Tax Return Form - City Of Orange Beach - 2005

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CITY OF ORANGE BEACH
Batch _______________
RETURN DUE ON OR BEFORE
TH
THE 20
OF EACH MONTH
Check _______________
P.O. Box 1159 ♦Orange Beach, AL 36561-1159
Amount ______________
251-981-6783 ♦ Fax 251-981-2551
Account no. ____________________
Int/Date______________
TAX RETURN
Reporting Period ________________
Check here for address change
Check here if this is a final tax return
(This return only for the business shown below)
Total Amount Remitted
$
Make check payable to:
CITY OF ORANGE BEACH
TYPE OF TAX
TAX
(A.) GROSS
(B.) TOTAL
(C.)
(D.)
(E.) PLUS (+)
(F.)
(G.)
RATE
RECEIPTS
DEDUCTION
NET TAXABLE
TAX DUE
PENALTY/
LESS (-)
AMOUNT DUE
(see back)
INTEREST
DISCOUNT
Sales - General
3 %
Sales - General - P.J.
1.5 %
Sales - Automotive
.50 %
Sales - Automotive - P.J.
.25 %
Sales - Machine/Agriculture
1 %
Sales - Mach/Agriculture -
.50 %
P.J.
Lodging
5 %
Use - General
3 %
N/A
Use - General - P.J.
1.5 %
Use - Automotive
.50 %
N/A
Use - Automotive - P.J.
.25 %
Use - Machine/ Agriculture
1 %
Use - Mach/ Agri - P.J.
.50 %
N/A
Lease - General
3 %
N/A
Lease - General - P.J.
1.5 %
Lease - Auto, Linens, etc.
1 %
N/A
Auto Vehicles Withdrawn
N/A
No. ______x $5.00
(* P.J. – Police Jurisdiction)
th
This return must be postmarked by the 20
day of the month following
Total Amount Due
__________
the reporting period for which you are filing to be considered a timely return.
Overpayment Credit
__________
Net amount due
__________
By signing this report I am certifying that this report, including any accompanying schedules or statements, has been
examined by me and is to the best of my knowledge and belief, a true and complete report for the period stated.
Signature _______________________________________________________________________________________
Title __________________________________________________ Date _____________________________________
03/2005

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