Form 93 - Nebraska Tire Fee Return Page 2

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tire fee is due. Mail the return and payment to the Nebraska
tire, but does not include a recapped or regrooved tire. New
Department of Revenue, P.O. Box 94818, Lincoln, Nebraska
tires sold specifically for vehicles (except for farm tractors)
68509-4818.
designed for off-road use, such as golf carts, all-terrain
vehicles, or farm discs are not qualified tires, and therefore
PREIDENTIFIED RETURN. This return is to be used only
are not subject to the fee.
by the Nebraska Tire Fee permitholder whose name is printed
on it. If you have not received a preidentified return for a
Enter the total number of qualified tires sold during this
particular period, request a duplicate from the department.
period.
Do not file returns which are photocopies, returns from a
LINE 2. Enter the number of qualified tires delivered to
previous reporting period, or returns which have not been
purchasers who take possession of the tires outside Nebraska.
preidentified.
This includes sales of qualified tires sold to native American
reservation Indians where title and possession are taken within
You may change the names and addresses printed on this
the boundaries of a Nebraska Indian reservation. Out-of-state
return provided the changes are not being made because of an
retailers will not use this line.
ownership change or a change in your federal identification
number.
LINE 3. Enter the number of qualified tires sold to the federal
government or its agencies. The federal government and its
To change the location or mailing name and address, mark
agencies are exempt from the tire fee.
through the incorrect information and plainly print the correct
information. In addition, write on the face of the return, “name
Qualified tires sold to a state, county, or local government
or address change only.” The location address cannot be a
agency are subject to the tire fee.
post office box number.
LINE 4. Enter the total number of new tires included on line 1
If you are changing the name or address of the business
that were sold to another retailer for resale. You must have a
because of a (1) change in ownership, (2) change in the legal
completed resale certificate from each purchaser for which a
form of the business (e.g., proprietorship to corporation), or
deduction is claimed.
(3) change in your federal identification number, you must
LINE 7. A balance due or credit resulting from a partial
complete and return a Nebraska Tax Application, Form 20,
payment, mathematical or clerical errors, penalty, or interest
to obtain new permits, licenses, and certificates. The former
relating to prior returns will be entered in this space by the
owner of the business must cancel all of their permits,
department. The amount of interest includes interest on any
licenses, and certificates by filing a Nebraska Change Request,
unpaid fee through the due date of this return. If the amount
Form 22.
due is paid before the due date, interest will be recomputed
and a credit will be given on your next return. If the amount
PENALTY AND INTEREST. If the return is not filed by the
entered has been satisfied by a previous remittance, it should
prescribed due date, or when the tire fee is due but not paid by
be disregarded when computing the amount to remit on
the due date, a penalty will be assessed in the amount of $25.00
line 8.
or ten percent of the tax due, whichever is greater. Interest on
the unpaid fee will be assessed at the rate printed on line 7
LINE 8. If line 7 shows a credit, subtract that amount from
from the due date until the date the payment is received.
line 6. Enter the difference on line 8 and attach payment. If
line 7 shows an amount due, add that amount to line 6. Enter
VERIFICATION AND AUDIT. The records required to
the total on line 8 and attach payment.
substantiate this return must be retained and be available for
at least three years following the date of filing the return.
AUTHORIZED SIGNATURE. This return must be signed
by the owner, partner, or corporate officer. If the taxpayer
SPECIFIC INSTRUCTIONS
authorizes another person to sign this return, there must be a
LINE 1. A qualified tire is any new motor vehicle, trailer,
power of attorney on file with the department.
semitrailer, or farm tractor tire (including take off tires)
made of rubber or other resilient material, and delivered to
Any person who is paid for preparing a taxpayer’s return must
a customer in Nebraska. This includes a pneumatic or solid
also sign the return as preparer.

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