Form Tpt-1 Sample - Transaction Privilege And Use Tax Return Page 5

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DUE DATE: The due date for the city privilege tax is the 20th of the month following the reporting
000XXXXXXXXXXX20XX
000XXXXXXXXXXX20XX
000XXXXXXXXXXX20XX
000XXXXXXXXXXX20XX
period. A return is considered timely if received by the last business day of the month. A business
day is any day except Friday, Saturday, Sunday, or legal city holiday.
License No.
License No.
License No.
License No.
XXXXXXX
XXXXXXX
XXXXXXX
XXXXXXX
Reporting Period
Reporting Period
Reporting Period
Reporting Period
month/year
month/year
month/year
month/year
PENALTIES: 1. Failure to File - A penalty of 5% of the tax due will be assessed for each month,
Due Date
Due Date
Due Date
Due Date
XX/20/XXXX
XX/20/XXXX
XX/20/XXXX
XX/20/XXXX
or fraction elapsing between the delinquency date of the return and the date on which it is filed.
Filing your return on time, whether or not you pay the tax due, will avoid the late filing penatly.
2. Failure to Pay - A penalty of 10% of the unpaid tax will be assessed if the tax is not paid timely.
3. Total Penalty - Total penalties assessed will not exceed 25%.
POSTMARKS ARE NOT EVIDENCE
POSTMARKS ARE NOT EVIDENCE
POSTMARKS ARE NOT EVIDENCE
POSTMARKS ARE NOT EVIDENCE
INTEREST: Mesa's interest rate is the same as the State rate and continues to accrue until taxes
OF TIMELY FILING.
OF TIMELY FILING.
OF TIMELY FILING.
OF TIMELY FILING.
are paid. This interest rate is subject to change on a quarterly basis as established by the I.R.S.
CHECK YOUR RETURN: Check the amounts recorded by type of income for each line item as follows.
* Itemized deductions equal the total deductions recorded.
* Taxable income equals gross income less total deductions.
* Tax due is equal to the amount obtained by applying the preprinted tax rate to the taxable income amount.
* Total tax due equals tax due plus any excess tax collected.
FOR ASSISTANCE, CALL: City of Mesa(480)644-2316 Fax:(480) 644-3999
SCHEDULE A - DETAILS OF DEDUCTIONS: Enter below the deductions and exclusions you used in computing your city transaction
privilege tax or use tax. You must keep a detailed record of all deductions and exclusions. Failure to maintain proper documentation
and records required by city ordinance may result in their dissallowance. A separate detail of city records and documentation must be
maintained only when the income, deductions or exemptions are different from state requirements.
Please note : Not all deductions are available to all business classifications.
NOTE: The line numbers at the top of each column below correspond with the line numbers of the business descriptions listed on the front page.
Bus. Class
Bus. Class
Bus. Class
Bus. Class
Bus. Class
Bus. Class
21
21
Code
LINE 1
LINE 2
LINE 3
LINE 4
LINE 5
LINE 6
1. Total tax collected or factored
22
22
64
(State, county and city)
2. Bad debts on which tax was paid
53
RETAIL & PERS. PROP. RENTALS
RETAIL & PERS. PROP. RENTALS
3. Sales for resale
54
63
4. Repair, service, or installation labor
52
5. Discounts and refunds
6. Sales to qualified health care org.
65
SALES TO U.S. GOVERNMENT
7. By retailer 50% deductible
75
8. By manufacturer and repairer
(100% deductible)
75
9. OUT-OF-STATE SALES
55
CONSTRUCTION CONTRACTING
10. 35% reduction of gross receipts
70
11. Exempt sub-contracting income
71
12. Out-of-City Contracting
62
OTHER DEDUCTIONS
13. Sales of motor vehicle and use fuel.
59
14. Sales of exempt machinery & equip.
76
15. Prescription drugs/prosthetics
58
16. Food for home consumption
77
17. Other (explain) _______________
78
18. Other (explain) _______________
79
19. Other (explain) _______________
80
20. Other (explain) _______________
81
23
Total Deductions
SCHEDULE B
24
Excess Tax Collected by Business Class
Allowable Credits by Business Class
25
Jet Fuel
________gals. X .03=__________ >>> transfer this amount to line 10 on front page.
(TPT-1) (Rev. 09-05)
(TPT-1) (Rev. 09-05)
(TPT-1) (Rev. 09-05)

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