Form Tc-62m - Schedule Ag - Sales Of Grocery Food From Fixed Utah Locations

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TC-62AG
Rev. 12/08
Utah State Tax Commission
210 N 1950 W • Salt Lake City, UT 84134 • tax.utah.gov
Bus. Name:
Bus. Name:
62021
TC-62M Schedule AG
Acct. #:
Acct. #:
Sales of GROCERY FOOD
from Fixed Utah Locations
Tax Period:
Tax Period:
Page
Page
of
of
___ _
___ _
_ ___
_ ___
•
•
•
1. Business Location
2.
3. Net Taxable Sales & Purchases 4. Tax Rate
5. Sales and Use Tax
Outlet #
(col. 3 x col. 4)
(not including prepared food)
.0300
.0300
.0300
.0300
.0300
.0300
.0300
.0300
.0300
.0300
.0300
.0300
TC-62AG TOTALS:
(Enter tax on form TC-62M, line 8b)

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