IF THE SALE IS MADE IN THE POLICE JURISDICTION, THEN THE DEDUCTION IS ½ THE TAXABLE RATE
STANDARD DEDUCTION SUMMARY TABLE
(SUMMARY BELOW MUST BE COMPLETED TO CORRESPOND WITH TOTAL DEDUCTIONS ON FRONT OF TAX REPORT)
LAROR/
SALES
SALES TO
AUTO
SALES OF
OTHER
WHOLESALE
NON-
DELIV.
GOV'T OR
TOTAL
TYPE OF TAX
TRADE-
GAS OR
ALLOWABLE
SALES
TAXABLE
OUTSIDE
ITS
DEDUCTIONS
INS
LUBE OILS
DEDUCTIONS
SERV
JURIS
AGENCIES
TOTAL
DEDUCTIONS
INSTRUCTIONS & INFORMATION CONCERNING THE COMPLETION OF THIS REPORT
•
th
To avoid the application of penalty and/or interest amounts, this report must be filed on or before the 20
of the month following the
period for which the report is submitted. Cancellation postmark will determine timely filing.
•
A remittance for the total amount due made payable to the tax jurisdiction must be submitted with this report.
•
This report should be submitted on a monthly basis unless you have requested and been approved for a different filing frequency.
•
Any credit for prior overpayment must be approved in advance by the taxing jurisdiction.
•
No duplicate or replicated forms acceptable except with prior approval of the taxing jurisdiction.
Indicate Any Account Changes Below
Business Name: _________________________________
Physical Address: ________________________________
Phone: ______________________________
Mailing Address: _________________________________
FAX: ________________________________
City: ___________________________________________
Contact Person: _______________________
Save Form