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Sales Tax Submission
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Sales Tax Submission
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Name of Entity (LLC or INC)
*
Date
*
Taxable Sales
*
Non-taxable Sales (This amount can be zero. Excluding Gas/Fuel, Lotto, Scratch-offs, and Food Stamps.)
*
Note: This amount can be zero. Excluding Gas/Fuel, Lotto, Scratch-offs, and Food Stamps.
Food Stamps
Tax Collected
*
Rent
Gas Gallons
Gas Sales
Gas Commission
ATM Commission
Air/Vacuum Commission
Credit Card Fees
Scratch Offs
Lotto Sales
Lotto Commission
Check Cashing
Vendors Cash Paid Out
Expense Cash Paid Out
Other Notes
Please confirm the terms below
*
I verify that the numbers entered above have been verified correctly and I am liable for any audits by the State Department of Revenue.
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