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Indiana > Statewide > Department Of Revenue > Sales And Withholding

Consumers Use Tax Return ST-115 - Indiana

Consumers Use Tax Return Form. This is a Indiana form and can be used in Sales And Withholding Department Of Revenue Statewide .
 Fillable pdf Last Modified 4/21/2008
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Form ST-115 State Form 321 (R4/ 11-02) Indiana Department of Revenue Consumer's Use Tax Return and ending (month/year) Check Type of Return Period beginning (month/year) Name Street Address City or Post Office, County, State, and Zip Code Principal Business Activity ID Type (circle one) Indiana TID # Federal ID # Social Security Number ID Number Quarterly Monthly Tax Computation 1. Total purchases subject to tax (from reverse side).................. 2. Use Tax (6% of Line 1)........................ 3. Penalty (10% of Line 2) & Interest (call the Department*) if paid after due date............... 4. Total amount due (add Lines 2 and 3 )................ For Departmental Use Only $ , , , , , , , . . . . $ , Signature & Title if other than individual return Date I declare under the penalties of perjury that to the best of my knowledge and belief, this is a true, correct, and complete return. *Call (317) 233-4015 or by e-mail at: American LegalNet, Inc. List all purchases of tangible personal property subject to use tax. Name and Address of Seller Description of Property Purchased Date of Purchase Purchase Price of Property $ , , , , , , , , , , , , , (if more space is needed, please attach a schedule) After completing this form, mail with payment to: Indiana Department of Revenue, 100 N. Senate Ave, Indianapolis, IN 46204 TOTAL* $ , *This amount goes on Line 1, on the front of this form. American LegalNet, Inc. . . . . . . .
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