Form 20-103 - Texas Gross Receipts Tax Report
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1
2Remember to print and sign your report.
20-103
PRINT
(Rev.3-13/21)
b.
Texas Gross Receipts Tax Report
Gas, Electric Light, Electric Power or Water Works Plants
under Chapters 552 and 559, Government Code,
You have certain rights
to review, request and correct information we have on file about you.
23100
Type or print.
Do NOT write in shaded areas.
Contact us at the address or phone numbers listed on this form.
a. T Code
e.
c. Taxpayer number
d. Taxable receipts for previous quarter ending
f. Due date
IMPORTANT
g. Name and mailing address (Make any necessary name or address changes below.)
h.
Blacken this box if your mailing
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.
ABCBCBD
Month
Day
Year
See the instructions on the back for completing this report.
i.
j.
Population Bracket
Taxable Receipts
Tax Rate
Tax Due
GAS
(Multiply Taxable Receipts by Rate)
.00581
1.
1. 1,000-2,499
.01070
2.
2. 2,500-9,999
.01997
3.
3. OVER 9,999
4.
4. Total tax due for gas
(Total of Items 1, 2 and 3)
ELECTRICITY
5. 1,000-2,499
.00581
5.
6. 2,500-9,999
.01070
6.
7. OVER 9,999
.01997
7.
8. Total tax due for electricity
8.
(Total of Items 5, 6 and 7)
WATER
9. 1,000-2,499
.00581
9.
10. 2,500-9,999
.01070
10.
11. OVER 9,999
.01997
11.
12. Total tax due for water
12.
(Total of Items 9, 10 and 11)
13. TOTAL TAX DUE
13.
(Total of Items 4, 8 and 12)
* * * DO NOT DETACH * * *
14. Penalty due
14.
(See instructions)
15. Interest due
15.
(See instructions)
16. TOTAL AMOUNT DUE AND PAYABLE
16.
(Item 13 plus Item 14 and Item 15)
l.
k.
Taxpayer name
T Code
Taxpayer number
Period
I declare that the information in this document and any attachments is true and correct to
the best of my knowledge and belief.
Taxpayer or duly authorized agent
State Comptroller
Make the amount in Item 16 payable to
.
Business phone
Date
Mail to:
Comptroller of Public Accounts
P.O. Box 149361
Austin, TX 78714-9361
111 A
20-103 (Rev.3-13/21)
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