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The Tax Company
UNIVERSAL TAX FORM
Tax reported on this form: (use separate form if reporting more than one tax)
256-751-3270
G General Sales
G Automotive
G Farm Machine
Page 1 of 9
G Mfg Machine
G Seller’s Use
Tax Form Page 1 of 4
G Consumer’s Use (Note: Discount does not apply)
Account Number
Amount of Tax Due
Name
Make check payable to:
LGREC
(Street)
(City)
(State)
(ZIP)
th
th
PERIOD COVERED BY THIS REPORT -
Mail By the 15
, Delinquent after the 20
G JAN
G FEB
G MAR
G APR
G MAY
G JUN
G JUL
G AUG
G SEP
G OCT
G NOV
G DEC
Disc/Penalty
Net Tax
Sales
Rate
Tax
PJ Sales
Rate
PJ Tax
Total Tax
(see below)
Due
COUNTIES
910 Blount
908 Chambers
912 Chilton
920 Colbert
915 Fayette
906 Franklin
N/A
921 Jackson
905 Lauderdale O/S
Inside Florence
901 Lawrence
914 Pickens
904 Tallapoosa
907 Winston
CITIES
110 Abbeville
071 Addison
005 Albertville
021 Aliceville
111 Altoona
109 Arab
106 Ardmore
N/A
082 Arley
064 Ashville
123 Athens
058 Bay Minette