Form STS Fillable Quarterly 10% Passenger Car Governmental Service Fee Return (STS) (Effective 7/1/2011 )
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

1550 College Parkway Suite 115 Carson City NV 89706 FOR DEPARTMENT USE ONLY For reporting periods prior to April 1 2007 the penalty is 10% *NOTE: PLEASE READ INSTRUCTIONS ON REVERSE SIDE BEFORE COMPLETING THIS RETURN 0 75% (or 0075) for each month or fraction of a month late 1 Enter the total dollar amount of short term leases of passenger cars during the calendar quarter on Line 1 The Lessor 1% (or 01) 10 Enter the total amount remitted with this return on Line 10 10TOTAL AMOUNT REMITTED WITH RETURN$ 11 15 1550 College Parkway #115 16 20 1DOLLAR AMOUNT OF LEASES DURING CALENDAR QUARTER$ 2 0 75% (or 0075) To calculate interest for each month late from 7/1/1999 through 6/30/2011 multiply Line 2 2 Multiply total leases (Line 1) by 10% or 10 and enter the amount on Line 2 21 30 3 For information purposes only Enter the total dollar amount of vehicle licensing fees paid to the Department of 360 395 The maximum penalty amount is 10% Determine the number of days the payment is late and multiply the 3TOTAL VEHICLE LICENSING FEES PAID TO DMV DURING CALENDAR QTR$ 4 For information purposes only Report the amount collected during the quarter to recover the costs shown on line 3 5 Enter the amount due to you for overpayment(s) made in prior periods for which you have received a credit notice 5LESS CREDITS APPROVED & VERIFIED BY THE DEPARTMENT$ 6 If this return will not be submitted/postmarked and the fees paid on or before the due date as shown on the face of 6PENALTY (SEE INSTRUCTIONS FOR RATE) $ 7 If this return will not be postmarked and the fee paid on or before the due date as shown on the return enter interest 7INTEREST (change in rate effective 7/1/2011 $ 8 Enter any amount due for prior periods for which you have received a Debit Notice 8PLUS LIABILITIES ESTABLISHED BY THE DEPARTMENT$ 9 Subtract Line 5 from Line 2 Continue by adding Lines 6 7 and 8 to that sum This is the Total Amount Due and 9TOTAL AMOUNT DUE AND PAYABLE$ A RETURN MUST BE FILED EVEN IF NO RENTALS WERE MADE* amount of any fee or charge for the delivery transportation or other handling of the passenger car; the amount of any Amount: Check #: At the end of each calendar year the Department will provide a separate form for the Lessor to report the vehicle car was leased This amount must include the amount charged for the collision damage waiver The following items Carson City NV 89706 CLARK COUNTY CAR RENTAL FEE RETURN IN ADDITION TO THE Complete all line items on the Return COUNTY CAR RENTAL FEE RETURN IN ADDITION TO THE PASSENGER CAR GOVERNMENTAL SERVICE coverage for personal property; and the amount of any charges assessed against a short term Lessee for damages for Do not take the credit if you have asked for a refund NOTE: Only credits established by the Department may be Due on or before: entered For example: the fees were due January 31 but not paid until February 15 The number of days late is 15 Fed Id Or Soc Sec # fee or charge for insurance including without limitation personal accident insurance extended coverage or insurance FEE RETURN fees basic privilege taxes duplicate and replacement fees plate fees or Short Term Lessor 20 Day Permit Fees For Quarter Ending: From passenger car short term leases2FEE DUE (Multiply Total Leases (Line 1) by 10% or 010$ I hereby certify that this return including any accompanying schedules and statements has been examined by me and to the best If postmarked after the due date penalty and interest will apply If you have any questions concerning this return please contact the Carson City District Office at 775 684 2117 or Fax licensing costs for that year and the amount of money collected for the recovery of its vehicle licensing costs Mail to: Mail to: Nevada Department of Taxation Motor Vehicles during the calendar quarter Vehicle licensing fees and taxes are registration fees title fees transfer Multiply by: must not be included in the total amount: The amount of any charge for fuel used to operate the passenger car; the Name Of Preparer net fee owed by the appropriate rate shown in the table below The result is the amount of penalty that should be Nevada Department of Taxation NOTE: If Line 1 on the return is Zero you may Stop there and go to the Signature portion of the Return Number of Days of my knowledge and belief is a true correct and complete return on line 7 Note: 7/1/2011 interest rate change: To calculate interest for each month late after 7/1/2011 multiply Line Or Account No: PASSENGER CAR GOVERNMENTAL PASSENGER CAR GOVERNMENTAL SERVICES FEE RETURN PASSENGER CAR GOVERNMENTAL SERVICES FEE RETURN INSTRUCTIONS Payable Enter this total on Line 9 Penalty Percentage Phone Number Postmark Date: questions/information to 775 684 2020 attention: Passenger Car Governmental Services Fee RETURNS MUST BE FILED EVEN IF NO LEASES WERE MADE OR FEES COLLECTED See reverse for further instructions on figuring interest Separate form for full calendar year will also be submitted by Lessor Separate form for full calendar year will also be submitted by Lessor4AMOUNT COLLECTED FOR THE RECOVERY OF VEHICLE LICENSING COST$ SERVICES FEE RETURN shall charge and collect from the short term Lessee a fee of 10% (percent) of the total amount for which the passenger SHORT TERM LESSORS LOCATED IN WASHOE OR CLARK COUNTIES MUST FILE THE WASHOE OR SHORT TERM LESSORS LOCATED IN WASHOE OR CLARK COUNTIES MUST FILE THE WASHOE OR CLARK Signature so the penalty is 4% this return the amount of penalty due will be based on the number of days the late payment is made per NAC TID No Title which the short term Lessee is held responsible