Form T-204r-Annual - Sales And Use Tax Return - Annual Reconciliation - 2012
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32012
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
DEPARTMENT OF REVENUE
DIVISION OF TAXATION
ONE CAPITOL HILL
PROVIDENCE, RI 02908
SALES AND USE TAX RETURN - ANNUAL RECONCILIATION
SALES AND USE TAX RETURN TO BE FILED BY SELLERS OF TANGIBLE PERSONAL PROPERTY
DUE ON OR BEFORE JANUARY 31, 2013
Name
Taxpayer ID
Address
City, town or post office
State
ZIP Code
Telephone number
E-mail address
NAICS Code
Have you sold or closed your business?.......
If yes, on what date?
Yes
If you file a consolidated Sales Tax Return, list all locations by Rhode Island identification number
including the 2 digit location number. If there are more than 15 locations, please attach a separate listing.
If you have multiple locations, but file individual Sales Tax Returns, you must file a T-204R-Annual for each location.
Before completing lines A through E, complete Schedules A and B on page 2.
A.
Total Net Taxable Sales for the period Jan - Dec
(NOTE: Line A must equal Net Taxable Sales from page 2, line
5)............. A.
B.
1.
Amount of tax. Multiply line A by 7% (.07)..............................................................................
B1.
MOTOR VEHICLE DEALERS ONLY
2.
B2.
Sales tax collections from non-residents for the period January through December .............
3.
Total Tax. Add lines B1 & B2...................................................................................................................................................
B3.
C.
1.
Total tax remitted for the period January through December................................................... C1.
2.
Prepaid sales tax on cigarettes for the period January through December.............................
C2.
3.
Credit balance (if any) per Line D of the 2011 Annual Reconciliation return - Form T-204R..
C3.
4.
Sales tax due and paid to another state on items included in Schedule A, line 2..................
C4.
5.
Total Tax Paid. Add lines C1 through C4................................................................................................................................
C5.
D. Line C5 should equal line B3. If line B3 is more than line C5, there is a balance due. Please remit payment to the Rhode
D.
Island Division of Taxation and send in with this Annual Reconciliation. See instructions for additional information. ..................
E. If line C5 is more than line B3, there is a credit due. This amount will be credited to the 2013
sales tax payments. Note: Taxpayer must submit a “Claim for Refund” form with this
E.
reconciliation in order to receive a refund of the overpayment................................................
I hereby certify that I have personal knowledge of the information constituting this return; that all statements contained herein are true,
correct, and complete to the best of my knowledge and belief and that this return is made under penalty of perjury.
Name of firm
Signature of owner, partner or authorized officer
Date
Title of authorized officer or agent signing return
Form T-204R-Annual
rev. 11/2012
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