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Arkansas Excise Tax Return <br />ET-1 Form <br />F <br />MUNICIPAL GOLF COURSE <br />500 E MAIN ST <br />BATESVILLE, AR 72501 <br />Use whole dollars only. Use blue or black ink only. <br />ACCOUNT ID: 00021776-SLS <br />PERIOD ENDING: 30-Nov-2025 <br />DUE ON OR BEFORE: 22-Dec-2025 <br />Amended Return Check box and attach a detailed explanation and <br />❑ supporting documentation for amending the return. <br />Gross Receipts Tax A. Taxable Sales <br />1. State Tax I 143,740.00 <br />2. Food Tax 0.001 <br />3. Mfg. Utility Tax 0.00 <br />4. Aviation Tax I 0.00 <br />Elect. Mfg. Tax 0.001 <br />B. Rate <br />C. Gross Tax Due <br />I 9,343.00 <br />I 0.00 <br />0.00 <br />0.00 <br />1 0.00 <br />D. Discount E. Tourism Credit <br />1 187.001 0.00 <br />0.00 0.00 <br />0.00 »))»»)))»)»»»»»»» <br />0.00 ))»»»))»»»»»»»»)) <br />1 0.00 »»»))»))»»»>»)»)))) <br />F. Net Tax Due <br />I 9,156.00 <br />I 0.00 <br />L 0.00 <br />0.00 <br />0.00 <br />6.500% <br />0.125% <br />0.625% <br />6.500% <br />1.625% <br />Vendor Use Tax <br />5. State Tax <br />6. Food Tax <br />7. Mfg. Utility Tax <br />8. Aviation Tax <br />Elect. Mfg. Tax <br />A. Taxable Sales <br />0.001 <br />I 0.001 <br />I 0.001 <br />0.001 <br />L 0.001 <br />B. Rate <br />»)»)» n)»)»»»»»))n)»» nnnno»»nn)»)»»n»n»nn» nn»n»»» »» »» <br />»» )»)»»» )»)» »n»»»»»» »nn»»»»»»»» »»»»»»»»n»»»)»)»»»»» <br />1,-)) »»»»»» a»»» »»»»n»n»»»»)»)»» »»» »»» »»»» »»»»»»» <br />»» »» )» )»»» »»» »)»» »nn»n»»»» n)»» )»»» »»»» n»» n»n»»)»)» » <br />»»» »» n»»» nnn»» »»» n»nn»»»»»»» nn)»)»»»» nn»»»n» n»nn» <br />C. Net Tax Due <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />6.500% <br />0.125% <br />0.625% <br />6.500% <br />1.625% <br />Consumer Use Tax A. Taxable Purchases <br />B. Rate <br />C. Gross Tax Due <br />D. Economic Dev Credit <br />E. Net Tax Due <br />9. State Tax <br />10. Food Tax <br />11. Mfg. Utility Tax <br />12. Aviation Tax <br />Elect. Mfg. Tax <br />13. For Future Use <br />For Future Use <br />I DECLARE THIS RETURN (INCLUDING ANY ACCOMPANYING SCHEDULES) 33. Total State Tax (atltl Net Tax Due for lines 1 thm 13)................................ <br />HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY KNOWLEDGE AND <br />SIGN BELIEF IS TRUE, CORRECT AND COMPLETE. 34. Total Special, Alcoholic Bev. & Marijuana Taxes (from line 25)... <br />HERE » <br />PRINT <br />ones Pameror Comwraleonoer 35. Total Local Tax (from hne3z)........................................................... <br />HERE » 36. Total Tax Due (atltl lines 33, 34, and 35)............................................... <br />Person 37. Less Prepayments(irrequlred)........................................................ <br />Phone NumLer 38. Net Tax Due (enter this amount on the voucher below) ................................ <br />9,156.00� <br />20.001 <br />14,1 <br />14,106.00 <br />