Blank quarter ending 12/31/2013 nR�i,AeNi
.air 9%. U.S- DEPARTMENT OF COMMERCE QUARTERLY SURVEY OF MICS and: _�•�' "; U.S.EcanoCENSUS BU`RFEAUdministration SELECTED NON-PROPERTY TAXES
Q y�'': FORM Report for Quarter Ending: December 31, 2013
E1.OF THE. F-73 3 (07-11.2013)
OMB No. 0607-0112:Approval Expires 08/31/2016
DU,E DATE
January 31, 2014 : 111,1111 mil 11H I
RETURN.TO •'�
U.,S .Census Bureau ID 18212602700000 901 1304 73 2 F-73
•io:i:Eas :'ibtl sari• S E0001-00682
Jeffersonville;-IN•47.132-0001
IIIII'IIIIIIIII'I'IIIIIII"I'IIIIII'II'IIi"I'll'I'I'II'll"'IIII
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•-Vsrt., ATTN: PRESIDENT
census.gov govs!gtax I CIVIC SO
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ond.census.gov/f73 Passwortl • N$h54523
GENERAL INSTRUCTIONS ''
Before filling out this"form, please-read carefully each'part and.all"releted'definitions and instructions
Note especially'
1. Report'figures for the calendar quarter named in the form title.
2. You'rriay report on either:a cash or accr:ual'Jasis. -.
3 Do not delay reporting to await final figures if reasonable estimates-can be supplied on a preliminary basis:
4. PLEASE,COMPLETE"ALL•ITEMS ON THE FORM'`If sorrie items'do not apply to this government; enter, z ero l.'(.1"):
•
and specify-those ifems as: 'not"applicable" in (3► REMARKS. .:
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Use a blackor blue ballpoint pen. Do not use pencil'or felt'tip pen.
Is the addressee titieldepartment and mailing address•the same as•shown in the,address label?
'mow Mark' X"only one:box
❑ Yes Go to ® ❑ No - Enler correct-information below
Addressee:Title or Department .
ATTN:
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®_ O
Street 1
Street 2
City' Slate Zip Code::
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If ii II II II I II EMI II II II 10!i IIIII,I I II Please continue on the next page
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CORRECT rnarking'.;�xanit lc INCORRECTrnaekiny example' •
Please-prrnt all information clearly -Do°not Of slashes through '0; or-, ,
HOW E.0 characters'.(Else carp t^'kcer riha;?rte
REPORT rPS»rtrve boxrs.l
• DOLL'AR''", $BiI: Mil Thciu. D:, $BiI. 1 P• .i „i.
FIGURES
1 2 - 4 5 ! 6 7 8 Q 89 $
•
® What was the'amount-of-tax collections for the following selected taxes.imposed by"this government
for the �u 7
q arter ending December.31,2013.'
Report zero:for ariy item that'has:no collection for this quarter
Include
• Collections during the quarter from all levies foralffunds-of this government and its agencies
• Taxes collected for this governrnent'by,another government or authorized agency
• Current and.delinquent.amounts, penalties,-and interest
Exclude::: .
• Any taxes collected on behalf of other governments '
• Shares of taxes imposed by another government
A. .General sales and.gross receipts,taxes
Include
•• Safes and:use taxes
• Taxes:on goods:and services, measured•as.a
percent of sales;or receipts, or as an-amounf,:.
• per unit send (e.g:, gallon;p ge, etc)
• . Only taxes:imposed by.;this.governme;nt
Exclude
••• Taxes imposed-on the sale of particular
commodities, businesses, or services leg, • $811. Mil: Thou. Dol.
hotel/motel, car rental, amusements, etc.)
• Sales tax disinbution', for revenue sharing
from Slate;or
from oth'er'governments;' 109• •
B. Local individual income taxes
Include
•• Taxes ori individuals measured by net;income
and taxes':on special,types.of riicome:(e
•
rnferest,'dividends,.income from-intangible
property;.etc.l
Exclude $Bil. Mil: Thou Dol.
• Income;.tax distribution'for e
revenu •
sharing from the.State or,from other
governments rao
C, Local.corporation net income,taxes
Include
e Taxes on corporations and unincorporated.
businesses (when'taxed'separately•from.
mm. rndividual:income), measured.:by net SBil Mil:: Thou. Dol
income, whether on corporations in general
or:on specific, kinds.of corporations, such c-..1
as financial.institutions . tai 0 co
ter•
Form F-73 Please continue on the next page
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I IiII II Il IIII[IIU 18212602700000
Page 3
Use this space for any explanations that may be essential in d
unerstanding the'.reported data
Include
•';Anyaignificalit changes=occurrrrig:witl-nri:;:th e last;quarter
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■ Identify and.list all i terns that•are "riot a�Splicable"for.this goverr meet ::
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Who should be contacted to answer questions about data reported on this form?,
Narrie of contact person Please print Title of contact-person Please print
Area;code.and phone number• Extension Area code::and.fax-;number
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Date form VVdS cotrpieted
— Ernail Address Please print
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- (rJ•
Thank you for completing this form r
Retain a.'co "
py'of:the completed Iquestionnaire for your records
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