Form Os-114 (But) - Sales And Use Tax Return - 2014
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1
2Department of Revenue Services
Form OS-114 (BUT)
PO Box 5030
Hartford CT 06102-5030
Sales and Use Tax Return
(Rev. 01/14)
For period ending
See Form O-88, Instructions for Form OS-114 Sales and Use Tax Return.
For periods beginning on or after January 1, 2014, Form OS-114 must be paid and fi led electronically. Only
taxpayers that receive a waiver from electronic fi ling from the Department of Revenue Services (DRS) may
Connecticut Tax Registration Number
fi le paper forms. To request a waiver from the electronic fi ling requirement visit ling
and complete Form DRS-EWVR, Electronic Filing and Payment Waiver Request.
Taxpayer name
Federal Employer Identifi cation Number
Taxpayer
Address
Number and street
PO box
Due date
Type
or
print.
City, town, or post offi ce
State
ZIP code
DRS use only
Check here if this is an amended return.
Complete the return in blue or black ink only.
Rounding: You must round off cents to the nearest whole dollar on your return and schedules. If you do not round, DRS will disregard the cents.
Visit to fi le your return
Column 3
Column 1
Column 2
electronically using the TSC or call
9.35% Tax Rate
6.35% Tax Rate
7% Tax Rate
860-289-4829 to fi le your return using Telefi le.
1
Gross receipts from sales of goods. ..................................... 1
2
Gross receipts from leases and rentals. ............................... 2
3
Gross receipts from labor and services. ............................... 3
4
Goods purchased by your business subject to use tax. ...... 4
5
Leases and rentals by your business subject to use tax. .... 5
6
Services purchased by your business subject to use tax. ... 6
7
Total: Add Lines 1 through 6 ................................................. 7
8
Deductions. See instructions ............................................... 8
9
Subtract Line 8 from Line 7. If zero or less, enter “0”. ........... 9
10a Amount of tax due: Multiply Line 9 by Tax Rate. .............. 10a
10b Total tax due: Add Line 10a, Columns 1, 2, and 3. ...................................................................... 10b
11 For amended return only, enter tax paid on prior return. ............................................................... 11
12 Net amount of tax due: Subtract Line 11 from Line 10b. ............................................................... 12
13 Interest ________________________+ Penalty ________________________ = ................ 13
14 Total amount due: Add Line 12 and Line 13. ................................................................................. 14
If applicable, provide requested information below.
New owners must obtain a new Connecticut Tax Registration
Number.
Final return - check here
Enter last business date: ______________
Enter new owner information:
Enter new mailing address: ________________________________
Name: ________________________________________________
____________________________________________________
Address: _______________________________________________
Enter new physical location: _______________________________
(PO Box is not acceptable.)
____________________________________________________
___________________________________
Date sold: ______________________________________________
Enter new trade name: ___________________________________
First return - Enter business start date: _______________________
Declaration: I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best of my knowledge and
belief, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or document to DRS is a fi ne of not more than $5,000, imprisonment
for not more than fi ve years, or both. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.
Taxpayer’s signature
Title
Telephone number
Date
(
)
Taxpayer’s email address
Paid preparer’s signature
Paid preparer’s address
Date
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