Sales And Use Tax Return Form - South Dakota

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SALES AND USE TAX RETURN
Reporting Period
Return
Return Due
If your address changed, please update below:
Mailing Address:
Physical Address:
Out of business? Last day of business:
Please send your license card in with your return.
License #
SALES TAX CALCULATIONS
GROSS
TAXABLE
RATE
TAX DUE
1. Gross Sales
2. Use Taxable
3. Non-Taxable Sales
4. Special Jurisdiction Sales (Detail in City Section)
x 4.5%
5. Net State Sales Taxable (Line 1 plus Line 2, minus Line 3, minus Line 4)
6. City & Special Jurisdiction Tax Calculation Detail:
7.
City/Special Jurisdiction Name
Code
Taxable
Rate
Tax Due
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22. Total City/Special Jurisdiction Tax (Add Lines 8 through 21)
23. Total Tax Due (Line 5 plus Line 22)
24. Penalty/Interest
25. Adjustment (Previous Credit/Balance Due)
26. Total Due (Line 23 plus Line 24 plus Line 25)
27. Amount Remitted
I declare under the penalties of perjury this return has been examined by me and to the best of my knowledge and belief is a true,
correct and complete return.
Date
Preparer
Date
Licensee
RV11STRTN 12/05

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