Live Entertainment Tax Return Form - 200 To 7499 Seats - Nevada Department Of Taxation - Nevada

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NEVADA DEPARTMENT OF TAXATION
LIVE ENTERTAINMENT TAX RETURN
LICENSE NO:
200 TO 7499 SEATS
FOR DEPARTMENT USE ONLY
Mail Original To: NEVADA DEPARTMENT OF TAXATION
1550 E COLLEGE PKWY STE 115
CARSON CITY NV 89706
01/31
/04
PERIOD ENDING:
DUE BY:
IF POSTMARKED AFTER DUE DATE,
PENALTY AND INTEREST WILL APPLY
If the address as shown is incorrect, please make any
corrections before mailing the return. Use the space on
the left for these corrections.
NON-GAMING FACILITIES WITH SEATING CAPACITY OF 200 TO 7,499
$
1. TOTAL TAXABLE ADMISSION CHARGES
,
,
.
2. TOTAL SALES OF FOOD, REFRESHMENTS & MERCHANDISE
$
SOLD DURING TAXABLE LIVE ENTERTAINMENT STATUS:
,
,
.
(Net of all applicable sales, use and other taxes)
$
3. TOTAL TAXABLE AMOUNT SUBJECT TO 10% TAX
,
,
.
$
,
,
.
4. CALCULATED TAX (Line 3 X 0.1)
$
5. PENALTY 10% (0.1 of Line 4) CALCULATED TAX
,
,
.
$
6. INTEREST 1% (0.01 of Line 4) x EACH MONTH PAST DUE
,
,
.
$
7. PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT
,
,
.
$
8. LESS CREDIT(S) APPROVED BY THE DEPARTMENT
,
,
.
$
9. TOTAL AMOUNT DUE
,
,
.
$
10. AMOUNT PAID
,
,
.
MAKE CHECKS PAYABLE TO NEVADA DEPT OF TAXATION - A RETURN MUST BE FILED EVEN IF NO TAX LIABILITY EXISTS
I hereby certify that this return
Phone Number
Signature
Date
including any accompanying
(
)
schedule and statements has been
examined by me and to the best of
Title
FEIN of Business Named Above
my knowledge and belief is a true,
correct and complete return. THIS
RETURN MUST BE SIGNED
*031000000000013104000000*
TXR-030.01
LIVE ENTERTAINMENT TAX RETURN-UNDER 7500 SEATS
Revised 06/30/05

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