Universal Rental Tax Form
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1
2UNIVERSAL RENTAL TAX FORM
LGR, INC.
256-751-3270
Account Numbers
Amount of Tax
Name
(Street)
(City)
(State)
(ZIP)
PERIOD COVERED BY THIS REPORT -
th
th
Mail By the 15
, Delinquent after the 20
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
RENTAL
GROSS
PENALTY
TAX
NET TAX
JURISDICTION
RATE
RENTAL
TAX DUE
&
RATE
DUE
TYPE
RECEIPTS
INTEREST
005
Albertville
109
Arab
123
Athens
138
Ashford
058
Bay Minette
006
Blountsville
053
Brent
013
Bridgeport
120
Camp Hill
913
Chambers Co.
077
Chelsea
020
Chickasaw
038
Dora
010
Double Sprgs.
133
Eufaula
029
Falkville
129
Fultondale
132
Greensboro
004
Hartselle
117
Hokes Bluff
921
Jackson County
026
Jacksonville
043
Lineville
135
Loxely
074
Mulga
022
Ohatchee
128
Rainsville
001
Scottsboro
121
Southside
047
Spanish Fort
122
Sylvania
014
Stevenson
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