Form T107-1 - Admissions Tax Return - City Of Cincinnati printable pdf download

Form T107-1 - Admissions Tax Return - City Of Cincinnati

Form T107-1(3/90)

CITY OF CINCINNATI

TREASURY DIVISION, ROOM 202, CITY HALL

801 PLUM STREET

CINCINNATI, OHIO 45202-1986

FORWARD RETURN IN DUPLICATE

ADMISSIONS TAX RETURN

Return for the month or dates of _______________________, 20____.

License No. ______________

Licensee Name __________________________________________________________________________________

Address of business or event _______________________________________________________________________

Per agent: ______________________________ Address of agent: _________________________________________

Ticket Nos.

Number of

Ticket Price (or

City Tax Rate

City Tax Due ( # of

Opening

Closing

Refunds

Admissions

Price of Admission)

(Per Tax Schedule)

Adms. x Tax Rate)

Sub Total

Late Interest (1% Per Month) From______________To______________

Total Taxes Paid

NOTICE – Return must be filed with the Treasury Division in duplicate (if receipt is required, furnish triplicate copy

and self-addressed stamped envelope) with your payment made payable to Treasurer, City of Cincinnati. Return and

payment must be postmarked on or before the twentieth (20

) day of the month following the month being reported.

Add 1% interest per month per delinquent returns. If a final return is being filed, the copies should be marked final

return and the license surrendered. ALL RECORDS PERTINENT TO ADMISSIONS TAXES COLLECTED SHALL

BE RETAINED FOR THREE (3) YEARS OR UNTIL RELEASED IN WRITING BY THE CITY TREASURER.

(Authority, Chapter 309, Cincinnati Municipal Code)

Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief it is

true, correct and complete.

_____________

__________________________________________________

_________________________

DATE

SIGNATURE

TITLE

Form T107-1 - Admissions Tax Return - City Of Cincinnati