Form St-103p Sample - Prepaid Sales Tax - 2003

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2003 Prepaid Sales Tax Rate for Completing St-103P
Due to a printing error, the rate on the ST-103P tax return is incorrect.
The correct rate for line 4 should be .053.
Form ST-103P
Prepaid Sales Tax
State Form 44470 (R/ 8-02)
,
,
Total Gallons Sold for Period..............................
1.
.
Phone #
,
,
Total Exempt Gallons Sold..................................
2.
,
,
Total Taxable Gallons Sold (Line 1 minus Line 2)
3.
Taxpayer ID Number
For Tax Period
.
,
,
Prepaid Sales Tax Due (Line 3 X
.053
)..............
4.
.
If late, penalty is greater of 10% of Line 4
Filing Status
Due on or Before
,
,
5.
or $5, plus interest...............................................
.
The 2003 annual interest rate is 6 %.
,
,
6 .
Electronic Funds Transfer Credit..........................
.
,
,
Adjustments * (You Must Attach An Explanation)
7.
INDIANA DEPARTMENT OF REVENUE
.
Total Amount Due (Add Lines 4 & 5 minus
,
,
$
P.O. BOX 6193
Line 6 plus or minus Line 7 ................................
8.
INDIANAPOLIS, IN 46206-6193
Do not include check stubs.
*If Line 7 has a negative entry, place < brackets >
around the amount.
P

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