Short Form: Texas Sales and Use Tax Return
Short Form: Texas Sales and Use Tax Return
Short Form: Texas Sales and Use Tax Return
CD 01-117
(Rev.5-19/39)
PRINT FORM CLEAR FORM
0 1 2 3 45 6 7 89
I If any preprinted information on this return is incorrect, OR if you do not Use black ink.
qualify to file this return, contact the Comptroller's office.
I Do not leave Items 1, 2, 3 or 4 blank. Enter "0" if the amount is zero.
You must file a return even if you had no sales. If typing, numbers may
I
I If any amounts entered are negative, bracket them as follows:
I
be typed consecutively. 0123456789
<xx,xxx.xx>.
*0111701W051939*
(Rev.5-19/39) TEXAS SALES AND USE TAX
. Do not fold, staple or paper clip . Write only in white areas.
DO NOT ENTER UNLESS
RETURN
a. 26140 no longer in business.
g. Due date
1. TOTAL TEXAS SALES
(Whole dollars only) .00
f. Outlet no./
location 2. TAXABLE SALES
(Whole dollars only) .00
3. TAXABLE PURCHASES +
(Whole dollars only) .00
k. Outlet address (Do not use a P.O. box address) 4. Total amount
subject to tax = .00
(Item 2 plus Item 3)
5. Tax due - Multiply Item 4 by
Taxpayer name and mailing address the combined tax rate
(Include state & local)
6. Timely filing discount (0.005) -
7. Prior payments -
8. Net tax due
(Subtract Items 6 and 7 from Item 5.) =
I declare that the information in this document and any attachments is true and Blacken
this
correct to the best of my knowledge and belief. 9. Penalty & interest +
Taxpayer or duly authorized agent box (See instructions)
if out of 10. TOTAL AMOUNT DUE
business AND PAYABLE
Date Daytime phone or address (Item 8 plus Item 9) =
(Area code & no.) has changed.
Form 01-117 (Back)(Rev.5-19/39)
Item l. If the location indicated in Item f is no longer in business, enter the Item 4. Add the totals of Item 2 (Taxable Sales) and Item 3 (Taxable
out-of-business date. Purchases) and enter on Item 4. Enter "0" if you have no amount subject
to tax. DO NOT INCLUDE ITEM 1 (Total Texas Sales) IN THIS TOTAL.
Item 1. Enter the total amount (not including tax) of ALL sales, services,
leases and rentals of tangible personal property including all related Item 5. The tax rate is a combined rate of tax types indicated: state, city,
charges made in Texas during the reporting period. Report whole dollars transit authority, county and/or special purpose district. Please call the
only. Enter "0" if you have no sales to report. Texas Sales are defined as Comptroller's office if the rate is incorrect or if you have a question about
all sales made from a Texas in-state location AND all sales made into the tax rate. Multiply Item 4 by the tax rate and enter in Item 5.
Texas from an out-of-state location.
Item 6. Timely Filing Discount - If you are filing your return and paying the
Item 2. Enter the total amount (not including tax) of all TAXABLE sales, tax due on or before the due date, multiply the Tax Due in Item 5 by .005
services, leases and rentals of tangible personal property including all and enter the result in Item 6.
TAXABLE related charges made during the reporting period. Report whole
dollars only and enter "0" if you have no sales to report. If you are taking a Item 7. If you requested that a prior payment and/or an overpayment be
credit on the return, claim the credit in Item 2 by subtracting the sum of designated to this specific period, the amount is preprinted in Item 7 as of
purchases and/or sales you paid taxes on in error or refunded to a the date this return was printed.
customer, from the amount of taxable sales.
Item 9. Penalty and Interest:
Item 3. Enter the total amount of taxable purchases that you made for I 1-30 days late: Enter penalty of 5% (.05).
your own use. Taxable purchases include items that were purchased, I 31-60 days late: Enter penalty of 10% (.10).
leased or rented for personal or business use on which sales or use tax I Over 60 days late: Enter penalty of 10% (.10) plus interest calculated
was not paid. This includes purchases from in- or out-of-state sellers, at the rate published on Pub. 98-304, by telephone at 1-877-447-2834,
exempt items taken out of inventory for use, items given away, and items or online at www.comptroller.texas.gov.
purchased for an exempt use but actually used in a taxable manner. (Texas Tax Code Ann. Sec. 111.060 and 111.061)
Taxable purchases do not include inventory items being held exclusively Note: An additional $50 late filing penalty will be assessed each time a
for resale. Report whole dollars only. Enter "0" if you have no taxable return is filed after the due date.
purchases to report.
Item 10. Add Item 8 plus Item 9, if applicable, and enter in Item 10.