Form Sls 452 - Consumer Use Tax Return - Tennessee Department Of Revenue
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1
2TENNESSEE DEPARTMENT OF REVENUE
RV-R0000501
INTERNET (03-17)
Consumer Use Tax Return
Purchaser (Check One)
SSN OR FEIN
SLS
452
Individual
Business
Phone:
County of
_________________________________________________________
Name:
Residence:
Make your check payable to the Tennessee Depart-
_________________________________________________________
ment of Revenue for the amount shown on Line 11 and
Address:
mail to:
TENNESSEE DEPARTMENT OF REVENUE
Andrew Jackson State Office Building
500 Deaderick Street, Nashville TN 37242
________________________________
State:
_____
Zip:
__________
City:
.00
1.
(1)
Total Amount of All Purchases..................................................................................................
.00
State Tax on All Purchases (Multiply Line 1 x 7%).................................................................
2.
(2)
3.
State Single Article Tax (Total From Schedule A, Column D).............................................
.00
(3)
Total State Tax (Add Lines 2 and 3)........................................................................................
4.
(4)
.00
5.
Total Purchases [Line 1 Minus Single Articles With a Unit Price in Excess of $1,600
(Total from Schedule A, Column B) and Purchases of Specified Digital Products
(5)
.00
Included in Line 1].......................................................................................................................
6.
Local Tax (Multiply Line 5 x Applicable Local Sales Tax Rate)...........................................
(6)
.00
7.
Total Amount of Specified Digital Products Deducted on Line 5.......................................
(7)
.00
Local Tax on Specified Digital Products (Multiply Line 7 x 2.50%).....................................
8.
(8)
.00
9.
Local Tax on Single Articles With a Unit Price in Excess of $1,600 (Total From
Schedule A, Column C)............................................................................................................
.00
(9)
.00
Total Local Tax (Add Lines 6, 8, and 9)..................................................................................
(10)
10.
(11)
.00
11.
Total Amount Due (Add Lines 4 and 10)................................................................................
I declare this is a true, complete, and accurate return to the best of my knowledge.
Taxpayer Signature
Date
FOR OFFICE
USE ONLY
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