Form 14-119 - Texas Local Sports Venue District Tax Report
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1
214-119
b.
(Rev.4-08/3)
TEXAS LOCAL SPORTS VENUE DISTRICT TAX REPORT
FOR SHORT-TERM MOTOR VEHICLE RENTALS
DO NOT WRITE IN SHADED AREAS
33100
a.
d. Filing period
c. Taxpayer number
f. Due date
e.
IMPORTANT
h.
Blacken this box if your mailing
g. Name and mailing address (Make any necessary name or address changes below.)
address has changed. Show changes
1.
by the preprinted information.
Blacken this box if you are no
longer in business and write in the
2.
date you went out of business.
Month
Day
Year
i.
j.
1. Taxable receipts (Report dollars and cents)
NOTE: You must identify the district in which the motor vehicle rental occurred.
DISTRICT
SHORT TERM TAXABLE
DISTRICT NAME
RATE
TAX DUE
CODE
RECEIPTS COLLECTED
(dollars and cents)
(dollars and cents)
1a.
.
1a.
1b.
1b.
.
1c.
.
1c.
1d.
1d.
.
1e.
.
1e.
1f.
1f.
.
1g.
1g.
.
c/c
1
2. Total tax due (Total of Items 1a through 1g)
2.
3. Prepayment credits
3.
4. Tax due after prepayments (Item 2 minus Item 3)
4.
5. Discount (See instructions)
5.
6. Net tax due after discount (Item 4 minus Item 5)
6.
* * * DO NOT DETACH * * *
14-119 (Rev.4-08/3)
7. Penalty and interest (See instructions.)
7.
8. TOTAL AMOUNT DUE AND PAYABLE (Item 6 plus Item 7)
8.
Mail to: COMPTROLLER OF PUBLIC ACCOUNTS
Make the amount in Item 8 payable to:
P.O. Box 149361
STATE COMPTROLLER
k.
l.
Austin, Texas 78714-9361
Taxpayer name
I declare that the information in this document and any attachments is true and correct to
T Code
Taxpayer number
Period
the best of my knowledge and belief.
Duly authorized agent (PLEASE PRINT NAME)
33021
For return and account questions, call (800) 252-1382 toll free
nationwide. The Austin number is (512) 463-4600.
Business phone
Date
111 B
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