NEVADA DEPARTMENT OF TAXATION
Certificate No.: 002-
CONSUMER USE TAX RETURN
For Department Use Only
Mail Orig
inal To:
Nevada Department of Taxation
PO Box 7165
San Francisco, CA 94120-7165
Due on or before:
For Quarter ending:
A RETURN MUST BE FILED EVEN IF NO TAX LIABILITY EXISTS
ENTER AMOUNTS IN
COUNTY OF USE
AMOUNT SUBJECT TO USE TAX TAX RATE CALCULATED TAX
TAX CALCULATION
FORMULA
COLUMN A X COLUMN B = COLUMN C
01 CHURCHILL
02 CLARK
03 DOUGLAS
04 ELKO
05 ESMERALDA
06 EUREKA
07 HUMBOLDT
08 LANDER
09 LINCOLN
10 LYON
11 MINERAL
12 NYE
13 CARSON CITY
14 PERSHING
15 STOREY
16 WASHOE
17 WHITE PINE
TOTALS
18.
19.
20.
21.
22.
23.
24.
25.
26.
MAKE CHECKS PAYABLE TO NEVADA DEPARTMENT OF TAXATION
CONSUMER USE TAX RETURN
TXR-02.01
Revised 12/09/15
I HEREBY CERTIFY THAT THIS RETURN INCLUDING ANY ACCOMPANYING
SCHEDULE AND STATEMENTS HAS BEEN EXAMINED BY ME AND TO THE BEST
OF MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT AND COMPLETE
RETURN.
RETURN MUST BE SIGNED
_______________________________________________________________
SIGNATURE OF TAXPAYER OR AUTH. AGENT
_______________________________________________________________
TITLE PHONE NUMBER (WITH AREA CODE)
_______________________________________________________________
FEDERAL TAX IDENT NO. DATE
IF POSTMARKED AFTER DUE
DATE, PENALTY AND INTEREST
WILL APPLY
26. TOTAL AMOUNT REMITTED WITH RETURN
19. ENTER COLLECTION ALLOWANCE (0.5% OF LINE 18 IF TIMELY, 0% IF LATE)
20. NET TAXES (LINE 18 MINUS LINE 19)
18. TOTAL CALCULATED TAX (COLUMN C)
24. LESS CREDIT(S) APPROVED BY THE DEPARTMENT
23. PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT
22. INTEREST (1% OF LINE 20) FOR EA. MO. OR PART OF MO.PAST DUE
21. PENALTY (10% OF LINE 20)
25. TOTAL AMOUNT DUE AND PAYABLE
Due on or before: ________________
instructions
IF POSTMARKED AFTER DUE DATE,
PENALTY AND INTEREST WILL APPLY
If the name or address as shown is incorrect, if ownership
has changed, or if you are out of business, notify a
Department of Taxation District Office immediately.
IF LATE, ENTER NUMBER OF MONTHS______
see
To email, save this form to your computer and email the attachment to nevadaolt@tax.state.nv.us
with the subject of 'Consumer Use Tax Return'. Your email, including attachments, cannot
exceed10 MB.
7.000%
0.00
7.500%
0.00
6.750%
0.00
6.500%
0.00
0.00
6.500%
6.500%
0.00
0.00
6.500%
6.750%
0.00
6.750%
0.00
6.500%
0.00
6.500%
0.00
0.00
6.750%
7.000%
0.00
6.500%
0.00
7.250%
0.00
7.375%
0.00
7.125%
0.00
Please enter your 9 digit Permit
Number without dashes
06/30
/04
0
0.00
0.00
0.00
0.00
0.00
0.00
CONSUMER USE TAX RETURN INSTRUCTIONS
COLUMN A. Amount subject to Use Tax: Enter total purchases subject to use tax on appropriate county line. All
purchases of tangible personal property on which no Nevada sales tax has been paid must be entered here.
COLUMN C. Calculated Tax: Multiply taxable amount(s) (Column A) by tax rate(s) (Column B) and enter in
Column C.
Note: If you have a contract exemption, give contract exemption number.
TOTALS: Enter total amount of Column A.
LINE 18. Total calculated tax from column C
LINE 19. Collection allowance: Compute 1/2% (or .005) X Line 18 if return and taxes are paid as postmarked on or
before the due date as shown on the face of the return. If not postmarked by the due date the collection allowance is not
allowed.
LINE 20. Net Taxes Due: Subtract Line 19 from Line 18.
LINE 21. If this return will not be postmarked, and the taxes paid on or before the due date as shown on the face of this
return, a 10% penalty will be assessed. Enter 10% (or .10) times Line 20.
LINE 22. If this return will not be postmarked and the taxes paid on or before the due date as shown on the face of this
return, enter 1.5% times line 20 for each month or fraction of a month late, prior to 7/1/99. After 7/1/99, use 1% for each
month or fraction of a month late.
LINE 23. Enter any amount due for prior reporting periods for which you have received a Department of Taxation debit
notice. Monthly notices received from the Department are not cumulative.
LINE 24. Enter amount due to you for overpayment made in prior reporting periods for which you have received a
Department of Taxation credit notice. Monthly notices received from the Department are not cumulative. Do not take the
credit if you have applied for a refund.
NOTE: Only credits established by the Department may be used.
LINE 25. Total Taxes Due and Payable: Add Line 20, 21, 22, and 23. Subtract amount on Line 24. Enter total.
LINE 26. Total Amount Remitted: Enter total amount paid with this return.
PLEASE COMPLETE THE SIGNATURE PORTION OF THE RETURN AND RETURN IN THE ENVELOPE PROVIDED.
If you have questions concerning this return, please call one of the Department of Taxation offices listed below.
Carson City (775) 684-2000 Las Vegas (702) 486-2300 Reno (775) 688-1295
CONSUMER USE TAX RETURN INSTRUCTIONS
TXR-02.01a
Revised 12/09/15