Form Rev 40 0011 - Schedule B - Credit For Sales Taxes Paid On Bad Debts Page 2
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2B
Page __________ of __________
Attached To
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_______________________________, _________Tax Return
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B
NAME
REG. NO.
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FIRM NAME
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STREET ADDRESS
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CITY, STATE,
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
Total State And
Date Of Sale
4 Digit
Value of Sale
State Sales
Local Sales
For Department
For Department
Local Taxes
(MM/YY)
Location Code
Written Off
Tax Claimed
Tax Claimed
Use Only
Use Only
Claimed
SUB-TOTAL
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REV 40 0011-1 (4-1-99)
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