þ 10. þ Total tax due: Add Line 10a, Columns 1, 2, and 3. ......................................................................................................10. þ 11. þ For amended return only, enter tax paid on prior return. ............................................................................................11. þ 12. þ Net amount of tax due: Subtract Line 11 from Line 10. ..............................................................................................12. þ 13. þ Interest þ + Penalty þ = 13. þ 14. þ Total amount due: Add Line 12 and Line 13. ...............................................................................................................14. en-USSign Hereen-USKeep aen-US en-UScopy ofen-US en-USthis returnen-USfor youren-USrecords. en-USTaxpayer222s signa ture þ Title þ Date þ Telephone number en-USTaxpayer222s email Paid preparer222s signature þ Paid preparer222s address þ Date en-USThis return MUST be filed electronically!en-USDO NOT MAILen-US paper tax return to en-USDRSen-US.en-USen-US en-USSee en-USForm O-88en-US, en-USInstructions for Form OS-114 Connecticut Sales and Use Tax Returnen-US. Type or print. en-USComplete the return in blue or black ink only. en-USDo noten-US en-USCheck here if this is en-USan en-USamendeden-US return.en-USForm OS-114 (SUT)en-USConnecticut Sales and Use Tax Returnen-USDepartment of Revenue Servicesen-US en-USPO Box 5030en-US en-USHartford CT 06102-5030en-US(Rev. 12/18)en-USOS114 0718W 01 9999 en-USen-USen-USFor period endingen-USDue date en-US en-USConnecticut Tax Registration Numberen-USen-USen-USTaxpayer Nameen-USAddress (Number and street), apartment number, PO Boxen-US en-USThis return MUST be filed electronically!en-USDO NOT MAILen-US paper tax return to en-USDRSen-US.en-USen-USStateen-USen-USZIP codeen-USen-USIf applicable, provide the following information:en-USFinal Returnen-USEnter last business date:en-USDeclaration:en-US en-USI declare under the penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best of my knowledge and belief, it en-USen-US en-US en-USColumn 1en-US6.35% Tax Rateen-USColumn 2en-US7.75% Tax Rateen-USColumn 3en-US9.35% Tax Rateen-USRounding:en-US You must round off cents to the nearest whole dollar en-USon your return and schedules. en-US þ 1. þ Gross receipts from sales of goods...................................1. þ 2. þ Gross receipts from leases and rentals..............................2. þ 3. þ Gross receipts from labor and services..............................3. en-US.00 en-US.00 þ 4. þ Goods purchased by your business subject to use tax....4. þ 5. þ Leases and rentals by your business subject to use tax....5. þ 6. þ Services purchased by your business subject to use tax...6. þ 7. þ Total: Add Lines 1 through 6 ..........................................7. þ 8. þ Deductions. See instructions ............................................8. þ 9. þ Subtract Line 8 from Line 7. If zero or less, enter 2230224.........9. 10a. þ Amount of tax due: Multiply Line 9 by Tax Rate............10a. en-US en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US en-USM M - D D - Y Y Y Y en-USM M - D D - Y Y Y Y en-USM M - D D - Y Y Y Y en-USM M - D D - Y Y Y Y en-USM M - D D - Y Y Y Y American LegalNet, Inc. www.FormsWorkFlow.com þ 15. þ Sales for resale or sales through a registered marketplace facilitator þ - sales of goods þ. ................ en-US15. þ 16. þ Sales for resale or sales through a registered marketplace facilitator þ - leases and rentals þ. .......... en-US16. þ 17. þ Sales for resale or sales through a registered marketplace facilitator þ - labor and services þ. .......... en-US17. þ 18. þ All newspapers and subscription sales of magazines and puzzle magazines..............................18. þ 19. þ Trucks with GVW rating over 26,000 lbs. or used exclusively for carriage of interstate freight.....19. þ 21. þ Food for human consumption, food sold in vending machines, items purchased with food þ. þ stamps...........................................................................................................................................21. þ 23. þ Sale of fuel for motor vehicles........................................................................................................23. þ 24. þ Sales of electricity, gas, and heating fuel for residential dwellings................................................24. þ þ þ þ 26. þ Sales of electricity, gas, and heating fuel for manufacturing or en-US en-US þ 27. þ Aviation fuel...................................................................................................................................27. þ 29. þ Tangible personal property to persons issued a Farmer Tax Exemption Permit...........................29. þ 30. þ Machinery, its replacement, repair, component and enhancement parts, þ. þ materials, tools and fuel for manufacturing...................................................................................................30. þ 31. þ Machinery, materials, tools, and equipment used in commercial printing process or publishing 31. þ þ en-USagricultural production....................................................................................................26. þ Enter new mailing address: en-USEnter new physical location (PO Box is not acceptable.): Enter new trade name: þ First return - Enter business start date: en-USNew owners must obtain a new Connecticut Tax Registration Number. Enter new owner name: þ Date sold: þ en-USForm OS-114 Page 2 (Rev. en-US12/18en-US)en-USOS114 0718W 02 9999en-USDeductionsen-USColumn 1en-US6.35% Tax Rateen-USColumn 2en-US7.75% Tax Rate en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00 en-US.00en-USIf applicable, provide the following information: en-USAddress:en-US en-US.00 en-US.00 en-US.00 en-US.00 en-US.00en-US-en-US-en-USFuel Companiesen-USOnlyen-US-en-US-en-USen-USmusten-USen-USportal.ct.gov/TSCen-USen-USusing the en-USTSCen-US or call en-US855-665-9471en-US or en-US860-449-1011 en-USen-USen-US. To request a one-year waiver from this electronic en-USen-USen-US to complete en-USForm DRS-EWVRen-US, en-USElectronic Filing and Payment Waiver Requesten-US. Form OS-114 en-USmusten-US be en-USen-USen-USen-USen-USen-USen-USen-USFor Utility & Heating See instructions ( en-USForm O-88) en-USbefore completing.en-USCT Tax Registration #en-US en-US en-USM M - D D - Y Y Y Y en-USM M - D D - Y Y Y Y American LegalNet, Inc. www.FormsWorkFlow.com þ 33. þ Out þ - of þ - state þ - sales of goods..........................................................................................................33. þ 34. þ Out þ - of þ - state þ - leases and rentals....................................................................................................34. þ 35. þ Out þ - of þ - state þ - labor and services....................................................................................................35. þ 36. þ Motor vehicles or vessels purchased by nonresidents..................................................................36. þ 37. þ Prescription medicines and diabetic equipment............................................................................37. þ 38. þ Nonprescription drugs and medicines...............................................................................................38. þ 39. þ Charitable or religious organizations þ - sales of goods...................................................................39. þ 40. þ Charitable or religious organizations þ - leases and rentals.............................................................40. þ 41. þ Charitable or religious organizations þ - labor and services.............................................................41. þ 42. þ Federal, Connecticut, or municipal agencies þ - sales of goods..........................................................42. þ 43. þ Federal, Connectic