Form Tc-71s - Sales And Use Tax Return - 2002
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Utah State Tax Commission
TC-71S
Sales and Use Tax Return
Rev. 6/02
For state and local sales and use taxes; single place of business.
Tax Period
Tax Commission records show
retail sales are made in the
city/unincorporated county of:
Return due on or before
Start below this line. Enter your company name and address.
Account Number
Use this number for all
references
Check box if AMENDED and enter correct
TAX PERIOD (above) being amended.
mm
dd
yy
THIS RETURN MUST BE FILED, EVEN IF NO TAX IS DUE
CLOSE
To
your account, enter your last day of business:
1.
1
$
Total sales of goods and services
2. Exempt sales included in line 1
2
3.
Taxable sales (line 1 minus line 2)
3
Goods purchased tax free and used by you
4.
4
5.
5
Total taxable amounts (add lines 3 and 4)
Adjustments (attach explanation showing figures)
6.
6
7. Net taxable amounts (line 5 plus or minus line 6)
7
Vend. Disc. Code(s)
8. State and local tax rate
8
9.
9
Total state and local tax due (line 7 multiplied by line 8)
$
10
10. Residential fuels included in line 3 $_____________ X .0275
11
Total taxes due (line 9 minus line 10)
11.
12
Vendor discount (use worksheet on the reverse side)
12.
Check here if payment is made by electronic funds
13
13. NET TAX DUE (line 11 minus line 12)
transfer, and use TAX TYPE CODE 0400
Failure to complete lines 14 through 19 will result in penalties.
Official Use Only
$
14. Enter qualified exempt purchases of manufacturing equipment
14
15. Enter qualified exempt purchases of normal operating replacements (see instructions)
15
16. Enter qualified exempt commercial farming and agricultural sales
16
17. Enter qualified exempt ski resort purchases of electricity to operate a passenger ropeway
17
18. Enter qualified exempt ski resort purchases of snowmaking equipment, ski slope grooming
18
equipment, and passenger ropeways
19. Enter qualified exempt purchases of semiconductor fabricating or processing materials
19
I declare under the penalties provided by law that to the best of my knowledge this is a true and correct return.
Authorized Signature
Date
Telephone
Return ENTIRE form, coupon, and payment to the address below. Please return original; make a copy for your records. Refold form so the Tax
Commission address appears in the envelope window. If coupon becomes separated from form, do not reattach.
71S.FRM Rev. 6/02
I
TAX TYPE CODE 0400
f payment is made by electronic funds transfer, use
Tax Type
Account Number
Tax Period
Amount
11 - Sales
Paid
.
Make check or money order payable to the Utah State Tax Commission.
Print Form
Do not send cash. Do not staple check to this coupon.
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.
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UTAH STATE TAX COMMISSION
SALES TAX - S
210 N 1950 W
SLC UT
84134-0400
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