2010 Sales Tax Reporting Form - The City Of Whittier

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2010 SALES TAX REPORTING FORM
(Per Whittier Municipal Code Chapter 3.08)
Company Name: ___________________________ Date: _________________________
For month ending: __________________________
Account #: _______________
1. GROSS SALES (do not include sales tax on returned merchandise)
$___________
2. LESS EXEMPT SALES (Provide documentation)
<$___________>
3. NET TAXABLE SALES (Line 1. minus line 2.)
$____________
4. SALES TAX RATE (April 1-September 30)
5%
5. TAX DUE (line 3 x .05)
$___________
6. LESS DISCOUNT
TH
(3% OF TAX DUE IF FILED AND PAID BY THE 10
DAY EVERY MONTH
OF TAX SEASON TO MAXIMUM. OF $100.00)
< $___________ >
7. LATE FEE
$____________
th
(5% of tax due/month late to max 25% after the 10
Day of Month)
8. LATE PAYMENT INTEREST
(15% annum.-- Multiply tax due by # of days late by 0.000413)
$____________
9. TOTAL AMOUNT DUE (Add lines 5+6+7+8)
$____________
The tax imposed under this ordinance shall be payable at the end of each month and shall become
delinquent after the 10th business day following the last day of the month.
I declare, subject to penalties prescribed in the above ordinance, that this return (including any
accompanying statements) has been examined by me and to the best of my knowledge and belief is a
true, correct and complete return.
Company owner, agent or member:
_________________________________
___________________________________________-
Signature
date
Printed name

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