Remember to print and sign your report.
b.
24-102
(Rev.4-08/6)
TEXAS TELECOMMUNICATIONS ASSESSMENT REPORT
FOR COMMERCIAL MOBILE SERVICE PROVIDERS
DO NOT WRITE IN SHADED AREAS
25100
a. T Code
c. Taxpayer number
d. Filing period
f. Due date
e.
g. Name and mailing address (Make any necessary name or address changes below.)
IMPORTANT
h.
Blacken this box if your mailing
address has changed. Show changes
1.
by the preprinted information.
i.
j.
You have certain rights under Chapters 552 and 559, Government Code, to review, request, and correct information
we have on file about you. Contact us at the address or toll-free number listed on this form.
WHO MUST FILE - Mobile Service Providers
WHEN TO FILE
Every person (sole owner, partnership, corporation or other organiza-
This report must be filed on or before the preprinted due date. If the
tion) who is responsible for the Telecommunications Infrastructure
due date falls on Saturday, Sunday or legal holiday, the next business
Fund as defined by Texas Utilities Code Sec. 57.043, and who is
day will be the due date.
responsible for collection and payment of taxes on telecommunica
PENALTY & INTEREST
tions receipts under Tex. Tax Code, Chapter 151. (Telephone utilities
If you are filing your return or paying the tax due AFTER the due date,
should report on Form 24-101.)
enter penalty and interest.
AMENDED REPORT
PENALTY: If 1-30 days late, enter 5% of Item 5. If more than 30 days
If you are filing an amended report, write the word "AMENDED" above
late, enter 10% of Item 5.
INTEREST: If any tax due is unpaid 61 days after the due date, enter
the title "TEXAS TELECOMMUNICATIONS ASSESSMENT REPORT."
The amended report must be completed using replacement figures,
interest calculated on the amount in Item 5 at the rate published in
not net adjustments.
Pub. 98-304, online at or toll free at
(877) 447-2834.
(See back of form for definitions.)
1. Total taxable sales receipts as reported under Chapter 151
for the period
through
1.
2. Less adjustments for non-telecommunication receipts
2.
3. Total taxable telecommunications receipts (Item 1 minus Item 2)
3.
0.0125
4. Assessment rate
4.
5. QUARTERLY NET AMOUNT DUE (Multiply Item 3 by Item 4)
5.
6. Penalty due
6.
(See Instructions.)
7. Interest due
7.
(See Instructions.)
8. TOTAL AMOUNT DUE AND PAYABLE
8.
(Item 5 plus Item 6 and Item 7)
Taxpayer name
k.
l.
For assistance, call (800) 252-5555 toll free nationwide.
T Code
Taxpayer number
Period
The Austin number is (512) 463-4600.
25020
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
Mail to: COMPTROLLER OF PUBLIC ACCOUNTS
P.O. Box 149360
Austin, Texas 78714-9360
Daytime phone
Date
Make amount payable to: STATE COMPTROLLER
111 A
24-102 (Rev.4-08/6)
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