Litter Permit Application Form For 2013 - Rhode Island Department Of Revenue
ADVERTISEMENT
1STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
DEPARTMENT OF REVENUE
DIVISION OF TAXATION
ONE CAPITOL HILL
PROVIDENCE, RI 02908-5804
LITTER PERMIT APPLICATION FOR 2013
1. Total your gross receipt for calendar year 2011 for the location shown. Gross receipts are
receipts reported for sales tax purposes with no deductions except for interstate sales and
sales to the United States Government.
2. Show gross receipts here: $ _____________________________ , figure class and fee.
If receipts were zero in 2011, apply for Class A permit and remit $25.00.
Vending machines: Number of machines __________ x $25.00 fee = $ ____________ Class V
2011 Gross Receipts Table
Class
Permit Fee
$
0
to less than
$
50,000
A
$
25.00
$
50,000
to less than
$
100,000
B
$
35.00
$
100,000
to less than
$
400,000
C
$
75.00
$
400,000
to less than
$
1,000,000
D
$
100.00
$
1,000,000
to less than
$
2,000,000
E
$
125.00
$
2,000,000
to less than
$
3,000,000
E
$
250.00
$
3,000,000
or more - Add $125.00 for each million or part of a million
over $3,000,000 to Class E fee of $250.00
3. Enter permit class fee and sign below. Return this form with remittance payable to:
Rhode Island Division of Taxation
Dept#307 - PO Box 9708
Providence, RI 02940-9708
STATE OF RHODE ISLAND DIVISION OF TAXATION - DEPT#307 - PO BOX 9708 - PROVIDENCE, RI 02940-9708
LITTER PERMIT APPLICATION FOR 2013
I (WE) MAKE APPLICATION FOR A CLASS _______ PERMIT FOR THE LOCATION BELOW
FEDERAL IDENTIFICATION NUMBER
AND, UNDER PENALTIES OF PERJURY, CERTIFY THAT THE INFORMATION IS TRUE,
CORRECT AND COMPLETE TO THE BEST OF MY (OUR) KNOWLEDGE AND BELIEF.
NAME
ADDRESS
TAXPAYER SIGNATURE
DATE
LITREN
CITY, STATE & ZIP CODE
FEE PAID
TELEPHONE NUMBER
$
0 0
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial