Form Cv-Mt-1 - Meals Tax - City Of Charlottesville Virginia
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1City Of Charlottesville Virginia
Form CV-MT-1
Commissioner Of Revenue
Virginia Sales Tax
Registration No.
Rev. 12/12/2011
P.O. Box 2964
Meals Tax
Charlottesville Va 22902-2964
Month Ended
Check:
Individual:
Partnership:
Lic #
Month
Coporation:
Other/ LLC:
Name
Legal Name
Location of Business
Trade Name
P.O Box or Mailing Address
City
State
Zip Code
Meals Tax
1.
GROSS RECEIPTS (month)
$
2.
ALLOWABLE DEDUCTIONS
A.
Meals to employees, when no change is made to employee.
$
B.
Meals paid for by federal,state,or local governments.
$
C.
Meals or food sold from coin opperated vending machines.
$
D.
Other (please state)
$
E.
Total Deductions
$
3.
ITEM 1 LESS ITEM 2 E.
$
4.
TAX (4% OF ITEM 3)
$
SELLER'S DISCOUNT (3% OF ITEM 4)
$
5.
(ALLOWABLE ONLY WITH TIMELY FILED
RETURN AND PAYMENT)
TOTAL TAX LESS SELLER'S DISCOUNT
(ITEM 4 LESS ITEM 5)
6.
$
7.
PENALTY FOR LATE PAYMENT 5% OF TAX
$
(ITEM 4 OR MINIMUM of $2.00)
INTEREST, 10% PER ANNUM
$
8.
9.
TOTAL TAX, PENALTY, AND INTEREST
$
(SUM OF ITEMS 6,7,AND 8)
MAKE CHECK PAYABLE TO TREASURER OF CHARLOTTESVILLE
(Check must accompany this report)
RETURN COMPLETED REPORT WITH PAYMENT TO:
Raymond Lee Richards, Commissioner of the Revenue
P.O. Box 2964, Charlottesville Va 22902-2964
I declare that this return has been examined by me and to the best of my knowledge and belief is true, correct, and complete.
Signature:.
Date:
TO AVOID PENALTY AND INTEREST, REPORT WITH PAYMENT MUST BE FILED ON OR BEFORE THE LAST DAY OF THE MONTH
FOLLOWING THE TAX MONTH.
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