Form Urt-Q(W) - Utility Receipts Tax Payment - 2010

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Indiana Department of Revenue
Indiana Utility Receipts Tax Returns
This form can be used for remitting the required quarterly estimated tax payments for the current calendar year (or taxable fiscal year) or
for remitting your extension payment. Do not use Form URT-Q(w) to remit any other income tax payments. The annual Utility Receipts
Tax Return, Form URT, is available as a separate form.
If a taxpayer’s annual tax liability exceeds $2,500, the taxpayer is required to file quarterly estimated payments and remit 25% of the
estimated annual tax due on each quarterly return. Assistance and preprinted quarterly payment coupons may be obtained by calling the
Tax Administration at 317-233-4015.
If the taxpayer’s annual liability exceeds $40,000, the taxpayer is required to pay the quarterly estimated tax liability by electronic funds
transfer (EFT). If the payment is made by EFT, the taxpayer is not required to file an estimated return. The EFT registration form, EFT-1,
can be obtained on the Department’s Web site
( ).
Questions concerning the EFT registration process can be
directed to departmental personnel by calling (317) 615-2695.
Instructions
Completing Form URT-Q(w) for Quarterly Payments
Completing Form URT-Q(w) for an Extension Payment
This Web version of Form URT-Q can be used to make an extension
Compute 25% of the annual estimated utility receipts tax or the
exact amount of tax for the quarter. You may reduce the quarterly
payment. It is to be used when a payment is due and additional time
estimated payment by the amount of your overpayment of tax from
is necessary for filing the annual utility receipts tax return. A penalty
for late payment will not be imposed if at least 90% of the annual
a prior year that was applied to your estimated account. Enter the
net amount on the appropriate remittance form. An authorized of-
tax due is paid by the original due date and the remaining balance,
plus interest, is paid in full by the extended due date. Also, a copy
ficer must sign and date each remittance form. Mail payment by
your quarterly return due date. The utility receipts tax rate is 1.4%,
of the federal extension of time to file form must be enclosed with
effective Jan. 1, 2003.
the annual return when filed.
The quarterly estimated utility receipts tax return with payment is
The extension payment is due on the 15th day of the 4th month
due on the 20th day of the 4th, 6th, 9th, and 12th months of the
following the close of the tax year.
taxable year (regardless of whether you’re filing on a calendar-year
or fiscal-year basis).
The U.S. Postal Service postmark date is used to determine if a
return is timely. Please be aware of the local postal service’s
hours of mail pickup.
Refer to Commissioner’s Directive #18
Payments must be made with U.S. funds.
( ) for more information.
Please do not send cash or include check
An annual URT reporting form with instructions is available at:
stubs when mailing your payments.
Taxpayer Name
Form URT-Q(w)
Utility Receipts Tax Payment
State Form
R/(8-10)
Street Address
Federal ID Number
City
State
Zip Code
Signature of Officer
Title
Voucher - Check box to show which payment you are making:
2nd Quarter
1st Quarter
4th Quarter
(
)
3rd Quarter
Extension Payment
Date
Daytime Phone #
Indiana Department of Revenue.
Calendar or Fiscal Year Ending
Due Date
Make check payable to the
.
Estimated Utility Receipts Tax Due.
.
$
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