01-115
(Rev.1-05/22)
EEEEItem 6. If the return is not preprinted, enterPRINT FORM CLEAR FIELDS
the trade name, actual location and
b.
TEXAS SALES AND USE TAX RETURN five digit outlet number shown on your sales tax permit for each outlet you are
*** INTERNET *** Page
- OUTLET SUPPLEMENT - of
reporting. Use street address or meaningful directions. Do not use P.O. Box or
Rural Route Number. Filing period \"3 miles south of FM 1960 on Jones Road.\"
Example: e.
d.
c. Taxpayer
- If you do not have a permit, leave outlet number blank. If you are reporting
26100
a. number
Item c. Taxpayer number - use tax fromis not preprinted, enter useFiling period should be entered if your
If the return out Item d. Filing period - outlet number \"00000.\" on
of state locations, the taxpayer number shown
Make any necessary changes next to the incorrect information for any location. have physical location (outlet) is no preprinted. Enterathe filing period of this
your sales tax permit. If youIf(Do notnot P.O. box addresses.) already longer in business, write \"out of
- the use received your sales tax permit and you are sole owner,
return is not
enter your social security number. For other types(month, quarter or enter the Federallonger inthe period
business\" and date of closing next to any outletand thenog. Due date business.
report of organizations, year) that is last day of
f. Taxpayer name
Item 1. Enter the total amount (not including tax) of
Employer's Identification Numberphysical locationto your organization.than the preprinted physical
- If the (FEIN) assigned address is different
in the space provided. Examples: \"Quarter Ending 09-30-96\"
all services and sales,amountand rentalspurchases
Item 3. Enter the total leases of taxable of tangible
Itemwerepropertyfor your ownof taxable includes location address, make correction next to the incorrect information.
\"Month Ending 10-31-96\" \"Year Ending 12-31-96.\"
2. Enter the total amount use. reporting period services
personal bought made during the This
that
Do not write of tangible - If a new outlet has been opened, write the outlet trade name, NUMERALS LIKE THIS
PLEASE PRINT YOUR actual location
and dollars in shaded areas.
andnot staple or paperleases out-of-stateonly. Enter \"0\"
Do taxable sales, clip. rentals sellers, items
for each outlet. Report or
purchases from Texas whole and opening date in a blank space on the return along with a brief description
taken outproperty made duringitems 01-922away, and
personal were made for use, the reporting period
if no salesof inventory during the current reporting the business.
SEE INSTRUCTIONS FORM given of
Item 7(a,b). Multiply Item 4 by the state tax rate and enter in
period. outlet. This amount is the total actually
items purchased for an exempt use but sales made
for each
6.Item 7a. Multiply Item 5and address Outlet rate and enter in Item
Physical location (outlet) name by the local tax
LESS anytaxable manner. Taxable purchases do not
a deductions. Report whole dollars only. (Do not use a P.O. box address.)
used inSALES
1. TOTAL no.
7b. If your return is not preprinted, refer to the booklet,
includedollars only) items taxable sales to report.
Enter \"0\" if you have no being held exclusively for
(Whole inventory
Texas Sales and Use Tax Rates (Pub. 96-132) for a list of the
resale. Report wholeSales (Item 2) Enter \"0\" if you
Item 4. Add Taxable dollars only. to Taxable
2. TAXABLE SALES current city, transit, county and SPD rates. If \"USE LIST\" is
(Whole dollars only)
have no taxable purchases to the result in Item 4.
Purchases (Item 3), and enter report. 7.preprinted in DUE FOR THIS OUTLET (Dollarson the Texas List
AMOUNT OF TAX Item 7b, report the tax and cents)
(Multiply \"Amount subject to tax\" by \"TAX RATE\" for state and local tax due)
Do not include Total Sales (Item 1) in this total.
3. TAXABLE PURCHASES Supplement (Form 01-116-A).
TAX RATES
Report dollars only)
(Whole whole dollars only.
7a.State tax (include in Item 8a)
4. Amount subject
to state tax =
(Item 2 plus Item 3) X
7b.Local tax (include in Item 8b)
5. Amount subject to local tax
(Amount for city, transit,
=
county and SPD must
X
be equal.)
6. Physical location (outlet) name and address Outlet
(Do not use a P.O. box address.)
1. TOTAL SALES no.
(Whole dollars only)
2. TAXABLE SALES
(Whole dollars only)
7. AMOUNT OF TAX DUE FOR THIS OUTLET (Dollars and cents)
(Multiply \"Amount subject to tax\" by \"TAX RATE\" for state and local tax due)
3. TAXABLE PURCHASES TAX RATES
(Whole dollars only)
7a.State tax (include in Item 8a)
4. Amount subject
to state tax =
(Item 2 plus Item 3) X
7b.Local tax (include in Item 8b)
5. Amount subject to local tax
(Amount for city, transit,
=
county and SPD must
X
be equal.)
6. Physical location (outlet) name and address Outlet
(Do not use a P.O. box address.)
1. TOTAL SALES no.
(Whole dollars only)
2. TAXABLE SALES
(Whole dollars only)
7. AMOUNT OF TAX DUE FOR THIS OUTLET (Dollars and cents)
(Multiply \"Amount subject to tax\" by \"TAX RATE\" for state and local tax due)
3. TAXABLE PURCHASES TAX RATES
(Whole dollars only)
7a.State tax (include in Item 8a)
4. Amount subject
to state tax =
(Item 2 plus Item 3) X
7b.Local tax (include in Item 8b)
5. Amount subject to local tax
(Amount for city, transit,
=
county and SPD must
X
be equal.)
6. Physical location (outlet) name and address Outlet
(Do not use a P.O. box address.)
1. TOTAL SALES no.
(Whole dollars only)
2. TAXABLE SALES
(Whole dollars only)
7. AMOUNT OF TAX DUE FOR THIS OUTLET (Dollars and cents)
(Multiply \"Amount subject to tax\" by \"TAX RATE\" for state and local tax due)
3. TAXABLE PURCHASES TAX RATES
(Whole dollars only)
7a.State tax (include in Item 8a)
4. Amount subject
to state tax =
(Item 2 plus Item 3) X
7b.Local tax (include in Item 8b)
5. Amount subject to local tax
(Amount for city, transit,
=
county and SPD must
X
be equal.)
STATE TAX LOCAL TAX
TOTAL TAX DUE ON THIS PAGE
(For Taxpayer Use Only)
You have certain rights under Ch. 559, Government Code, to review, request, and correct information
we have on file about you. Contact us at the address or toll-free number listed on this form.