City Of Chandler Sales & Use Tax Return

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CITY OF CHANDLERSALES
Page 1 of 1
CITY OF CHANDLER
PRIVILEGE (SALES) & USE TAX REPORTING FORM
SALES & USE TAX RETURN
PLT # _______________________________________________
MAIL STOP 701
BUSINESS NAME ______________________________________
P.O. BOX 4008
REPORT FREQUENCY __________________________________
CHANDLER, AZ 85244-4008
REPORT PERIOD ______________________________________
(480) 782-2280
DELINQUENT if not received by __________________________
Postmarks are not evidence of timely filing.
Make check payable to: CITY OF CHANDLER.
SEE INSTRUCTIONS FOR MORE DETAILED INFORMATION. THIS
TH
RETURN IS DUE ON THE 20
OF THE MONTH AND MUST BE FILED
EVEN IF YOU HAVE NO TAX TO REPORT.
COLUMN A
COLUMN B
COLUMN C
ITEMIZED DEDUCTIONS BY ACTIVITY
CALCULATION OF TOTAL DUE BY ACTIVITY
TOTAL DUE
Code Explanation
Dollars
Cents
Explanation
Dollars
Cents Dollars
Cents
ACTIVITY :
GROSS RECEIPTS
Less: Total Deductions (from Col.A)
Equals: Net Taxable
FIRST ACTIVITY
TOTAL
Tax Due @
Plus: Excess Tax Collected
Plus: Penalty
TOTAL DEDUCTIONS FOR
Plus: Interest
Code Explanation
Dollars
Cents
Explanation
Dollars
Cents Dollars
Cents
ACTIVITY :
GROSS RECEIPTS
Less: Total Deductions (from Col.A)
Equals: Net Taxable
SECOND ACTIVITY
TOTAL
Tax Due @
Plus: Excess Tax Collected
Plus: Penalty
TOTAL DEDUCTIONS FOR
Plus: Interest
Code Explanation
Dollars
Cents
Explanation
Dollars
Cents Dollars
Cents
ACTIVITY :
GROSS RECEIPTS
Less: Total Deductions (from Col.A)
Equals: Net Taxable
THIRD ACTIVITY
TOTAL
Tax Due @
Plus: Excess Tax Collected
Plus: Penalty
TOTAL DEDUCTIONS FOR
Plus: Interest
99
ACTIVITY : USE TAX
Amount Subject to USE TAX ONLY
REPORT ONLY
Tax Due @
Use Taxable
Plus: Penalty
Amounts here – Do
not use for totals of
Plus: Interest
above
TOTAL AMOUNT DUE FOR ALL TAXABLE CATEGORIES
____________________
LESS: CITY TAX CREDIT ISSUED (attach City credit statement)
____________________
EQUALS: Total Remittance
____________________
SPECIAL NOTICE ***** Your business name (name licensed under), address, tax number and the reporting period *****
MUST be listed on this tax form. Please read all attached or enclosed instructions.
______________________________________
____________
__________________________________
Signature (Taxpayer
Date
Printed Name and Title
or Agent)
I swear (or affirm) that this return has been examined by me and to the best of my own knowledge
and belief is a true and complete return for the period stated.
5/4/01

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