Form Let-1 Return - Live Entertainment Tax Return - 200 To 7499 Occupancy Non-Gaming Facilities - 2007

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NEVADA DEPARTMENT OF TAXATION
LIVE ENTERTAINMENT TAX RETURN - 200 TO 7499 OCCUPANCY
NON-GAMING FACILITIES
TID No.:
-
FOR DEPARTMENT USE ONLY
MAIL ORIGINAL TO:
NEVADA DEPARTMENT OF TAXATION
1550 COLLEGE PARKWAY SUITE 115
DATE:
CARSON CITY NV 89706
CHECK AMOUNT:
CHECK NO:
POSTMARK:
INITIALS:
RETURN FOR MONTH ENDING:
DUE ON OR BEFORE:
If the name or address shown is incorrect, if the ownership or business
location has changed, or if you are out of business, notify the
IF POSTMARKED AFTER DUE DATE, PENALTY
Tax Examiner at 775-684-2120
AND INTEREST WILL APPLY
A RETURN MUST BE FILED EVEN IF NO TAX LIABILITY EXISTS
1.
$
ADMISSION CHARGES
2.
$
SALES OF CONCESSIONS
(NET OF ALL SALES TAX, USE TAX & OTHER TAXES)
3.
$
TOTAL CALCULATED TAXABLE AMOUNT
(LINE 1 + LINE 2)
4.
$
NET LIVE ENTERTAINMENT TAX
(LINE 3 X 10%)
5.
$
PENALTY
(SEE INSTRUCTIONS FOR RATE)
6.
$
INTEREST
(LINE 4 X .75% X # MONTHS PAST DUE )
7.
$
PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT
8.
$
LESS CREDIT(S) APPROVED BY THE DEPARTMENT
9.
$
TOTAL AMOUNT DUE AND PAYABLE
10.
$
TOTAL AMOUNT REMITTED WITH RETURN
MAKE CHECKS PAYABLE TO:
NEVADA DEPARTMENT OF TAXATION
I HEREBY CERTIFY THAT THIS RETURN INCLUDING ANY ACCOMPANYING SCHEDULE AND STATEMENTS HAS BEEN
EXAMINED BY ME AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT AND COMPLETE RETURN.
RETURN MUST BE SIGNED
______________________________________________________
__________________
____________________________
SIGNATURE OF TAXPAYER OR AUTHORIZED AGENT
DATE
PHONE NUMBER (WITH AREA CODE)
_________________________________________________
___________________________________________
TITLE
FEDERAL TAX ID NUMBER (EIN OR SSN)
PLEASE SUBMIT IN THE ENVELOPE PROVIDED
LET 200-7499
LET-1 RETURN
REVISED 5-4-07

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