Form ST-115 Consumer's Use Tax Return - Indiana

Form ST-115 is a Indiana Department of Revenue form also known as the "Consumer's Use Tax Return". The latest edition of the form was released in March 1, 2008 and is available for digital filing.

Download a fillable PDF version of the Form ST-115 down below or find it on Indiana Department of Revenue Forms website.

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Check Type of Return
Form ST-115
Indiana Department of Revenue
Annual
State Form 321
Consumer’s Use Tax Return
(R5/ 3-08)
Quarterly
Period beginning (month/year) and ending (month/year)
Monthly
Name
Tax Computation
Total purchases subject to tax
1.
.
Street Address
,
,
$
(from reverse side)..................
s
s
.
Use Tax
2.
City or Post Office, County, State, and Zip Code
,
,
(7% of Line 1)........................
s
s
Penalty (10% of Line 2) &
3.
Principal Business Activity
Social Security Number
.
Interest (call the Department*)
,
,
if paid after due date...............
Indiana TID #
ID Number
ID Type
s
s
.
Total amount due
Federal ID #
4.
(circle one)
$
,
,
(add Lines 2 and 3 )................
s
s
For Departmental Use Only
Date
Signature & Title if other than individual return
I declare under the penalties of perjury that to the best of my knowledge and belief, this is a true, cor-
*Call (317) 233-4015 or by e-mail at:
www.in.gov/dor/contact/email.html
rect, and complete return.
Check Type of Return
Form ST-115
Indiana Department of Revenue
Annual
State Form 321
Consumer’s Use Tax Return
(R5/ 3-08)
Quarterly
Period beginning (month/year) and ending (month/year)
Monthly
Name
Tax Computation
Total purchases subject to tax
1.
.
Street Address
,
,
$
(from reverse side)..................
s
s
.
Use Tax
2.
City or Post Office, County, State, and Zip Code
,
,
(7% of Line 1)........................
s
s
Penalty (10% of Line 2) &
3.
Principal Business Activity
Social Security Number
.
Interest (call the Department*)
,
,
if paid after due date...............
Indiana TID #
ID Number
ID Type
s
s
.
Total amount due
Federal ID #
4.
(circle one)
$
,
,
(add Lines 2 and 3 )................
s
s
For Departmental Use Only
Date
Signature & Title if other than individual return
I declare under the penalties of perjury that to the best of my knowledge and belief, this is a true, cor-
*Call (317) 233-4015 or by e-mail at:
www.in.gov/dor/contact/email.html
rect, and complete return.
List all purchases of tangible personal property subject to use tax.
Purchase Price
Date of
Name and Address of Seller
Description of Property Purchased
of Property
Purchase
.
,
,
$
s
s
.
,
,
s
s
.
,
,
s
s
.
,
,
s
s
.
,
,
s
s
.
,
,
s
s
.
(if more space is needed, please attach a schedule)
,
TOTAL*
,
$
s
s
After completing this form, mail with payment to:
*This amount goes on Line 1,
Indiana Department of Revenue, 100 N. Senate Ave, Indianapolis, IN 46204
on the front of this form.
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