Admissions, Lodging And Meals Tax Form
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1FAILURE TO REMIT THESE TAXES MAY RESULT IN FELONY PROSECUTION FOR EMBEZZLEMENT
CITY OF RICHMOND
YEAR
ACCOUNT NUMBER
ADMISSIONS, LODGING, MEALS TAX
CITY HALL, ROOM 102
RETAIN THIS
P.O. BOX 26505, RICHMOND, VA
23261-6505
PORTION FOR YOUR
PHONE: (804) 646-5690
D
RECORDS
BUSINESS LOCATION IF OTHER THAN BELOW !
ADMISSIONS TAX
MONTH
TOTAL ADMISSIONS
RATE
TAX
ADMISSIONS TAX
x 7%
LODGING TAX
MONTH
RENTALS FOR MONTH
RATE
TAX
LODGING TAX
x 8%
MEALS TAX
MONTH
SALES
RATE
TAX
MEALS &
x 6%
ALCOHOLIC BEVERAGE TAX
TOTAL
X
MO / DAY / YR
AUTHORIZED SIGNATURE
DATE
PHONE
PENALTY
INTEREST
TOTAL
D
FAILURE TO REMIT THESE TAXES MAY RESULT IN FELONY PROSECUTION FOR EMBEZZLEMENT
FAILURE TO REMIT THESE TAXES MAY RESULT IN FELONY PROSECUTION FOR EMBEZZLEMENT
CITY OF RICHMOND
CITY OF RICHMOND
ACCOUNT NUMBER
ACCOUNT NUMBER
YEAR
YEAR
ADMISSIONS, LODGING, MEALS TAX
ADMISSIONS, LODGING, MEALS TAX
CITY HALL, ROOM 102
CITY HALL, ROOM 102
RETAIN THIS
P.O. BOX 26505, RICHMOND, VA
P.O. BOX 26505, RICHMOND, VA
23261-6505
23261-6505
PORTION FOR YOUR
PHONE: (804) 646-5690
PHONE: (804) 646-5690
RECORDS
D
BUSINESS LOCATION IF OTHER THAN BELOW !
BUSINESS LOCATION IF OTHER THAN BELOW !
ADMISSIONS TAX
MONTH
MONTH
TOTAL ADMISSIONS
TOTAL ADMISSIONS
RATE
RATE
TAX
TAX
ADMISSIONS TAX
ADMISSIONS TAX
x 7%
x 7%
LODGING TAX
MONTH
MONTH
RENTALS FOR MONTH
RENTALS FOR MONTH
RATE
RATE
TAX
TAX
LODGING TAX
LODGING TAX
x 8%
x 8%
MEALS TAX
MONTH
MONTH
SALES
SALES
RATE
RATE
TAX
TAX
MEALS &
MEALS &
x 6%
x 6%
ALCOHOLIC BEVERAGE TAX
ALCOHOLIC BEVERAGE TAX
TOTAL
TOTAL
X
X
MO / DAY / YR
AUTHORIZED SIGNATURE
AUTHORIZED SIGNATURE
DATE
DATE
PHONE
PHONE
PENALTY
PENALTY
INTEREST
INTEREST
TOTAL
TOTAL
D
FAILURE TO REMIT THESE TAXES MAY RESULT IN FELONY PROSECUTION FOR EMBEZZLEMENT
FAILURE TO REMIT THESE TAXES MAY RESULT IN FELONY PROSECUTION FOR EMBEZZLEMENT
FAILURE TO REMIT THESE TAXES MAY RESULT IN FELONY PROSECUTION FOR EMBEZZLEMENT
CITY OF RICHMOND
CITY OF RICHMOND
CITY OF RICHMOND
ACCOUNT NUMBER
ACCOUNT NUMBER
ACCOUNT NUMBER
YEAR
YEAR
YEAR
ADMISSIONS, LODGING, MEALS TAX
ADMISSIONS, LODGING, MEALS TAX
ADMISSIONS, LODGING, MEALS TAX
CITY HALL, ROOM 102
CITY HALL, ROOM 102
CITY HALL, ROOM 102
RETAIN THIS
P.O. BOX 26505, RICHMOND, VA
P.O. BOX 26505, RICHMOND, VA
P.O. BOX 26505, RICHMOND, VA
23261-6505
23261-6505
23261-6505
PORTION FOR YOUR
PHONE: (804) 646-5690
PHONE: (804) 646-5690
PHONE: (804) 646-5690
RECORDS
BUSINESS LOCATION IF OTHER THAN BELOW !
BUSINESS LOCATION IF OTHER THAN BELOW !
BUSINESS LOCATION IF OTHER THAN BELOW !
D
ADMISSIONS TAX
MONTH
MONTH
MONTH
TOTAL ADMISSIONS
TOTAL ADMISSIONS
TOTAL ADMISSIONS
RATE
RATE
RATE
TAX
TAX
TAX
ADMISSIONS TAX
ADMISSIONS TAX
ADMISSIONS TAX
x 7%
x 7%
x 7%
LODGING TAX
MONTH
MONTH
MONTH
RENTALS FOR MONTH
RENTALS FOR MONTH
RENTALS FOR MONTH
RATE
RATE
RATE
TAX
TAX
TAX
LODGING TAX
LODGING TAX
LODGING TAX
x 8%
x 8%
x 8%
MEALS TAX
MONTH
MONTH
MONTH
SALES
SALES
SALES
RATE
RATE
RATE
TAX
TAX
TAX
MEALS &
MEALS &
MEALS &
x 6%
x 6%
x 6%
ALCOHOLIC BEVERAGE TAX
ALCOHOLIC BEVERAGE TAX
ALCOHOLIC BEVERAGE TAX
TOTAL
TOTAL
TOTAL
X
AUTHORIZED SIGNATURE
AUTHORIZED SIGNATURE
AUTHORIZED SIGNATURE
DATE
DATE
DATE
PHONE
PHONE
PHONE
MO / DAY / YR
PENALTY
PENALTY
PENALTY
INTEREST
INTEREST
INTEREST
TOTAL
TOTAL
TOTAL
D
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