Alabama Public Utility Gross Investment Allocation Form - Alabama Department Of Revenue

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ALABAMA DEPARTMENT OF REVENUE
ADV:U5-10
PROPERTY TAX DIVISION
1/2003
PUBLIC UTILITY SECTION
P.O. Box 327210 - Montgomery, AL 36132-7210 - (334) 242-1525
Alabama Public Utility Gross Investment Allocation Form
Month/Year Ending:
Company Name:
Company Officer or Authorized Tax Agent:
Company Street or P.O.Box address:
Company City, State , and Zip code:
Telephone and Fax Number:
Alabama Principle Place of Business:
Officer or Authorized Tax Agent Signature:
(Attach notarized statement for signature)
CITY NAME
COUNTY NAME
COUNTY GROSS
SCHOOL
SCHOOL DISTRICT
CITY GROSS
INVESTMENT
DISTRICT NAME
GROSS INVESTMENT
INVESTMENT
INSTRUCTIONS: When entering a new County Name always skip a row below the last entry under School District Name
and City Name as shown in the example below. The Total School Districts Gross Investment for a county should always
equal the County Gross Investment; the total of all Counties Gross Investment should be the company total. If additional
forms are need, this form may be reproduced. Computer generated forms are acceptable if they follow the format of this form.
EXAMPLE:
CITY NAME
COUNTY NAME
COUNTY GROSS
SCHOOL
SCHOOL DISTRICT
CITY GROSS
INVESTMENT
DISTRICT NAME
GROSS INVESTMENT
INVESTMENT
AUTAUGA
26,000 S.D. #1
16,000 BILLINGSLEY
1,000
S.D. #1
10,000 PRATTVILLE
6,000
BALDWIN
16,000 S.D. #1
9,000 FOLEY
1,000
S.D. #1
7,000

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