Form 9mb - Nebraska And Local Sales And Use Tax Collected From Motorboat Registrations

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Nebraska and Local Sales and Use Tax
Form
Collected from Motorboat Registrations
9MB
Please Do Not Write in This Space
Nebraska ID Number
Tax Period
PRINT FORM
RESET FORM
County Name and Mailing Address
1 Nebraska sales and use tax collected on motorboats during this tax period .................................... 1
Complete the schedule below if local sales and use tax has been collected.
2 Total local sales and use tax collected (line 21, Nebraska Schedule) ............................................... 2
3 Total Nebraska and local sales and use tax collected (line 1 plus line 2) .......................................... 3
4 Total amount of penalties collected on late-registered motorboats during this tax period ................. 4
5 Total amount of interest collected on late-registered motorboats during this tax period .................... 5
6 Total amount collected (total of lines 3, 4, and 5) .............................................................................. 6
7 Collection fee (line 6 multiplied by .025; if the result is $75 or more, enter $75) ............................... 7
8 Total amount due (line 6 minus line 7) .............................................................................................. 8
9 Previous balance with applicable interest at
9
% per year and payment received through
c Check this box if your payment is being made electronically.
10 Balance due (line 8 plus or minus line 9). Pay in full with return ....................................................... 10
Nebraska Schedule — Local Sales and Use Tax Collected
Local Taxing Jurisdiction
County Code
City Code
Local Sales and Use Tax
11
12
13
14
15
16
17
18
19
20
21 Local sales and use tax collected (total of lines 11 through 20). Enter here and on line 2 above ............... 21
Under penalties of law, I declare that I have examined this return, including accompanying schedules and statements, and to the best of
my knowledge and belief, it is correct and complete.
sign
(
)
here
Authorized Signature
Title
Phone Number
Date
Email Address
This return is due on or before the 15th day of the month following the tax period indicated above.
Mail this return and payment to: Nebraska Department of Revenue, PO Box 98923, Lincoln, NE 68509-8923.
revenue.nebraska.gov, 800-742-7474 (NE and IA), or 402-471-5729

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