Form 31-004c - Sales Tax Quarterly Return

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QUARTERLY SALES TAX RETURN INSTRUCTIONS
Keep this worksheet for your records. Write your permit number
and filing period here. ______________________________
SALES TAX WORKSHEET
1 Gross Sales for entire quarter
2 Goods Consumed for entire quarter
3 Total (add lines 1 and 2)
4 Exemptions (from line 23) for entire quarter
5 Taxable Amount (line 3 minus line 4)
6 State Sales Tax (5% of line 5)
for entire quarter
7 Total Local Option Sales Tax
for entire quarter
8 Total School Local Option Tax
for entire quarter
9 Total Tax (add lines 6, 7 and 8)
10 Deposits and Overpayment Credits
11 Balance (line 9 minus line 10)
12 Penalty (if applicable)
13 Interest (if applicable, .008 per month)
14 Total Amount Due (add lines 11-13)
IMPORTANT: You must file even if you had no sales tax activity during the
quarter.
IOWA DEPARTMENT OF REVENUE AND FINANCE
If you had no sales this quarter,
STQ
put zeroes on lines 1 and 14.
SALES TAX QUARTERLY RETURN
31-004c (10/98)
1 Gross Sales for entire quarter
2 Goods Consumed for entire quarter
3 Total (add lines 1 and 2)
4 Exemptions (from line 23)
for entire quarter
Permit No.
For Quarter Ending
Date Due
5 Taxable Amount (line 3 minus line 4)
6 State Sales Tax (5% of line 5)
for entire quarter
Check box if sales are
7 Total Local Option Sales Tax
for entire quarter
made only in county your
8 Total School Local Option Tax
for entire quarter
business is located.
9 Total Tax (add lines 6, 7 and 8)
10 Deposits and Overpayment Credits
11 Balance (line 9 minus line 10)
Date
Title
Signature of Retailer or Agent
12 Penalty (if applicable)
Daytime Phone No.: ________________
13 Interest (if applicable, .008 per month)
Check box if you wish to cancel your tax permit, and
give the last date of making taxable sales: _________________
14 Total Amount Due (add lines 11-13)

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