Consumer Use Tax Return - Nevada Department Of Taxation

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NEVADA DEPARTMENT OF TAXATION
-
TID No: 002-TX-
CONSUMER USE TAX RETURN
For Department Use Only
This return is for use by consumers of tangible personal property NOT sellers. If
you are a seller, you must apply for a Sales Tax Permit.
STATE OF NEVADA - SALES/USE
MAIL ORIGINAL TO:
PO BOX 52609
PHOENIX AZ 85072-2609
For Quarter
Ending:
Due on or before:
Date paid:
2/23/2015
IF POSTMARKED AFTER DUE DATE,
If the name or address as shown is incorrect, if the ownership or business location has changed, or if you
PENALTY AND INTEREST WILL APPLY
are out of business, notify a Nevada Department of Taxation District Office immediately.
A RETURN MUST BE FILED EVEN IF NO TAX LIABILITY EXISTS
ENTER AMOUNTS IN COUNTY
CALCULATED
AMOUNT SUBJECT TO USE TAX
TAX RATE
OF USE
TAX
TAX CALCULATION FORMULA
COLUMN A
x COLUMN B
= COLUMN C
01 CHURCHILL
7.600%
02 CLARK
8.100%
03 DOUGLAS
7.100%
04 ELKO
6.850%
05 ESMERALDA
6.850%
06 EUREKA
6.850%
07 HUMBOLDT
6.850%
08 LANDER
7.100%
09 LINCOLN
7.100%
10 LYON
7.100%
11 MINERAL
6.850%
12 NYE
7.600%
13 CARSON CITY
7.600%
14 PERSHING
7.100%
15 STOREY
7.600%
16 WASHOE
7.725%
17 WHITE PINE
7.725%
TOTAL
18.
18. NET USE TAX (SUM OF COLUMN C)
I HEREBY CERTIFY THAT THIS RETURN INCLUDING ANY ACCOMPANYING SCHEDULE AND
19.
19. PENALTY (LINE 18 x 10%)
STATEMENTS HAS BEEN EXAMINED BY ME AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IS A
20.
20. INTEREST (See Instructions for current rate & calculation)
TRUE, CORRECT AND COMPLETE RETURN.
21.
RETURN MUST BE SIGNED
21. PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT
22.
22. LESS CREDIT(S) APPROVED BY THE DEPARTMENT
23.
23. TOTAL AMOUNT DUE AND PAYABLE
SIGNATURE OF TAXPAYER OR AUTHORIZED AGENT
24.
24. TOTAL AMOUNT REMITTED WITH RETURN
TITLE
PHONE NUMBER (WITH AREA CODE)
MAKE CHECKS PAYABLE TO:
NEVADA DEPARTMENT OF TAXATION
FEDERAL TAX ID NUMBER (EIN OR SSN)
DATE
*002$$$0101900*
C
ONSUMER USE TAX RETURN
TXR-02.01
REVISED 10/01/08

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