Form 94 - Nebraska Waste Reduction And Recycling Fee Return Page 3
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4Nebraska Waste Reduction and Recycling Fee Schedule
FORM
94
• Attach to Form 94
RESET FORM
Schedule
• Read instructions on reverse
Name of Business
Nebraska Identification Number
Reporting Period Covered by Return
The identification numbers listed are for Nebraska locations that reported $50,000 or more in
Column 1 Net taxable sales as reported on line 2, Form 10, for the reporting period covered
taxable sales. Locations on your combined sales tax return that are outside Nebraska or that
by this return.
have reported taxable sales of less than $50,000 are not listed.
Column 2 Taxable sales of utilities (electricity, telephone, sewer, and cable TV service).
You are required to pay the $25 fee for each of the listed locations unless you complete this
Column 3 Taxable sales of installation and connection of telephone, telegraph, or cable
schedule to substantiate that a location’s taxable sales of tangible personal property (Column
TV services.
9) were less than $50,000. Complete the information only for those locations that had less
than $50,000 in taxable sales of tangible personal property.
Column 4 Taxable sales of movies, film, and satellite programming.
1
Enter in Column 1 that location’s net taxable sales as reported under Column C on
Column 5 Taxable sales of admissions.
Nebraska Schedule II, Form 10, for the reporting period July 1, 2006, through June
Column 6 Taxable sales of warranties, guarantees, and maintenance agreements.
30, 2007. Enter that location’s taxable sales for the items listed in Columns 2 through
8 for the same period.
Column 7 Taxable sales of lodging accommodations.
2
Count the number of locations from all of the schedules that had less than $50,000 in
Column 8 Taxable services.
Column 9. Subtract this number from the total number of locations on line 1, Form 94, and
Column 9 Column 1 minus the total of Columns 2 through 8.
then calculate the Nebraska Waste Reduction and Recycling Fee on line 2, Form 94.
Location I.D.
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
Column 7
Column 8
(9) Col. 1 minus
Number
Net Taxable Sales
Utilities
Install/Connect
Movies/Film
Admissions
Warranties
Lodging
Services
Columns 2-8
PLEASE MAKE A COPY OF THIS SCHEDULE FOR YOUR RECORDS.
1-109-2000 Rev. 7-2007
Supersedes 1-109-2000 Rev. 7-2006
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