MOBILE COUNTY
ALABAMA
Month covered by this report
or
LODGING OR ACCOMMODATIONS TAX
Period covered by this report
MONTHLY REPORT
From
to
DIRECT ANY QUESTIONS TO (251) 574-4800 OR
VISIT US ONLINE AT
IF OUT OF BUSINESS ENTER DATE
THERE ARE NO EXEMPTIONS EXCEPT RECEIPTS FROM PROVIDING
LODGING IN EXCESS OF 179 CONTINUOUS DAYS
2%
Tax rate is
dollars
cents
1.
Gross receipts from rental of sites:
Gross receipts from rental of convention party or other rooms and/or
2.
facilities:
3.
Subtotal of above lines 1 and 2:
Less: Credit for lodging receipts in excess of 179 days continuous days to
4.
the same occupant:
5.
Total remaining as measure of tax
:
(line 3 less line 4)
6.
Tax due from lodging
:
(line 5 x .02)
7.
Add _____ % penalty
:
(see below * )
8.
Total payment enclosed for this return
:
(line 6 + line 7)
MAKE CHECK PAYABLE TO MOBILE COUNTY AND MAIL TO:
DEPT# 1524, P.O. BOX 11407, BIRMINGHAM, AL 35246-1524
* Penalty of 5% per month, to a maximum of 25% when
Please indicate
tax paid after the 20th of the month following tax period
correct address if
covered.
changed
Your Email address:
This report including accompanying schedules or statements has been
examined by me and is to the best of my knowledge and belief, a true
and complete report made in good faith for the period covered.
DATE
SIGNATURE
TITLE
TELEPHONE NUMBER
ENTER COMPANY NAME, MAILING ADDRESS & ACCOUNT NUMBER. CHECK IF NEW ADDRESS IF LOCATION CHANGED SHOW ADDRESS & CHECK HERE