Print Form
Clear form
Utah State Tax Commission
TC-71V
Sales and Use Tax Return
Rev. 6/02
For businesses required to file Schedules A, B/D, or C.
Tax Period
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
2. Exempt sales included in line 1
3
3. Taxable sales (line 1 minus line 2)
4
4. Goods purchased tax free and used by you
5
5. Total taxable amounts (add lines 3 and 4)
6
6. Adjustments (attach explanation showing figures)
7
7.
Net taxable amounts (line 5 plus or minus line 6)
8
8. Total tax from TC-71A (Schedule A), TC-71B/D (Schedule B/D), and/or TC-71C (Schedule C)
9
9.
Residential fuels included in line 3 $______________ X .0275
10
Total state and local taxes due (line 8 minus line 9)
10.
11
11.
Vendor discount (use worksheet on the reverse side)
Check here if payment is made by electronic funds
12. NET TAX DUE (line 10 minus line11)
12
transfer, and use TAX TYPE CODE 0400
Failure to complete lines 13 through 18 will result in penalties.
Official Use Only
$
13.
Enter qualified exempt purchases of manufacturing equipment
13
Enter qualified exempt purchases for normal operating replacements (see instructions)
14.
14
Enter qualified exempt commercial farming and agricultural sales
15
15.
Enter qualified exempt ski resort purchases of electricity to operate a passenger ropeway
16
16.
Enter qualified exempt ski resort purchases of snowmaking equipment, ski slope grooming
17.
17
equipment, and passenger ropeways
Enter qualified exempt purchases of semiconductor fabricating or processing materials
18
18.
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.
71V.FRM Rev. 6/02
TAX TYPE CODE 0400
If 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.
Clear form
UTAH STATE TAX COMMISSION
SALES TAX - V
210 N 1950 W
SLC UT
84134-0400