Mixed Drink And/or Private Club Monthly Report Form - Declaration Of Sales Of Alcoholic Beverages - City Of North Little Rock - Arkansas
ADVERTISEMENT
1City of North Little Rock, Arkansas
Mixed Drink and/or Private Club
Monthly Report Form
Declaration of Sales of Alcoholic Beverages
I hereby certify that I am the owner of
_
Located at
, North Little Rock:
Arkansas, and that my gross sales of alcoholic beverages for the month of
_________
.,20_, totaled approximately $
_
Section 3, Ordinance No. 3743
A supplemental tax upon the gross receipts of the sale
of alcoholic beverages pursuant to Act 132 or 1969 is
hereby levied.
HOTELS AND RESTAURANTS:
10%
$
.
_
PRIVATE CLUBS:
5%
$
_
I hereby declare under the Penalties of Perjury that this Declaration of
Sales of Alcoholic Beverages form has been examined by me and to the best
of my knowledge and belief is true and correct.
Signed:
----------
Owner
This form must be returned to the City Clerk and Collector's Office at P.O. Box 5757,
North Little Rock, Arkansas 72119-5757, on or before the
10th
day of each calendm
month for the preceding calendar month.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Sales, Lease And/or Use Tax And School Sales And/or Use Tax Monthly Return Form October 2005
Financial
Form Car - Cemetery Permanent Maintenance And Merchandise Trust Funds Annual Report Form - Secretary Of State
Legal
Related Categories
Parent category: Financial