Form Rv-F1320901 - Business Tax Worksheet - Tennessee Department Of Revenue
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1TENNESSEE DEPARTMENT OF REVENUE
BUSINESS TAX WORKSHEET
(A separate worksheet must be completed for each business location)
Business Name:
County:
Location Address:
City:
Business Tax Classification
(check one)
FEIN/SSN:
1A
1B
1C
1D
2
3
4
Tax Year 1
Tax Year 2
Tax Year 3
Ending
/
/
Ending
/
/
Ending
/
/
Total Taxable Gross Sales
Less Allowable Deductions
(from line 17 below)
Net Sales Subject To Business Tax
Retail Sales
Wholesale Sales
(Retail and Wholesale Sales must total Net Sales Subject to Tax)
Credits
Personal Property Tax Paid County
Personal Property Tax Paid City
Allowable Deductions
Tax Year 1
Tax Year 2
Tax Year 3
1 Services performed in other states
1
2 Returned merchandise when sales price is refunded
2
3 Sales of goods delivered out of state
3
4 Cash discounts allowed and taken on sales
4
5 Repossessions
5
(Enter amounts of unpaid principal in excess of $500)
6 Amount allowed as trade-in value for any articles sold
6
7 Amounts paid by a contractor to a subcontractor
7
(Include names, addresses & amounts on separate worksheet)
8 Gasoline Tax Paid:
8
(a) Federal
(a)
(b) State
(b)
9 Motor Fuel Use Tax Paid
9
(a) Federal
(a)
(b) State
(b)
10 State Special Tax on Petroleum Products
10
11 Liquified Gas Tax for Motor Vehicle
11
12 Tobacco Tax on Cigarettes
12
(a) Federal
(a)
(b) State
(b)
13 Tobacco Tax on Other Tobacco Products
13
(a) Federal
(a)
(b) State
(b)
14 Beer Tax
14
(a) Federal
(a)
(b) State
(b)
15 Wholesale Tax
15
(17% of Wholesaler's cost per beer sold)
16 Other, including bad debts
16
(specify)
17
Total Deductions
This is not a tax return. This worksheet should be used by taxpayers voluntarily disclosing past business taxable activity or
taxpayers contacted by the department and instructed to disclose past business taxable activity.
RV-F1320901
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Parent category: Financial