Form Ra-10 - Resort Area Gross Receipts Excise Tax Return
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Form RA-10
Rev. 08/11
RESORT AREA GROSS RECEIPTS EXCISE TAX RETURN
Kelleys Island
Read instructions carefully before completing return.
Village of Put-In-Bay
Tax Rate of 1.5% (.015)
Township of Put-In-Bay
File and remit separately
from sales tax
Return Must Be Received By:
Reporting period: ______________ to ______________
Vendor’s License #: _____________________ Resort Tax Account #: _____________________
1. Taxable Gross Receipts
2. Tax Liability (Line 1 x .015)
3. Additional Charges for Late Filing
4. Net Amount Due
TAX RETURNS MUST BE FILED TIMELY EVEN IF NO TAX IS DUE
1. Taxable Gross Receipts – Receipts from making sales as defined in Section 5739.01(B) of the Ohio Revised
Code [except food that is exempt from sales tax pursuant to Section 5739.02 (B)(2) of the Revised Code] in
the resort area and/or transporting passengers to property to or from the resort area.
2. Tax Liability – Multiply Line 1 by the resort area tax rate for the reporting period, currently 1.5%.
3. Additional charges for late filing and/or payment - $ 50.00 or 10% of the Tax Liability, which ever is
greater.
4. Net amount due – Line 2 plus Line 3.
If you are no longer in business, and have no intention of reopening next season, indicate your last day of
business ____________________________.
I declare under penalties of perjury that this form, including any accompanying schedules and statements has been
examined by my to the best of my knowledge and belief is a true, correct and complete return and report.
Signature
Date
Phone number
E-Mail address
Make your remittance payable to the Ohio Treasurer of State
Mail to: Sales and Use Tax Division, P.O. Box 530 Columbus, OH 43216-0530
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