Form Cv-Mt-1 - Meals Tax - 2013 printable pdf download

CITY OF CHARLOTTESVILLE, VIRGINIA

Form CV-MT-1

OFFICE OF THE COMMISSIONER OF THE REVENUE

Virginia Sales Tax

POST OFFICE BOX 2964

Rev. 9/3/2013

Registration No. _______________

CHARLOTTESVILLE, VIRGINIA 22902-2964

Month Ended _________________

Check:

Individual _____________

Name ________________________________________________________

Partnership __________

Corporation ____________

______________________________________________________________

TRADE NAME

___________________________________________________________________________________________________

________________________________________________________________________

PO BOX OR MAILING ADDRESS

DEFINITE LOCATION OF BUSINESS

___________________________________________________________________________________________________

CITY

STATE

ZIP CODE

MEALS TAX

1. GROSS RECEIPTS (month)________________________

$____________________

2. ALLOWABLE DEDUCTIONS

A. Meals to employees, when on charge is made to employee.

$______________________

B. Meals paid for by federal, state, or local governments.

$______________________

C. Meals or food sold from coin operated vending machines.

$______________________

D. Other (please state) _________________________________

$______________________

__________________________________________________

$____________________

E. Total Deductions

3. ITEM 1 LESS ITEM 2 E.

$____________________

4. TAX (4% OF ITEM 3)

$____________________

5. SELLER’S DISCOUNT (3% OF ITEM 4)

$____________________

ALLOWABLE ONLY WHEN RETURN

AND PAYMENTS ARE FILED ON TIME

6. TOTAL TAX LESS SELLER’S DISCOUNT (ITEM 4 LESS ITEM 5)

$____________________

7. PENALTY FOR LATE PAYMENT 5% OF TAX

$____________________

ITEM 4 OR MINIMUM OF $2.00

8. INTEREST 10% PER ANNUM

$____________________

9. TOTAL TAX PENALTY AND INTEREST

$____________________

(SUM OF ITEMS 6, 7, AND 8)

MAKE CHECK PAYABLE TO: CITY TREASURER, CHARLOTTESVILLE, VIRGINIA

(Check must accompany this report)

NOTE: PLEASE RETURN COMPLETED REPORT WITH PAYMENT TO:

Commissioner of the Revenue

P.O. Box 2964, Charlottesville VA 22902-2964

I declare that this return has been examined by me and to the best of my knowledge and belief is a true, correct and

complete return.

Signature:____________________________________________ Date ___________________________________

TO AVOID PENALTY AND INTEREST, REPORT WITH PAYMENT MUST BE FILED ON OR BEFORE THE 20

DAY OF THE

MONTH FOLLOWING THE TAX MONTH.

Form Cv-Mt-1 - Meals Tax - 2013

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