Form St-115 - Consumer'S Use Tax Return Page 2
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1
2List all purchases of tangible personal property subject to use tax.
Purchase Price
Date of
Name and Address of Seller
Description of Property Purchased
Purchase
of Property
.
,
$
,
s
s
.
,
,
s
s
.
,
,
s
s
.
,
,
s
s
.
,
,
s
s
.
,
,
s
s
.
(if more space is needed, please attach a schedule)
TOTAL*
,
,
$
s
s
After completing this form, mail with payment to:
*This amount goes on Line 1,
on the front of this form.
Indiana Department of Revenue, 100 N. Senate Ave, Indianapolis, IN 46204
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