.
TID No
NEVADA DEPARTMENT OF TAXATION
PASSENGER CAR, GOVERNMENTAL
:
Or Account No
SERVICES FEE RETURN
FOR DEPARTMENT USE ONLY
Mail to:
Postmark Date:
Nevada Department of Taxation
1550 College Parkway #115
Amount:
Check #:
Carson City NV 89706
For Quarter Ending:
Due on or before:
If postmarked after the due date penalty and interest will apply
*NOTE: PLEASE READ INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING THIS RETURN
A RETURN MUST BE FILED EVEN IF NO RENTALS WERE MADE*
$
1
DOLLAR AMOUNT OF LEASES DURING CALENDAR QUARTER
From passenger car short-term leases
$
2
FEE DUE (Multiply Total Leases (Line 1) by 10% or 010
$
3
TOTAL VEHICLE LICENSING FEES PAID TO DMV DURING CALENDAR QTR
Separate form for full calendar year will also be submitted by Lessor
$
4
AMOUNT COLLECTED FOR THE RECOVERY OF VEHICLE LICENSING COST
Separate form for full calendar year will also be submitted by Lessor
$
5
LESS CREDITS APPROVED & VERIFIED BY THE DEPARTMENT
$
6
PENALTY (SEE INSTRUCTIONS FOR RATE).
INTEREST (change in rate effective 7/1/2011 -
$
7
0.75% (or .0075) for each month or fraction of a month late
See reverse for further instructions on figuring interest.
$
PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT
8
$
9
TOTAL AMOUNT DUE AND PAYABLE
$
10
TOTAL AMOUNT REMITTED WITH RETURN
I hereby certify that this return including any accompanying schedules and statements has been examined by me and to the best
of my knowledge and belief is a true, correct and complete return.
Signature
Name Of Preparer
Title
Fed Id Or Soc Sec #
Phone Number
Date
SHORT TERM LESSORS LOCATED IN WASHOE OR CLARK COUNTIES MUST FILE THE WASHOE OR
CLARK COUNTY CAR RENTAL FEE RETURN IN ADDITION TO THE
PASSENGER CAR, GOVERNMENTAL SERVICES FEE RETURN
STS-1
Effective 7/1/2011
1
2
