Free 01-115 Texas Sales and Use Tax Return Outlet Supplement - Texas

01-115 (Rev.1-05/22)

TEXAS SALES AND USE TAX RETURN - OUTLET SUPPLEMENT a.

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PRINT FORM

CLEAR FIELDS

b. d. Filing period

Instructions in English

Page
e.

of

26100

c. Taxpayer number

Make any necessary changes next to the incorrect information for any location. (Do not use P.O. box addresses.) f. Taxpayer name

g. Due date

Do not staple or paper clip.

Do not write in shaded areas.

PLEASE PRINT YOUR NUMERALS LIKE THIS

SEE INSTRUCTIONS FORM 01-922
1. TOTAL SALES (Whole dollars only) 2. TAXABLE SALES (Whole dollars only) 3. TAXABLE PURCHASES (Whole dollars only) 4. Amount subject to state tax (Item 2 plus Item 3) 5. Amount subject to local tax (Amount for city, transit, county and SPD must be equal.) 1. TOTAL SALES (Whole dollars only) 2. TAXABLE SALES (Whole dollars only) 3. TAXABLE PURCHASES (Whole dollars only) 4. Amount subject to state tax (Item 2 plus Item 3) 5. Amount subject to local tax (Amount for city, transit, county and SPD must be equal.) 1. TOTAL SALES (Whole dollars only) 2. TAXABLE SALES (Whole dollars only) 3. TAXABLE PURCHASES (Whole dollars only) 4. Amount subject to state tax (Item 2 plus Item 3) 5. Amount subject to local tax (Amount for city, transit, county and SPD must be equal.) 1. TOTAL SALES (Whole dollars only) 2. TAXABLE SALES (Whole dollars only) 3. TAXABLE PURCHASES (Whole dollars only) 4. Amount subject to state tax (Item 2 plus Item 3) 5. Amount subject to local tax (Amount for city, transit, county and SPD must be equal.)

6. Physical location (outlet) name and address (Do not use a P.O. box address.)

Outlet no.

7. AMOUNT OF TAX DUE FOR THIS OUTLET (Dollars and cents) (Multiply "Amount subject to tax" by "TAX RATE" for state and local tax due) TAX RATES 7a.State tax (include in Item 8a)

X X

=
7b.Local tax (include in Item 8b)

=
Outlet no.

6. Physical location (outlet) name and address (Do not use a P.O. box address.)

7. AMOUNT OF TAX DUE FOR THIS OUTLET (Dollars and cents) (Multiply "Amount subject to tax" by "TAX RATE" for state and local tax due) TAX RATES 7a.State tax (include in Item 8a)

X X

=
7b.Local tax (include in Item 8b)

=
Outlet no.

6. Physical location (outlet) name and address (Do not use a P.O. box address.)

7. AMOUNT OF TAX DUE FOR THIS OUTLET (Dollars and cents) (Multiply "Amount subject to tax" by "TAX RATE" for state and local tax due) TAX RATES 7a.State tax (include in Item 8a)

X X

=
7b.Local tax (include in Item 8b)

=
Outlet no.

6. Physical location (outlet) name and address (Do not use a P.O. box address.)

7. AMOUNT OF TAX DUE FOR THIS OUTLET (Dollars and cents) (Multiply "Amount subject to tax" by "TAX RATE" for state and local tax due) TAX RATES 7a.State tax (include in Item 8a)

X X
STATE TAX

=
7b.Local tax (include in Item 8b)

=

TOTAL TAX DUE ON THIS PAGE
(For Taxpayer Use Only)

LOCAL TAX

You have certain rights under Ch. 559, Government Code, to review, request, and correct information we have on file about you. Contact us at the address or toll-free number listed on this form.