Form 01-116-C - Texas List Supplement - Direct Payment Use Tax Page 2
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2Form 01-116-C (Back)(Rev.2-15/15)
INSTRUCTIONS FOR COMPLETING
Texas Direct Payment Use Tax Return
List Supplement
Who must file the list supplement? If you hold a Direct Payment Use Tax Permit, you must file the List Supplement to report and
pay the tax required on taxable purchases on which the tax was not paid to the supplier as required under Tax Code 151.101.
Instructions for filing amended Texas Direct Payment Use Tax Returns - To request forms to file an amended return, call
1-800-252-5555. Forms may be picked up at the Comptroller field office nearest you.
OR
You may photocopy the original, write "AMENDED RETURN" at the top, strike through Item a, strike through those figures that
have changed and write the new figures on the return. Sign and date the amended return.
Whom to contact for assistance - If you have any questions regarding the Direct Payment Use Tax, you may contact the Texas
State Comptroller's field office in your area, or call 1-800-252-5555.
Item c. Taxpayer Number - If the return is not preprinted,
Item 3.
AMOUNT SUBJECT TO TAX - Tax must be paid on
enter the taxpayer number shown on your Direct
any taxable purchases on which the tax was not paid
Payment Use Tax Permit. If you have not received
to the supplier. If this amount is negative, bracket the
your tax permit, enter the Federal Employer
amount as follows: <xx,xxx>.
Identification Number (FEIN) assigned to your
organization.
Item 4.
TAX RATE - Tax rate is the local tax rate ranging
from 1/4 of 1 percent to 2 percent. If the form is
preprinted, the tax rate for each local jurisdiction will
Item d. Filing Period - Filing period should be entered if your
be printed on the form. If the tax rate is not pre-
report is not already preprinted. Enter the filing period
printed, check the booklet, Texas Sales and Use Tax
of this return and the last day of the month in the
Rates (96-132), and enter the appropriate tax rate in
space provided. Example: "Month Ending 03-31-08."
this column.
Item 1. CITY/TRANSIT/COUNTY/SPD NAME - City/Transit/
County/SPD names will be preprinted here. List
Item 5.
AMOUNT OF TAX DUE - To calculate the tax due,
additional cities, transit authorities, counties or SPDs
multiply the amount subject to tax (Item 3) by the tax
where you did business during the reporting period.
rate (Item 4). If this amount is negative, bracket the
amount as follows: <xxx.xx>.
Item 2. CITY/TRANSIT/COUNTY/SPD NO. - The seven digit
number for the local taxing jurisdiction will be pre-
Item 7b. TOTAL DUE ON THIS PAGE - Add the amounts in
printed beside the appropriate city, transit authority,
Column 5 and enter the total in Item 7b. Then total
county or SPD name. If the local jurisdiction name in
the local tax (7b) from all pages and enter in Item 2b,
Item 1 is not preprinted, refer to the booklet, Texas
Column b, of the Texas Direct Payment Use Tax
Sales and Use Tax Rates (96-132) and enter the
Return (Form 01-119). If this amount is negative,
appropriate number.
bracket the amount as follows: <xxx.xx>.
MAKE COPIES FOR YOUR RECORDS
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