Form 01-152 - Texas Customs Broker Report
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1AB CD
*0115200W101704*
b
01-152
PRINT FORM
CLEAR FIELDS
b.
(Rev.10-17/4)
b
61100
under Chapters 552 and 559, Government Code, to
You have certain rights
Page 1 of
a.
review, request and correct information we have on file about you.
Contact us at the address or toll-free number listed on your report.
TEXAS CUSTOMS
e.
c. Taxpayer number
d. Filing period
f. Due date
BROKER REPORT
b
b
1.
b
h.
Blacken this box if your mailing address has
g. Name and mailing address (Make any necessary name or address changes below.)
changed. Show changes by preprinted information.
2.
b
Blacken this box if you are no longer in business,
and enter the date you went out of business below.
DO NOT WRITE IN
Month
Day
Year
SHADED AREAS.
b
b
i.
j.
INSTRUCTIONS
WHO MUST FILE:
DEFINITIONS:
A person who is licensed by the United States Customs Service to act as a
"Total value of the tangible personal property" means the total amount
custom house broker and who holds a Texas Customs Broker License
of all sales prices, as shown on receipts and invoices from retailers who
issued by the Comptroller's office.
sold the property for which the licensed customs broker issued certifications
for export.
WHEN TO FILE:
"Total amount of the corresponding tax for which the Customs Broker
The due date of the quarterly report is the 20th day of the month following
issued certifications of export" means the total amount of all state and
the quarterly reporting period. For example, the first quarterly report of a
local sales and use taxes for Texas, as shown on receipts and invoices
year covers the months of January, February, and March and the due date
from retailers who sold the property for which the licensed customs broker
is April 20th. If the due date falls on a Saturday, Sunday or legal holiday,
issued certifications of export.
the next business day will be the due date. Failure to receive the correct
"Total amount of tax refunded in accordance with certifications of
report form from the Comptroller does not relieve a customs broker of the
export" means the total amount of all state and local sales and use taxes
responsibility to file a report on time by the due date. To be considered
for Texas which the licensed customs broker obtained assignments of right
timely filed, a report must be either postmarked or received by the
of refund from purchasers and received refunds of taxes from retailers.
Comptroller on or before the due date.
You must contact the Texas State Comptroller's field office in your area with outlet location changes or name changes.
A license fee will be required for all new locations.
Physical location (outlet) name and address (Do not use a P.O. box address.)
Outlet
b
no.
TOTALS FROM
THIS OUTLET
(Dollars & cents)
b
1. Total value of the tangible personal property
1.
b
2. Total amount of the corresponding tax for which the Customs Broker issued certifications of export
2.
b
3. Total amount of tax refunded in accordance with certifications of export
3.
Total amount of the corresponding tax for
Total amount of tax refunded
TOTALS
4.
Total value of the tangible
which the Customs Broker issued
in accordance with
FOR ALL
personal property
certifications of export
certifications of export
OUTLETS
4a.
4b.
4c.
b
b
b
b
61180
k.
01-152 (Rev.10-17/4)
5. PENALTY: A penalty of $500 is imposed for each occurrence in which a licensed customs broker fails
to file a quarterly report on or before the due date. The Comptroller may also impose an additional $50
late filing penalty for each late report filed if the customs broker has filed two previous late reports.
5.
b
6. TOTAL AMOUNT DUE AND PAYABLE
6.
(Total of Item 5)
Taxpayer name
b
l.
m.
AB
b
b
b
T Code
Taxpayer number
Period
I declare that the information in this document and any attachments is true and correct
to the best of my knowledge and belief.
Taxpayer or duly authorized agent
Mail to:
Make the amount in Item 6
COMPTROLLER OF PUBLIC ACCOUNTS
Daytime phone
Date
payable to:
P.O. Box 149354
STATE COMPTROLLER
Austin, TX 78714-9354
If you have any questions regarding this form, you may contact the Texas
111 A
State Comptroller's field office in your area or call (800) 252-5555, toll
free, nationwide. The local number in Austin is (512) 463-4600.
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