back of
this form. Enter the filing
frequency you are changing
to and the effective date:
______________________
If different than above:
If different than above:
Check here if you want
Correct location name and address:
Correct mailing name and address:
information on paying tax
electronically (EFT filing).
Send this form to:
Registration Services
PO Box 10465
Des Moines IA 50306-0465.
WORKSHEETS
Keep this worksheet for your records. Write your permit
Keep this worksheet for your records. Write your permit
number and filing period here. ____________________
number and filing period here. ____________________
MONTHLY DEPOSIT WORKSHEET
MONTHLY DEPOSIT WORKSHEET
5% State Sales Tax:
1. $ ___________________
5% State Sales Tax:
1. $ ___________________
+
+
Local Option Tax:
2. $ ___________________
Local Option Tax:
2. $ ___________________
+
+
School Local Option Tax: 3. $ ___________________
School Local Option Tax: 3. $ ___________________
=
=
DEPOSIT AMOUNT
4. $ ___________________
DEPOSIT AMOUNT
4. $ ___________________
PENALTY
5. $ ___________________
PENALTY
5. $ ___________________
INTEREST
6. $ ___________________
INTEREST
6. $ ___________________
TOTAL AMOUNT DUE
7. $ ___________________
TOTAL AMOUNT DUE
7. $ ___________________
Keep this worksheet for your records. Write your permit number and filing period here. ______________________
QUARTERLY RETURN WORKSHEET
QUARTERLY EXEMPTIONS WORKSHEET
1 Gross Sales (quarter)
13 Interstate Commerce
2 Goods Consumed (quarter)
14 Govt Units/Educ Inst
3 Total (add lines 1 and 2)
15 Resale/Processing
4 Exemptions (from line 21) (quarter)
16 Farm Machinery/Equip
5 Taxable Amount (line 3 minus line 4)
17 Indust Mach, Equip, Comp
6a State Sales Tax (5% of line 5) (quarter)
18 New Construction
6b Total Local Option Sales Tax (quarter)
6c Total School Local Option Tax (quarter)
19 Exempt Food/Drugs
7 Total Tax (add lines 6a, 6b, and 6c)
20 Other:
8 Deposits and Overpayment Credits
Other:
9 Balance (line 7 minus line 8)
Other:
10 Penalty (if applicable)
21 Total Exemptions
11 Interest (if applicable, see instructions)
12 Total Amount Due (add lines 9-11)
31-089 rf01d (11/19/01)
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