Nevada Department of Taxation
Form TXR-030.01
Revised 08/09/2016
Nevada Commerce Tax Return
N
V
Or NVBID
Tax ID No
Business Entity NAICS code category
Choose:
For the taxable year
through
Business Entity legal name
Business Entity address
I declare that the Gross Revenue from engaging in business in Nevada of the above Business Entity did not exceed $4,000,000
during the taxable year.
IF THE BOX ABOVE IS CHECKED, SKIP LINES 1 THROUGH 35
Final return
Amended return
Alternative situsing method
Estimates used
Gross Revenue from engaging in business in Nevada
1
Sale of inventory
1
2
Service performance
2
3
Rents, royalties and leases
3
4
Interest income from credit sales and loans
4
5
Damages received from litigation for loss of business income
5
6
Insurance proceeds for loss of business income
6
7
Forgiven debt
7
8
Other revenue
8
9
Total Gross Revenue (Line 1 through Line 8)
9
(4,000,000.00)
10
Less $4,000,000 Threshold
10
11
Adjusted Gross Revenue (Line 9 less Line 10)
11
IF LINE 11 IS ZERO OR LESS, GO TO LINE 29 AND INPUT ZERO
General Business Deductions
12
Returns and refunds to customers
12
13
Bad debt
13
14
Distributions required by fiduciary duty or law
14
15
Distributions under certain written contracts
15
16
Reimbursement of certain expenses and advances from clients
16
rd
17
Taxes collected from 3
party and remitted to taxing authority
17
18
Other deductions
18
Industry Specific Deductions
19
Employee leasing deduction
19
20
Gaming deduction
20
21
Health care provider deduction
21
22
Insurance deduction
22
23
Liquor tax deduction
23
24
Mining deduction
24
25
US Armed Forces housing deduction
25
26
Total Deductions (Line 12 through Line 25)
26
Nevada Taxable Revenue (Line 11 less Line 26, but not less than $0)
27
27
28
Tax rate per NAICS code category
28
29
Commerce Tax due
29
30
Plus penalty
30
31
Plus interest
31
32
Plus liability established by Department
32
33
Less credit(s) approved by Department
33
34
Total amount due and payable (Line 29 through Line 33)
34
35
Amount remitted with the return
35
Under penalty of perjury, I certify that I have examined this return and to the best of my knowledge and belief it is true, correct
and complete.
Business Entity authorized representative’s signature:
Phone number:
Name and title:
Date:
For Department use only
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