CITY OF NORTHPORT
(205) 339-7000 Fax (205) 333-3005
SALES TAX REPORT
REPORTING PERIOD ______________________
MAIL THIS RETURN WITH REMITTANCE TO:
CITY OF NORTHPORT
P O BOX 569
Tax ID #_________________________________
NORTHPORT, AL 35476
Business Name:__________________________
Mailing Address:__________________________
City, State, Zip Code_______________________
Total Amount Enclosed
$
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 Deductions
Net Taxable
Tax Rate
Gross Tax Due
(Column A - Column B)
(Column C x Column D)
2%
General Merchandise Rate
Vending Machine Rate
1.50%
0.75%
Automotive/Machine Rate
This return must be postmarked by the 20th day of the month
(1) Total Tax Due
following the reporting period for which you are filing to be
(Total of Column E)
considered a timely return.
(2) Penalty (failure to file 10%
or $50; failure to pay 10%)
(3) Interest
By signing this report I am certifying that this report, including
(Line 1 x 1% per month delinquent)
any accompanying schedules or statements, has been examined
(4) Discount Max $200.00
by me and is to the best of my knowledge and belief, a true and
(5% on $100.00)(2% over $100.00)
complete report for the period stated.
(5) Net Tax Due
(Item 1-4, if delinquent 1+2+3)
Date__________________ Title _________________
Signature ___________________________________
Total Amount Due & Enclosed