Prepared Food And Beverage Tax Return Form - Town Of Vinton, Virginia

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Revised 11-20-2009
Town of Vinton, Virginia
Prepared Food and Beverage Tax Return
NAME AND ADDRESS OF BUSINESS
ACCOUNT NUMBER: _______________
MONTH FOR WHICH RETURN IS FILED:
_________________________________
January
May
September
February
June
October
_________________________________
March
July
November
April
August
December
_________________________________
1. Gross Sales of Prepared Food and Beverage $_________
2. Less Allowable Deductions
$_________
3. Taxable Sales (Line 1 Minus Line 2)
$_________
4. Tax Due (Five Percent (5%) of Line 3)
$_________
Under penalties provided by Law, the
5. Less Seller’s Discount (Three Percent (3%)
undersigned certifies that this return is true
Of Line 4 if Remitted by Due Date)
$_________
and accurate to the best of their knowledge
6. Tax Due/Adjustments from Previous Month $_________
and belief and is taken from the books and
7. Net Tax Due
$_________
records of the business for which this return
8. New Penalties Due (Late Filing)
$_________
is filed
9. Penalties Due From Previous Month
$_________
10. Total Due
$_________
BY: ________________________________
Signature
____________________
_____________
Title
Date
PLEASE NOTE THE FOLLOWING:
th
This return is due on or before the 20
day of each month following the month in which the
tax on prepared food and beverage is made
The law provides for significant financial penalties for late filing or failure to file this return
Checks are payable to : Town of Vinton
Return this form with your payment
Mail Payment to: Treasurer
Town of Vinton
311 S. Pollard Street
Vinton, Virginia 24179
FINAL RETURN --
Business Sold
Business Discontinued
__________
DATE
If the business has been discontinued and or no
New Owner’s Name ___________________________________
longer incurs liability for tax, check the appropriate boxes
above and answer the following.
New Owner Residence Address__________________________
Former Owner’s Residence Address_______________________

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