Form Sls 450 - State And Local Sales And Use Tax Return

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RV-R0000201

INTERNET (7/13)

PAGE 1

TENNESSEE DEPARTMENT OF REVENUE

For assistance, contact the Taxpayer Services Division at

STATE AND LOCAL SALES AND USE TAX RETURN

(800) 342-1003, (615) 253-0600 or

ACCOUNT NO.

Filing

}

Period

If this is an AMENDED RETURN,

SLS

please check the box at right

450

Due

LOCATION ADDRESS

Date

If this is a FINAL RETURN for a

}

closed business, please check the

box at right

If this is a CHANGE OF MAILING

}

ADDRESS, please check the box

at right

ROUND TO NEAREST DOLLAR; WRITE NUMBERS LIKE THIS

GROSS SALES INCLUDING FOOD SALES AND/OR RENTAL PROCEEDS

(1)

2. ADD COST OF PERSONAL PROPERTY PURCHASED ON A RESALE

(2)

CERTIFICATE BUT USED BY YOU, INCLUDING GIFTS AND PREMIUMS

(2)

ADD COST OF OUT OF STATE PURCHASES AND PROPERTY

(3)

IMPORTED INTO TENNESSEE FOR YOUR USE ......................

(3)

4. FAIR MARKET VALUE OF TANGIBLE PERSONAL PROPERTY

FABRICATED, PRODUCED, COMPOUNDED, OR SEVERED FROM THE

(4)

EARTH FOR USE IN THE STATE OF TENNESSEE

TOTAL - Add Lines 1, 2, 3, and 4

(5)

6. EXEMPT TRANSACTIONS - Must be itemized on Page 2, Schedule A, Line K

(6)

7. NET TAXABLE TOTAL - STATE - Subtract Line 6 from Line 5

(7)

8. STATE TAX -

% of Line 7.......................................................................................(8)

USE PAGE 2, SCHEDULE B, FOR

9. STATE FOOD TAX -

% of Page 2, Schedule A, Line A..........

LOCAL TAX CALCULATIONS

(9)

YOUR SINGLE

SEE PAGE 2, SCHEDULE B, IF

10. LOCAL TAX -

% of Line 7 ...

ARTICLE TAX

LOCAL TAXABLE SALES DO NOT

(10)

BASE IS

EQUAL STATE TAXABLE SALES

11. ENTER ANY TAX COLLECTED IN EXCESS OF STATE AND LOCAL LEVIES....................(11)

12. STATE TAX ON TRANSACTIONS SUBJECT TO SINGLE ARTICLE AND

REDUCED RATES. ENTER TOTAL TAX FROM PAGE 2, SCHEDULE C, LINE 7

13. LOCAL TAX ON TRANSACTIONS SUBJECT TO THE SPECIAL RATES OF TAX

ENTER TOTAL TAX FROM

PAGE 2, SCHEDULE C, LINE 10

14. TOTAL TAX - Add Lines 8, 9, 10, 11, 12, and 13................................................................................... (14)

15. ENTER CREDIT MEMO BALANCE ......................................................................................................... .............(15)

If filed LATE, compute penalty at 5% of the tax (Line 14 minus Line 15) for each 1 to 30 DAY PERIOD for which TAX

{

16. PENALTY:

(16)

IS DELINQUENT (Total penalty NOT TO EXCEED 25%.) Minimum penalty is $15 regardless of the amount of tax

due or whether there is any tax due.

INTEREST-If filed late, compute interest at

% per year on the tax (Line 14 minus Line 15) from the due

17.

date to the date of payment............................................................................................................................................(17)

18.

PREPAID WIRELESS E911 fee -

53¢ per retail transaction for prepaid wireless telecommunications

less 3% administrative fee ..............................................................................................................................(18)

TOTAL DUE - If filed TIMELY, subtract Line 15 from Line 14 and add Line 18; If filed LATE, subtract

19.

Line 15 from Line 14 and add Lines 16, 17, and 18...........................................................................................(19)

I declare this is a true, complete, and accurate return to the best of my knowledge.

FOR OFFICE USE ONLY

SIGN

HERE

President or other Principal Officer, Partner or Proprietor

Date

SIGN

HERE

Tax Return Preparer and Title