PROVINCIAL SALES TAX RETURN - …

1 AMinistry of FinanceBox 200 Albert Street Regina, SK S4P 2Z6 Revenue DivisionAccount Number1895515 RETURN Period01-APR-2016 30-APR-2016 PROVINCIAL SALES TAX RETURNDue Date20-MAY-2016 Business Number123456789 Signature Telephone NumberI certify the information contained herein is to the best of my knowledge accurateIf no tax is due, a RETURN must still be and interest are applied to returns filed and paid after the due dateEFILE Code196587281 SASKATCHEWAN PROVINCIAL SALES TAX RETURN WORKSHEET Detach at the perforation above and RETURN the stub with your Period01-APR-2016 30-APR-2016 Due Date20-MAY-2016 Last Payment Number1895515 Last RETURN Processed30-MAR-2016 Total SALES Enter the total SALES before taxes for the reporting period as listed in your of Closure: YYYYMMDDC hange NotificationReason for Closure:Business Closed: (Check the box & provide details below)1895515 MailingBusiness NameLocationIf business was sold, please provide details Name:Purchaser Phone Number:Business Name (If Applicable):Suite Number:Street or Post Office BoxCity: Province:Postal Code:Phone Number: :(306) 787-6645 or /Name Change.

2 (Check the box & provide details below)---------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- --------Detach at the perforation and RETURN the stub below with your new information.,.,.,,.,.,,.,.,,.,.,,.,.,,., .,Total SALES (Box A from Worksheet)Net Tax Collected (Box B from Worksheet)Consumption Tax (Box C from Worksheet)Net Tax Payable (Box D from Worksheet)<<Account Balance/Balance Owing/Credit Balance>> (Box E from Worksheet)Net Tax Collected Enter the tax collected on the sale of taxable goods and services for this period, net of any credits applied internally. For information on calculating and applying credits see the PST worksheet supplement on our Tax Payable Box B plus box CMake payment payable to the Minister of print in blue or black Enclosed (Box G from Worksheet)Total SALES BNet Tax CollectedCConsumption TaxDNet Tax Payable (B + C)FNet Amount Payable (D + or E)_____Consumption Tax Enter the total tax payable on goods and services for your own use that were taken from inventory or purchased from a supplier who did not charge you the tax, net of any credits applied internally.

3 For information on calculating and applying credits see the PST worksheet supplement on our website. _____EBalance Owing_____Balance Owing (As of the date this form was printed.) Add if positive subtract if Amount Payable To file electronically visit our website at Enclosed If no tax is payable for this period, a Nil RETURN must be filed by entering zeroes in boxes B, C and Enclosed-------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ---------------------------------------- ----------STEP 1 STEP 2 STEP 3 STEP 4 STEP 5 Amended RETURN - This box must be checked to amend areturn previously filed. The amended RETURN must be a complete RETURN identifying the total revised amount, not just the amended Number123456789 EFILE Code196587281 SAMPLE