Iowa Sales Tax Quarterly Return Hotel/motel And Automobile Rental - 2002
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1
2Information Form
Use this form to report address and name changes, cancel your permit, change
your filing frequency, or request information on Electronic Funds Transfer (EFT).
Permit number
Enter weekday phone number
Location name and address
Mailing name and address
If different than above:
If different than above:
Correct location name and address: (not a PO Box)
Correct mailing name and address:
Mail Corrections,
Cancellations or
Changes to:
Registration Services
PO Box 10465
Des Moines IA 50306-0465.
Schedule A Instructions
SALES TAX QUARTERLY RETURN
IOWA
a. Hotel/Motel and Auto Rental: Gross receipts from rentals for the
Hotel/Motel and Automobile Rental
entire quarter. Do not include any tax collected on this line. If you
31-091 rf12a 10/02
have no rentals for the quarter, enter zero.
b. Hotel/Motel: This amount includes sales made directly to and paid
by the federal government and contracts for rental of any room to the
same person for a period of more than 31 consecutive days.
IMPORTANT: You must file even if you had no sales or rental tax
Auto Rental: This amount includes sales made directly to and
activity during the quarter. If you had no sales/rentals this quarter,
paid by exempt entities and rental of any automobile to the same
put zeroes on lines 1, 12, and a.
person for more than 60 consecutive days.
Schedule A
Hotel/Motel
Auto Rental
Total
a Gross Receipts from Rentals
b Exemptions
c Taxable Amount (subtract line b from line a)
d Tax Rate
X
X
. 0 5
e Tax Due (line c X line d)
f ......................................................................... Total Schedule A Tax (total amounts from both columns of line e)
$
Enter this amount on
line 6d of the return.
1 Gross Sales (quarter)
2 Goods Consumed (quarter)
3 Total (add lines 1 and 2)
4 Exemptions (from line 27) (quarter)
5 Taxable Amount (line 3 minus line 4)
Permit No.
Period
6a State Sales Tax (5% of line 5) (quarter)
Date Due
6b Total Local Option Sales Tax (quarter)
6c Total School Local Option Tax (quarter)
6d Total from Schedule A, line f
7 Total Tax (add lines 6a, 6b, 6c and 6d)
8 Deposits and Overpayment Credits
9 Balance (line 7 minus line 8)
10 Penalty (if applicable)
11 Interest (if applicable, see instructions)
Title
Date
Signature of Retailer or Agent
Daytime Phone No.: ________________
12 Total Amount Due (add lines 9-11)
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