Form Mr-441 - Meals And Rooms Tax Return - 2013

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Vermont Department of Taxes
*134411100*
PO Box 547
Montpelier, VT 05601-0547
* 1 3 4 4 1 1 1 0 0 *
Form
MEALS AND ROOMS TAX RETURN
MR-441
REPORTING PERIOD
RETURN DUE DATE
BUSINESS NAME AND ADDRESS
FEDERAL ID NUMBER
VT ACCOUNT NUMBER
Use BLUE or BLACK ink only .
Please do not make any marks in boxes or on lines that you intend to leave blank .
PART I
MEALS AND ROOMS TAXES
1. MEALS
2. RENT
3. ALCOHOL
1a. Total Meals
2a. Total Rent
3a. Total Alcohol
0 0
0 0
0 0
,
,
,
,
,
,
.
.
.
1b. Exempt Meals
2b. Exempt Rent
3b. Exempt Alcohol
,
,
0 0
,
,
0 0
,
,
0 0
.
.
.
1c. Net Taxable
2c. Net Taxable
3c. Net Taxable
0 0
0 0
0 0
,
,
.
,
,
,
,
.
.
1d. Multiply Line 1c by _________%
2d. Multiply Line 2c by _________%
3d. Multiply Line 3c by _________%
,
,
0 0
,
,
0 0
,
,
0 0
.
.
.
PART II
_________% LOCAL OPTION TAXES
Check our website for updates on new Local Option municipalities .
MUNICIPALITY
TAX DUE
MUNICIPALITY
TAX DUE
0 0
0 0
,
,
.
.
4.
14.
0 0
0 0
,
,
.
.
5.
15.
0 0
0 0
,
,
.
.
6.
16.
0 0
0 0
,
,
.
.
7.
17.
0 0
0 0
,
,
.
.
8.
18.
0 0
0 0
,
,
.
.
9.
19.
0 0
0 0
,
,
.
.
10.
20.
0 0
0 0
,
,
.
.
11.
21.
0 0
0 0
,
,
.
.
12.
22.
0 0
0 0
,
,
.
.
13.
23.
PART III
TOTALS
0 0
,
,
.
24a.
Total Meals and Rooms Tax Due (Add Lines 1d, 2d, and 3d) . . . . . . . . . . . . . . . . . . . . . . 24a.
0 0
,
,
.
24b.
Total Local Option Tax Due (Add Lines 4-23 above, if applicable) . . . . . . . . . . . . . . . . . . 24b.
0 0
,
,
.
24c.
Total Tax Due (Add Lines 24a and 24b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24c.
PART IV
CERTIFICATION
I hereby certify that I have examined this return and to the best of my knowledge and belief it is true, correct, and complete .
Sign
Here
Signature of Officer or Authorized Agent
Title
Date
Telephone Number
TAX RETURNS MUST BE FILED EVEN IF NO TAX IS DUE.
Form MR-441
Rev . 06/13

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