Michigan Department of Treasury
TRIBAL
4018 (Rev. 09-11)
4018
State/Tribal Agreement Use Tax Annual Return
Issued under authority of P.A. 616 of 2002. Filing is voluntary.
Read instructions before completing this form. Please type or print clearly in blue or black ink. File this return by February 28.
Business Name
Account Number
Purchaser Address (No., Street, P.O. Box or Rural Route)
Return Year
City or Town
State
Zip Code
Tribal Affiliation of Business. Enter 2-Digit
Tribal Code (see instructions, pg. 2)
.00
1. Gross Sales and Rentals
1.
ALLOWABLE DEDUCTIONS
.00
2. Sales made to the Tribe, Residental Tribal Members, or Tribal Entities
2.
.00
3. Resale
3.
.00
4. Industrial processing or agricultural producing
4.
.00
5. Interstate commerce
5.
.00
6. Exempt services
6.
.00
7.
7. Sales tax on which tax was paid to Secretary of State
.00
8.
8. Food for human/home consumption
.00
9. Bad debts
9.
.00
10. Michigan motor fuel or diesel fuel tax
10.
.00
11. Other. Identify: _______________________________________________
11.
.00
12. Tax included in gross sales (line 1)
12.
SUMMARY
.00
13.
13. Total allowable deductions. Add lines 2 through 12
.00
14.
14. Taxable balance. Subtract line 13 from line 1
.00
15.
15. Gross tax due. Multiply line 14 by 6% (.06)
.00
16.
16. Tax collected in excess of line 15
.00
17.
17. Total tax due. Add lines 15 and 16
.00
18.
18. Total tax payments made and applied to return year
REFUND OR TAX DUE
.00
19.
19. Refund. If line 18 is greater than line 17, subtract line 17 from line 18 and enter overpayment
.00
20. Tax Due. If line 18 is less than line 17, subtract line 18 from line 17 and enter balance due
20.
.00
21. If filing return late, enter penalty and/or interest (See instructions on page 2.)
21.
.00
22. Payment Due. Add lines 20 and 21. (
PAY
22.
Send check for this amount payable to the "State of Michigan.")
Office Use Only
TAXPAYER/PREPARER DECLARATION
I declare under penalty of perjury that this return is true and complete to the best of
I declare under penalty of perjury that this return is true and complete to the
my knowledge.
best of my knowledge.
Yes
No
I authorize Treasury to discuss my return with my preparer.
Preparer's Signature, Address, Phone and ID Number
Taxpayer's Signature
Taxpayer's Name Printed or Typed
Date
Taxpayer's Title