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This is a FILL-IN format. Please do not handwrite any data on this form other than your signature.
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*153290110002*
2015
FR-329 Consumer Use Tax on
Government of the
District of Columbia
Purchases and Rentals
Important:
Print in CAPITAL letters using black ink.
OFFICIAL USE ONLY
Leave lines blank that do not apply. File this form separately from your D-40 return.
Vendor ID# 0002
Personal information
Your first name
M.I.
Last name
Your social security number
Your daytime phone number
Home address (number, street and suite/apartment number if applicable)
City
State
Zip Code + 4
Round cents to the nearest dollar.
Sales and use tax calculation
If the amount is zero, leave the line blank.
Rate
Amount purchased
Tax
$
.00
$
.00
1 Merchandise, services and
X .0575 =
1
rentals
Include purchases of clothing,
jewelry, furniture, and electronic
equipment and rentals of furniture
and electronic equipment. See
other side for an expanded list.
$
.00
$
.00
X .10 =
2 Alcoholic beverages
2
3 Purchases of catered food
$
.00
X .10 =
$
.00
3
or drink or rentals of non-
commercial vehicles
.00
.00
$
$
4 Reserved
X .__ =
4
$
.00
0
5
5 Total tax due
Add Lines 1, 2, 3 and 4.
Attach a check or money order (US dollars) payable to:
DC Treasurer. Write your social security number and
“2015 FR-329” on your payment.
Signature
Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct.
Declaration of paid preparer is based on the information available to the preparer.
Your signature
Date
Preparer’s signature
Date
Preparer’s Tax Identification Number (PTIN)
Preparer’s phone number
Do not mail this form with your individual income tax return. Please use a separate envelope.
Complete and sign this form: Mail it by April 18, 2016 to:
Office of Tax and Revenue
1101 4
Street, SW FL4
th
Washington, DC 20024
2015 FR-329 P1
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Consumer Use Tax on Purchases and Rentals page 1
Revised 10/15