Annual Privilege License Tax Return Form - City Of Huntsville - Alabama
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2CITY OF HUNTSVILLE, ALABAMA
ANNUAL PRIVILEGE LICENSE TAX RETURN
(FOR CONSTRUCTION TRADES ONLY)
__________________________________________________________________________________________________________________________________
FOR OFFICE USE ONLY
CITY OF HUNTSVILLE TAXPAYER ID # ___ ___ ___ ___ ___ ___
LOCATION # _________
START ENTERING INFORMATION HERE:
*
FEDERAL TAX ID# ___ ___ - ___ ___ ___ ___ ___ ___ ___
*
NORTH AMERICAN CLASSIFICATION CODE ___
___
___
___
___
___
*
LEGAL BUSINESS OWNERSHIP NAME (INC, LLP, LLC etc) _________________________________________________________
*
OWNERS NAME ___________________________________________
DOB (month) __ __ (day) __ __ (year) __ __ __ __
*
OWNERS HOME ADDRESS _____________________________________________________
UNIT /SUITE #
___________
*
CITY ___________________________ STATE ____ ZIP __ __ __ __ __ +4 __ __ __ __ HM PHONE (__ __ __) __ __ __ __
SHOW ADDITIONAL OWNERS ON BACK OF FORM
*
PERSON RESPONSIBLE FOR LICENSE ______________________________________________ PHONE (__ __ __) __ __ __ __
*
PERSON RESPONSIBLE FOR TAXES ________________________________________________ PHONE (__ __ __) __ __ __ __
THIS IS REQUIRED INFORMATION FOR THE LICENSE
*
NAME OF PERSON WHO HOLDS CERTIFICATE ____________________________________________________________________
MAILING ADDRESS _____________________________________________________
UNIT /SUITE # _____________________
CITY __________________________________ STATE ______ Z IP __ __ __ __ __ +4 __ __ __ __
DOING BUSINESS AS (DBA) or TRADE NAME ________________________________________________________________________
LOCATION ADDRESS ___________________________________________________
UNIT/SUITE # _____________________
CITY ___________________________________ STATE ______ ZIP __ __ __ __ __ +4 __ __ __ __ PHONE (__ __ __) __ __ __ __
DATE BUSINESS BEGAN AT THIS LOCATION IN HUNTSVILLE
(month) __ __ (day) __ __ (year) __ __ __ __
See Municipal Code Chapter 15 for schedule numbers & fee computation.
GROSS RECEIPTS AND/OR COMPUTATION PER SCHEDULE:
AMOUNT DUE PER SCHEDULE
Schedule # _26_
$ _________________________________________________________________
$ ___________________._______
Schedule # _27_
$ _________________________________________________________________
$ ___________________._______
Schedule # _28_
$ ___________________________________________________________ ______
$ ___________________._______
Schedule # _29_
$ _________________________________________________________________
$ ___________________._______
Schedule # _30_
$ _________________________________________________________________
$ ___________________._______
Schedule # _31_
$ _________________________________________________________________
$ ___________________._______
Schedule # _32_
$ _________________________________________________________________
$ ___________________._______
SUB TOTAL DUE
$ ___________________._______
INTEREST COMPUTATION:
TOTAL LICENSE FEE DUE
$ ____________________.______
The rate is the same as for late sales tax
(call for current rate)
TOTAL INTEREST
$ ____________________.______
PENALTY COMPUTATION:
TOTAL PENALTY
$ ____________________.______
Less than 30 days late the penalty is 15%
ISSUING FEE
$ __________________10._00___
More than 30 days late the penalty is 30%
TOTAL AMOUNT DUE
$ ____________________.______
I swear or affirm under penalties of perjury that the above is a true and correct statement to the best of my knowledge and belief. I am also
aware of the tax requirement, if any, relative to the collection and/or payment of City taxes for this business. If NOT, I will inquire.
THIS FORM MUST BE SIGNED
.
_____________________________
________________________________________________________________
__________________
DATE
SIGNATURE
TITLE
Mail to: CITY CLERK-TREASURER, P. O. BOX 308, HUNTSVILLE, AL. 35804-0308
RD
Bring to: PUBLIC SERVICE BUILDING, 2
FLOOR, 320 FOUNTAIN CIRCLE, HUNTSVILLE, AL. 35801
The main telephone number for the Inspection Department is (256) 427-5331
(Renewals are due and payable on January 1, and Delinquent after January 31 of each year.)
FORM DATED 10/24/2007
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