Business Tax Act / License And Tax Report Form - Thompson'S Station, Tn

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This application along with proper remittance must be
BUSINESS TAX ACT
received by this office on or before the dates applicable
FOR USE BY THE CITY ONLY
LICENSE AND TAX REPORT
to the classification in which the business is classified or
within 20 days after commencement of business, for a
new business, or pentalty and interest provided by
Date revieved
Thompson's Station, TN
Section 67-4 720, Tennessee Code Annotated will apply
Application for Business Tax License and Report As
Required by Section 67-4-715 Tennessee Code Annotated
Business Tax Reciept Number(s)
BUSINESS CLOSING
Classification Number
A FINAL REPORT MUST BE FILED
TAX PERIOD
TO
WITHIN 15 DAYS OF YOUR LAST DAY
Amount Received Minium Tax
OF BUSINESS TO AVOID PENALTY
AND INTEREST.
MAIL RETURNS AND REMITTANCES TO:
Town of Thompson’s Station
In case of fraudulent return, or where no return has been
c/o RDS Business Licenses
Business Tax
filed, where willful intent exists to defraud, a specific
PO Box 830725
penalty of the tax shall be assessed.
Birmingham, AL 35283
Penalty and Interest
For assistance please call 1-800-556-7274
A.
Firm Name
Owner
Mail Address
Account No.
City State Zip
Federal Employer ID (FEIN)
Physical Address
State Sales Tax Number
Business Class
City State Zip
Retail
Wholesale
Tax Period
Deliquent
Retail
Wholesale
Tax Period
Deliquent
Class 1A
0.001
0.000250
Jan 1-Dec 31
March 1
Class 2
0.001500
0.000375
Apr 1-Mar 31
June 1
TAX RATE TABLE
Class 1B & 1C
0.001
0.000375
Jan 1-Dec 31
March 1
Class 3
0.001875
0.000375
July 1-June 30
Sep 1
Class 1D- Fuel
0.0005
Class 4
0.001000
Oct 01-Sept 30
Dec 1
B. Type Business--Dominant Activity (primary product, vocation or occupation)
If this is a final report, state date business ceased to operate.
1.
Total Gross Sales for Tax Period (Less Sales Tax)……………………………………………………………………………………………………………………………………………………………
$
2.
Less: Deduction for Business Tax Purposes from Line 12, Schedule A……………………………………………………………………………………………………………………………………………………………
$
3.
Taxable Gross Sales or Services for Tax Period (Line 1 Less Line 2)………………………………………………………………………………………………………………………………………………….
$
-
a. Retail Sales
of Taxable Gross Sales……………………………………………………………………….
$
-
(If greater than 80% put 100% in Wholesale and 0% in Retail)
b. Wholesale Sales
of Taxable Gross Sales
(If less than 20% put 100% in Retail and 0% in Wholesale)
$
-
4.
Retail Rate of Tax
(Line 3a Multiplied by Rate)………………………………………………………………………………………………………………………………..
$
-
5.
Wholesale Rate of Tax
(Line 3b Multiplied by Rate)………………………………………………………………………………………………………………………………..
$
0.00
6.
a. Preliminary Gross Business Tax Due (line 4 plus 5)
……………………………………………………………………………………………
$
-
b. LESS:
)
$
Min. License Fee Pd. for last year's license (Former Lic. #
Limited to amount on line 6a
c. Business Tax Base Prior to Local/State Calculations - Line 6a - Line 6b (do not enter less than zero)……………………………………………..$
-
LOCAL
STATE
7. a. Local 66.67% of Line 6c…………………………………………………………………………………………………………………………
$
-
b. State Line 6c less 7a……………………………………………………………………………………………………………………………………………………………………………………………..
-
$
Allowable Credits:
8. Less: Personal Property Tax (Limited to Local Tax Amount - Line 7a)………………………………………………………………………………….
$
Personal Property Tax Date Paid.
Receipt #
9. a. Tax-Local - Lines 7a less Line 8 (do not enter less than zero); State - enter line 7b…………………………………………………………..
$
-
-
$
b. Calculate 15% state share of local tax
Line 9a (local) times 15%= 9b
$
-
c. Local & state tax liability. Local - Line 9a (local) less line 9b; State - Line 9a (state) plus line 9b………………………………………………….. $
-
-
$
Important: If this return is filed with the proper collecting agencies prior to the delinquency date shown above for the appropriate
business class, skip to line 12 below. If filed late, proceed to lines 9d thru 11 to calculate the proper penalty and interest to report.
d. Calculate percentage used to allocate penalty and interest. Divide line 9c (Local) by the Sum of
amounts (Local & State) Line 9c and enter as a percentage using the format of xx.xx%. Repeat
calculations dividing line 9c (state) by the Sum of Amounts (local & state) line 9c
10.
Penalty
(Rate = 5% for each 30 day period or portion thereof for which tax is delinquent (total penalty no to exceed 25%)
Calculate total penalty - apply rate to sum of amounts (local & state) Line 9c and enter results here (See instructions)
(Minimum penalty = $15)………………………………………………………………………
Penalty = $
a. Local - Multiply Penalty amount by percentage in line 9d (Local)……………………………………………………………………………
$
b. State - Multiply Penalty amount by percentage on line 9d (State)…………………………………………………………………………………………………………………………………………
$
11.
Interest (Rate x # of days delinquent divided by 365.25 x Line 9c)
$
$
[Computed daily from date delinquent until paid]
12.
Total Add Lines 9c, 10a, 10b & 11 (if applicable) from BOTH Local & State Columns………………………………………………………………….
$
-
-
....................................................................................................
$
13.
Collecting and Recording Fees ($5 per location for consolidated return)……………………………………………………………………………
$
14. Minimum Tax For Next Period Note: Minimum tax is due regardless of amount of credits claimed Line 8
$
($15 per location for consolidate return)………………………………………………………………………………………………………………..
15.
Penalty
$
Add 5% of Line 14 for each 30 day period or portion thereof for which tax is delinquent - Not to exceed 25%
16.
Interest (Rate x # of days delinquent divided by 365.25 x Line 14)……………………………………………………………..
$
17.
Total Minimum Tax and Business Tax
………………………………..
$
-
Sum of Amounts in Line 12, 13, 14, 15, 16 from Local & State Columns
Make Check for Amount in Line 17

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