Tobacco Tax Report Form printable pdf download

Tobacco Tax Report Form

MUNICIPALITY OF HOOVER, ALABAMA

TOBACCO TAX REPORT

Reporting Period

MAIL THIS RETURN WITH REMITTANCE TO:

CITY OF HOOVER

P.O. BOX 11407

BIRMINGHAM, AL 35246-0144

(205) 444-7516

FAX (205) 739-7151

Check here if FIRST return.

Check here if FINAL return.

(C)

(A)

(B)

Type of Tax/Tax Area

Gross Tax Due

Total Quantity Sold

Tax Rate

(Column A x Column B)

CIGARETTES

City ($.10/per package)

$0.10

Police Jurisdiction ($.05/pkg)

$0.05

CIGARS

City ($0.3/each)

$0.03

Police Jurisdiction ($0.015/each)

$0.015

ALL OTHER TOBACCO PRODUCTS

City ($0.10/per package)

$0.10

Police Jurisdiction ($0.05/pkg)

$0.05

(1) TOTAL TAX DUE

(Total of Column C)

This return must be postmarked by the 20th day of the

month following the reporting period for which you are

(2) PENALTY

filing to be considered a timely return.

(Item 1 x 10%)

By signing this report I am certifying that this report,

(3) INTEREST

including any accompanying schedules or statements, has

(Item 1 x 1% per month delinquent)

been examined by me and is to the best of my knowledge

and belief a true and complete report for the period stated.

(4)

NET TAX DUE

(Item 1, if delinquent 1+2+3)

(5)

CREDIT

Phone #

(Attach Documentation)

Date

Title

(6)

TOTAL AMOUNT DUE

& ENCLOSED

(Line 4-5)

Signature

(OVER)

Tobacco Tax Report Form

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