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01-143
                                                                                                        b.
              (Rev.9-08/4)                                                                                                                      PRINT FORM                 CLEAR FORM

TEXAS FIREWORKS TAX RETURN
                                                                                                                                   DO NOT WRITE IN SHADED AREAS
          30100
a. T Code
                                                                                                                                  e.
  c. Taxpayer number                                             d. Filing period                                                                               f. Due date


                                                                                                                                                                                               1.
                                                                                                                                   h.
                 g. Name and mailing address (Make any necessary name or address changes below.)                                        Blacken this box if your mailing address has
                                                                                                                                        changed. Show changes by preprinted information.
                                                                                                                                                                                               2.
                                                                                                                                        Blacken this box if you are no longer in business,
                                                                                                                                        and enter the date you went out of business below.
                                                                                                                                                                          Month     Day        Year


                                                                                                                                                                                          j.
                                                                                                                                           i.

                                  INSTRUCTIONS FOR COMPLETING TEXAS FIREWORKS TAX RETURN
Under Ch. 559, Government Code, you are entitled to review, request and correct information we have on file about you, with limited exceptions in accordance with Ch. 552,
Government Code. To request information for review or to request error correction, contact us at the address or toll-free number listed below. Federal Privacy Act - Disclosure of
your social security number is required and authorized under law, for the purpose of tax administration and identification of any individual affected by applicable law, 42 U.S.C.
Sec. 405(c)(2)(C)(i); Tex. Govt. Code Secs. 403.011 and 403.078. Release of information on this form in response to a public information request will be governed by the Public
Information Act, Chapter 552, Government Code, and applicable federal law.
                                                                                                                        GENERAL INSTRUCTIONS
WHO SHOULD FILE - If you collect tax on the retail sale of fireworks, you are
                                                                                           Please do not write in shaded areas. If any preprinted information on this return is
required to file this return in addition to your regular sales tax return.
                                                                                           incorrect, OR if you do not qualify to file this return, contact the Comptroller's office at
                                                                                           one of the numbers listed below. Enter quot;0quot; if the amount is zero. If any amounts
WHEN TO FILE - Returns must be filed or postmarked on or before the 20th day of
                                                                                           entered are negative, bracket them as follows: <xx,xxx.xx>.
February for the New Year holiday sales period and the 20th day of August for the
Cinco de Mayo and Independence Day holiday sales periods. If the due date falls on a
                                                                                                                        SPECIFIC INSTRUCTIONS
Saturday, Sunday or legal holiday, the next business day is the due date.
                                                                                           Item c. If the return is not preprinted, enter your taxpayer number. If you do not know
INSTRUCTIONS FOR FILING AN AMENDED RETURN - To obtain a blank form to                                your taxpayer number, and you are a sole owner, enter your social security
file an amended return, go to the Comptroller's Web site at www.window.state.tx.us or                number. For other types of organizations, enter the Federal Employer
contact us at one of the numbers listed below. Forms are also available at the                       Identification Number (FEIN) assigned to your organization.
Comptroller's field office nearest you, OR you may photocopy the original return, write
quot;AMENDED RETURNquot; at the top, strike through Item a, strike through those figures           Item d. If the return is not preprinted, enter the filing period of this report (quarter)
that have changed and write the new figures on the return. Remember to sign and                      and the last day of the period in the space provided. Examples: quot;Quarter
date the amended return.                                                                             Ending 01-01-08quot; quot;Quarter Ending 07-04-08.quot;

  1. TOTAL SALES OF FIREWORKS - Enter the total amount (not including tax)
                                                                                                                                                                                          .00
                                                                                                                                                       1.
     of all fireworks sales made during the reporting period (Whole dollars only)
  2. TAXABLE AMOUNT - Enter the total amount of TAXABLE sales
                                                                                                                                                                                          .00
                                                                                                                                                       2.
     of fireworks made during the reporting period. (Whole dollars only)
                                                                                                                                                                      0.020000
  3. FIREWORKS TAX RATE                                                                                                                                3.
  4. FIREWORKS TAX DUE (Multiply Item 2 by Item 3)                                                                                                     4.
  5. TIMELY DISCOUNT - If you are filing your return and paying the tax on or before the due date, multiply Item 4 by .005                             5.
  6. PRIOR PAYMENTS - If you requested that a prior payment and/or an overpayment be applied
                                                                                                                                                       6.
     to this specific period, the amount, as of the date of this return, is preprinted in Item 6

  7. NET FIREWORKS TAX DUE (Subtract Items 5 and 6 from Item 4)(Report dollars and cents)                                                              7.

  01-143 (Rev.9-08/4)



   8. Penalty due - If this report is filed or the tax due is paid after the due date, enter penalty. (If 1-30 days late, enter
                                                                                                                                                       8.
      5% of the amount in Item 7. If more than 30 days late, enter 10% of the amount in Item 7. Minimum penalty $1.)
  9. Interest due (If any tax is unpaid 61 days after the due date, enter interest on the amount
     in Item 7. Calculate interest at the rate published online at www.window.state.tx.us
                                                                                                                                                       9.
     or call the Comptroller's office toll free at (877) 447-2834 for the applicable interest rate.)

 10. TOTAL AMOUNT DUE AND PAYABLE (Sum of Items 7, 8 and 9)                                                                                          10.
 Taxpayer name                                                                                                  k.                                       l.

        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.
     30020
                                                                                                              Taxpayer or duly authorized agent
                                                            Mail to:
    Make the amount in Item 10          COMPTROLLER OF PUBLIC ACCOUNTS
            payable to:                 P.O. Box 149361                                        Daytime phone                                                   Date
     STATE COMPTROLLER                  Austin, Texas 78714-9361
If you have any questions regarding the Fireworks Tax, you may contact the Texas
     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.
                                                                                                       111 A
                  Our e-mail address is taxhelp@cpa.state.tx.us.

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Texas Fireworks Tax Forms-01-143 Texas Fireworks Tax Return

  • 1. 01-143 b. (Rev.9-08/4) PRINT FORM CLEAR FORM TEXAS FIREWORKS TAX RETURN DO NOT WRITE IN SHADED AREAS 30100 a. T Code e. c. Taxpayer number d. Filing period f. Due date 1. h. g. Name and mailing address (Make any necessary name or address changes below.) Blacken this box if your mailing address has changed. Show changes by preprinted information. 2. Blacken this box if you are no longer in business, and enter the date you went out of business below. Month Day Year j. i. INSTRUCTIONS FOR COMPLETING TEXAS FIREWORKS TAX RETURN Under Ch. 559, Government Code, you are entitled to review, request and correct information we have on file about you, with limited exceptions in accordance with Ch. 552, Government Code. To request information for review or to request error correction, contact us at the address or toll-free number listed below. Federal Privacy Act - Disclosure of your social security number is required and authorized under law, for the purpose of tax administration and identification of any individual affected by applicable law, 42 U.S.C. Sec. 405(c)(2)(C)(i); Tex. Govt. Code Secs. 403.011 and 403.078. Release of information on this form in response to a public information request will be governed by the Public Information Act, Chapter 552, Government Code, and applicable federal law. GENERAL INSTRUCTIONS WHO SHOULD FILE - If you collect tax on the retail sale of fireworks, you are Please do not write in shaded areas. If any preprinted information on this return is required to file this return in addition to your regular sales tax return. incorrect, OR if you do not qualify to file this return, contact the Comptroller's office at one of the numbers listed below. Enter quot;0quot; if the amount is zero. If any amounts WHEN TO FILE - Returns must be filed or postmarked on or before the 20th day of entered are negative, bracket them as follows: <xx,xxx.xx>. February for the New Year holiday sales period and the 20th day of August for the Cinco de Mayo and Independence Day holiday sales periods. If the due date falls on a SPECIFIC INSTRUCTIONS Saturday, Sunday or legal holiday, the next business day is the due date. Item c. If the return is not preprinted, enter your taxpayer number. If you do not know INSTRUCTIONS FOR FILING AN AMENDED RETURN - To obtain a blank form to your taxpayer number, and you are a sole owner, enter your social security file an amended return, go to the Comptroller's Web site at www.window.state.tx.us or number. For other types of organizations, enter the Federal Employer contact us at one of the numbers listed below. Forms are also available at the Identification Number (FEIN) assigned to your organization. Comptroller's field office nearest you, OR you may photocopy the original return, write quot;AMENDED RETURNquot; at the top, strike through Item a, strike through those figures Item d. If the return is not preprinted, enter the filing period of this report (quarter) that have changed and write the new figures on the return. Remember to sign and and the last day of the period in the space provided. Examples: quot;Quarter date the amended return. Ending 01-01-08quot; quot;Quarter Ending 07-04-08.quot; 1. TOTAL SALES OF FIREWORKS - Enter the total amount (not including tax) .00 1. of all fireworks sales made during the reporting period (Whole dollars only) 2. TAXABLE AMOUNT - Enter the total amount of TAXABLE sales .00 2. of fireworks made during the reporting period. (Whole dollars only) 0.020000 3. FIREWORKS TAX RATE 3. 4. FIREWORKS TAX DUE (Multiply Item 2 by Item 3) 4. 5. TIMELY DISCOUNT - If you are filing your return and paying the tax on or before the due date, multiply Item 4 by .005 5. 6. PRIOR PAYMENTS - If you requested that a prior payment and/or an overpayment be applied 6. to this specific period, the amount, as of the date of this return, is preprinted in Item 6 7. NET FIREWORKS TAX DUE (Subtract Items 5 and 6 from Item 4)(Report dollars and cents) 7. 01-143 (Rev.9-08/4) 8. Penalty due - If this report is filed or the tax due is paid after the due date, enter penalty. (If 1-30 days late, enter 8. 5% of the amount in Item 7. If more than 30 days late, enter 10% of the amount in Item 7. Minimum penalty $1.) 9. Interest due (If any tax is unpaid 61 days after the due date, enter interest on the amount in Item 7. Calculate interest at the rate published online at www.window.state.tx.us 9. or call the Comptroller's office toll free at (877) 447-2834 for the applicable interest rate.) 10. TOTAL AMOUNT DUE AND PAYABLE (Sum of Items 7, 8 and 9) 10. Taxpayer name k. l. 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. 30020 Taxpayer or duly authorized agent Mail to: Make the amount in Item 10 COMPTROLLER OF PUBLIC ACCOUNTS payable to: P.O. Box 149361 Daytime phone Date STATE COMPTROLLER Austin, Texas 78714-9361 If you have any questions regarding the Fireworks Tax, you may contact the Texas 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. 111 A Our e-mail address is taxhelp@cpa.state.tx.us.