Form T-205 - Consumer'S Use Tax Return

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State of Rhode Island and Providence Plantations
Form T-205
16125599990101
Consumer's Use Tax Return
Name
Federal employer identification/social security number
Address
For the period of:
MM/DD/YYYY to MM/DD/YYYY
Address 2
Business type
City, town or post office
State
ZIP code
E-mail address
Do you expect to make purchases on a consistent basis that will be subject to the use tax?
YES
NO
Schedule of Purchases Subject to the Use Tax:
(Use separate sheet if more space is needed.)
NOTE: Businesses and institutions making purchases subject to the use tax on a consistent basis are not required to itemize their purchases on this re-
turn, but they must give the total on line 1 and their records showing details must be preserved for the inspection of the Tax Administrator or his agent.
Name and address from whom purchase was made
Purchase Date
Description
Quantity
Total Sale Price
1. Total sale price of purchases subject to the use tax............................................................................................................
2. Total sale price from additional schedules (if needed) .........................................................................................................
3. Total sale price of all purchases subject to the use tax. Add lines 1 and 2 .........................................................................
4. Amount of tax. Multiply total sale price of purchases from line 3 by 7% (0.0700)...............................................................
5. Credit for sales or use taxes paid on these purchases in other states ................................................................................
6. TAX DUE ON PURCHASES. Subtract line 5 from line 4 ....................................................................................................
7. Interest due. Multiply line 6 times 1.5% (0.15) per month, or fraction thereof, from due date until date paid.....................
8. Penalty. Multiply line 6 times 10% (0.10) if tax is not paid when due .................................................................................
9. TOTAL AMOUNT DUE. Add lines 6, 7 and 8......................................................................................................................
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Authorized officer signature
Print name
Date
Telephone number
Paid preparer signature
Print name
Date
Telephone number
Paid preparer address
City, town or post office
State
ZIP Code
PTIN
May the Division of Taxation contact your preparer? YES
Mail to RI Division of Taxation - One Capitol Hill - Providence, RI 02908
Revised 04/2016

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