Form St-9a - Annual Sales And Use Tax Return - 2009
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1FOR CALENDAR YEAR 2009 AND THE PERIODS THEREAFTER
ST-9A
MASSACHUSETTS DEPARTMENT OF REVENUE
ANNUAL SALES AND USE TAX RETURN
1. Gross sales
A
IF “0” TAX DUE, RETURN MUST BE FILED ELECTRONICALLY.
2. Sales for resale /exempt sales
FEDERAL IDENTIFICATION NUMBER
BE SURE THIS VOUCHER COVERS
FOR YEAR
or other adjustments
THE CORRECT PERIOD
2
. Sales of materials, tools and fuel
A
2
. Sales of machinery and
BUSINESS NAME
B
replacement parts
IF ANY
INFOR-
3. Total nontaxable sales
BUSINESS ADDRESS
(add lines 2, 2A and 2B)
MATION IS
4. Taxable sales (subtract line 3
INCORRECT,
from line 1; not less than zero)
SEE
CITY/ TOWN
STATE
ZIP
5. Use tax purchases
INSTRUC-
TIONS.
Check if final return and you wish to close your sales tax account.
6. Total taxable amount
(add line 4 and line 5)
7. Total taxes (line 6 × × .0625)
8. Tobacco retailers only: credit for pre-
paid sales tax on tobacco products
9. Subtract line 8 from line 7
Return is due with payment on or before the 20th day of January following the year indicated above. Make check
payable to Commonwealth of Mass. Mail to: Mass. Dept. of Revenue, PO Box 7043, Boston, MA 02204.
10. Penalties and interest
I declare under the penalties of perjury that this return (including any accompanying schedules and statements)
has been examined by me and to the best of my knowledge and belief is a true, correct and complete return.
11. Total amount due/refund
(add line 9 and line 10)
Signature
Title
Date
IMPORTANT: READ INSTRUCTIONS BEFORE COMPLETING RETURN
Note: Lines 2
and 2
are for the sales of items becoming part of property sold or
A
B
used directly in industrial or certain other production. These items are not to be used
for income deductions.
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