Meals Tax Monthly Report Form - Town Of Clarksville

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MEALS TAX MONTHLY REPORT FOR MONTH OF:
Business name and address
1. Meal Charges Subject to Tax
2. Tax on Meals at 5% of #1
3. Less 2% Discount Collection Fee**
4. Total Tax Due #2 less #3
5. Penalty:
Greater of: 10% of Tax Due or $10.00.
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(If not paid by the 20
)
6. Interest to Date (10% Per Annum)
7. Total Due if Paid After Due Date
Please make checks payable to
Town of Clarksville
PO Box 1147 Clarksville Virginia 23927
434-374-8177
Submitted by: __________________________________ Date ___________________
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Tax due by 20
of month following the month being reported.
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**Collection Fee Only Applies if Tax is Paid by 20
of the Month.

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