Rds Lodging User Fee Return - 2010

RDS Lodging User Fee Return

Country Crossing Cooperative District, Alabama

Remit To:

RDS

PO Box 830725

Birmingham, AL 35283-0725

(205) 324-0088

For the Period of _____________ 20_____

FEIN/SSN: _________________________________

3031

18-11

RDS Internal Use

1 –

Total collected for lodging or accommodations:

$___________________________________

2 -

Amount of Fee Due & Remitted (at 4% of line #1 above):

$___________________________________

3 -

I declare, under penalties of perjury, that this return (and any accompanying schedules) has been examined by me and to the

best of my knowledge is true, correct and complete.

Signed:_______________________________________________________________ Date:______________________________ Telephone #:_____________________

Disclaimer: Please note that the administration and rate changes on the RDS Advisory and RDS tax forms are updated once the required information has been received, verified, and validated in compliance with RDS policy. Any information

received before or after the publication of an RDS Advisory or tax form will not be guaranteed to appear on said forms until all such requirements have been met. RDS is not responsible for incorrect information and/or improper use of the

information provided. All updates are completed on a timely basis once the requirements have been met. For the most current RDS administration and/or rate information provided, please visit our website at

Country Crossing User Fee

January 2010