Form 2004tx - City Of Pell City Tax Return Form

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City of Pell City
1905 FIRST AVENUE NORTH
PELL CITY, AL 35125
Tax Return
REPORTING PERIOD: _________________
FILING STATUS: ___________
Tax ID#
TAX ID#
TOTAL AMOUNT ENCLOSED
Has a change occurred in Taxpayer Name, Trade Name,
YES If “YES” please indicate changes on back
Check here if this is a final tax return.
Mailing Address, Business Address, or Number of Outlets
NO
(FILE RETURN FOR EACH REPORTING PERIOD EVEN THOUGH NO TAX MAY BE DUE)
(Rates Applicable Commencing May 1, 2010 at 12:01 a.m.)
(D)
(A)
(B)
(C)
(E)
(F)
Gross Taxable
Unabated
TYPE OF TAX
Total Deductions
Net Taxable
Gross Tax Due
Amount
Tax
School
Rate
Tax Rate
(Column C x D
DETAILS ON BACK
(Column A - B)
Only**
or E)
A. SALES TAX
2%
.75%
$
1. Auto, Farm Mach & Equipment
3%
1%
$
2. Vending Machines
5%
1.5%
$
3. Amusement & General
5%
1.5%
$
4. Property Withdrawn for Use
5%
1.5%
$
5. Collections on Prior Deductions
5%
1.5%
$
6. Purchases Outside Pell City
B. LODGING TAX
5%
XXXXXX
$
C. USE TAX:
SELLERS
CONSUMERS
2%
.75%
$
1. Auto, Farm Mach & Equipment
5%
1.5%
$
2. Other Tangible Property
5%
1.5%
$
3. Collections on Prior Deductions
D. RENTAL/LEASING TAX
1%
$
1. Auto, Farm Mach & Equipment
XXXXXX
3%
XXXXXX
$
2. Other Tangible Property
.01/
E. MOTOR FUEL TAX
XXXXXX
$
(Detail on Back)
GAL
5%
$
F. LIQUOR TAX
XXXXXX
th
This return must be postmarked by the 20
day of the
(1) NET TAX DUE
month following the reporting period for which it is filed to
$
Items A (1 through 6)+B+C (1 through 3)+D (1
avoid penalties and interest. If delinquent, items 4 & 5 will
through 2)+E+F
be invoiced if payment is not included in remittance.
**Unabated School Tax Rate for Commercial or Industrial
(2) PENALTY
(10% of Item #1)
$
Taxpayers with authorized abatement Certificate only!
By signing this report I am certifying that this report, including any
(3
accompanying schedules or statements, has been examined by me and
) INTEREST
(Item #1 X 1% per # mos. or
$
is to the best of my knowledge and belief, a true and complete report for
portion of mo. thereof.)
the period stated above.
$
(4
)
#______ of autos withdrawn @ $2.50 ea.
SIGNATURE: __________________________________________
$
TITLE:_____________________________ DATE:_____________
(5)Total Tax Due
(Item #1 + 2 + 3 + 4)
Form 2010TX-05/01/2010
Page 1

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