Sales Tax Report Form - City Of Tuscaloosa
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1
2CITY OF TUSCALOOSA
(205) 248-5200
SALES TAX REPORT
REPORTING PERIOD ________________
MAIL THIS RETURN WITH REMITTANCE TO:
CITY OF TUSCALOOSA, REVENUE DEPT.
Business Name
: _____________________________
P O BOX 2089
TUSCALOOSA, AL 35403
Mailing Address: __________________________
INDICATE ANY CHANGE BELOW
City: ____________ State: _______ Zip: ________
( ) Out of business (see back)
Account Number: __________________________
( ) Change of location (see back)
( ) Change of mailing address (see back)
( ) Additional forms needed
(A)
(B)
(C)
(D)
(E)
Type of Tax/Tax Area
Gross Taxable
Total Deductions
Net Taxable
Tax Rate
Gross Tax Due
Amount
(Column A- Column B)
(Column C x Column D)
General Merchandise Rate
City
.02
Police Jurisdiction
.01
Vending Machine Rate
City
.015
Police Jurisdiction
.0075
Automotive/Machine Rate
City
.0075
Police Jurisdiction
.00375
(1) Total Tax Due
th
This return must be postmarked by the 20
day of the month following
Total of Column E
the reporting period for which you are filing to be considered a timely
(2) Penalty --Failure to file 10% or $50;
return.
Failure to timely file will result in loss of discount. Failure to
Failure to pay 10%
file is 10% or $50.00 –whichever is greater. Failure to pay is 10%.
Interest is 1% each month delinquent.
(3) Interest – Line 1 x 1% each month
delinquent
(4) Discount
5% on $100.00 or less, 2% over $100.00
By signing this report I am certifying that this report, including any
up to a maximum of $200.00
accompanying schedules or statements, has been examined by me
(5) Net Tax Due
and is to the best of my knowledge and belief, a true and complete
Line 1 – 4, if delinquent 1+2+3
report for the period stated.
(6) Credit
Attach Documentation
Total Amount Due & Enclosed
Printed Name
Phone
Line 5 – 6
Signature
Date
SALES
Save Form
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