Rev. 3/09
Form CCF-ST
Massachusetts
Surcharge for
Department of
Sightseeing Tours in Boston
Revenue
This return is due on or before the 20th day of the month following the close of each calendar quarter. For the quarter ending
Name
Federal Identification number
3
Address
City/Town
State
Zip
Sightseeing Tour Surcharge
1a Gross receipts for tickets sold for water-based sightseeing, tourist venue or entertainment cruise or tour in Boston
3 1a
. . . . . .
1b Gross receipts for tickets sold for land-based sightseeing, tourist venue or trolley tour in Boston
3 1b
. . . . . . . . . . . . . . . . . . . . . . .
1c Total gross receipts for tickets sold for tours or cruises in Boston Add lines 1a and 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c
2a Receipts from tickets sold to children for $6.00 or less included in line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2a
2b Receipts from tickets sold to organized school or youth groups included in line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2b
2c Receipts from tickets sold to the U.S. government and/or its instrumentalities included in line 1c. . . . . . . . . . . . . . . . . . . . 3 2c
2d Receipts from tickets sold to foreign diplomats and/or consular personnel inluded in line 1c. . . . . . . . . . . . . . . . . . . . . . . . 3 2d
2e Total exempt ticket sales Add lines 2a through 2d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e
03 Amount subject to surcharge. Subtract line 2e from line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
.05
04 Surcharge rate (5%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
05 Surcharge amount due. Multiply line 3 by line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 5
06 Credit for CCF surcharge previously paid on resold tickets (see DOR Directive 08-8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 6
07 Carryover credit amount from previous period, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 7
08 Total credits. Add lines 6 and 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
09 Surcharge amount due after credits. If line 5 is greater than line 8, subtract line 8 from line 5 and enter the result here.
If line 8 is greater than line 5, go to line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 9
10 Penalties
3 10
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 Interest
3 11
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 Total amount due. Add lines 9 through 11
3 12
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13 Carryover credit amount (if any). If line 8 is greater than line 5, subtract line 5 from line 8 and enter the result here
3 13
. . . . . .
Declaration
The undersigned certifies under the penalties of perjury that all items and statements herein contained are true and accurate in every particular.
Signature of authorized officer
Date
Phone number
Preparer’s signature and Social Security number
Date
Check if self-employed
Employer Identification number
Firm name (or yours, if self-employed) and address
City/town
State
Zip
File this return and payment in full with: Massachusetts Department of Revenue, PO Box 7008, Boston, MA 02204. Make check or money order payable
to: Commonwealth of Massachusetts.