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       01-156                                                                                                        CLEAR FORM    PRINT FORM
       (Rev.2-17/9)
                                                                                                                     USE TAX INFORMATION
Texas Use Tax Return

What is Use Tax - A tax, complementary to the sales tax,                                                GENERAL INSTRUCTIONS
imposed on taxable goods and services that are purchased, 
                                                                                    Please do not write in shaded areas.
leased  or  rented  for  personal  or  business  use,  storage  or 
                                                                                    Do not leave Items 3, 5, or 6 blank.
consumption in Texas on which Texas sales or use tax has 
not previously been paid. Texas use tax is due regardless if                                            SPECIFIC INSTRUCTIONS
another state's sales or use tax has been paid.
                                                                                 Item c. Individuals, enter your Social Security number. For 
Examples  of  items  subject  to  use  tax  include  purchases                   other  types  of  organizations,  enter  the  Federal  Employer 
made  over  the  Internet  or  the  telephone  from  an                          Identification Number (FEIN) assigned to your organization. 
out-of-state  seller  who  does  not  collect  tax  and  items
                                                                                 FEDERAL PRIVACY ACT STATEMENT: Disclosure of your 
purchased while visiting another state or country.
                                                                                 Social  Security  number  is  required  and  authorized  under 
Who Should File This Form                  - Any person or business, not         law for the purpose of tax administration and identification 
permitted  for  Texas  sales  and  use  tax,  that  has  not  paid               of any individual affected by applicable law. 42 U.S.C. sec. 
Texas  sales  or  use  tax  on  taxable  goods  and  services                    405(c)(2)(C)(i); Texas Government Code secs. 403.011 and 
brought  or  shipped  into  the  state  for  use,  storage  or                   403.078. Release of information on this form in response to 
consumption.  Persons  and  businesses  that  are  permitted                     a public information request will be governed by the Public 
for Texas sales and use tax cannot use this form and must                        Information  Act,  Chapter  552,  Government  Code,  and 
report  any  taxable  purchases  on  their  sales  and  use  tax                 applicable federal law. 
return.
                                                                                 Item  3.  Enter  the  total  amount  of  taxable  purchases  you
When to File   - This return, with payment, should be filed on                   made  that  are  subject  to  use  tax.  Taxable  purchases  are
or before the 20th day following the period (month or year)                      those  taxable  items  purchased,  leased  or  rented  for
during  which  items  subject  to  use  tax  are  brought  into                  personal or business use on which Texas sales or use tax
Texas. If the 20th day falls on a Saturday, Sunday or legal                      was not paid. Report whole dollars only. 
holiday, the next business day is the due date for the return 
and payment.                                                                     Item 5. The use tax rate is the same as the sales tax rate - 
                                                                                 6.25  percent  state  tax  rate  plus  the  applicable  local  tax 
Whom  to  Contact  for  Assistance  -  If  you  have  any                        rates where the merchandise is delivered or used in Texas. 
questions  regarding  use  tax,  you  may  contact  the  Texas                   The maximum combined state and local tax is 8.25 percent. 
State  Comptroller's  field  office  in  your  area,  or  call                   You can look up your local tax rate at
1-800-252-5555.
                                                                                                     https://mycpa.cpa.state.tx.us/atj/ 
Mail to COMPTROLLER OF PUBLIC ACCOUNTS                                           Item 6. Multiply the amount in Item 3 by the tax rate in Item 
       111 E. 17th Street                                                        5. Make total amount of Item 6 payable to STATE 
       Austin, TX  78774-0100                                                    COMPTROLLER.  

       01-156
       (Rev.2-17/9)    Texas Use Tax Return
a.   26140
   I                                                                             b. I                                *0115601W021709*
c.    ISocial Security number or FEIN              d.                           .Do not fold, staple or paper clip                .Write only in white areas.
                                                                                k. Physical address of item(s) received in Texas (Do not use a P.O. box address.)
e. FP                         f.  Outlet no./         g.
I                                 location
h.                                            i. PM
I                                             I
j.                                                                              1. I .00
I                                             I                                 2. I .00
                                                                                                                                                       .00
Taxpayer name and mailing address                                               3. TAXABLE PURCHASES (Whole dollars only)        I
                                                                                4. I .00
                                                                                5. TAX RATE - (Include state & local)
                                                                                6. TOTAL AMOUNT DUE AND PAYABLE
                                                                                    (Multiply Item 3 by Item 5.)                 I
I declare that the information in this document and any attachments is true and You have certain rights under Chapters 552 and 559, Government Code, to review,
correct to the best of my knowledge and belief.                                 request and correct information we have on file about you.  Contact us at the address
       Taxpayer or duly authorized agent                                        or phone number listed on this form. 
Date                   Daytime phone
                       (Area code and number)






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