Form 32-019 Rf21a - Iowa Retailer'S Use Tax Quarterly Return
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1
2
3IMPORTANT: You must file this deposit even if
IOWA RETAILER'S USE TAX MONTHLY DEPOSIT
you had no use tax activity this month. If no
activity, put zeroes in lines below.
Permit No.
Period
Date Due
5% State Tax:
1. $ ________________
+
Local Option Tax:
2. $ ________________
+
School Local Option Tax:
3. $ ________________
=
DEPOSIT AMOUNT
4. $ ________________
PENALTY
5. $ ______________
INTEREST
6. $ ______________
Date
Phone #
Signature of Retailer or Agent
TOTAL AMOUNT DUE
7. $ ______________
IMPORTANT: You must file this deposit even if
IOWA RETAILER'S USE TAX MONTHLY DEPOSIT
you had no use tax activity this month. If no
activity, put zeroes in lines below.
Permit No.
Period
Date Due
5% State Tax:
1. $ ________________
+
Local Option Tax:
2. $ ________________
+
School Local Option Tax:
3. $ ________________
=
DEPOSIT AMOUNT
4. $ ________________
PENALTY
5. $ ______________
INTEREST
6. $ ______________
Date
Phone #
Signature of Retailer or Agent
TOTAL AMOUNT DUE
7. $ ______________
QUARTERLY EXEMPTIONS
QUARTERLY EXEMPTIONS RETURN
Exemptions are sales made by you on which tax was
13 Interstate Commerce
not required to be charged. Enter your exemptions
14 Govt Units/Educ Inst
for the entire quarter on this return. Enter the amount
from line 21 on line 4 below.
15 Resale/Processing
16 Farm Machinery/Equip
17 Indust Mach, Equip, Comp
18 New Construction
19 Exempt Food/Drugs
20 Other:
Other:
Other:
21 Total Exemptions
If you had no sales in Iowa this quarter, put zeroes on lines 1
IOWA RETAILER'S USE TAX QUARTERLY RETURN
and 12.
32-019 rf21a 10/02
1 Gross Sales in Iowa (quarter)
2 Goods Consumed in Iowa (quarter)
3 Total (add lines 1 and 2)
4 Exemptions (from line 21) (quarter)
5 Taxable Amount (line 3 minus line 4)
Permit No.
Period
Date Due
6a State Tax (5% of line 5) (quarter)
6b Total Local Option Tax (quarter)
6c Total School Local Option Tax (quarter)
7 Total Tax (add lines 6a, 6b, and 6c)
8 Deposits and Overpayment Credits
9 Balance (line 7 minus line 8)
10 Penalty (if applicable)
11 Interest (if applicable, see instructions)
Date
Title
Signature of Retailer or Agent
12 Total Amount Due (add lines 9-11)
Daytime Phone No.: ________________
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