Form 01-114 — Texas Sales and Use Tax Return (Standard)

AB
CD 01-114
(Rev.8-25/41)
Texas Sales and Use Tax Return a. c. Taxpayer number

# PRINT FORM CLEAR FIELDS

0111400W082541
DDDD
Instructions in English b.b See instructions, Form 01-922.
I Do not staple or paper clip. I Do not write in shaded areas.
Page 1 of d. Filing period e. f. Due date I Blacken this box if your mailing Taxpayer name and mailing address g. address has changed. Show changes 1.b by the preprinted information.
I Blacken this box if you are no longer in business. Write in the date you went 2.b out of business.
I Blacken this box if one of your locations is out of business or has 3.b changed its address. h. i.
You have certain rights under Chapters 552 and 559, Government Code, to review, request and correct information we have on file about you. Contact us at the address or phone numbers indicated in the instructions. j. Are you taking credit to reduce taxes due on this b b Return n.NO SALES - If you had zero to report in Items 1, 2 and 3 for ALL locations 1 NO return? If you are claiming bad debt credit to reduce YES for this filing period, blacken this box, sign and date this return and mail it R MUST 1 b your tax due, you must file electronically. k. Did you refund sales tax for items exported outside 2 b b be filed to the Comptroller's office. even if no YES the U.S. based on a Texas Licensed Customs NO 1 b Broker Export Certificate? l. Are you taking credit to reduce taxable sales on this return for the purchase of Texas farm-raised 2 b PLEASE PRINT YOUR tax is due.

NUMERALS LIKE THIS
YES NO
1 b oysters? m.Are you taking credit to reduce taxable sales on this return for participation in a qualified oyster 2 b

1. Physical location (outlet) name and address Outlet (Do not use a P.O. box address.) no.

# YES NO

1 b shell recycling program?
If you answered yes to either question j - m, you must complete Form 01-148 and submit it with your return.

1. TOTAL TEXAS SALES b (Whole dollars only)
2. TAXABLE SALES b (Whole dollars only)
3. TAXABLE PURCHASES b (Whole dollars only)
4. Amount subject to state tax b (Item 2 plus Item 3)
5. 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) .062500 b .
X =
7b.Local tax (include in Item 8b) . b X = b STATE TAX - Column a b LOCAL TAX - Column b _ . .
=
_ . .
_ . .
= . .
+
15a. Total state amount due 15b. Total local amount due = b b b T Code Taxpayer number Period Taxpayer name

1. TOTAL

# AMOUNT PAID