Form St-103 - Sales Tax Vouchers And/or Electronic Funds Transfer Credit Recap - 2008

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Indiana Department of Revenue
Form ST−103(rps)
2008
Revised 8/07
Sales Tax Vouchers and/or Electronic Funds Transfer Credit Recap
This packet contains sales tax voucher(s) for payments by check or EFT recap report(s) for those who remit electronically. Also included is
a Change Form to report address changes in your business location or mailing address and a record keeping form. Your sales tax vouchers
are due on the date printed on your vouchers. (Electronic funds transfer credit recap reports are
ue on the twentieth or the thirtieth
d
day of the month following the close of the quarter depending on your filing frequency.) Make sure the information on this page is correct
and complete.
Payments must be made with U.S. funds.
Please do not include check stubs when
mailing your payments.
Report address changes on the Change Form. For
assistance, call (317)233−4015,
0800000067014
*990800000067014*
or visit:
TRUST REGISTRATION
2005 YEAR END ROAD
Taxpayer ID Number: 6100499916 902 8
INDIANAPOLIS, IN 46204
Filing Status:
MONTHLY
Corresp ID:
0800000067014
When a business location is closed, please complete form BC−100 and attach appropriate documentation. You may request a
BC−100 by calling (317)233−4015 or visit Do not print changes or corrections on the individual vouchers. Use the
Change Form to change your location or mailing address only.
If the taxpayer identification number listed on your vouchers is not correct, contact Tax Administration at (317)233−4015 or by e−mail
at:
A voucher must be filed by the taxpayer even when no tax is due unless the account has been closed. If not, an estimated return will be
filed by the Department based on the best information available (IC 6−8.1−10−3).
Due Date Notice
If the due date printed on your voucher falls on a weekend or legal holiday, the voucher is due on the next business day.
The U.S. Postal Service postmark date determines if a return is timely. Please be aware of your local postal service’s hours of mail
pickup. A payment made (postmarked) after the due date is subject to a penalty of 10 percent of the amount due, or $5, whichever is
greater, plus interest.
Taxpayer ID Number
Change Form
6100499916 902 8
6197
46206−6197
Mail to the Indiana Department of Revenue, P.O. Box
, Indianapolis, IN
(Please Print Clearly) This will change your Sales Tax Account only.
New Location Address
New Mailing Address
DBA Name
DBA Name
Address
Address
City
City
State
ZIP Code
State
ZIP Code
Federal ID#
County
Federal ID#
County
(
)
(
)
Telephone Number
Telephone Number
S
Signature
Title
Date

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