By signing this form, I certify that the statements I made on this form are true and correct. I know that
submitting false information can result in criminal and civil penalties.
Signature Date Phone Number
EFO00143 03-14-2019
Form 850-U
Self-Assessed Use Tax Return
Mail to:
Idaho State Tax Commission
PO Box 36
Boise ID 83722-0410
Name Social Security Number or Federal ID Number
Address City State ZIP Code
Phone Number Email Address
Purchase Date Description of Goods Purchase Price
$
$
$
Use an additional sheet if necessary.
Total Purchases $
Keep a copy of this return for your records.
Total Use Tax Due
(Total Purchases x 6%)$
Form 850-U — Instructions
Self-Assessed Use Tax Return
General. Use this form to report and pay use tax. Use
tax is a tax on goods that you put to use or store in
Idaho. If you haven’t paid sales tax on these goods,
you owe use tax. The use tax rate is the same as the
sales tax rate.
For more information about use tax and how to
calculate the sales purchase price subject to use tax,
visit tax.idaho.gov/use.
Enter each purchase date, description of the
goods, and the purchase price for the goods you’re
reporting on the lines below. Use an additional sheet
if necessary. Please attach a copy of your receipt or
purchase documents and submit with the return.
Don’t use this form if you already have a sales and
use tax account. Please report and pay use tax using
your existing account.
Check Payments. Make your check or money order
payable to the Idaho State Tax Commission. Don’t
staple your check to your return or send a check stub.
For payments of $100,000 or more contact the Tax
Commission.
Mail return and payment to:
Idaho State Tax Commission
PO Box 36
Boise ID 83722-0410
Contact us:
In the Boise area: (208) 334-7660 | Toll free: (800) 972-7660
Hearing impaired (TDD) (800) 377-3529
tax.idaho.gov/contact