Form Bus 416 – Fill Out and Use This PDF

4.	Business tax (Retailers multiply Line 3 by _________; Wholesalers multiply Line 3 by _________.)
	(If rate is not preprinted, refer to chart on reverse)		(4)
5.	Deduct amount of personal property taxes (cannot exceed 50% of Line 4)		(5)
6.	Total tax due (Subtract Line 5 from Line 4. Enter result or $22, whichever is greater)			(6)
7.	Enter credit	memo balance
				(7)
8.	Penalty (See	instructions)
9.	Interest (	% per annum on taxes unpaid by the due date; see instructions)	(9)
10.	Total amount due (Add Lines 6, 8, and 9; subtract Line 7)
	(Make checks payable to the Tennessee Department of Revenue)		(10)

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FOR OFFICE USE ONLY

I declare this is a true, complete, and accurate return to the best of my knowledge.

SIGN

HERE

		President or other Principal Officer, Partner or Proprietor	Date
	SIGN
	HERE
		Tax Return Preparer and Title	Date

Schedule A. Deductions from Gross Sales
1. Sales of services received by persons located in other states	(1)
2. Returned merchandise when the sales price is refunded to the customer	(2)

.00

.00

3.Sales in interstate commerce where the purchaser takes possession outside Tennessee for use or consumption outside Tennessee.......................................................................................................

4.Cash discounts allowed and taken on sales.......................................................................................

5.Repossessions - The portion of the unpaid principal balance in excess of $500 due on tangible per- sonal property repossessed from customers.......................................................................................

6.The amount allowed as trade-in value for any articles sold...................................................................

7.Bad debts written off during the reporting period and eligible to be deducted for federal income tax purposes.........................................................................................................................................

8.Amounts paid by a contractor to a subcontractor holding either a business license or contractor's license for performing activities described in Tenn. Code Ann. Section 67-4-708(4)(A). Must

complete Schedule B and file with the return......................................................................................

Federal and Tennessee privilege and excise taxes:

(3) .00

(4) .00

(5) .00

(6) .00

(7) .00

(8) .00

13.Federal and Tennessee beer tax....................................................................................................

14.Tennessee special tax on petroleum products........................................................

15.Tennessee liquified gas tax for certain motor vehicles..............................................

16.Tennessee beer 17% wholesale tax................................................................................................

17.Other deductions not taken elsewhere on the return.........................................................................

(Specify)

18. Total Deductions. Add Lines 1 through 17. Enter here and in Page 1, Line 2

(18)

(13) .00

(14) .00

(15) .00

(16) .00

(17) .00

.00