IF THE SALE IS MADE IN THE POLICE JURISDICTION, THE TAX RATE IS 1/2 THE RATE IN COLUMN D
STANDARD DEDUCTION SUMMARY TABLE
(SUMMARY BELOW MUST BE COMPLETED TO CORRESPOND WITH TOTAL DEDUCTIONS ON FRONT OF TAX REPORT)
Type of Tax
Wholesale
Automotive
Labor/Non-
Sales Delv.
Sales to Gov't
Sales of Gas
Total
Other Allowable
Sales
Trade-Ins
Taxable Serv.
Outside Jobs
Or Lube Oils
Deductions
Deductions
Or Its Agencies
TOTAL
DEDUCTIONS
INSTRUCTIONS & INFORMATION CONCERNING THE COMPLETION OF THIS REPORT
To avoid the application of penalty and/or interest amounts, this report must be filed on or before the 20th of the month following the period for which the
report is submitted. Cancellation postmark will determine timely filing.
A remittance for the total amount due made payable to the tax jurisdiction must be submitted with this report.
This report should be submitted on a monthly basis unless you have requested and been approved for a different filing frequency.
Any credit for prior overpayment must be approved in advance by the taxing jurisdiction.
Indicate Any Account Changes Below
Business Name: ______________________________________
Physical Address: _____________________________________
Phone: _______________________________
Mailing Address: ______________________________________
Fax: _________________________________
City: ________________________________________________
Contact Person: ________________________