Information Form - Iowa Sales Tax Annual Report Page 2

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Information Form
Check here to cancel
Filing Frequencies
your permit and enter the last
date of making taxable sales:
Are you using the correct filing frequency?
Check our Web site for the current filing frequency thresholds.
______________________
Check here to change
your filing frequency. Enter
the filing frequency you are
changing to and the effective
date:
Permits cannot be transferred
Permits cannot be transferred from one owner to another or from one type of business to
______________________
another, for example, when changing from a sole proprietorship to a corporation. The
prior owner must cancel his/her permit and the new owner must apply for a new permit.
Check here if you want
information on paying tax
RF13B 11/19/02
electronically (EFT filing).
IOWA REGULAR LOCAL OPTION TAX AND SCHOOL LOCAL OPTION TAX
Taxable Sales
Taxable Sales
Taxable Sales
Taxable Sales
Taxable Sales
Taxable Sales
LocalOption
S c h o o l
LocalOption
S c h o o l
Local Option
S c h o o l
P A G E
73
.00
.00
A D A IR
01
.00
.00
GREENE
37
.00
.00
PALO ALTO
74
.00
.00
A D A M S
02
.00
.00
GRUNDY
38
.00
.00
A L L A M A K E E
03
.00
.00
GUTHRIE
39
.00
.00
PLYMOUTH
75
.00
.00
POCAHONTAS
76
.00
.00
APPANOOSE
04
.00
.00
HAMILTON
40
.00
.00
P O L K
77
.00
.00
AUDUBON
05
.00
.00
HANCOCK
41
.00
.00
POTTAWATTAMIE78
.00
.00
BENTON
06
.00
.00
HARDIN
42
.00
.00
P O W E S H I E K
79
.00
.00
BLACK HAWK
07
.00
.00
HARRISON
43
.00
.00
RINGGOLD
80
.00
.00
BOONE
08
.00
.00
HENRY
44
.00
.00
B R E M E R
09
.00
.00
HOWARD
45
.00
.00
SAC
81
.00
.00
BUCHANAN
10
.00
.00
HUMBOLDT
46
.00
.00
SCOTT
82
.00
.00
BUENA VISTA
11
.00
.00
IDA
47
.00
.00
S H E L B Y
83
.00
.00
SIOUX
84
.00
.00
BUTLER
12
.00
.00
I O W A
48
.00
.00
STORY
85
.00
.00
CALHOUN
13
.00
.00
JACKSON
49
.00
.00
.00
T A M A
86
.00
.00
CARROLL
14
.00
.00
J A S P E R
50
.00
.00
TAYLOR
87
.00
.00
C A S S
15
.00
.00
JEFFERSON
51
.00
.00
.00
UNION
88
.00
.00
CEDAR
16
.00
.00
JOHNSON
52
.00
.00
CERRO GORDO
17
.00
.00
J O N E S
53
.00
.00
VAN BUREN
89
.00
.00
CHEROKEE
18
.00
.00
KEOKUK
54
.00
.00
WAPELLO
90
.00
.00
C H I C K A S A W
19
.00
.00
KOSSUTH
55
.00
.00
WARREN
91
.00
.00
WASHINGTON
92
.00
.00
CLARKE
20
.00
.00
LEE
56
.00
.00
W A Y N E
93
.00
.00
C L A Y
21
.00
.00
LINN
57
.00
.00
See below. Webster is the only
See below. Webster is the only
WEBSTER
94
CLAYTON
22
.00
.00
LOUISA
58
.00
.00
county with a rate of 1/2%.
county with a rate of 1/2%.
WINNEBAGO
95
.00
.00
CLINTON
23
.00
.00
L U C A S
59
.00
.00
CRAWFORD
24
.00
.00
LYON
60
.00
.00
WINNESHIEK
96
.00
.00
.00
D A L L A S
25
.00
.00
MADISON
61
.00
.00
WOODBURY
97
.00
.00
D A V I S
26
.00
.00
M A H A S K A
62
.00
.00
WORTH
98
.00
.00
WRIGHT
99
.00
.00
DECATUR
27
.00
.00
MARION
63
.00
.00
TOTAL
DELAWARE
28
.00
.00
MARSHALL
64
.00
.00
TAXABLE SALES
.00
.00
DES MOINES
29
.00
.00
MILLS
65
.00
.00
MULTIPLY BY .01
.00A
.00B
DICKINSON
30
.00
.00
MITCHELL
66
.00
.00
WEBSTER CO.
94
DUBUQUE
31
.00
.00
MONONA
67
.00
.00
TOTAL
E M M E T
32
.00
.00
MONROE
68
.00
.00
TAXABLE SALES
.00
.00
FAYETTE
33
.00
.00
MONTGOMERY
69
.00
.00
MULTIPLY BY .005
.00C
.00D
ADD A & C
ADD B & D
TOTAL TAX
.00
.00
FLOYD
34
.00
.00
MUSCATINE
70
.00
.00


ENTER ON FRONT
ENTER ON FRONT
FRANKLIN
35
.00
.00
O’BRIEN
71
.00
.00
OF RETURN, LINE 6b
OF RETURN, LINE 6c
.00
FREMONT
36
.00
.00
OSCEOLA
72
.00
.00

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