Sales Tax Report Form - City Of Northport
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1
2CITY OF NORTHPORT
(205) 339-7000 Fax (205) 333-3005
SALES TAX REPORT
REPORTING PERIOD_________________________
MAIL THIS RETURN WITH REMITTANCE TO:
CITY OF NORTHPORT
Business Name: ______________________________ P O BOX 569
NORTHPORT, AL 35476
Mailing Address: ______________________________
TOTAL AMOUNT ENCLOSED
City: ________________ State: ____ Zip: _________
$_____________________
Account #: __________________________________
Out of Business
( ) Check here if this is a final return
( ) Check here for additional forms
Date________________
(A)
(B)
(C)
(D)
(E)
Type of Tax/ Tax Area
Gross Taxable Amount
Total
Net Taxable
Tax
Gross Tax Due
Deductions
Rate
(Column A – Column B)
(Column C x Column D)
General Merchandise Rate
City
2%
Police Jurisdiction
1%
Vending Machine Rate
City
1.50%
0.00%
Police Jurisdiction
0.75%
Automotive/Machine Rate
City
0.75%
Police Jurisdiction
0.375%
(1)Total Tax Due
th
This return must be postmarked by the 20
day of the month
(Total of Column E)
following the reporting period for which you are filing to be
(2)Penalty
(failure to file 10%
considered a timely return.
or $50.00; failure to pay 10%)
(3)Interest
(Line 1 x 1% per month delinquent)
By signing this report I am certifying that this report, including
(4)Discount Max $200.00
any accompanying schedules or statements, has been
(5% on $100.00) (2% over $100.00)
examined by me and is to the best of my knowledge and belief,
a true and complete report for the period stated.
(5)Net Tax Due
(Item 1 – 4, if delinquent 1+2+3)
Date ____________ Title ____________________________
Total Amount Due & Enclosed
Signature _________________________________________
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