Sales,use, Lease/rental Tax Report - City Of Helena, Alabama

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CITY OF HELENA, ALABAMA
SALES, USE, LEASE/RENTAL TAX REPORT
MAIL FORM W/REMITTANCE TO:
CITY OF HELENA
REPORTING PERIOD: _________________________
PO BOX 613
HELENA, AL 35080-0613
PH:205.663.2161 FAX: 205.663.9276
TOTAL AMOUNT ENCLOSED
_____________________________________
TAXPAYER NUMBER
TAXPAYER NAME:
ADDRESS
CHECK HERE IF THIS IS FINAL TAX RETURN
(A)
(B)
(C)
(D)
(E)
TYPE OF TAX/ TAX AREA
GROSS TAXABLE
TOTAL
NET TAXABLE
TAX
GROSS TAX DUE
(COLUMN A – COLUMN B)
(COLUMN C x COLUMN D)
AMOUNT
DEDUCTIONS
RATE
1.33%
SALES - Automotive
1.33%
SALES- Farm / Machinery
4%
SALES- General
1.33%
SELLERS USE -Automotive
SELLERS USE –Farm / Machinery
1.33%
4%
SELLERS USE -General
1.33%
CONSUMERS USE- Automotive
1.33%
CONSUMERS USE- Farm / Machinery
4%
CONSUMERS USE- General
2%
LEASE/RENTAL - Automotive
LEASE/RENTAL - General
2%
Rate x 0.5
POLICE JURISDICTION- list type below
IN ACCORDANCE WITH STATE TAX STATUTES, DISCOUNT DOES
**
(1) TOTAL TAX DUE
NOT APPLY TO LEASE/RENTAL/USE TAX TYPES
(TOTAL OF COLUMN E)
th
This return must be postmarked by the 20
day of the month following the
(2) PENALTY
reporting period for which you are filing to be considered a timely return. Seller
must file timely returns, even though no taxes are due.
(ITEM 1 X 10%)
(3) INTEREST
(ITEM 1 x 1% PER MONTH DELINQUENT)
By signing this report I am certifying that this report, including any
4) DISCOUNT **
(
accompanying schedules or statements, has been examined by me and is to
IF SUBMITTED PRIOR TO FILING DEADLINE
the best of my knowledge and belief, a true and complete report for the
5% ON $100 OR LESS – 2% OVER $100 ($400 max.)
period stated above.
(5) NET TAX DUE
(ITEM 1 - 4; IF DELINQUENT 1 + 2 + 3)
DATE:_____________________________ TITLE: _________________
TOTAL AMOUNT DUE & ENCLOSED
SIGNATURE: ______________________________________________

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