Form Sls 450 - State And Local Sales And Use Tax Return - Tennessee Department Of Revenue Page 3
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3SLS 4503
INTERNET (3/17)
Schedule C - State Single Article Tax and Special Tax Rates (See Separate
Instructions)
If no taxable single articles were sold at $1,600 or above, or if you have no special tax
rate products to report, put $0 on Lines 9 and 15 below and on Lines 12 and 13 on the First Page
00
1.
Taxable Single Article Sales from $1,600 to $3,200......................................................
(1)
00
State Single Article Sales Tax (Multiply Line 1 x 2.75%)................................................
2.
(2)
00
3.
Industrial Water Sales.............................................................................................
(3)
00
4.
Industrial Water Tax (Multiply Line 3 x 1.00%).............................................................
(4)
00
5.
Industrial Energy Fuel Sales.....................................................................................
(5)
00
6.
Industrial Energy Fuels Tax (Multiply Line 5 x 1.50%)...................................................
(6)
00
Aviation Fuel Tax (Total amounts from Lines A and B; multiply x 4.50%).......................
7.
(7)
A. Taxable Aviation Fuel Sales ($____________) Gallons (_________)
B. Out-of-State Purchases for Use ($____________) Gallons (_________)
8.
Water Carrier Energy Fuel Tax (Total amounts from Lines A and B; multiply x
00
7.00%)..................................................................................................................
(8)
A. Taxable Energy Fuel Sales to Water Carriers ($___________) Gallons (________)
B. Out-of-State Purchases for Use ($___________) Gallons (_________)
9.
State Single Article and Reduced Rates Tax (Add Lines 2, 4, 6, 7, and 8). Enter
00
(9)
Here and on Line 12 on the First Page.......................................................................
00
10.
Local Industrial Water Tax (Multiply total sales x 0.50%)...............................................
(10)
Specified Digital Products Sales...............................................................................
(11)
00
11.
12.
Specified Digital Products Local Tax (Multiply Line 11 x 2.50%).....................................
(12)
00
13.
Sales of Merchandise Through Vending Machines........................................................
(13)
00
14.
Local Tax on Merchandise Sold Through Vending Machines (Multiply Line 13 x
(14)
00
2.25%)..................................................................................................................
15.
Total Local Special Rates Tax (Add Lines 10, 12, and 14). Enter here and on
00
Line 13 on the First Page........................................................................................
(15)
Schedule D - Central Business Improvement District (CBID) Schedule
00
(1)
1. Gross Sales...........................................................................................................
00
2. Sales of Professional Services.................................................................................
(2)
00
3.
Sales of Lodging Provided to Transient Occupants......................................................
(3)
00
4. Sales of Tickets to Sporting Events or Other Live Ticketed Events...............................
(4)
00
5.
Sales of Alcoholic Beverages Subject to the Liquor-by-the-Drink Tax.........................
(5)
00
6. Sales of Newspapers and Other Periodicals................................................................
(6)
00
7. Sales of Overnight and Long-term Parking..................................................................
(7)
00
8.
Total Exempt Sales - Add Lines 2 though 7.................................................................
(8)
00
9.
Net Sales - Subtract Line 8 from Line 1......................................................................
(9)
10.
Central Business Improvement District Fee - Multiply the amount in Line 9 by the
00
applicable CBID fee but not more than 0.25%. Enter here and on Page 1, Line 14............
(10)
I declare this is a true, complete, and accurate return to the best of my knowledge.
Check appropriate box
SIGN
and fill in number:
HERE
FEIN or SSN
President or other Principal Officer, Partner or Proprietor
Date
SIGN
If your account number is not preprinted on the front of the return, enter
HERE
Tax Return Preparer and Title
Date
your federal employer identification number (FEIN) or your Social
Security number (SSN) in the space indicated.
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