2005 City Of Falls Church Monthly Meals Tax Report Form

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2005 City of Falls Church Monthly Meals Tax Report
Thomas D. Clinton
Commissioner of the Revenue
300 Park Avenue, Suite 104E, Falls Church, VA 22046-3351
Phone: (703) 248-5018 Fax: (703) 248-5212 E-mail:
commissioner@fallschurchva.gov
Name of Business:
________________________________________________
Trading As:
________________________________________________
Business License Acct ID:
________________________________________________
Business Address:
________________________________________________
________________________________________________
Meals Tax Report for the Month of: ___________________________________, 200_____
Name of Meals Tax Contact:
____________________________________________
Meals Tax Contact Work Phone:
____________________________________________
Meals Tax Contact Home Phone:
____________________________________________
Meals Tax Contact Cell Phone:
____________________________________________
Virginia Sales Tax Registration Number: _________________________________________
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The Meals Tax is due the 20
of the month after it is collected. If your payment is late, you will not be
allowed to take your discount, and you will owe a penalty. Interest will be charged beginning the first day
of the next month after the Meals Tax is due.
1. Total gross sales from meals, including alcoholic beverages:
1.___________________
(from the Virginia Department of Taxation Form ST-9, line 7)
2. Total City of Falls Church Meals Tax collected:
2.___________________
(multiply line #1 by .04)
3. Your discount for paying on time:
3.___________________
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(multiply line #2 by .02 unless it’s after the 20
of the month)
4. City of Falls Church Meals Tax Amount Due:
4.___________________
(subtract line #3 from line #2)
Name of Meals Tax Preparer
: ________________________________________
(print name if not the same as contact above)
Signature:__________________________________________ Date:____________________________________
Declaration: I declare that all the figures herein given are true, full and correct to the best of my knowledge and belief.
Make checks payable to: “Treasurer, City of Falls Church” and mail them to:
(PLEASE NOTE: NEW ADDRESSEE!)
Office of the Commissioner of the Revenue
Attention: Meals Tax Collections
300 Park Avenue, Suite 104E
Falls Church, VA 22046-3351
If you need help in calculating the Meals Tax or if you have any other questions, please call: (703) 248-5018.
We thank you for doing business in the City of Falls Church!
If you sell your business or make
any ownership changes, please
contact us immediately!
Tom Clinton, Commissioner of the Revenue

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