Form Dr 5785 - Authorization For Electronic Funds Transfer (Eft) For Tax Payments Page 2

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Addendum To Authorization Agreement For Electronic Funds Transfer (EFT) For
Tax Payments a Separate Tax Return Must be Filed For Most Tax Payments
Tax Type Description
Code
Tax Type Description
Code
Delinquency/Bill Payment:
Individual Extension*
01404
Individual Income Bill*
210
Pass-Through Entity
01320
Severance Bill*
08405
Pass-Through Entity Estimated*
01220
Severance Withholding Bill*
01185
Pass-Through Entity Extension*
01420
Excise:
Wage Withholding*
011
Cigarette
072
Wage Withholding Annual Reconciliation
01102
Fuel Distributors
052
1099 Withholding*
01105
IFTA
059
1099 Withholding Annual Reconciliation
01106
IRP Registration
102
Sales:
Liquor Excise
065
Aviation Fuel Consumer Use
05430
LPG Inspection Surcharge
0531
Aviation Fuel Retailer’s Use
05420
Passenger Mile
0532
Aviation Fuel Sales
054
PUC Fixed Utility Fees*
204
Consumer Use - Business
045
Tobacco Products
073
County Lodging
074
Winery Direct Shipper
06510
County Short Term Rental
04840
Fees:
Local Marketing District
04810
New Tire Fee (Waste Tire Recycling)
121
Retailer’s Use
044
Prepaid Wireless E911 Surcharge
049
Sales
042
Vehicle Daily Rental Fee
077
Sales Tax License Renewal*
242
Gaming/ Racing:
Special District Sales
04202
Dog Racing*
1421
Special Event Sales
04201
Gaming
141
Severance:
Gaming Backup Withholding*
01114
Coal
08503
Horse Racing*
1422
Coal Estimated*
08502
Racing Cash Fund*
1423
Metallic Minerals
08603
Racing Source Market Fee
140
Metallic Minerals Estimated*
08602
Income:
Molybdenum
08613
Corporation
01312
Oil, Gas, & CO2
08403
Corporation Estimated*
01212
Oil, Gas, & CO2 Estimated*
08402
Corporation Extension*
01412
Oil Shale
08103
Estate/ Trust Estimated Income
01704
Oil Shale Estimated*
08102
Fiduciary
017
Severance Withholding*
01180
Individual Income
01304
Severance Withholding Annual Reconciliation
01181
Individual Estimated*
01204
*Do not file a tax return for these tax payments, the EFT transaction is the filing. For all other tax payments,
a tax return is required.

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