Form Txr-01.01 - Combines Sales And Use Tax Return - Nevada Department Of Taxation

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NEVADA DEPT OF TAXATION
COMBINED SALES
Please enter your 9 digit Permit
001-
Permit No.:
_______________
Number without dashes
AND USE TAX RETURN
For Department Use Only
Mail Original To:
Nevada Department of Taxation
1550 E. College Parkway
Suite 115
Carson City NV 89706
Enter Business Name & Address Below:
07/31
/03
MONTH
For
ending ________________
Due on or before: ________________
IF POSTMARKED AFTER DUE DATE,
PENALTY AND INTEREST WILL APPLY
see
0
IF LATE, ENTER NUMBER OF MONTHS______
instructions
If the name or address as shown is incorrect, if ownership
has changed, or if you are out of business, notify a
Department of Taxation District Office immediately.
A RETURN MUST BE FILED EVEN IF NO TAX LIABILITY EXISTS
TAXABLE
CALCULATED
ENTER AMOUNTS IN
AMOUNT SUBJECT
EXEMPTIONS
TAX RATE
TOTAL SALES
COUNTY OF SALES/USE
TO USE TAX
AMOUNT
TAX
(OR COUNTY OF DELIVERY)
TAX CALCULATION
COLUMN A
+ COLUMN B
- COLUMN C
= COLUMN D
X COLUMN E
= COLUMN F
FORMULA
0.00
7.000%
0.00
01 CHURCHILL
0.00
0.00
7.250%
02 CLARK
0.00
0.00
6.750%
03 DOUGLAS
0.00
6.500%
0.00
04 ELKO
0.00
6.500%
0.00
05 ESMERALDA
0.00
6.500%
0.00
06 EUREKA
6.500%
0.00
0.00
07 HUMBOLDT
6.500%
0.00
0.00
08 LANDER
0.00
6.750%
0.00
09 LINCOLN
6.500%
0.00
0.00
10 LYON
0.00
6.500%
0.00
11 MINERAL
0.00
6.750%
0.00
12 NYE
7.000%
0.00
0.00
13 CARSON CITY
0.00
6.500%
0.00
14 PERSHING
7.250%
0.00
0.00
15 STOREY
7.375%
0.00
0.00
16 WASHOE
0.00
6.875%
0.00
17 WHITE PINE
TOTALS
0.00
18.
18. TOTAL CALCULATED TAX (COLUMN F)
I HEREBY CERTIFY THAT THIS RETURN INCLUDING ANY ACCOMPANYING
0.00
SCHEDULE AND STATEMENTS HAS BEEN EXAMINED BY ME AND TO THE BEST OF
19.
19. ENTER COLLECTION ALLOWANCE (1/2% OR .005 OF LINE 18)
MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT AND COMPLETE RETURN.
0.00
20.
RETURN MUST BE SIGNED
20. NET TAXES (LINE 18 MINUS LINE 19)
0.00
21.
21. PENALTY (10% OF LINE 20)
________________________________________________________________________
0.00
22.
22. INTEREST (1% OF LINE 20 FOR EA. MO. PAST DUE)
see instructions
SIGNATURE OF TAXPAYER OR AUTH. AGENT
23.
23. PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT
________________________________________________________________________
-
24.
24. LESS CREDIT(S) APPROVED BY THE DEPARTMENT
TITLE
PHONE NUMBER (WITH AREA CODE)
0.00
25.
25. TOTAL AMOUNT DUE AND PAYABLE
_________________________________________________________________________
26.
26. TOTAL AMOUNT REMITTED WITH RETURN
FEDERAL TAX IDENT. NO.
DATE
MAKE CHECKS PAYABLE TO NEVADA DEPARTMENT OF TAXATION
SALES/USE TAX RETURN
*001073103000000*
TXR-01.01
Revised 6-20-03

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