Tax Report Form - City Of Northport Page 2

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IF THE SALE IS MADE IN THE POLICE JURISDICTION, YOU WILL ONLY PAY 1/2 OF THE CITY RATE
STANDARD DEDUCTION SUMMARY TABLE
(SUMMARY BELOW MUST BE COMPLETED TO CORRESPOND WITH TOTAL DEDUCTIONS ON FRONT OF TAX REPORT)
WHOLESALE
AUTO
LABOR/NON-
SALES DELIV.
SALES TO GOV'T
SALES OF GAS
OTHER ALLOWABLE
TOTAL
TYPE OF TAX
SALES
TRADE-INS
TAXABLE SERV
OUTSIDE JURIS
OR ITS AGENCIES
OR LUBE OILS
DEDUCTIONS
DEDUCTIONS
TOTAL
DEDUCTIONS
INSTRUCTIONS & INFORMATION CONCERNING THE COMPLETION OF THIS REPORT
To avoid the application of penalty and/or interest amounts, this report must be filed on or before the 20th of the month following the period for which the
report is submitted. Cancellation postmark will determine timely filing.
A remittance for the total amount due made payable to the tax jurisdiction must be submitted with this report.
This report should be submitted on a monthly basis unless you have requested and been approved for a different filing frequency.
Any credit for prior overpayment must be approved in advance by the taxing jurisdiction.
No duplicate or replicated forms acceptable except with prior approval of the taxing jurisdiction.
Indicate Any Account Changes Below
Business Name:
Physical Address:
Phone:
Mailing Address:
Fax:
City:
State:
Zip:
Contact Person: _______________________
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