Levy Of Taxes On Food Monthly Report Form - City Of Lexington printable pdf download

Levy Of Taxes On Food Monthly Report Form - City Of Lexington

CITY OF LEXINGTON

LEVY OF TAXES ON FOOD

Commissioner of the Revenue

MONTHLY REPORT

P.O. Box 922

300 East Washington Street

Lexington, Virginia 24450

[540] 462-3701;

fax [540] 463-4738

Report for the Month of _____________, 20___

(Report due on or before the 20th day of the following calendar month.)

Name:___________________________________________

Gross Receipts From Food Sales:

$________________

Tax Due:

$________________

(4% of line 1)

DEALER'S DISCOUNT if remitted by due date:

$________________

(3% of line 2)

Adjustment from Previous Month:

$________________

Net Sales Tax Due:

$________________

((line 2 - line 3) +/- line 4)

Penalties (late filing):

$________________

(5% of line 5)

Interest, if applicable:

$________________

(8% per annum of line 5)

TOTAL DUE:

$________________

(line 5 + line 6 + line 7)

Make All Checks Payable to CITY TREASURER

_________________________________________

_______________________

Signature

Date

Commissioner of the Revenue

P.O. Box 922

300 East Washington Street

Lexington, Virginia 24450

Levy Of Taxes On Food Monthly Report Form - City Of Lexington