Form L-511 - Admissions/theater Tax Return - South Carolina Department Of Revenue

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1350
STATE OF SOUTH CAROLINA
L-511
DEPARTMENT OF REVENUE
ADMISSIONS/THEATER TAX RETURN
(Rev. 5/3/17)
4041
Mail To: SC Department of Revenue, Admissions Tax, Columbia, SC 29214-0136
License Number
Place an X in all boxes that apply.
Change of Address
Business Permanently Closed
AMENDED
(Make changes to
Date
FEIN
Return
address below)
(Complete form C-278 and return your license)
If the area below is blank, fill in name and address.
SID Number
Period Ended
File Return On or By
COMPUTATION OF TAX
(1) Total Gross Receipts
$
(2) Net Receipts (Divide Line 1 by 105 Percent)
$
(3) Tax Due (Line 2 X 5%)
$
(4) Penalty
$
(5) Interest
$
TOTAL AMOUNT REMITTED
$
ADMISSIONS WORKSHEET (REQUIRED)
Admissions worksheet MUST be completed
Total Price
Gross Receipts
per Code Section 12-21-2550(A).
Number of
of Admissions
of Admissions
Admissions Charged
Including Tax
Including Tax
Attach separate worksheet that adheres to
$
$
Code Section 12-21-2550(A) requirements if
additional worksheet space is needed.
$
$
Failure to properly complete the Admissions
$
$
return and worksheet may result in a $500
noncompliance penalty.
Total Gross Receipts
(Transfer to Line 1)
$
IMPORTANT: DO NOT INCLUDE OTHER TAXES WITH THIS PAYMENT
For questions regarding this form contact this office at AdmissionsTax@dor.sc.gov or call (803) 896-1970.
I hereby certify that the information contained in this report (including accompanying schedules and statements) has been
examined by me and to the best of my knowledge is correct and complete.
Signature
Title
Email
Name (Print)
Date
Daytime Phone Number
You are required to maintain a copy of this return for audit purposes.
40411050

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