Et-400 - Arkansas Excise Tax Report Form January 2008 Page 2

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REPORT PERIOD:
PERMIT NUMBER:
Special Additional Excise Taxes
B. Taxable Sales
C. Rate
F. Investment or
D. Gross
E. Less: 2%
For Office
A. Code
& Purchases
%
Tourism Credit G. Net Tax Due
Tax Due
Discount
Use Only
8001
2.00%
25. Tourism ................................
8003
1.00%
26. Short Term Rental ................
8012
10.0%
27. Short Term Rental Vehicle ..
8007
1.50%
28. Long Term Rental Vehicle ...
8005
4.50%
29. Residential Moving .............
8016
7.00%
30. Wholesale Vending ............
Aviation Taxes
6.00%
8029
31. Aviation Sales ...................
8019
6.00%
32. Aviation Use ....................
Alcoholic Beverage Taxes
10.0%
8021
33. 10% Mixed Drink ..............
4.00%
8004
34. 4% Additional Mixed Drink..
3.00%
8020
35. Liquor Excise .....................
8023
1.00%
36. Beer Excise..
..
(eff. 7/31/07)
Combine Line 37 total with Line
Total Special Additional Excise Taxes (add Lines 25 thru 36) ..................
37.
24 & enter in Block 4
FAILURE TO FILE AND PAY BY THE DUE DATE WILL RESULT IN
I declare this is a true, complete and accurate return to the best of my knowledge.
LOSS OF DISCOUNT AND ACCRUAL OF PENALTY AND INTEREST
SIGN
HERE
Mail with Payment to:
Date
Owner, Partner or Corporate Officer
PRINT
DEPARTMENT OF FINANCE & ADMINISTRATION
HERE
P.O. BOX 3861
LITTLE ROCK, AR 72203-3861
Phone Number
Contact Person
A
B
C
DEDUCTIONS SCHEDULE
Mfg Utility Tax
State Tax
Food Tax
Deductions
Deductions
Deductions
A.
Gasoline (Motor fuel on which tax is paid)
B.
Food Stamp and WIC Sales
C.
Sales for Resale
Prescription Drugs
D.
E.
Returned goods
F.
Feed, seed and fertilizer
G.
Bad Debts
Sales to U.S. Government
H.
I.
Farm Machinery
J.
Sales to hospitals and organizations exempt by Arkansas statute (See GR-31)
K.
Sales to Direct Pay Permit holders
L.
38% of Gross Selling Price on new Manufactured/Mobile Homes
M.
Used Manufactured/Mobile Homes
N.
Dyed Diesel Fuel
O.
Other Legal Deductions
TOTAL
EXPLANATION OF OTHER LEGAL DEDUCTIONS

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