Rds Liquor Tax Return - Dallas County, Alabama - 2013

Liquor Tax Return

Dallas County, Alabama

PO Box 830725

Birmingham, AL 35283-0725

(800)556-7274

For the Month of ________________, 20_____

Telephone #: _______________________________________________

FEIN/SSN: _________________________________

RDS Account # :

7024 25-11

th

The tax levied shall be due and payable in monthly installments on or before the 30

day of the month next succeeding

the month in which sales are made.

1 -

Total Gross Receipts from liquor (excluding beer and wine) sold

during period:

$___________________________________

2 –

5%

Calculated Gross Tax Due (at

of line #1 above):

$___________________________________

3–

Add Penalty/Interest (If applicable):

$___________________________________

(Penalty of 10% of the amount of the tax due plus .05% interest per month or fraction thereof from the date the payment of such

tax became delinquent.)

4 –

Total Net Due:

$___________________________________

(Make Checks Payable To: Tax Trust Account)

This return, including any and all accompanying statements has been examined by me and is to the best of my knowledge and belief, a true and complete return, made

.

in good faith, for the period stated above

Taxpayer’s Signature____________________________________ Date:_____________________FEIN:_____________________

Print Taxpayer’s Name:__________________________________Telephone:___________________________________________

Paid Preparer’s Signature________________________________ Print Paid Preparer’s Name______________________________

FORM DISCLAIMER:

Please note that the administration and rate changes on the RDS Advisory and RDS tax forms are updated once the required information has been received, verified, and

validated in compliance with RDS policy. Any information received before or after the publication of an RDS Advisory or tax form will not be guaranteed to appear on said forms until all such requirements

have been met. RDS is not responsible for incorrect information and/or improper use of the information provided. All updates are completed on a timely basis once the requirements have been met. For

the most current RDS administration and/or rate information provided, please visit our website at

RETURNED CHECK DISCLAIMER: When you make a payment by check, you authorize us to use information from your check to make a one-time electronic fund transfer from your checking account

according to the terms of your check or to process that transaction as a check. When we use your check to make an electronic fund transfer, funds may be withdrawn from your checking account the

same day we receive your payment, and you will not receive your check back from your financial institution. If there are insufficient funds in your checking account, you authorize us to charge a Returned

Payment Fee in the amount set forth below and collect that amount through an electronic fund transfer from your checking account, if permitted by applicable law. IF YOUR CHECK OR OTHER

PAYMENT IS RETURNED UNPAID by your bank, we may, if permitted by applicable law, charge a Returned Payment Fee of $ 50 in KY and VA; $40 in DE and MS; $ 35 in MD; $30 in AL, OH, SC, TN,

and TX; $25 in AR, IL, MO, NC and WV; $20 in IN; the greater of 5% of the check or (i) $30 in GA or (ii) $25 in LA; the greater of 5% of the check or (i) $25 if the check is under $50, (ii) $30 if the check is

between $50 and $300 or (iii) $40 if the check is over $300 in FL. Effective July 1, 2010, each returned item received by RDS due to insufficient funds will be electronically represented to the presenters’

bank no more than two times in an effort to obtain payment. RDS is not responsible for any additional bank fees that will accrue due to the resubmission of the returned item.

Dallas County Liquor Tax

12/2013