F-73 Quarterly Survey, Selected Local Taxes

OMB No. 0607-0112: Approval Expires 05/31/2012
U.S. DEPARTMENT OF COMMERCE

F-73

FORM
(5-20-2010)

Economics and Statistics Administration
U.S. CENSUS BUREAU

QUARTERLY SURVEY OF NON-PROPERTY TAXES
In correspondence pertaining to this report, please refer to the Census File Number above your address

PLEASE RESPOND WITHIN
30 DAYS OF RECEIPT.
RETURN VIA MAIL TO:
U. S. Census Bureau
1201 East 10th Street
Jeffersonville, IN 47132-0001

RETURN VIA INTERNET TO:
http://harvester.census.gov/sgf/f73
QUESTIONS:
Contact Finance Branch,
Governments Division,
at 1–866–492–0140 OR
[email protected]

(Please correct any error in name, address, and ZIP Code)

DUE DATE:

This survey collects locally imposed non-property tax and license fee data in order
to publish benchmark statistics on public sector taxes and licenses, to provide data
to the Bureau of Economic Analysis for GDP calculations and other economic
indicators, and to provide data for economic research and comparative studies of
governmental finances.
GENERAL INSTRUCTIONS
• Please report amounts covering all funds and accounts of your entire government, except for
any employee-retirement funds administered by your government.
• Estimates are acceptable.
• Please report a zero (e.g., $0) when there are no collections for imposed taxes or license
fees for the quarter requested.
• Exclude any amounts received for intergovernmetal revenue sharing from the state or from
other governments.

USCENSUSBUREAU

❶

SALES TAXES – What was the amount of collections for each of the following types of
sales tax imposed by your government for the three (3) months ending
Include:
• Taxes on goods and services measured as a percent of sales or receipts, or as an amount per unit
sold (gallon, package, etc.)
• Current and delinquent amounts, penalties, and interest
Exclude:
• Receipts from service charges, special assessments, interest earnings, fines, and any other sources
that are not taxes or license fees
• Sales tax distributions for revenue sharing from the state or from other governments
• Grants from other state or other governments.
N/A

A.

General sales and gross receipts taxes. . . . . . . . . . . . . . . . . . . . . $. . . . . . . . . . . . .
Include:
• Sales use taxes

.00

• Taxes applicable with only specified exceptions (e.g., food and prescribed medicines) to sales of all
types of goods and services or to all gross receipts, whether at a single rate or at classified rates
N/A

B. Motor fuels sales taxes.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $. . . . . . . . . . . . .

.00

Include:
• Taxes on gasoline, diesel oil, aviation fuel, "gasohol," "ethanol," and any other fuels
used in motor vehicles or aircraft
N/A

C.

Public utilities sales taxes.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $. . . . . . . . . . . . .
Include:
• Taxes imposed distinctively on public utilities, and measured by gross receipts, gross
earnings, or units of service sold, either as a direct tax on consumers or as a
percentage of gross receipts of utility
• Telephone, cable, and other telecom taxes, e.g., 911 taxes

.00

N/A

D. Alcoholic beverages sales taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . $. . . . . . . . . . . . .

.00

Include:
• Taxes on sale of alcoholic beverages, whether collected through government-operated
liquor stores or through private outlets
N/A

E. Tobacco products sales taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . $. . . . . . . . . . . . .

.00

Include:
• Taxes on tobacco products and synthetic cigars and cigarettes, including related
products like cigarette tubes and paper
N/A

F.

All other sales and use taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $. . . . . . . . . . . . .

.00

Include:
• Hotel and motel tax
• Car rental tax
• Amusements tax
• Pari-mutuels tax
• Insurance premiums tax
• Other sales taxes not otherwise specified
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FORM F-73 (5-20-2010)

❷

LICENSE AND PERMIT FEES – What was the amount of collections for each of
the following types of license fees imposed by your government for the three (3)
months ending
Include:
• License and permit fees exacted (either for revenue raising or for regulation) as a condition to the
exercise of a business or non-business privilege
• Current and delinquent amounts, penalties, and interest
Exclude:
• Receipts from service charges, special assessments, interest earnings, fines, and any other sources
that are not taxes or license fees
N/A

A. Motor vehicles licenses AND motor vehicles

operators licenses.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$. . . . . . . . . . . . .

.00

Include:
• Licenses imposed on owners or operators of motor vehicles for the right to use public
highways, such as fees for title registration, license plates, vehicle inspection, vehicle mileage
and weight taxes on motor carriers, highway use taxes, and off-highway fees
• Vehicle sticker fees required to operate motor vehicles
• Licenses for the privilege of driving motor vehicles, both commercial and private
N/A

B.

❸

All other licenses.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$. . . . . . . . . . . . .
Include:
• Alcoholic beverages licenses
• Amusements licenses
• Public utilities licenses
• Occupational and business licenses
• Health permits
• Building and equipment permits
• Marriage licenses
• Hunting and fishing licenses
• Parking permits
• Other license taxes or fees not otherwise specified

.00

INCOME TAXES – What was the amount of collections for each of the following types of
income tax imposed by your government for the three (3) months ending
Include:
• Current and delinquent amounts, penalties, and interest
Exclude:
• Taxes using income from intangible property as a measure of its value as of assessment date
• Payroll taxes to finance insurance trusts programs such as Social Security taxes, and city gross earning taxes
• Receipts from service charges, special assessments, interest earnings, fines, and any other sources
that are not taxes or license fees
N/A
.00
A. Individual income taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Include:
• Taxes on individuals measured by net income and taxes on special types of income (e.g.,
interest, dividends, income from intangible property, etc.)
Exclude:
• Income tax distributions for revenue sharing from the state or from other governments
N/A

B. Corporation net income taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

.00

Include:
• Taxes on corporations and unincorporated businesses (when taxed separately from individual
income), measured by net income, whether on corporations in general or on specific kinds of
corporations, such as financial institutions
FORM F-73 (5-20-2010)

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❹

OTHER NON-PROPERTY TAXES
What was the amount of collections for all other
non-property taxes imposed by your government
for the three (3) months ending

N/A
$

.00

Include:
• Real estate, mortgage and securities transfer
• Estate and Death and Gift taxes
• Severance taxes
• Any other taxes not otherwise specified
Exclude:
• Real Property taxes

❺

REMARKS — Please explain any unusual developments (such as tax rate changes) affecting
collections. Also, please list the type and value of any other taxes reported in ❹ .

❻

CERTIFICATION

Name

Title

Area code

Number

Extension

Email address

Telephone
(
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)
FORM F-73 (5-20-2010)