The Indiana St 103Dr form, officially known as the Indiana Department of Revenue ST-103DR, is a crucial document for gasoline distributors. It serves as a recap of prepaid sales tax by distributors and must be filed even if no transactions have occurred during the reporting period. Ensuring accurate completion of this form is essential for compliance with state tax regulations.
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The Indiana ST-103DR form is essential for reporting prepaid sales tax by distributors. However, it is often accompanied by other documents that facilitate compliance and provide necessary information. Below is a list of commonly used forms and documents related to the ST-103DR form.
Each of these forms and documents plays a vital role in ensuring compliance with Indiana's sales tax regulations. Properly completing and submitting them helps maintain accurate records and avoids potential penalties.
Failing to include the Taxpayer Identification Number. This number is crucial for identifying your business.
Not providing the correct Tax Period. Make sure to specify the month and year accurately to avoid confusion.
Omitting the Federal Identification Number. This is important for tax purposes and must be included.
Forgetting to list the Doing Business As Name (DBA). If your business operates under a different name, include it.
Neglecting to check the Distributor Status. Indicate whether you are a qualified or non-qualified distributor.
Failing to complete both sides of the form. Ensure all required sections are filled out for a complete submission.
Not mailing the form on time. Remember, this report is due on the last day of the month following the reporting period.
Here are the key takeaways regarding the Indiana ST-103DR form:
Ensure that both sides of the form are completed and remember to sign and date it before mailing it to the Indiana Department of Revenue.
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Form
Indiana Department of Revenue
ST-103DR
Recap of Prepaid Sales Tax by Distributors
State Form 51068
(R4 / 9-12)
IMPORTANT: This form must be fi led even when no transactions have occured.
1. Taxpayer Identifi cation Number
2. For Tax Period (month/year)
3. Federal Identification Number
/
4.
Taxpayer Name
5. Doing Business as Name (DBA)
6. Telephone Number
7.
Street Address, City, State Zip Code
8. Gasoline Distributor Status (Check One)
Qualifi ed Distributor □
Non-Qualifi ed Distributor □
9.
Which sales tax return are you filing (Check One)
ST-103 □ ST-103MP □ None □
NOTE: THIS FORM MUST BE PRINTED OR TYPED
Section I:
From Whom Did You Buy Fuel?
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 46206-6114 (317) 615-2552
______________________________________________
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__________________________
________________
Printed Name
Authorized Signature
Title
Date