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01-119 RRRR
(Rev.5-19/18) PRINT FORM CLEAR FIELDS
b. *0111900W051918*
a. 27100 Do not staple or paper clip.
Do not write in shaded areas. Page 1 of
c. Taxpayer number d. Filing period e. f. Due date
Texas Direct
Payment Return
IMPORTANT
Blacken this box if your mailing
Taxpayer name and mailing address(Make corrections next to any incorrect information.) address has changed. Show changes
g. by the preprinted information. 1.
PLEASE NOTE: Blacken this box if you are no longer
You cannot file this return unless you hold a Texas Direct in business. Write in the date you went
out of business. 2.
Payment Permit, issued by the Comptroller's office.
h. i.

CLICK HERE TO CONTINUE PLEASE PRINT YOUR NUMERALS LIKE THIS
Make copies for your records.

Instructions for Completing Texas Direct Payment Use Tax Return
Who Must File - Every person (sole owner, When to File - Returns must be filed on or before Whom to Contact for Assistance - If you
partnership, corporation or other organization) the 20th day of the month following each reporting have any questions regarding the Direct
who is responsible for payment of Texas direct period. The due date for filing this return is printed in Payment Use Tax, you may contact the Texas
payment use tax must file a return. Failure to file Item f. State Comptroller's field office in your area or
this return and pay applicable tax may result in Business Changes - It is your responsibility to call 1-800-252-5555.
collection action as prescribed by Title 2 of the notify the Comptroller's office of any business More instructions on back.
Tax Code. Returns and supplements must be filed changes or if you do not receive the correct forms to
for every period even if there is no tax due. report your taxes. If you're interested in
ELECTRONIC TAX FILING
j. Are you taking credit to reduce taxes due on this return YES NO please call us at 1-800-442-3453 or
for taxes you paid in error on your own purchases? 1 2 email us at etf.cpa@cpa.texas.gov.
If you answered "YES" to question j, complete Form 01-149Form 01-149and submit it with your return.
1. Amount subject to state tax (Taxable purchases on which tax
was not paid to supplier. REPORT WHOLE DOLLARS ONLY.) 1.

27180 02 STATE TAX - Column a 04 LOCAL TAX - Column b
2a. Multiply Item 1 by .062500 2b. Total of Item 7b on all list supplements

2. Total tax due

01-119 AAAA
(Rev.5-19/18)

-
3. Prior payments (See instructions)

= . .
4. Net tax due (Item 2 minus Item 3)
5. Penalty and interest + . .
(See instructions.)
6a. Total state amount due 6b. Total local amount due
6. TOTAL STATE AND LOCAL 02 04
=
AMOUNT DUE (Add Items 4 and 5.)
Mail to COMPTROLLER OF PUBLIC ACCOUNTS
P.O. Box 149354
Austin, TX 78714-9354
T Code Taxpayer number Period 7. TOTAL AMOUNT PAID
(Total of Items 6a and 6b. Make check
payable to: STATE COMPTROLLER.)

Taxpayer name n.

I declare that the information in this document and any attachments is true and correct to the best of my knowledge.
Taxpayer or duly authorized agent Date Daytime phone (Area code & number)

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Form 01-119 (Back)(Rev.5-19/18)

                               Instructions for Completing Texas Direct Payment Use Tax Return
                                                    (continued)
                               General Instructions                          Specific Instructions
Please do not write in shaded areas.                                Item  j. If  you  paid  sales  or  use  tax  in  error  to  a  vendor  or
                                                                    accrued  tax  in  error  on  a  previous  direct  pay  tax  return  for
If any preprinted information on this return is incorrect OR if     purchases that are exempt from sales or use tax, blacken the
you do not qualify to file this return, contact the Comptroller's   "YES" box and complete Form 01-149, "Texas Direct Pay Tax
office.                                                             Return--Credits Schedule." Otherwise, blacken the "NO" box.
                                                                    Item  3.  Prior  payments  - If  you  requested  that  a  prior
You must file a return even if you had no purchases to report.      payment and/or an overpayment be designated to this specific
                                                                    period, the amount  is preprinted in Item 3 as of the date this
If  any  amounts  entered  are  negative,  bracket  them  as        return was printed.
follows: <xx,xxx.xx>.
                                                                    Item 5.  Penalty and interest - 
If typing, numbers may be typed consecutively as shown in           1-30 days late: Enter penalty of 5% (.05) of Item 4.
the example.                                                        31-60 days late: Enter penalty of 10% (.10) of Item 4.
                                                                    Over  60  days  late: Enter  10%  (.10)  penalty  of Item 4  plus 
                                                                    interest  calculated  at  the  rate  published  on  Pub.  98-304, 
                               0123456789                           online at www.comptroller.texas.gov or by telephone at 
                                                                    1-877-447-2834.
                                                                    The minimum late filing penalty will be $2.00 ($1.00 for state
                                                                    and $1.00 for local).
You  have  certain  rights                                                                                                                     under  Chapters  552  and  559,
Government Code, to review, request and correct information         NOTE: An  additional  $50 late  filing  penalty  will be  assessed
we  have  on  file  about  you.   Contact  us  at  the  address  or          each time a return is filed after the due date.
phone number listed on this form.

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