Form 31-004 Rf13a - Iowa Sales Tax Quarterly Return - 2002 Page 2

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Information Form
Check here to cancel
your permit and enter the last
Filing Frequencies
date of making taxable sales:
Are you using the correct filing frequency?
Check our Web site for the current filing frequency thresholds.
______________________
Check here to change
your filing frequency. Enter
the filing frequency you are
changing to and the effective
date:
Permits cannot be transferred
Permits cannot be transferred from one owner to another or from one type of business to
______________________
another, for example, when changing from a sole proprietorship to a corporation. The
prior owner must cancel his/her permit and the new owner must apply for a new permit.
Check here if you want
information on paying tax
electronically (EFT filing).
IOWA REGULAR LOCAL OPTION TAX AND SCHOOL LOCAL OPTION TAX
effective January 1, 2004, through June 30, 2004
Taxable Sales
Taxable Sales
Taxable Sales
Taxable Sales
Taxable Sales
Taxable Sales
LocalOption
S c h o o l
LocalOption
S c h o o l
Local Option
S c h o o l
P A G E
73
.00
.00
A DA IR
01
.00
.00
GREENE
37
.00
.00
GRUNDY
38
.00
.00
PALO ALTO
74
.00
.00
A D A M S
02
.00
.00
PLYMOUTH
75
.00
.00
A L L A M A K E E
03
.00
.00
GUTHRIE
39
.00
.00
POCAHONTAS
76
.00
.00
APPANOOSE
04
.00
.00
HAMILTON
40
.00
.00
AUDUBON
05
.00
.00
HANCOCK
41
.00
.00
P O L K
77
.00
.00
HARDIN
42
.00
.00
POTTAWATTAMIE78
.00
.00
BENTON
06
.00
.00
P O W E S H I E K
79
.00
.00
BLACK HAWK
07
.00
.00
HARRISON
43
.00
.00
RINGGOLD
80
.00
.00
BOONE
08
.00
.00
HENRY
44
.00
.00
SAC
81
.00
.00
B R E M E R
09
.00
.00
HOWARD
45
.00
.00
BUCHANAN
10
.00
.00
HUMBOLDT
46
.00
.00
SCOTT
82
.00
.00
S H E L B Y
83
.00
.00
BUENA VISTA
11
.00
.00
IDA
47
.00
.00
SIOUX
84
.00
.00
BUTLER
12
.00
.00
I O W A
48
.00
.00
STORY
85
.00
.00
CALHOUN
13
.00
.00
JACKSON
49
.00
.00
.00
J A S P E R
50
.00
.00
T A M A
86
.00
.00
CARROLL
14
.00
.00
TAYLOR
87
.00
.00
C A S S
15
.00
.00
JEFFERSON
51
.00
.00
.00
UNION
88
.00
.00
CEDAR
16
.00
.00
JOHNSON
52
.00
.00
VAN BUREN
89
.00
.00
CERRO GORDO
17
.00
.00
J O N E S
53
.00
.00
KEOKUK
54
.00
.00
WAPELLO
90
.00
.00
CHEROKEE
18
.00
.00
WARREN
91
.00
.00
C H I C K A S A W
19
.00
.00
KOSSUTH
55
.00
.00
WASHINGTON
92
.00
.00
CLARKE
20
.00
.00
LEE
56
.00
.00
W A Y N E
93
.00
.00
C L A Y
21
.00
.00
LINN
57
.00
.00
See below.
CLAYTON
22
.00
.00
LOUISA
58
.00
.00
WEBSTER
94
Webster is the only county with a rate of 1/2% for each tax.
L U C A S
59
.00
.00
WINNEBAGO
95
.00
.00
CLINTON
23
.00
.00
WINNESHIEK
96
.00
.00
CRAWFORD
24
.00
.00
LYON
60
.00
.00
.00
WOODBURY
97
.00
.00
D A L L A S
25
.00
.00
MADISON
61
.00
.00
M A H A S K A
62
.00
.00
WORTH
98
.00
.00
D A V I S
26
.00
.00
WRIGHT
99
.00
.00
DECATUR
27
.00
.00
MARION
63
.00
.00
TOTAL TAXABLE
DELAWARE
28
.00
.00
MARSHALL
64
.00
.00
S A L E S
.00
.00
DES MOINES
29
.00
.00
MILLS
65
.00
.00
MULTIPLY BY .01
.00A
.00B
DICKINSON
30
.00
.00
MITCHELL
66
.00
.00
WEBSTER CO.
94
DUBUQUE
31
.00
.00
MONONA
67
.00
.00
TOTAL TAXABLE
S A L E S
.00
.00
E M M E T
32
.00
.00
MONROE
68
.00
.00
MULTIPLY BY .005
.00C
.00D
FAYETTE
33
.00
.00
MONTGOMERY
69
.00
.00
ADD A & C
ADD B & D
TOTAL TAX
.00
.00
FLOYD
34
.00
.00
MUSCATINE
70
.00
.00
ENTER ON FRONT
ENTER ON FRONT
O’BRIEN
71
.00
.00
FRANKLIN
35
.00
.00
OF RETURN, LINE 6b
OF RETURN, LINE 6c
.00
FREMONT
36
.00
.00
OSCEOLA
72
.00
.00

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