Form 54-104 - Texas Prepaid Wireless 9-1-1 Emergency Services Fee Report Page 2

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Form 54-104 (Back)(Rev.8-11/4)
Instructions for Completing
Texas Prepaid Wireless 9-1-1 Emergency Services Fee Report
For detailed information relating to the Texas Prepaid Wireless 9-1-1 Emergency Services Fee and Prepaid Wireless Telecommunications
Services, see the Comptroller's website at
General Instructions
(continued)
Do not separate this report. Return entire page.
Report only whole dollars in Items 1 through 4.
Enter "0" if you have no sales to report in Items 1 through 4.
Specific Instructions
Item 1: Total gross receipts from sales of ALL prepaid wireless telecommunications services -
Enter the total amount (not
including tax) of all sales of prepaid wireless telecommuncations services. This includes sales made at retail location(s),
via Internet, by phone, sales for resale and any prepaid wireless telecommunications services purchased for an exempt
use but actually used in a taxable manner. (Example: If a company purchases prepaid wireless telecommunications
services for resale and uses those services, they must report the purchase price of the services.)
Item 2: Receipts in Item 1 generated at retail locations -
Enter the total sales of prepaid wireless telecommunications services
made at a place of business where the purchaser pays the retailer in person. Also, include any prepaid wireless
telecommunications services removed from inventory for use.
Item 3: Receipts in Item 1 generated via Internet and telephone -
Enter the total sales of prepaid wireless telecommunications
services made via the Internet, by phone or other means that are not made in person at a retail location.
Item 4: Total amount subject to fee -
not
Add Items 2 and 3 (do
include Item 1).

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