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DUE DATE: The due date for the city privilege tax is the 20th of the month following the reporting
period. A return is considered timely if received by the last business day of the month. A business License No. _____________
day is any day except Friday, Saturday, Sunday, or legal city holiday.
Reporting Period __________
PENALTIES: 1. Failure to File - A penalty of 5% of the tax due will be assessed for each month,
or fraction elapsing between the delinquency date of the return and the date on which it is filed.
Filing your return on time, whether or not you pay the tax due, will avoid the late filing penatly.
2. Failure to Pay - A penalty of 10% of the unpaid tax will be assessed if the tax is not paid timely.
3. Total Penalty - Total penalties assessed will not exceed 25%.
INTEREST: Mesa's interest rate is the same as the State rate and continues to accrue until taxes POSTMARKS ARE NOT EVIDENCE
are paid. Interest rate tables are available on the City's Tax & Licensing website, or you may OF TIMELY FILING.
contact our office at the number shown on the form. Interest may not be waived by the Tax
Collector.
CHECK YOUR RETURN: Check the amounts recorded by type of income for each line item as follows.
* Itemized deductions equal the total deductions recorded.
* Taxable income equals gross income less total deductions.
* Tax due is equal to the amount obtained by applying the preprinted tax rate to the taxable income amount.
* Total tax due equals tax due plus any excess tax collected.
FOR ASSISTANCE, CALL: City of Mesa(480)644-2316 Fax:(480) 644-3999
SCHEDULE A - DETAILS OF DEDUCTIONS: Enter below the deductions and exclusions you used in computing your city transaction
privilege tax or use tax. You must keep a detailed record of all deductions and exclusions. Failure to maintain proper documentation
and records required by city ordinance may result in their dissallowance. A separate detail of city records and documentation must be
maintained only when the income, deductions or exemptions are different from state requirements.
Please note : Not all deductions are available to all business classifications.
NOTE: The line numbers at the top of each column below correspond with the line numbers of the business descriptions listed on the front page.
Bus. Class Bus. Class Bus. Class Bus. Class Bus. Class Bus. Class
Code
LINE 1 LINE 2 LINE 3 LINE 4 LINE 5 LINE 6
1. Total tax collected or factored
(State, county and city) 64
2. Bad debts on which tax was paid 53
RETAIL & PERS. PROP. RENTALS
3. Sales for resale 54
4. Repair, service, or installation labor 63
5. Discounts and refunds 52
6. Sales to qualified health care org. 65
SALES TO U.S. GOVERNMENT
7. By retailer 50% deductible 75
8. By manufacturer and repairer
(100% deductible) 75
OUT-OF-STATE SALES
9. Sales to nonresidents for use out-
of-state when vendor ships or
delivers out-of-state. 55
CONSTRUCTION CONTRACTING
10. 35% reduction of gross receipts 70
11. Exempt sub-contracting income 71
12. Out-of-City Contracting 62
OTHER DEDUCTIONS
13. Sales of motor vehicle and use fuel. 59
14. Sales of exempt machinery & equip. 76
15. Prescription drugs/prosthetics 58
16. Food for home consumption 77
17. Other (explain) _______________ 78
18. Other (explain) _______________ 79
19. Other (explain) _______________ 80
20. Other (explain) _______________ 81
Total Deductions
SCHEDULE B
Excess Tax Collected by Business Class
Allowable Credits by Business Class
Jet Fuel ________gals. X .03=__________ >>> transfer this amount to line 10 on front page.
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