Tobacco Tax Report Form - City Of Northport, Alabama

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City of Northport, Alabama
Mail this return with remittance to:
Phone (205)339-7000
P.O. Box 569
Fax (205)333-3016
Northport, AL 35476
TOBACCO TAX REPORT
Reporting Period:
Total Amount Enclosed
City of Northport Taxpayer ID #
$
Name:
Address:
City/State:
/zip:
( )Check her if this is a final return Effective Date______________
( )Check here for additional forms.
(A)
(B)
(C)
(D)
Type of Tax/Tax Area
Number Items Sold
Total Sold
Tax Rate
Gross Tax Due
(column B x column C)
Cigarettes
City ($.10/pkg)
$0.10
PJ ($.05/pkg)
$0.05
Cigars
City ($.02/each)
$0.02
PJ ($.01/each)
$0.01
Smokeless Tobacco
City ($.10/pkg)
$0.10
PJ ($.05/pkg
$0.05
This Return must be post marked by the 20th day of
(1) Total Tax Due
(Total of column D)
the month following the reporting period for which
you filing to be considered a timely return.
By signing this report I am certifying that this report,
(2) Penalty (failure to file greater of
including any accompanying schedules or statements,
10% or $50; failure to pay 10%
has been examined by me and is to the best of my
(3) Interest
(Line 1 x 1% per month
knowledge and belief, a true and complete report for
the period stated.
delinquent)
(5) Net Tax Due
(1+2+3)
Date ___________________ Title __________________
Total Amount Due &
Signature ______________________________________
Enclosed

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