Rds City & County Tax Return Form - 2012

City & County Tax Return

Sales, Use, Rental & Lodging Tax

P.O. Box 830725 Birmingham, AL 35283-0725 (800)556-7274

CHECK HERE IF BUSINESS HAS CLOSED

TOTAL TAX REMITTED:

RDS Account #:

Account Number:

Make Checks Payable To: Tax Trust Acct.

Period Covered:

$________________________________

Due Date:

Mail to: Sales Tax Division, PO Box 830725,

Birmingham, Al 35283-0725

CHECK HERE FOR ADDRESS CHANGE

th.

20

*Must be postmarked on or before the

Taxpayer

Name/Address:

Report the following local taxes on this return:

Tax Type (Column B)

Tax Rate (Column C)

Sales (10)

General (11)

Sellers Use (15)

Mfg. Machine (21)

Gross Receipts (17)

Automotive (41)

Consumers Use (20)

Farming (31)

Rental (40)

*See rate sheet for all

Lodgings (30)

other rates.

NEW ADDRESS:___________________________________________

A

B

C

D

E

F

G

H

Tax

Tax

Plus (+)

Type

Rate

Net Taxable Sales, Rental

Penalty &

Less ( - )

City / County

Code

Code

Receipts, Lodging Receipts

Gross Tax Due

Interest

Discount

Net Tax Due

Total Amount Due

I declare, under penalties of perjury, that this return (and any accompanying schedules) has been examined by me and to the best of my knowledge is true,

correct and complete.

Signed _______________________________________________________________Date ______________Telephone# ____________________________

DISCOUNT: The discount for timely filing is 5% on the first $100 of tax due, plus 2% on any tax over $100 not exceed a max of $400 per month/per jurisdiction. (Example: Tax due = $325, discount calculation

would be: $100 x 5% = $5.00. PLUS ($225 x 2% = $4.50). $5.00 + $4.50 = $9.50 total discount. There is no discount allowed on Consumers Use Tax, Sellers Use Tax or Rental Tax. The City of Oneonta allows a

discount on both sales and use tax. PENALTIES: Failure to timely file penalty is $50.00 or 10% of the tax due (whichever is greater), per jurisdiction. Failure to timely pay penalty is 10% of the tax due, per

jurisdiction. Additional penalties and interest may apply.

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 as soon as 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.

Updated January 2012