Form 72-110-19-3 "Use Tax Form" - Mississippi

What Is Form 72-110-19-3?

This is a legal form that was released by the Mississippi Department of Revenue - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Mississippi Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 72-110-19-3 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Revenue.

ADVERTISEMENT
ADVERTISEMENT

Download Form 72-110-19-3 "Use Tax Form" - Mississippi

201 times
Rate (4.4 / 5) 12 votes
Form 72-110-19-3-1-000 (Rev. 06/19)
06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
Mississippi
04
04
05
05
Use Tax Return
721101931000
06
06
07
07
08
08
75
Name:
X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9
TAX CODE - GENERAL USE
1a.
09
09
10
10
2a.
Taxable Income or Purchases
99999999
Account ID:
999999
11
11
.
12
12
3a.
7%
Rate of Tax
Filing Period Ending:
MMDDYYYY
13
13
14
14
4a.
Amount of Tax
999999
15
15
X
X
X
Close Account
Amended Return
Address Change
16
16
5a.
Credit for Tax Paid to Another State
999999
17
17
18
18
6a.
Tax Calculated
If Change of Address is marked, list new address here:
999999
19
19
To Line 7
20
20
X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X
21
21
Mailing Address (Number & Street, Including Rural Route)
TAX CODE (FROM TABLE)
1b.
99
22
22
XXXXXXXXXXXXXXXXXXXXXXXXX
XX
99999
23
23
2b.
Taxable Income or Purchases
City
State
Zip
999999
24
24
.
25
25
3b.
Rate of Tax (From Table)
%
9.99
26
26
TAX SUMMARY
27
27
4b.
Amount of Tax
* Required Fields
999999
28
28
29
29
5b.
Credit for Tax Paid to Another State
*7. Tax Due for Tax Codes 3, 4, 29,
999999
999999
30
30
57, 66, 68, 75, 77, 78
31
31
8.
Discount (2% of Line 7,
6b.
Tax Calculated
999999
99
32
Limited to $50.00 per Return)
32
To Line 7 or Line 10
33
33
*9.
Balance of Tax Due (Line 7
999999
34
minus Line 8)
34
TAX CODE (FROM TABLE)
99
1c.
35
35
Tax Due for Tax Code 76
*10.
999999
36
36
2c.
Taxable Income or Purchases
999999
37
37
*11.
Net Tax Due (Line 9 plus
999999
38
Line 10)
38
3c.
%
Rate of Tax (From Table)
9.99
39
39
12.
Penalty
999999
40
40
4c.
Amount of Tax
999999
41
41
13.
Interest
999999
42
42
5c.
Credit for Tax Paid to Another State
999999
43
43
*14. Total Due
999999
44
44
6c.
Tax Calculated
999999
45
45
To Line 7 or Line 10
46
46
47
47
99
TAX CODE (FROM TABLE)
1d.
48
48
49
49
2d.
Taxable Income or Purchases
999999
50
50
51
51
3d.
%
I declare, under the penalties of perjury, that this return (including any
Rate of Tax (From Table)
9.99
52
52
accompanying schedules) has been examined by me and to the best
53
of my knowledge and belief is a true, correct and complete return.
53
4d.
Amount of Tax
999999
54
54
55
55
5d.
Credit for Tax Paid to Another State
999999
56
56
Signature of Taxpayer or Agent
57
57
6d.
Tax Calculated
999999
58
58
To Line 7 or Line 10
Phone
Date
59
59
60
60
61
61
62
62
63
63
06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
Form 72-110-19-3-1-000 (Rev. 06/19)
06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
Mississippi
04
04
05
05
Use Tax Return
721101931000
06
06
07
07
08
08
75
Name:
X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9
TAX CODE - GENERAL USE
1a.
09
09
10
10
2a.
Taxable Income or Purchases
99999999
Account ID:
999999
11
11
.
12
12
3a.
7%
Rate of Tax
Filing Period Ending:
MMDDYYYY
13
13
14
14
4a.
Amount of Tax
999999
15
15
X
X
X
Close Account
Amended Return
Address Change
16
16
5a.
Credit for Tax Paid to Another State
999999
17
17
18
18
6a.
Tax Calculated
If Change of Address is marked, list new address here:
999999
19
19
To Line 7
20
20
X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X9X
21
21
Mailing Address (Number & Street, Including Rural Route)
TAX CODE (FROM TABLE)
1b.
99
22
22
XXXXXXXXXXXXXXXXXXXXXXXXX
XX
99999
23
23
2b.
Taxable Income or Purchases
City
State
Zip
999999
24
24
.
25
25
3b.
Rate of Tax (From Table)
%
9.99
26
26
TAX SUMMARY
27
27
4b.
Amount of Tax
* Required Fields
999999
28
28
29
29
5b.
Credit for Tax Paid to Another State
*7. Tax Due for Tax Codes 3, 4, 29,
999999
999999
30
30
57, 66, 68, 75, 77, 78
31
31
8.
Discount (2% of Line 7,
6b.
Tax Calculated
999999
99
32
Limited to $50.00 per Return)
32
To Line 7 or Line 10
33
33
*9.
Balance of Tax Due (Line 7
999999
34
minus Line 8)
34
TAX CODE (FROM TABLE)
99
1c.
35
35
Tax Due for Tax Code 76
*10.
999999
36
36
2c.
Taxable Income or Purchases
999999
37
37
*11.
Net Tax Due (Line 9 plus
999999
38
Line 10)
38
3c.
%
Rate of Tax (From Table)
9.99
39
39
12.
Penalty
999999
40
40
4c.
Amount of Tax
999999
41
41
13.
Interest
999999
42
42
5c.
Credit for Tax Paid to Another State
999999
43
43
*14. Total Due
999999
44
44
6c.
Tax Calculated
999999
45
45
To Line 7 or Line 10
46
46
47
47
99
TAX CODE (FROM TABLE)
1d.
48
48
49
49
2d.
Taxable Income or Purchases
999999
50
50
51
51
3d.
%
I declare, under the penalties of perjury, that this return (including any
Rate of Tax (From Table)
9.99
52
52
accompanying schedules) has been examined by me and to the best
53
of my knowledge and belief is a true, correct and complete return.
53
4d.
Amount of Tax
999999
54
54
55
55
5d.
Credit for Tax Paid to Another State
999999
56
56
Signature of Taxpayer or Agent
57
57
6d.
Tax Calculated
999999
58
58
To Line 7 or Line 10
Phone
Date
59
59
60
60
61
61
62
62
63
63
06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
Form 72-110-19-3-2-000 (Rev. 06/19)
06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
Mississippi
04
04
05
05
Use Tax Return
06
06
DO NOT STAPLE THIS RETURN
07
07
Instructions
08
08
09
09
Filling in the return
Tax Summary
10
10
Use black ink when preparing your return. Print your numbers like this:
Line 7
11
11
Enter the Total of Lines 6a, 6b, 6c, and 6d for tax categories to which
12
12
the vendor discount applies (Tax Codes 3, 4, 29, 57, 66, 68, 75, 77,
1 0 0 0 - 1 2 3 4
13
and 78).
13
14
14
Sending in the return
Line 8
15
15
Enter the result of Line 7 multiplied by 2%. This amount is limited to $50
16
16
Include this return and your check or money order for the amount on
per return. The Vendor Discount is not allowed if your return is not filed
17
17
Line 14 to the Department of Revenue, P.O. Box 960, Jackson, MS
and paid on time.
18
39205.
18
19
Line 9
19
Account Number
Enter the result of Line 7 minus Line 8.
20
20
21
21
If your return does not have your account number preprinted, enter
Line 10
22
22
your account number in the field provided beneath the area for your
Enter the total of Lines 6b, 6c, and 6d for tax categories to which the
23
name.
23
vendor discount does not apply (Tax Codes 76).
24
24
Filing Period
25
25
Line 11
26
26
Enter the total of Line 9 plus line 10.
Enter the month, last day of the month, and year this return
27
27
covers in the boxes using numbers to indicate the month and year. For
28
example, September, 2019 would be entered as
28
Line 12
29
29
Enter the applicable 10% penalty if the return is filed late.
Filing Period Ending:
0 9 3 0 2 0 1 9
30
30
m
m
d
d
y
y
y
y
31
31
Line 13
32
32
Enter the applicable interest from the due date of the return if the return
Quarterly filers will enter their period the same way.
is filed late:
33
33
34
34
Before January 1, 2015: 1%
Tax Categories
35
35
January 1, 2015-December 31st, 2015: 9/10 of 1%
January 1, 2016-December 31st, 2016: 8/10 of 1%
36
36
The Use Tax Return is divided into four Tax Category sections and a
January 1, 2017-December 31st, 2017: 7/10 of 1%
37
37
Tax Summary section. The Tax Category sections are used to report
January 1, 2018-December 31st, 2018: 6/10 of 1%
38
your sales, purchases, tax credit paid to another state, and tax by the
38
After January 1, 2019: 1/2 of 1%
category in which they occurred. Use only as many Tax Category
39
39
sections as you have different categories. If you need to report more
40
Line 14
40
than four tax categories, you will need to file on TAP.
Enter the net total of Lines 11, 12, and 13. This is the amount that
41
41
Lines 1a, 1b, 1c, and 1d
you should pay.
42
42
Enter the Tax Code from the Tax Category Table that is assigned to
43
43
the category of tax you are reporting. Only one Tax Code should be
Tax Category Table
44
used for each Tax Category. If you have more than four categories,
44
you will need to file on TAP.
45
45
Tax Category
Tax Code
Tax Rate
46
46
Lines 2a, 2b, 2c, and 2d
Electric Power Associations
3
1%
47
47
Enter the total gross sales or purchases for the category of tax you
Manufacturing Machinery, Industrial Fuel, Farm
48
48
are reporting.
66
1 1/2%
Implements, Farm Tractors including repair parts
49
49
Industrial Rate Incentive
68
3/4%
50
50
Lines 3a, 3b, 3c, and 3d
Trucks (greater than 10,000 lbs.),
51
51
Enter the Tax Rate from the Tax Category Table that corresponds to
4
3%
Mobile Homes, Semitrailers, Aircraft, etc.
52
the category of tax you are reporting.
52
Autos, Light Trucks (10,000 lbs. or less)
57
5%
53
53
Lines 4a, 4b, 4c, and 4d
Sales or Construction of Floating
54
54
29
3 1/2%
Lines 2a, 2b, 2c, and 2d times Lines 3a, 3b, 3c, and 3d.
Vessels - Non-Transportation
55
55
General Use Tax Rate
75
7%
56
56
Lines 5a, 5b, 5c, and 5d
Utility - Nonindustrial Use
76
7%
57
57
Enter the tax credit being claimed for tax paid to another state.
Seller's Use Tax
77
7%
58
58
General Use Tax Incentive
78
3 1/2%
59
59
Lines 6a, 6b, 6c, and 6d
60
60
Lines 4a, 4b, 4c, and 4d minus Lines 5a, 5b, 5c, and 5d.
61
61
62
62
63
63
06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80
Page of 2