Free 01-911 Schedule to Support Refunds - Texas

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01-911 (Rev.6-06/3)

SCHEDULE TO SUPPORT REFUNDS
VENDOR NAME VENDOR TAXPAYER NUMBER INVOICE NUMBER INVOICE DATE ITEM DESCRIPTION CODE* AMOUNT SUBJECT TO TAX REFUND STATE TAX CITY NAME REFUND CITY TAX

NOTE: Schedule invoices in date sequence by vendor.
COUNTY NAME REFUND COUNTY TAX SPD NAME REFUND SPD TAX MTA NAME REFUND MTA TAX TOTAL TAX

example a.
ABC PARTS ABC PARTS ABC PARTS ROYAL OIL CO. 17531111111 17531111111 17531111111 32222211111 7447 01/27/06 knife, kits, tooth 7506 03/31/06 bearing 7929 04/29/06 seal, kit, bushing 12345 04/04/06 chain oil 3.300(d)(2) 3.300(d)(14) 3.300(d)(7) 3.300(d)(7) 23.48 7.35 66.45 100.00 1.47 0.46 4.15 6.25 FORT WORTH FORT WORTH FORT WORTH NACOGDOCH 0.23 0.07 0.66 1.50 NONE NONE NONE NACOGDOCH 0.00 0.00 0.00 0.00 SCCFOR SCCFOR SCCFOR SHDNAC 0.12 0.04 0.33 0.50 MTAFOR MTAFOR MTAFOR NONE 0.12 0.04 0.33 0.00 1.94 0.61 5.47 8.25

example b.
FRANK'S RANCH FRANK'S RANCH FRANK'S RANCH FRANK'S RANCH SAFETY SUPPLY 17421111111 17421111111 17421111111 17421111111 17441111111 66666 05/09/06 over kit 66666 05/09/06 over kit 66666 05/09/06 over kit 66666 05/09/06 over kit 55555 06/20/06 defibrillator 3.296(g) 3.296(a) 3.296(b) 3.296(g) 3.284 35.30 32.85 4.24 34.55 38.80 2.21 2.05 0.27 2.16 2.43 CONROE CONROE CONROE CONROE CONROE 0.71 0.66 0.08 0.69 0.78 NONE NONE NONE NONE NONE 0.00 0.00 0.00 0.00 0.00 NONE NONE NONE NONE NONE 0.00 0.00 0.00 0.00 0.00 NONE NONE NONE NONE NONE 0.00 0.00 0.00 0.00 0.00 2.92 2.71 0.35 2.85 3.21

example c.
TEXAS TILE TEXAS TILE TEXAS TILE TIMBER MGMT TIMBER MGMT TIMBER MGMT TIMBERJACK TIMBERJACK VICTOR'S PART VICTOR'S PART VICTOR'S PART VICTOR'S PART 17561111111 17561111111 17561111111 17521111111 17521111111 17521111111 2918 07/27/06 kit, bearing, pin 2964 08/26/06 over kit 3800 09/30/06 stamper 42797 12/14/04 coil 42909 08/17/05 pin, cup, baffel 43514 09/28/05 valve 1a 1a 1d 1a 2a 2d 4 4 1d 1a 1c 1d 83.61 83.10 65.94 5.82 52.58 65.33 93.94 36.65 84.39 8.12 134.55 30.55 1,087.60 5.23 5.19 4.12 0.36 3.35 4.08 5.87 2.29 5.27 0.51 8.41 1.91 68.04 HOUSTON HOUSTON HOUSTON LUFKIN LUFKIN LUFKIN NONE NONE WOODVILLE WOODVILLE WOODVILLE WOODVILLE 0.84 0.83 0.66 0.09 0.80 0.98 0.00 0.00 1.27 .12 2.02 0.46 13.45 NONE NONE NONE ANGELINA ANGELINA ANGELINA ANGELINA ANGELINA TYLER TYLER TYLER TYLER 0.00 0.00 0.00 0.03 0.27 0.33 0.47 0.18 0.42 0.04 0.67 0.15 2.56 NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE NONE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.99 MTAHOU MTAHOU MTAHOU NONE NONE NONE NONE NONE NONE NONE NONE NONE 0.84 0.83 0.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.82 6.91 6.85 5.44 0.48 4.42 5.39 6.34 2.47 6.96 0.67 11.10 2.52 87.86

17541111111 142793 05/27/06 bearing, pin 17541111111 142994 06/10/06 service manual 17571111111 17571111111 17571111111 17571111111 45000 01/02/05 waterpump 46001 04/05/05 coil 47000 05/05/05 knife, kits, tooth 50000 07/11/05 seal kit, bushing

TOTAL REFUND REQUESTED

*CODE can be keyed to a variety of different references such as: a. Specific exemption references in the tax rules, such as - 3.300 - manufacturing, or b. Specific exemption references in the tax rules, such as - 3.296 - agricultural, or c. An Equipment Schedule of exempt machinery receiving repair or replacement parts such as - timber. The web address for local sales tax information is www.window.state.tx.us/taxinfo/local/rateinfo.html.

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