Form St-400 - Sales And Local Taxes Booklet Page 27

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NOTE: DO NOT TAKE CREDITS OR REPORT NEGATIVE AMOUNTS ON THIS FORM.
To apply for refunds, see ST-14.
Retail License or Use Tax
( 2 )
( 4 )
Carolina Art Supply
Registration Number
047-12345-6
Business Name
( 5 )
of
of
8-2015
5
8
Period ended
Page
Name
Code
Net Taxable
Local
Discount
Net Amount
of County
Amount
Tax
After Discount
or Jurisdiction
If your sales or purchases are delivered within a city or town, you must use the CITY or TOWN code to properly identify
the specific municipality, not the general county code.
List one entry per line. If additional lines for Local Option are needed, complete ST-389-A.
6. LOCAL OPTION TAX
34-2721
(A)
(B)
(C)
(D)
( 15 )
Bishopville
2066
x 1% =
-
=
1,600.00
( 15a )
16.00
.32
15.68
( 18 )
Hollywood
2420
4,500.00
x 1% =
-
=
45.00
.90
44.10
( 18a )
Goose Creek
( 19 )
2343
2,500.00
25.00
.50
24.50
( 19a )
x 1% =
-
=
( 20 )
Mullins
2612
x 1% =
-
=
3,000.00
( 20a )
30.00
.60
29.40
( 21 )
Bennettsville
2062
1,900.00
x 1% =
-
=
19.00
.38
18.62
( 21a )
( 22 )
Yemassee
2985
1,500.00
x 1% =
-
=
15.00
.30
14.70
( 22a )
( 17 )
Eastover
2235
x 1% =
-
=
5,000.00
( 17a )
50.00
1.00
49.00
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
x 1% =
-
=
Submit all pages containing applicable data.
page 5 of 8
50635069

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