Rental/leasing Tax Form
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1City of Bessemer
Revenue Department
RD
1806 3
Avenue North
Bessemer, AL 35020-4999
PHONE: (205)424-4060 FAX: (205) 425-2820
RENTAL/LEASING TAX FORM
REQUIRED BY ORDINANCE NO. 2490 DATED AUGUST 22, 1989.
EFFECTIVE OCTOBER 1, 1989 AND EVERY MONTH THEREAFTER.
AMENDED BY ORDINANCE NO. 2553 DATED SEPTEMBER 17, 1991.
Tax ID#:
This return is for the month of ______________________, 20__________.
This return is for the quarter of __________________, ____________________, & _________________, 20__________.
1. (a) Gross receipts from leasing/renting automobile vehicles,
truck trailers, semi-trailers, house trailers and etc.
_______________
(b) Less deductions for automotive vehicles, etc.
_______________
(c) Total amount of taxable receipts on auto vehicles, etc. _______________
(d) Tax due on auto vehicles, etc. 1% (.01)
_______________
2. (a) Gross receipts from leasing/renting of all other tangible
personal property.
_______________
(b) Less deductions for other tangible personal property. _______________
(c) Total amount of taxable receipts on tangible personal
property.
_______________
(d) Tax due on other tangible personal property 4% (.04)
_______________
3. TOTAL AMOUNT OF TAX DUE CITY. [ADD LINES 1(d) and 2(d)]
_______________
th
4. Add 10% (.10) penalty if not paid by the 20
day of the subsequent month.
_______________
5. TOTAL AMOUNT OF TAX DUE WITH PENALTY. (Add lines 3 & 4)
_______________
This return is to the best of my knowledge, a true and complete return, made in good faith for the month stated.
_________________________________ This is the _________day of _______________, 20_______.
BUSINESS NAME
_________________________________
__________________________________________
ADDRESS
SIGNATURE
_________________________________
__________________________________________
CITY, STATE ZIP
POSITION OR TITLE
Make checks payable to: City of Bessemer
Mail to: CITY OF BESSEMER – REVENUE DEPARTMENT
RD
1806 3
AVENUE NORTH
BESSEMER, AL 35020-4999
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