Form 1 Revised F-72 Instrument

Generic Clearance for Internet Nonprobability Panel Pretesting

F72_Revised 8.14.19.xlsx

QTAX F-72 Redesign Cognitive Testing

OMB: 0607-0978

Document [xlsx]
Download: xlsx | pdf
F-72 draft (8-14-19)




OMB No.: 0607-0112 Approval Expires: 08/31/2019


ID
State name


Period covered by this
Calendar Qtr. 1st-2019






report-------------------------->
Fiscal Qtr.

TAX COLLECTIONS





Omit cents









(Net of refunds, except when otherwise indicated)








Please report either in terms of 3-month totals or








in terms of individual month amounts, whichever is








more convenient.




Total January February March
1. Property taxes









a. Directly State-collected


T01




b. Received from local government collection








agencies


T02



2. General sales and gross receipts taxes








(and related use taxes)








a. State imposed taxes (plus any retained








portion of local supplements)


T09




b. Collections of locally imposed supplements








to State general sales taxes (net of








State-retained amount)








c. Online sales and gross receipts taxes







Portion of 2a collected from internet-based








retailers and "remote sellers"







3. Motor fuel sales taxes









a. Gross collections








b. Refunds during period








c. Net collections (a minus b)


T13



4. Selective sales and gross receipts taxes,








other than motor fuel









a. Alcoholic beverages


T10




b. Public utilities


T15




c. Insurance


T12




d. Tobacco products


T16




e. Pari-mutuels


T14




f. Amusements


T11




g. Sports betting


T18




h. Medical marijuana sales







i. Recreational marijuana sales








j. Total marijuana sales (h plus i)


T17




k. Other selective sales and gross receipts


T19



5. License taxes








a. Alcoholic beverages


T20




b. Public utilities


T27




c. Motor vehicle


T24




d. Motor vehicle operator


T25




e. Corporations in general


T22




f. Hunting and fishing licenses


T23




g. Amusements


T21




h. Marijuana licenses


T26




i. Occupation and business licenses not








elsewhere classified


T28




j. Other license taxes


T29



6. Individual income taxes









a. Gross collections








b. Refunds during period








c. Net collections (a minus b)


T40



7. Corporation net income taxes













T41



8. Death and gift taxes













T50



9. Severance taxes













T53



10. Documentary and stock transfer taxes












T51



11. Other miscellaneous taxes













T99



CENSUS USE ONLY





13. Remarks






T77 Local
12 Name




Total
DATA Title







SUPPLIED Email







BY









Telephone Area Code Number
Extension




















































File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy