Form 24-10 - Texas Telecommunications Assessment Report For Telecommunications Utilities

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b.
24-101
(Rev.4-08/7)
TEXAS TELECOMMUNICATIONS ASSESSMENT REPORT
FOR TELECOMMUNICATIONS UTILITIES
DO NOT WRITE IN SHADED AREAS
24100
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 - Telecommunication Utility Companies
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 a Saturday, Sunday or legal holiday, the next
Fund as provided by Title 2, Utilities Code, PURA, Section 57.048, and
business day will be the due date.
who is responsible for collection and payment of taxes on
PENALTY & INTEREST ­
telecommunications receipts under Tex. Tax Code, Chapter 151.
(Commercial Mobile Service Providers should report on Form 24-102.)
If you are filing your return or paying the tax due AFTER the due date,
enter penalty and interest.
AMENDED REPORT ­
PENALTY:
If 1-30 days late, enter 5% of Item 6. If more than 30 days
If you are filing an amended report, write the word "AMENDED" above
late, enter 10% of Item 6.
INTEREST:
the title "TEXAS TELECOMMUNICATIONS ASSESSMENT REPORT."
If any tax due is unpaid 61 days after the due date, enter
The amended report must be completed using replacement figures,
interest calculated on the amount in Item 6 at the rate published on
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. Less authorized sales reported by local exchange companies
for interexchange companies (See instructions)
3.
4. Total taxable telecommunications receipts (Item 1 minus Items 2 and 3)
4.
5. Assessment rate
5.
0.0125
6. QUARTERLY NET AMOUNT DUE (Multiply Item 4 by Item 5)
6.
7. Penalty due
7.
(See Instructions.)
8. Interest due
8.
(See Instructions.)
9. TOTAL AMOUNT DUE AND PAYABLE
9.
(Item 6 plus Item 7 and Item 8)
Taxpayer name
k.
l.
For assistance, call (800) 252-5555 toll free nationwide.
The Austin number is (512) 463-4600.
T Code
Taxpayer number
Period
I declare that the information in this document and any attachments is true and correct
24020
to the best of my knowledge and belief.
Taxpayer or duly authorized agent
Mail to: COMPTROLLER OF PUBLIC ACCOUNTS
Daytime phone
Date
P.O. Box 149360
Austin, Texas 78714-9360
Make amount payable to: STATE COMPTROLLER
111 A
24-101 (Rev.4-08/7)

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