Form St-455 - State Sales, Use, Maximum Tax And Special Filers Tax Return Page 2

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COLUMN A - SALES AND USE TAX
WORKSHEET #1 - GROSS PROCEEDS AND PURCHASES
Item 1.
Gross Proceeds of Sales, Rentals and Withdrawals for Own Use
1.
(Total of All Sales)
Item 2.
Out-of-State Purchases Subject to Use Tax
2.
All Gross Proceeds of Sales/Rental, Use Tax and Withdrawals for Own Use (Add
Item 3.
3.
Items 1 and 2. Enter total here and on Iine 1, Column A, on front of ST-455.)
If local tax is applicable, enter the total on ltem 1 of ST-389 worksheet.
Note: Sales of unprepared foods are exempt from the State sales and use tax rate. However, local taxes still apply to sales of
unprepared foods unless the local tax law specifically exempts such sales. Sales that are subject to a local tax must be entered on
Form ST-389 (local sales tax worksheet).
WORKSHEET #2 - 6% SALES AND USE TAX
Item 4.
Gross Proceeds of Sales/Rentals and Withdrawals of Inventory for Own Use
4.
(Enter Sales subject to 6% tax rate requirements.)
5.
Item 5.
Out-of-State Purchases Subject to Use Tax
Item 6.
Total Gross Proceeds at 6% (Add Items 4 and 5. Enter total here and on line 1A,
6.
Column A on front of ST-455.)
Sales and Use Tax Allowable Deductions (Itemize by Type of Deduction and Amount of Deduction)
Item 7.
Type of Deduction
Amount of Deduction
a. Sales Exempt During "Sales Tax Holiday"
$
.
b.
Sales over $100.00 delivered onto Catawba Reservation
$
$
$
$
$
$
<
>
Item 8. Total Amount of Deductions
(Enter total here and on line 2 of Column A on front of ST-455.)
8.
Item 9.
Net Taxable Sales and Purchases (Item 6 minus Item 8. Enter total here and on
line 3, Column A on front of ST-455.)
9.
REMINDER: Form ST-389 must be completed and attached for all local taxes.
For questions regarding this form, call (803) 898-5000.
I authorize the Director of the Department of Revenue or delegate to discuss this return, attachments and related tax matters with the
preparer.
Yes
No
Preparer's name and phone number
I hereby certify that I have examined this return and to the best of my knowledge and belief it is a true and accurate return.
Owner, Partner or Title
Printed Name
Taxpayer's Signature
Daytime Phone No.
Date
E-mail Address:
IMPORTANT: This return becomes DELINQUENT if it is postmarked after the 20th day (return with payment due on or before the
20th) following the close of the period. Sign and date the return.
51622033

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