Prepared Food And Beverage Tax - City Of Suffolk

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PREPARED FOOD AND BEVERAGE TAX
CITY OF SUFFOLK
P.O. Box 1459
Suffolk, VA 23439-1459
ACCOUNT NO:
TO:
Please fill in and return the top portion of this notice
on or before:
PAYMENT FOR:
BUSINESS ID#:
MAIL REMITTANCE TO:
NET TAX PAYABLE:
$
THOMAS A. HAZELWOOD
PENALTY:
$
COMMISSIONER OF THE REVENUE
TOTAL TAX DUE:
$
PO BOX 1459
SUFFOLK VA 23439-1459
DO NOT DETACH
REPORT IS HEREBY MADE TO THOMAS A. HAZELWOOD, COMMISSIONER OF THE REVENUE,
FOR THE FOLLOWING SUFFOLK CITY PREPARED FOOD AND BEVERAGE TAX:
For period beginning
and ending
ACCOUNT NO:
Gross Receipts Subject to Meals Tax: $
BUSINESS ID#:
City Tax 5.5% on the above amount: $
Penalty:
$
Total Tax Due:
$
GIVEN UNDER MY HAND THIS
DAY OF
I DO SWEAR THAT THE FOREGOING FIGURES AND
, 2007.
STATEMENTS ARE TRUE, FULL AND CORRECT TO THE
BEST OF MY KNOWLEDGE AND BELIEF:
____________________________________________
____________________________________________________
SIGNATURE OF APPLICANT
COMMISSIONER OF THE REVENUE
PLEASE RETURN TOP PORTION WITH PAYMENT
MAKE CHECKS PAYABLE TO R. H. WILLIAMS, TREASURER
KEEP THIS PORTION FOR YOUR RECORDS
YOUR CANCELLED CHECK WILL SERVE AS YOUR RECEIPT
PREPARED FOOD AND BEVERAGE TAX
CITY OF SUFFOLK
P.O. Box 1459
ACCOUNT NO:
Suffolk, VA 23439-1459
BUSINESS ID #:
PAYMENT FOR:
Taxable Receipts:
$
TO:
City Meals Tax 5.5%
$
Penalty:
$
Total Tax Due:
$
TH
RETURN IS TO BE FILED AND TAX IS TO BE PAID BY THE 20
OF THE MONTH FOLLOWING THE CALENDAR
MONTH FOR WHICH THE TAX IS DUE TO AVOID PENALTY

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