Tuscaloosa County Use Tax Return Form

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Tuscaloosa County Use Tax Return
P.O. Box 20738 Tuscaloosa, AL 35402-0738
(205) 349-3870 Ext 225-227, 443, 457
Reporting Period______________________
Total Amount Enclosed
$
Name ________________________________
Address_______________________________
City___________________________________
ST_____________
Out of Business
Zip_____________
Date _________________
Account Number________________________
(
)Check here if this is a final return.
(A)
(B)
(C)
(D )
(E)
Type of Tax/Tax Area
Purchases
Total Deductions
Net Taxable
Tax Rate
Gross Tax Due
(Column A - Column B)
(Column C x Column D)
General Merchandise Rate
UseTotals:
City
0.02
Police Jurisdiction
0.03
County
0.04
Automotive Rate
Use Totals:
City
0.005
Police Jurisdiction
0.00625
County
0.01
Machine Rate
Use Totals:
City
0.0075
Police Jurisdiction
0.01125
County
0.015
This return must be postmarked by the 20th day of the month
(1) Total Tax
following the reporting period for which you are filing to be
(Total of Column E)
considered a timely return.
(2) Penalty
(Item 1 x 10%)
(3) Interest
By signing this report I am certifying that this report, including
(Item 1 x 1/2% per month delinquent)
any accompanying schedules or statements, has been examined
(4) Net Tax Due
by me and is to the best of my knowledge and belief, a true and
complete report for the period stated.
Total Amount Due & Enclosed
Date__________________ Title _________________
Signature ___________________________________

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