County Admissions Tax Return {CAT-103} | Pdf Fpdf Doc Docx | Indiana

County Admissions Tax Return {CAT-103}

Indiana/Statewide/Department Of Revenue/Miscellaneous/
County Admissions Tax Return {CAT-103} | Pdf Fpdf Doc Docx | Indiana

County Admissions Tax Return Form

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This is a Indiana form that can be used for Miscellaneous within Statewide, Department Of Revenue.

Last updated: 4/13/2015
State Form 25341 (R2 / 3-13) CAT-103 Indiana Department of Revenue County Admissions Tax Return I.C. 6-9-13-1 Your FID# (Federal Identification Number) - ___________________________________________ Tax Period (Month and Year) ___________________________________________ Due Date (Due before 15th of the month following collection.) ___________________________________ County Name of Taxpayer _________________________________________________________________________________ Address _________________________________________________________________________________________ City __________________________________ State ____________________ Zip ______________________ A. Enter total admissions for professional sporting events for B. Enter county admissions tax due (10% of Line A) C. Total Amount Due ____________ Month/Year $ _______________________ $ _______________________ $ _______________________ Please make check payable to the: Indiana Department of Revenue Payments must be made with U.S. funds. Please do not include check stubs when mailing your payments. Mail to: Indiana Department of Revenue 100 N Senate Ave IGCN 140 Indianapolis, IN 46204 I declare under the penalty of perjury that this is a true, correct and complete return. __________________________________________ Signature/Title _____________________ Date ________________________ Phone This Return Must Be Filed Even If No Tax Is Due American LegalNet, Inc. www.FormsWorkFlow.com