KANSAS DEPARTMENT OF REVENUE
Division of Taxation
VEHICLE RENTAL EXCISE TAX RETURN
Registration Number
RETURN FOR
MUST BE FILED AND TAX PAID BY
_______________________________________________
________________________
IF NO TAXABLE RENTALS WERE MADE -- WRITE "NO TAXABLE RENTALS", SIGN AND RETURN FORM.
1. Gross receipts subject to vehicle rental tax . . . . . .
2. Excise tax due (_______ of line 1). . . . . . . . . . . . .
3. Penalty and Interest (See instructions). . . . . . . . . .
4. Credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Total Amount Due . . . . . . . . . . . . . . . . . . . . . . . . .
I CERTIFY THAT THIS IS A TRUE, CORRECT AND COMPLETE RETURN.
SIGNATURE
TITLE
PHONE NUMBER
VR-1 (Rev. 6/13)
INSTRUCTIONS FOR VEHICLE RENTAL EXCISE TAX RETURN
LINE 1: Gross Receipts Subject to Vehicle Rental Excise Tax. Enter on line 1 the gross receipts from the rental or lease of motor
vehicles for periods of 28 days or less.
LINE 2: Amount of Tax Due. Multiply amount on line 1 by the appropriate rate.
LINE 3: Penalty and Interest. Penalty and interest are due if the return is not filed by the due date. Information regarding current or
or prior penalty and interest rates can be obtained from our web site:
LINE 4: Credits. Use line 4 to deduct any allowable credits from prior vehicle rental excise tax returns. A credit memorandum issued
by the Department of Revenue must accompany the vehicle rental excise tax return to support any credit.
LINE 5: Total Amount Due. Add lines 2 and 3, subtract line 4 and enter the result.
Sign the completed return and mail it with your payment in the enclosed envelope on or before the due date. Make remittance for the
correct amount due in the form of a check, draft or money order payable to "Vehicle Rental Excise Tax." Be sure to write your vehicle
rental excise tax number on your check or money order.
For additional information, please address your inquiries to Customer Relations/Miscellaneous Tax, Kansas Department of Revenue,
915 SW Harrison St., Topeka, KS 66612-1588, or call (785) 368-8222.