Form 57-100 - Texas Boat And Boat Motor Sales And Use Tax Report
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1
257-100
(Rev.2-13/5)
b.
Texas Boat and Boat Motor Sales and Use Tax Report
under Chapters 552 and 559, Government Code,
You have certain rights
to review, request and correct information we have on file about you.
57100
Do not write in shaded areas.
a.
Contact us at the address or phone number listed on this form.
c. Taxpayer number
d. Filing period
f. Due date
e.
g. Name and mailing address (Make any necessary name or address changes below.)
h. IMPORTANT
Blacken this box if your mailing
address has changed. Show changes
1.
by the preprinted information.
j.
i.
1. Number of receipts issued
(Including Voids)
1.
TAX COMPUTATION
Report dollars and cents
2. Gross Boat & Boat Motor Sales and Use Tax collected
2.
3. Tax Assessor-Collector/Department fee (
of Item 2)
3.
4. Net taxes collected (Item 2 minus Item 3)
4.
5. Interest earned
5.
6. TOTAL AMOUNT DUE (Item 4 plus Item 5)
6.
57-100 (Rev.2-13/5)
* * * DO NOT DETACH * * *
7. Total amount of prepayments
7.
8. TOTAL AMOUNT DUE AND PAYABLE (Item 6 minus Item 7)
8.
k.
l.
Taxpayer name
T Code
Taxpayer number
Period
I declare that the information in this document and any attachments is true and correct to
the best of my knowledge and belief.
Duly authorized agent
State Comptroller
Make check payable to:
Mail to: Comptroller of Public Accounts
Business phone
Date
P.O. Box 149360
Austin, TX 78714-9360
111 B
For assistance, call 1-800-252-5555 or 512-463-4600.
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