NEVADA DEPARTMENT OF TAXATION TID Number: 001-
COMBINED SALES AND USE TAX RETURN
Enter full 10 digit TID #
For Department Use Only
Mail Original To: IF POSTMARKED AFTER DUE
State of Nevada-Sales & Use Tax DATE PENALTY AND INTEREST
P.O. Box 52609 WILL APPLY
PHOENIX AZ 85072-2609
Due on or before:
Month
For ending:
Date paid:
If the name or address as shown is incorrect, 12/31/1899
if the
ownership or business location has changed, or if you are0
out of business, notify a Nevada Department of Taxation
District Office immediately.
A RETURN MUST BE FILED EVEN IF NO TAX LIABILITY EXISTS
TAXABLE TAX CALCULATED
ENTER AMOUNTS IN COUNTY AMOUNT SUBJECT
EXEMPTIONS
TOTAL SALES
OF SALES/USE (OR COUNTY
TO USE TAX AMOUNT RATE TAX
OF DELIVERY)
TAX CALCULATION
COLUMN A + COLUMN B - COLUMN C = COLUMN D X COLUMN E = COLUMN F
FORMULA
7.250%
01 CHURCHILL
7.750%
02 CLARK
6.750%
03 DOUGLAS
6.500%
04 ELKO
6.500%
05 ESMERALDA
6.500%
06 EUREKA
6.500%
07 HUMBOLDT
6.750%
08 LANDER
6.750%
09 LINCOLN
6.500%
10 LYON
6.500%
11 MINERAL
6.750%
12 NYE
7.125%
13 CARSON CITY
6.500%
14 PERSHING
7.250%
15 STOREY
7.375%
16 WASHOE
7.375%
17 WHITE PINE
TOTALS
I HEREBY CERTIFY THAT THIS RETURN INCLUDING ANY
18.
18. TOTAL CALCULATED TAX (COLUMN F)
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.
19.
0.01 19. ENTER COLLECTION ALLOWANCE 0.50% (OR 0.0050) OF LINE 18
RETURN MUST BE SIGNED
20.
20. NET TAXES (LINE 18 MINUS LINE 19)
_______________________________________________________
SIGNATURE OF TAXPAYER OR AUTH. AGENT
21.
21. PENALTY (10% OF LINE 20)
_______________________________________________________
Err:508
22.
TITLE PHONE NUMBER (WITH AREA CODE)
22. INTEREST (1% or 1.5%) OF LINE 20 FOR EA. MO. PAST DUE-see instructions
23.
_______________________________________________________
23. PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT
FEDERAL TAX IDENT NO. DATE
24.
24. LESS CREDIT(S) APPROVED BY THE DEPARTMENT
Err:508
25.
25. TOTAL AMOUNT DUE AND PAYABLE
26.
26. TOTAL AMOUNT REMITTED WITH RETURN
MAKE CHECKS PAYABLE TO NEVADA DEPARTMENT OF TAXATION
*001123099000000* SALES/USE TAX RETURN
TXR-01.01
Revised 2-29-00