Form St - Sales, Use And Gross Receipts Tax
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1Form
North Dakota Office of State Tax Commissioner
ST
Sales, Use and Gross Receipts Tax
Check this box if you are no
(A)
(F)
Check this box if this is an amended return.
longer in business and enter your
last day of business.
Account
Due
Number
Date
Check this box if this business has
(C)
Period
changed ownership. Provide
Ending
name, address, and telephone
number of new owner:
Column A
Column B
5% Sales & Purchases
1. Total Sales
(do not include tax)
2. Total nontaxable sales
3. Items subject to use tax
4. Taxable balance
(add lines 1 and 3, and subtract line 2)
5. State tax
(multiply line 4 by the ND tax rate)
6. Total state tax
(add column A and column B from line 5)
7. Compensation discount
- Registered Permit Holders Only (multiply line 6 by 015 ($110 00 maximum) - see instructions)
8. Net state tax due
(subtract line 7 from line 6)
(A)
(B)
9. Penalty
(see instructions)
10. Interest
(see instructions)
11. State tax, penalty, and interest
LOCAL OPTION SALES, USE, & GROSS RECEIPTS TAXES
To report more than ten local option taxes, see instructions.
A
B
C
D
E
F
Local Code
City or County
Total Local Option Tax
Compensation
Compensation
Net Local Option Tax Due
Name/Location
Do not enter sales
Rate
Allowance
(column C minus Column E)
12. Net local option tax due
13. Total local option penalty and interest
14. Total due with return.
Make check or money order payable to North Dakota Tax Commissioner.
I declare that this return has been examined by me and to the best of my knowledge and
This space is for Tax Department use only
belief is a true, correct, and complete return.
Taxpayer signature
Date
Title
Contact person (please print or type)
Contact telephone number
Mail to: Office of State Tax Commissioner,
07/2013
PO BOX 5623, Bismarck ND 58506-5623
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Parent category: Financial