Creator:Tracy Hall Date Created:July 12, 1983 Place Created:Provo, Utah Keywords:Tracy Hall,tax form Context:Utah state tax form ************************************************** FORM TC-71 7/82 12 02 72 MAIL TO: STATE TAX COMMISSION OF UTAH HEBER M. WELLS BUILDING 160 EAST 300 SOUTH SALT LAKE CITY, UTAH 84134 STATE OF UTAH SALES AND USE TAX RETURN FOR STATE AND LOCAL SALES AND USE TAXES SINGLE PLACE OF BUSINESS ONLY TAX PERIOD SPR-JUft 1983 DUE ON OR BEFORE JUL 30. 1983 NAME AND ADDRESS (CORRECT ANY ERRORS) ACCOUNT NUMBER H T R ft CY- q MA P. id BX 753:3 : Ln . PrtOVO" UT USE THIS NUMBER FOR ALL REFERENCES FOR AUDITOR'S USE COMPUTATIONS CHECKED. E.O. NO. IF BUSINESS WAS DISCONTINUED OR NEW BUSINESS STARTED OR THERE HAS BEEN A CHANGE OF OWNERSHIP ATTACH STATEMENT OF EXPLANATION READ INSTRUCTIONS ON BACK OF DUPLICATE I. SALES TAX GOODS DELIVERED AND SERVICES PERFORMED FROM PLACE OF BUSINESS IN UTAH II. USE TAX GOODS DELIVERED DIRECT FROM OUTSIDE UTAH 1. TOTAL SALES (Including Power and Fuel Sales)...... $ 2. DEDUCT EXEMPT SALES (See Instructions for Line 2).................................. $ 3. TAXABLE SALES (Line 1 Less Line 2) ............. » / 4. ADD: Goods Purchased Tax-Free and Used or -Z* $ V $ 5. TOTAL TAXABLE AMOUNTS................... $ $ 6. ADJUSTMENTS (Attach Schedule of Explanation)..... $ 7. NET TAXABLE AMOUNTS $ S V 8. TOTAL TAX RATE - STATE 4% Plus Applicable Local Taxes a.75 % N ti.7 5 % III. TOTAL 9. TOTAL STATE AND LOCAL TAXES (Line 7 Multiplied By Rate on Line 8) $ $ $ 10. TAX CREDIT ON POWER, GAS AND FUELS SOLD FOR RESIDENTIAL USE (See Instructions for Line 10) SALES AMOUNT S AT 3% % . 11. NET TAX DUE (Line 9 Less Line 10) $ PENALTY OF 10% AND APPLICABLE INTEREST WILL BE COMPUTED AND BILLED BY THE TAX COMMISSION ON ALL LATE FILINGS THIS RETURN MUST BE FILED EVEN THOUGH NO TAX IS DUE I CERTIFY THAT THIS RETURN, INCLUDING ANY ACCOMPANYING SCHEDULES, HAS BEEN EXAMINED BY ME AND TO THE BEST OF MY KNOWLEDGE IS A TRUE, CORRECT AND COMPLETE RETURN. SIGNED H. Tracy Hall TITLE PHONE NO. 374-0300 DATE July 12, 1983 MAKE CHECK OR MONEY ORDER PAYABLE TO: STATE TAX COMMISSION OF UTAH RETURN ORIGINAL, KEEP DUPLICATE