Printable Indiana St 103Dr Form
Indiana St 103Dr Sample
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Form |
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Indiana Department of Revenue |
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Recap of Prepaid Sales Tax by Distributors |
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State Form 51068 |
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(R4 / |
IMPORTANT: This form must be fi led even when no transactions have occured. |
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1. Taxpayer Identifi cation Number |
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2. For Tax Period (month/year) |
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3. Federal Identification Number |
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4. |
Taxpayer Name |
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5. Doing Business as Name (DBA) |
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6. Telephone Number |
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7. |
Street Address, City, State Zip Code |
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8. Gasoline Distributor Status (Check One) |
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Qualifi ed Distributor □ |
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9. |
Which sales tax return are you filing (Check One) |
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NOTE: THIS FORM MUST BE PRINTED OR TYPED |
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Section I: |
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From Whom Did You Buy Fuel? |
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10. Name of Supplier
11. Address of Supplier
12.Supplier Federal ID Number
13.Total Gallons Purchased
14.Prepaid Sales Tax Paid to Supplier
Note: You Must Complete BOTH Sides of this Form
15. Grand Totals
Instructions for Section I
1.Provide your Indiana Taxpayer Identifi cation Number (TID).
2.What Tax Period (month/year) Note: This report is due the last day of the month following the reporting period.
3.Enter your Federal Identifi cation Number (FID).
4.Provide the Taxpayer’s legal name.
5.List the Doing Business as Name for your company.
6.Please list your company’s telephone number including area code.
7.Provide your business address.
8.Check your Distributor Status.
9.Check which tax return you are filing.
10.List the names of the companies you purchase from.
11.List the address of the companies you purchase from.
12.List your supplier’s Federal Identification Number.
13.List total gallons purchased from each supplier.
14.Provide the amount of prepaid sales tax you paid each supplier.
15.Total the number of gallons purchased and the amount of prepaid sales tax paid for the reporting month.
This report must be fi led MONTHLY. It is due on the last day of the month following the reporting period.
□Please check this box if your business has permanently closed and provide the closed date. ____/____/____
SECTION II |
To Whom Did You Sell Fuel? |
16. Customer’s Name
17. Customer’s Address
18.Customer’s Federal ID Number
19. Total Gallons Sold
20. Exempt Gallons Sold
21. Prepaid RST Collected
All Gallons EXEMPTED and TAXED must be shown
22. Total
Instructions for Section II
16.List your Customer’s Name. (Attach additional sheets if necessary).
17.List your Customer’s Address.
18.List your Customer’s Federal ID Number.
19.List the total gallons of gasoline sold for this month to each customer.
20.List the total tax exempt gallons sold to each customer.
21.List the total amount of Prepaid Sales Tax collected for this month from each customer.
22.Total the amounts of all columns and give the total gallonage and amount collected here.
I declare, under penalties of perjury that this is a true, correct and complete report.
Mail to: Indiana Department of Revenue Excise Tax
P.O. Box 6114 Indianapolis, IN
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Printed Name |
Authorized Signature |
Title |
Date |
File Characteristics
| Fact Name | Details |
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| Form Purpose | The Indiana ST-103DR form is used to recap prepaid sales tax by distributors of fuel. |
| Filing Requirement | This form must be filed even if no transactions have occurred during the reporting period. |
| Tax Period | Taxpayers must specify the tax period (month/year) for which they are reporting. |
| Distributor Status | Distributors must indicate whether they are a qualified or non-qualified distributor. |
| Submission Frequency | This report must be filed monthly and is due on the last day of the month following the reporting period. |
| Governing Law | The form is governed by Indiana Code 6-2.5, which relates to sales tax collection and reporting. |
Essential Points on This Form
What is the purpose of the Indiana ST-103DR form?
The Indiana ST-103DR form serves as a recap of prepaid sales tax by distributors. It is essential for reporting the prepaid sales tax that distributors pay when purchasing fuel. This form must be filed even if no transactions have occurred during the reporting period, ensuring compliance with state tax regulations.
Who is required to file the ST-103DR form?
Any gasoline distributor operating in Indiana must file the ST-103DR form. This includes both qualified and non-qualified distributors. It is crucial for these businesses to report their fuel purchases and sales accurately, regardless of whether any sales took place during the reporting month.
What information is needed to complete the form?
To complete the ST-103DR form, the following information is required:
- Taxpayer Identification Number (TID)
- Tax Period (month/year)
- Federal Identification Number (FID)
- Taxpayer Name
- Doing Business as Name (DBA)
- Telephone Number
- Street Address, City, State, Zip Code
- Gasoline Distributor Status (Qualified or Non-Qualified)
- Sales tax return type being filed (ST-103, ST-103MP, or None)
- Details of fuel suppliers and customers
Each of these details helps ensure that the report is complete and accurate, facilitating proper tax processing.
When is the ST-103DR form due?
The ST-103DR form is due on the last day of the month following the reporting period. For example, if the reporting period is January, the form must be submitted by the end of February. Timely submission is important to avoid potential penalties.
What happens if no transactions occurred during the reporting period?
Even if no transactions took place, it is still necessary to file the ST-103DR form. This ensures that the Indiana Department of Revenue has a complete record of your business activities. Not filing the form could lead to complications or misunderstandings regarding your business's tax obligations.
How should the completed form be submitted?
The completed ST-103DR form should be mailed to the Indiana Department of Revenue, specifically to the Excise Tax division. The address for submission is:
Indiana Department of Revenue
Excise Tax
P.O. Box 6114
Indianapolis, IN 46206-6114
It is advisable to keep a copy of the submitted form for your records.
What should be done if the business has permanently closed?
If your business has permanently closed, you must indicate this on the ST-103DR form by checking the appropriate box. Additionally, you should provide the date of closure. This information is vital for the Indiana Department of Revenue to update their records accurately.
Misconceptions
Misconceptions about the Indiana St 103Dr form can lead to confusion and potential errors in filing. Here are six common misconceptions, along with clarifications:
- This form is optional if there are no transactions. Many believe that the Indiana St 103Dr form is only necessary when transactions occur. In reality, it must be filed even if no transactions have taken place.
- Only qualified distributors need to file this form. Some think that only qualified distributors are required to submit the form. However, both qualified and non-qualified distributors must file it.
- The form can be submitted electronically. There is a misconception that the form can be filed online. The Indiana St 103Dr must be printed or typed and submitted by mail.
- Filing deadlines are flexible. Some individuals believe that the deadlines for filing this form can be extended. The form is due on the last day of the month following the reporting period without exceptions.
- Only the totals need to be reported. It is commonly thought that only the grand totals are necessary. In fact, detailed information about each supplier and customer must be provided.
- Once filed, the form does not need to be retained. Many assume that they can discard the form after filing. It is important to keep a copy for your records in case of future audits or inquiries.
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