Sales, Rental/lease, Lodging, Liquor, Use And Wine Tax Report Form - City Of Mountain Brook, Alabama Page 3

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Indicate Any Account Changes Below
Business Name: _____________________________________________________
Physical Address: ____________________________________________________
Phone:
________________________________________
Mailing Ad dress: _ _______ _______ _______ _______ _______ _______ _______ ___
FAX:
__________________________________________
City: _________________________________________________________________
Contact Person:
_______________________________

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