Form Tc-71h - Sales And Use Tax Return

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Utah State Tax Commission
TC-71H
Sales and Use Tax Return
For town option sales and use taxes
Rev. 4/98
Tax Period
Return due on or before
Account Number
Check box if AMENDED and enter
correct TAX PERIOD (above) being
amended.
THIS RETURN MUST BE FILED, EVEN IF NO TAX IS DUE
00
1. Total sales of goods and services
1 $
00
2. Exempt sales included in line 1
2
00
3. Taxable sales (line 1 minus line 2)
3
00
4. Goods purchased tax free and used by you
4
00
5. Total taxable amounts (add lines 3 and 4)
5
00
Adjustments (attach explanation showing figures)
6
6.
00
7. Net taxable amounts (line 5 plus or minus line 6)
7
1.0 %
8.
Town option tax rate
8
00
9
9. Total town option tax due (line 7 multiplied by .01)
$
I declare under the penalties provided by law that to the best of my knowledge this is a true and correct return.
Authorized Signature
Date
Telephone
Return ENTIRE form, coupon, and payment to the address below. Please return original; make a copy for your records.
71H.FRM Rev. 4/98
Town Option Sales Tax Return - TC-71H
00
Federal ID Number
Filing Period
Due Date
Amount Paid
Make check or money order payable to the Utah State Tax Commission.
Do not send cash. Do not staple check to this coupon.
UTAH STATE TAX COMMISSION
TOWN OPTION SALES TAX
210 N 1950 W
SLC UT 84134-3500
*84134350010*

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