Form Mr-441 - Meals And Rooms Tax Return
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1*084411100*
Vermont Department of Taxes
PO Box 547
Montpelier, VT 05601-0547
* 0 8 4 4 1 1 1 0 0 *
Form
MEALS AND ROOMS TAX RETURN
MR-441
REPORTING PERIOD
RETURN DUE DATE
BUSINESS NAME AND ADDRESS
FEDERAL ID NUMBER
VT ACCOUNT NUMBER
Please do not make any marks in boxes or on lines that you intend to leave blank.
PART I
MEALS AND ROOMS TAXES
1. MEALS
2. RENT
3. ALCOHOL
1a. Total Meals
2a. Total Rent
3a. Total Alcohol
0 0
0 0
0 0
,
,
,
,
,
,
.
.
.
1b. Exempt Meals
2b. Exempt Rent
3b. Exempt Alcohol
0 0
0 0
0 0
,
,
,
,
,
,
.
.
.
1c. Net Taxable
2c. Net Taxable
3c. Net Taxable
0 0
0 0
0 0
,
,
.
,
,
,
,
.
.
1d. Multiply Line 1c by _________%
2d. Multiply Line 2c by _________%
3d. Multiply Line 3c by _________%
0 0
0 0
0 0
,
,
,
,
,
,
.
.
.
PART II
_________% LOCAL OPTION TAXES Check our website for updates on new Local Option Jurisdictions.
JURISDICTION
TAX DUE
JURISDICTION
TAX DUE
0 0
0 0
,
,
.
.
4.
14.
0 0
0 0
,
,
.
.
5.
15.
0 0
0 0
,
,
.
.
6.
16.
0 0
0 0
,
,
.
.
7.
17.
0 0
0 0
,
,
.
.
8.
18.
0 0
0 0
,
,
.
.
9.
19.
0 0
0 0
,
,
.
.
10.
20.
0 0
0 0
,
,
.
.
11.
21.
0 0
0 0
,
,
.
.
12.
22.
0 0
0 0
,
,
.
.
13.
23.
PART III
TOTALS
0 0
,
,
.
24a.
Total Meals and Rooms Tax Due (Add Lines 1d, 2d, and 3d) . . . . . . . . . . . . . . . . . . . . 24a.
0 0
,
,
.
24b.
Total Local Option Tax Due (Add Lines 4-23 above, if applicable) . . . . . . . . . . . . . . . 24b.
0 0
,
,
.
24c.
Total Tax Due (Add Lines 24a and 24b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24c.
PART IV
CERTIFICATION
I hereby certify that I have examined this return and to the best of my knowledge and belief it is true, correct, and complete.
Sign
Here
Signature of Officer or Authorized Agent
Title
Date
Telephone Number
Form MR-441
TAX RETURNS MUST BE FILED EVEN IF NO TAX IS DUE.
Rev. 6/09
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