Form 31-091 Rf12a - Iowa Sales Tax Quarterly Return Hotel/motel And Automobile Rental - 2001
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1Information Form
Use this form to report address and name changes, cancel your permit, change
your filing frequency, or request information on Electronic Funds Transfer (EFT).
Permit number
Enter weekday phone number
Location name and address
Mailing name and address
If different than above:
If different than above:
Correct location name and address:
Correct mailing name and address:
Send this form to:
Registration Services
PO Box 10465
Des Moines IA 50306-0465.
Please note: Schedule A below replaces the separate Hotel/Motel and Automobile Rental returns used previously.
Schedule A Instructions
SALES TAX QUARTERLY RETURN
IOWA
a. Hotel/Motel and Auto Rental: Gross receipts from rentals for the
Hotel/Motel and Automobile Rental
entire quarter. Do not include any tax collected on this line. If you
31-091 rf12a 11/19/01
have no rentals for the quarter, enter zero.
b. Hotel/Motel: This amount includes sales made directly to and paid
by the federal government and contracts for rental of any room to the
same person for a period of more than 31 consecutive days.
IMPORTANT: You must file even if you had no sales or rental tax
Auto Rental: This amount includes sales made directly to and paid
activity during the quarter. If you had no sales/rentals this
by exempt entities and rental of any automobile to the same person
quarter, put zeroes on lines 1, 12, and a.
for more than 60 consecutive days.
Hotel/Motel
Auto Rental
Total
Schedule A
s
s
a Gross Receipts from Rentals
s
s
b Exemptions
c Taxable Amount (subtract line b from line a)
d Tax Rate
X
X .05
e Tax Due (line c X line d)
f ..................................................................................................... Total Schedule A Tax (total amounts from both columns of line e)
$
Enter this amount on
line 6d of the return.
s
1 Gross Sales (quarter)
s
2 Goods Consumed (quarter)
3 Total (add lines 1 and 2)
s
4 Exemptions (from line 27) (quarter)
5 Taxable Amount (line 3 minus line 4)
s
s
s
Permit
Period
6a State Sales Tax (5% of line 5) (quarter)
Date Due
s
6b Total Local Option Sales Tax (quarter)
s
6c Total School Local Option Tax (quarter)
s
6d Total from Schedule A, line f
7 Total Tax (add lines 6a, 6b, 6c and 6d)
s
8 Deposits and Overpayment Credits
9 Balance (line 7 minus line 8)
s
10 Penalty (if applicable)
s
11 Interest (if applicable, see instructions)
Date
Title
Signature of Retailer or Agent
s
12 Total Amount Due (add lines 9-11)
Daytime Phone No.: ________________
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