R0850T
4/18/2003
850
IDAHO SALES AND USE TAX RETURN
Mailing address change
Cancel permit
PERMIT NO.
FROM
TO
002566412
10/1/2005
10/32/2005
1. Total sales.......................................................•
TAX DUE ON OR BEFORE
2. Less nontaxable sales .....................................•
11/21/2005
3. Net taxable sales (line 1 minus line 2) ..........•
4. Items subject to use tax ..................................•
5. Total taxable (add lines 3 and 4) ...................•
JOHN Q TAXPAYER
6. Tax (5% of line 5) .........................................•
PO BOX 36
7. Adjustments (attach explanation) ..................•
BOISE ID 83722-0036
8. Tax due (total of lines 6 and 7) .....................•
9. Penalty (Add after due date) ..........................•
10. Interest (Add after due date) ..........................•
Mail to:
I do hereby swear or affirm that this information
11. Total due..........................................................
is true and correct to the best of my knowledge.
State Tax Commission
PO Box 76
Authorized Signature
Date
Boise, Idaho 83707
290500056 002566412 JOHN 08 1005 M 50 3
R0850T
4/18/2003
850
IDAHO SALES AND USE TAX RETURN
Mailing address change
Cancel permit
PERMIT NO.
FROM
TO
002566412
11/1/2005
11/30/2005
1. Total sales.......................................................•
2. Less nontaxable sales .....................................•
TAX DUE ON OR BEFORE
12/20/2005
3. Net taxable sales (line 1 minus line 2) ..........•
4. Items subject to use tax ..................................•
5. Total taxable (add lines 3 and 4) ...................•
JOHN Q TAXPAYER
6. Tax (5% of line 5) .........................................•
PO BOX 36
7. Adjustments (attach explanation) ..................•
BOISE ID 83722-0036
8. Tax due (total of lines 6 and 7) .....................•
9. Penalty (Add after due date) ..........................•
10. Interest (Add after due date) ..........................•
Mail to:
I do hereby swear or affirm that this information
11. Total due..........................................................
is true and correct to the best of my knowledge.
State Tax Commission
PO Box 76
Authorized Signature
Date
Boise, Idaho 83707
290500056 002566412 JOHN 08 1105 M 50 1
R0850T
4/18/2003
850
IDAHO SALES AND USE TAX RETURN
Mailing address change
Cancel permit
PERMIT NO.
FROM
TO
002566412
12/1/2005
12/31/2005
1. Total sales.......................................................•
TAX DUE ON OR BEFORE
2. Less nontaxable sales .....................................•
01/20/2006
3. Net taxable sales (line 1 minus line 2) ..........•
4. Items subject to use tax ..................................•
5. Total taxable (add lines 3 and 4) ...................•
JOHN Q TAXPAYER
6. Tax (5% of line 5) .........................................•
PO BOX 36
7. Adjustments (attach explanation) ..................•
BOISE ID 83722-0036
8. Tax due (total of lines 6 and 7) .....................•
9. Penalty (Add after due date) ..........................•
10. Interest (Add after due date) ..........................•
Mail to:
I do hereby swear or affirm that this information
11. Total due..........................................................
is true and correct to the best of my knowledge.
State Tax Commission
PO Box 76
Authorized Signature
Date
Boise, Idaho 83707
290500056 002566412 JOHN 08 1205 M 50 9
7